EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL SB645 BCBS ‐ Wellmark BCBS
INSTITUTIONAL 00510BC AL BCBS AL BCBS
PROFESSIONAL 00510BS AL BCBS AL BCBS
INSTITUTIONAL 5558 AL BCBS AL BCBS
PROFESSIONAL 2423 AL BCBS AL BCBS
INSTITUTIONAL SB510 AL BCBS AL BCBS
INSTITUTIONAL 12B54 BC of Alabama AL BCBS
INSTITUTIONAL CBAL1 BC of Alabama AL BCBS
INSTITUTIONAL 00520 AR BCBS AR BCBS
INSTITUTIONAL 12021 AR BCBS AR BCBS
INSTITUTIONAL SB520 BCBS AR AR BCBS
INSTITUTIONAL 12B02 BCBS AR AR BCBS
INSTITUTIONAL CBAR1 BCBS AR AR BCBS
PROFESSIONAL 53589 AZ BCBS AZ BCBS
PROFESSIONAL BC001 CA BCBS CA BCBS
PROFESSIONAL BS001 CA BCBS CA BCBS
INSTITUTIONAL 47198 CA_BCBS_ANTHEM CA BCBS
INSTITUTIONAL 12B05 CO BCBS HMO Anthem CO BCBS
INSTITUTIONAL 12B03 CO BCBS Anthem CO BCBS
INSTITUTIONAL 00050 CO BCBS CO BCBS
DENTAL 84103 CO BCBS Trigon CO BCBS
INSTITUTIONAL 84099 CO BCBS CO BCBS
PROFESSIONAL SB563 CT BCBS CT BCBS
INSTITUTIONAL 00700 Blue Care Family Plan (BCBS of CT) CT BCBS
INSTITUTIONAL 00060 CT BCBS CT BCBS
INSTITUTIONAL 12B76 DE BCBS DE BCBS
INSTITUTIONAL SB570 BCBS of Delaware DE BCBS
INSTITUTIONAL 53287 BC of Delaware DE BCBS
INSTITUTIONAL 12B34 FL ‐ BCBS FL BCBS
ALL 00220 MN BCBS MN BCBS
INSTITUTIONAL 12B26 Health Options Inc (FL ‐ BCBS HMO) FL BCBS
INSTITUTIONAL SB600 GA BCBS ATLANTA GA BCBS
INSTITUTIONAL 00101 GA BCBS GA BCBS
PROFESSIONAL 00601 GA BCBS GA BCBS
INSTITUTIONAL 12015 GA BCBS GA BCBS
INSTITUTIONAL CBGA1 GA BCBS GA BCBS
INSTITUTIONAL 88848 IA BCBS IA BCBS
INSTITUTIONAL SB640 IA BCBS WELLMARK IA BCBS
INSTITUTIONAL 12B10 IA BCBS IA BCBS
INSTITUTIONAL CBIA2 IA BCBS IA BCBS
INSTITUTIONAL CBIA1 IA BCBS FEP IA BCBS
INSTITUTIONAL BLUEC ID BCBS‐BC ID BCBS
INSTITUTIONAL BLUES ID BCBS‐BS ID BCBS
INSTITUTIONAL EDS ID BCBS‐CAID ID BCBS
INSTITUTIONAL CIGNA ID BCBS‐CIGNA ID BCBS
ALL 220 MN BCBS MN BCBS
INSTITUTIONAL PRIME ID BCBS‐PRIME ID BCBS
PROFESSIONAL 7430 ID BCBS BOISE ID BCBS
INSTITUTIONAL 12B07 ID BCBS ID BCBS
INSTITUTIONAL CBID1 ID BCBS ID BCBS
INSTITUTIONAL SB612 ID BCBS ID BCBS
INSTITUTIONAL CBID2 ID BCBS ID BCBS
ALL 00222 MN BCBS MN BCBS
INSTITUTIONAL CB621 IL BCBS IL BCBS
INSTITUTIONAL 00130 IN BCBS IN BCBS
PROFESSIONAL 00630 IN BCBS/MEDB IN BCBS
INSTITUTIONAL 12B09 BC of Indiana (Anthem) IN BCBS
INSTITUTIONAL 57325 MS BCBS of Kansas KS BCBS
INSTITUTIONAL SB650 BCBS of Kansas KS BCBS
INSTITUTIONAL 12B66 BCBS of Kansas City KS BCBS
INSTITUTIONAL SB740 BCBS of Kansas City KS BCBS
INSTITUTIONAL 47171 BCBS of Kansas City MO KS BCBS
INSTITUTIONAL SB651 BCBS of Kansas HMO FEP KS BCBS
©copyright 2013 CompuGroup Medical. All rights reserved. Page 1 of 69
EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL SB652 BCBS of Kansas HMO Regular KS BCBS
INSTITUTIONAL SB653 BCBS of Kansas HMO Senior Plan KS BCBS
INSTITUTIONAL 5519 KANSAS BC ‐ TOPEKA KS BCBS
INSTITUTIONAL CBKS1 BC of Kansas KS BCBS
INSTITUTIONAL 00160 KY BCBS KY BCBS
PROFESSIONAL 00660 KY BCBS KY BCBS
INSTITUTIONAL 12B11 Adminastar BC of Kentucky KY BCBS
INSTITUTIONAL 23738 BCBS of Louisiana LA BCBS
INSTITUTIONAL 12B12 BCBS of Louisiana LA BCBS
PROFESSIONAL 53120 LA BCBS LA BCBS
INSTITUTIONAL 23739 BC Blue of Louisiana LA BCBS
INSTITUTIONAL 3580 LOUISIANA BC LA BCBS
PROFESSIONAL 2758 LOUISIANA BS LA BCBS
INSTITUTIONAL 12B14 BCBS of Massachusetts MA BCBS
INSTITUTIONAL SB700 BCBS of Massachusetts MA BCBS
INSTITUTIONAL CBMA1 BC of Massachusetts MA BCBS
INSTITUTIONAL 12011 CareFirst BCBS MD Region MD BCBS
INSTITUTIONAL SB690 CareFirst BCBS MD Region MD BCBS
INSTITUTIONAL 7518 MARYLAND BC ‐ CAREFIRST MD BCBS
INSTITUTIONAL 00180 ME BCBS ME BCBS
PROFESSIONAL 00680 ME BCBS ME BCBS
INSTITUTIONAL 12B18 BCBS of Michigan MI BCBS
INSTITUTIONAL CBMI1 BCBS of Michigan MI BCBS
INSTITUTIONAL SB710 BCBS of Michigan MI BCBS
INSTITUTIONAL SB711 BLUE CARE NETWORK (BCBS OF MICHIGAN) MI BCBS
INSTITUTIONAL 12B58 Blue Care Network/BCBS of Michigan MI BCBS
INSTITUTIONAL 00710 MI BCBS MI BCBS
INSTITUTIONAL 3514 MICHIGAN BC MI BCBS
PROFESSIONAL 1421 MICHIGAN BS MI BCBS
INSTITUTIONAL SB751 MN BCBS MN BCBS
INSTITUTIONAL 12B16 BCBS of Minnesota MN BCBS
INSTITUTIONAL SB720 BCBS of Minnesota MN BCBS
INSTITUTIONAL 12B77 BCBS of Montana MN BCBS
INSTITUTIONAL CBMT1 BCBS of Montana MN BCBS
INSTITUTIONAL 1513 MINNESOTA BC MN BCBS
PROFESSIONAL 1402 MINNESOTA BC AND BS MN BCBS
PROFESSIONAL 1429 MINNESOTA BC/BS HMO MN BCBS
INSTITUTIONAL 12B65 BCBS of Missouri (Blue Choice) MO BCBS
INSTITUTIONAL SB742 BCBS of Missouri (Blue Choice) MO BCBS
INSTITUTIONAL 12B15 BCBS of Missouri (BC) MO BCBS
INSTITUTIONAL 00241 MO BCBS1 MO BCBS
INSTITUTIONAL 2597 MISSOURI BC ‐ ST LOUIS MO MO BCBS
INSTITUTIONAL 00230 MS BCBS MS BCBS
INSTITUTIONAL SB731 MS BCBS MS BCBS
INSTITUTIONAL SB730 BCBS of Mississippi MS BCBS
INSTITUTIONAL CBMS1 Mississippi BCBS MS BCBS
INSTITUTIONAL 5555 MISSISSIPPI BC MS BCBS
INSTITUTIONAL 12B17 Mississippi BC ‐ Trispan MS BCBS
INSTITUTIONAL 5561 MISSISSIPPI BC‐STATE EMPLOYEE MS BCBS
PROFESSIONAL 2415 MISSISSIPPI BS MS BCBS
INSTITUTIONAL 5585 MT BCBS MT BCBS
PROFESSIONAL 7450 MT BCBS MT BCBS
PROFESSIONAL BCBS MT BCBS MT BCBS
INSTITUTIONAL 00247 NC BCBS NC BCBS
INSTITUTIONAL 61474 NC BCBSNC ‐ DBA ACS Benefit Services NC BCBS
INSTITUTIONAL 61473 BCBS of North Carolina NC BCBS
INSTITUTIONAL SB810 BCBS of North Carolina NC BCBS
INSTITUTIONAL 12000 CareFirst BCBS NCA Region NC BCBS
INSTITUTIONAL SB580 CareFirst BCBS NCA Region NC BCBS
INSTITUTIONAL 3562 NORTH CAROLINA BC NC BCBS
INSTITUTIONAL 12B23 North Carolina BC NC BCBS
PROFESSIONAL 1411 NORTH CAROLINA BS NC BCBS
INSTITUTIONAL SB820 BCBS of North Dakota ND BCBS
©copyright 2013 CompuGroup Medical. All rights reserved. Page 2 of 69
EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 12B78 North Dakota BC (Noridian) ND BCBS
PROFESSIONAL 2411 NORTH DAKOTA BS ND BCBS
PROFESSIONAL 00760 NE BCBS NE BCBS
INSTITUTIONAL 1521 NEBRASKA BC NE BCBS
INSTITUTIONAL 12B19 BC of Nebraska NE BCBS
INSTITUTIONAL CBNE1 BC of Nebraska NE BCBS
INSTITUTIONAL 00270 NH BCBS NH BCBS
PROFESSIONAL 00770 NH BCBS NH BCBS
INSTITUTIONAL 12B21 New Hampshire BC (Anthem) NH BCBS
INSTITUTIONAL 1512 NEW HAMPSHIRE BC NH BCBS
INSTITUTIONAL 5526 HORIZON BC OF NEW JERSEY NJ BCBS
PROFESSIONAL 2414 NEW JERSEY BLUE SELECT NJ BCBS
INSTITUTIONAL 5565 NEW MEXICO BC NM BCBS
INSTITUTIONAL 12B22 New Mexico BC NM BCBS
INSTITUTIONAL CBNM1 BC of New Mexico NM BCBS
INSTITUTIONAL 00265 NV BCBS NV BCBS
INSTITUTIONAL 12B20 Nevada BC NV BCBS
INSTITUTIONAL 84101 BC of Nevada NV BCBS
INSTITUTIONAL 00303 NY BCBS EMPIRE NY BCBS
PROFESSIONAL 00803 NY BCBS EMPIRE NY BCBS
INSTITUTIONAL 00804 NY BCBS ROCH NY BCBS
INSTITUTIONAL CBNYR BCBS of Rochester New York NY BCBS
INSTITUTIONAL CBNY1 Empire BCBS NY BCBS
INSTITUTIONAL 12B37 Excellus ‐ BCBS Central NY NY BCBS
INSTITUTIONAL 12B71 Excellus ‐ BCBS Central NY‐RMSCO NY BCBS
INSTITUTIONAL SB805 Excellus ‐ BCBS of Central New York NY BCBS
INSTITUTIONAL 12B40 Excellus ‐ BCBS Rochester Area NY BCBS
INSTITUTIONAL 12B67 Excellus ‐ BCBS Rochester Area NY BCBS
INSTITUTIONAL 12B73 Excellus ‐ BCBS Rochester Area NY BCBS
INSTITUTIONAL 12B38 Excellus ‐ BCBS Utica Watertown NY BCBS
INSTITUTIONAL SB806 Excellus ‐ BCBS Utica Watertown NY BCBS
INSTITUTIONAL 12B68 HealthNow ‐ BCBS Northeastern NY NY BCBS
INSTITUTIONAL SB800 HealthNow ‐ BCBS Northeastern NY NY BCBS
INSTITUTIONAL 12B39 HealthNow ‐ BCBS of Western NY NY BCBS
INSTITUTIONAL SB801 HealthNow ‐ BCBS of Western NY NY BCBS
INSTITUTIONAL 3618 NEW YORK BC CENTRAL REGION NY BCBS
INSTITUTIONAL 3528 NEW YORK BC OF ROCHESTER NY BCBS
INSTITUTIONAL 3525 NEW YORK BC of NORTHEASTERN NEW YORK NY BCBS
PROFESSIONAL 7432 NEW YORK BC UTICA/WATERTOWN NY BCBS
INSTITUTIONAL 3527 NEW YORK BC WESTERN NY BCBS
PROFESSIONAL 3449 NEW YORK BS CENTRAL REGION NY BCBS
PROFESSIONAL 7433 NEW YORK BS of NORTHEASTERN NEW YORK NY BCBS
PROFESSIONAL 4408 NEW YORK BS OF ROCHESTER NY BCBS
PROFESSIONAL 4459 NEW YORK EMPIRE BS ‐ HEALTHNET NY BCBS
INSTITUTIONAL 3520 NEW YORK EMPIRE BC NY BCBS
INSTITUTIONAL 12B72 BC Utica ‐ Watertown NY BCBS
PROFESSIONAL 4409 BS OF WESTERN NEW YORK NY BCBS
INSTITUTIONAL 00332 OH BCBS OH BCBS
PROFESSIONAL 00834 OH BCBS OH BCBS
INSTITUTIONAL 12B24 Ohio BC (Anthem) OH BCBS
INSTITUTIONAL SB338 Anthem BC and BS of Ohio OH BCBS
INSTITUTIONAL 3505 OHIO BC OH BCBS
INSTITUTIONAL 84105 BC of Ohio Anthem OH BCBS
ALL 222 MN BCBS MN BCBS
INSTITUTIONAL 1514 OKLAHOMA BC OK BCBS
INSTITUTIONAL 12B59 BC of Oklahoma OK BCBS
ALL 00590 FL BCBS FL BCBS
INSTITUTIONAL 12B41 Regence BC of Oregon OR BCBS
INSTITUTIONAL 5516 OREGON BC OR BCBS
INSTITUTIONAL CB850 BC of Oregon OR BCBS
INSTITUTIONAL 54704 PA INDBCBS PA BCBS
INSTITUTIONAL SX168 BCBSPA ‐ BlueCard Par Point of Service (POS) PA BCBS
INSTITUTIONAL CB865 Pennsylvania BS (Camp Hill) PA BCBS
©copyright 2013 CompuGroup Medical. All rights reserved. Page 3 of 69
EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 12B81 Pennsylvania Highmark BS ‐ Central PA BCBS
INSTITUTIONAL 5599 CAPITAL BC of PENNSYLVANIA PA BCBS
INSTITUTIONAL 54771C PA BCCNTRL PA BCBS
INSTITUTIONAL 54771W PA BCWESTR PA BCBS
PROFESSIONAL 54771 PA BSPROF PA BCBS
INSTITUTIONAL 3587 PENNSYLVANIA BC PA BCBS
PROFESSIONAL 2413 PENNSYLVANIA BS PA BCBS
DENTAL CBPA2 BS of Pennsylvania Dental Plus PA BCBS
PROFESSIONAL 00870 RI BCBS RI BCBS
INSTITUTIONAL 00370 RI BCBS Inst RI BCBS
INSTITUTIONAL SB870 BCBS of Rhode Island RI BCBS
INSTITUTIONAL 12B75 Rhode Island ‐ BC RI BCBS
INSTITUTIONAL 5579 RHODE ISLAND BC RI BCBS
PROFESSIONAL 7420 RHODE ISLAND BS RI BCBS
INSTITUTIONAL SB871 Blue CHiP of Rhode Island RI BCBS
INSTITUTIONAL 12B74 BC of Rhode Island RI BCBS
INSTITUTIONAL CB870 BC of Rhode Island RI BCBS
INSTITUTIONAL 401 SC BCBS SC BCBS
INSTITUTIONAL 403 SC BCBS SC BCBS
INSTITUTIONAL 481 SC BCBS SC BCBS
INSTITUTIONAL 498 SC BCBS Carolina Benefit Administrators SC BCBS
INSTITUTIONAL C64 SC BCBS CHC PPO SC BCBS
INSTITUTIONAL C16 SC BCBS Consolidated Benefits Inc SC BCBS
INSTITUTIONAL 446 SC BCBS Employee Benefit Services SC BCBS
INSTITUTIONAL 130 SC BCBS Employers Life Insurance Company SC BCBS
INSTITUTIONAL 402 SC BCBS FEP SC BCBS
INSTITUTIONAL 781 SC BCBS Medical Claims Management Corp SC BCBS
INSTITUTIONAL C63 SC BCBS Medicare Advantage SC BCBS
INSTITUTIONAL 886 SC BCBS Planned Administrators, Inc SC BCBS
INSTITUTIONAL C62 SC BCBS Private Advantage SC BCBS
INSTITUTIONAL 400 SC BCBS State Employees Health Plan SC BCBS
INSTITUTIONAL 315 SC BCBS Thomas Cooper Agency SC BCBS
INSTITUTIONAL 12B55 BCBS of South Carolina SC BCBS
INSTITUTIONAL SX085 BCBS of South Carolina ‐ Companion Healthcare SC BCBS
INSTITUTIONAL SB880 BCBS of South Carolina ‐ Companion Technologies SC BCBS
INSTITUTIONAL SX108 BCBS of South Carolina ‐ Consolidated Benefits Inc. SC BCBS
INSTITUTIONAL SX084 BCBS of South Carolina ‐ Federal Employee Program (FEP) SC BCBS
INSTITUTIONAL 3910 ALASKA ELECTRICAL HEALTH AK COMMERCIAL
INSTITUTIONAL 58066 AFLAC GA GA COMMERCIAL
INSTITUTIONAL 52080 AFLAC NY NY COMMERCIAL
INSTITUTIONAL 4551 1199 NATIONAL BENEFIT FUND COMMERCIAL
INSTITUTIONAL 13162 1199 National Benefit Fund COMMERCIAL
PROFESSIONAL 2170 21ST CENTURY INSURANCE and FINANCIAL SERVICES COMMERCIAL
INSTITUTIONAL 51028 21st Century Insurance and Financial Services COMMERCIAL
INSTITUTIONAL 20413 3P ADMIN COMMERCIAL
INSTITUTIONAL 1925 3P ADMINISTRATORS COMMERCIAL
PROFESSIONAL 2430 3P ADMINISTRATORS COMMERCIAL
PROFESSIONAL 5280 742 ACCEL COMMERCIAL
INSTITUTIONAL 9584 742 ACCEL COMMERCIAL
PROFESSIONAL 00243 MedStar Family Choice‐ VESTICA COMMERCIAL
INSTITUTIONAL 93044 A & I Benefit Plan Administrators COMMERCIAL
PROFESSIONAL 3296 A and I BENEFIT PLAN ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 8934 A and I BENEFIT PLAN ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 95241 A.G.I.A. Inc. COMMERCIAL
INSTITUTIONAL 1963 AAG BENEFIT PLAN ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 8949 AAG‐AMERICAN ADMINISTRATIVE GROUP (AKA ICON) COMMERCIAL
INSTITUTIONAL 75185 AAG‐American Administravie Group ( Formerly Icon Benefit Admin) COMMERCIAL
INSTITUTIONAL AARP1 AARP COMMERCIAL
INSTITUTIONAL 4921 ABC HEALTH PLAN COMMERCIAL
INSTITUTIONAL J1121 Abilene ISD Self‐Insured COMMERCIAL
PROFESSIONAL 1782 ABMA (ALTA BATEES MEDICAL ASSOCIATES) MEDICAL CORP COMMERCIAL
PROFESSIONAL 2750 ABRAZO ADVANTAGE HEALTH PLAN COMMERCIAL
INSTITUTIONAL 03443 Abrazo Advantage Health Plan COMMERCIAL
©copyright 2013 CompuGroup Medical. All rights reserved. Page 4 of 69
EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 3637 ABRAZO ADVANTAGE HEALTH PLAN COMMERCIAL
PROFESSIONAL 2119 ABRI HEALTH PLAN COMMERCIAL
INSTITUTIONAL 5951 ABRI HEALTH PLAN COMMERCIAL
INSTITUTIONAL 1993 ACCESS ADMINISTRATORS COMMERCIAL
PROFESSIONAL 3421 ACCESS ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 12T33 Access Administrators COMMERCIAL
INSTITUTIONAL TH067 Access Administrators COMMERCIAL
DENTAL CX097 Access Dental COMMERCIAL
INSTITUTIONAL 4552 ACCLAIM COMMERCIAL
PROFESSIONAL 64071 Acclaim COMMERCIAL
INSTITUTIONAL 4946 ACCLAIM REPRICING COMMERCIAL
INSTITUTIONAL 21356 Acclaim Repricing COMMERCIAL
PROFESSIONAL 72467 ACS Benefit Services Inc. COMMERCIAL
INSTITUTIONAL 72468 ACS Benefit Services Inc. COMMERCIAL
INSTITUTIONAL 3908 ACS BENEFIT SERVICES, INC. COMMERCIAL
INSTITUTIONAL 88056 Activa Benefit Services COMMERCIAL
INSTITUTIONAL 2531 ACTIVA BENEFIT SERVICES, LLC COMMERCIAL
PROFESSIONAL 5404 ACTIVA BENEFITS SERVICES COMMERCIAL
INSTITUTIONAL 3952 ADMINISTRATIVE CONCEPTS COMMERCIAL
INSTITUTIONAL 22384 Administrative Concepts Inc. COMMERCIAL
PROFESSIONAL 4295 ADMINISTRATIVE SERVICES INC. COMMERCIAL
INSTITUTIONAL 59141 Administrative Services Inc. COMMERCIAL
INSTITUTIONAL 9565 ADMINISTRATIVE SERVICES, INC. COMMERCIAL
PROFESSIONAL 4793 ADVANTAGE by BUCKEYE COMMERCIAL
INSTITUTIONAL 9564 ADVANTAGE BY BUCKEYE COMMERCIAL
INSTITUTIONAL CPPSA Advantage by Superior COMMERCIAL
DENTAL 93524 Advantage Dental Plan Inc. COMMERCIAL
INSTITUTIONAL 35209 Advantage Health Solutions COMMERCIAL
INSTITUTIONAL 3943 ADVANTAGE PREFERRED PLANS COMMERCIAL
PROFESSIONAL 4280 ADVANTAGE PREFERRED PLUS COMMERCIAL
INSTITUTIONAL 77070 Advantage Preferred Plus COMMERCIAL
INSTITUTIONAL 1636 ADVANTEK BENEFIT ADMINISTRATORS COMMERCIAL
PROFESSIONAL 6122 ADVANTEK BENEFIT ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 83077 Advantek Benefit Administrators COMMERCIAL
INSTITUTIONAL 4621 ADVANTICA BENEFITS COMMERCIAL
PROFESSIONAL 6138 ADVANTICA BENEFITS COMMERCIAL
INSTITUTIONAL 59374 ADVANTICA BENEFITS COMMERCIAL
PROFESSIONAL 2114 ADVENTIST HEALTH SYSTEM COMMERCIAL
INSTITUTIONAL 2932 ADVENTIST HEALTH SYSTEM COMMERCIAL
INSTITUTIONAL 95340 Adventist Health System West ‐ Roseville CA COMMERCIAL
INSTITUTIONAL 2517 ADVOCATE HEALTH CENTERS COMMERCIAL
INSTITUTIONAL 36320 Advocate Health Centers COMMERCIAL
INSTITUTIONAL 2510 ADVOCATE HEALTH PARTNERS COMMERCIAL
PROFESSIONAL 65093 Advocate Physician Partners COMMERCIAL
INSTITUTIONAL 4500 AETNA COMMERCIAL
PROFESSIONAL 6400 AETNA COMMERCIAL
INSTITUTIONAL 60054 Aetna COMMERCIAL
INSTITUTIONAL 57604 Aetna Affordable Health Choices (SM) ‐ SRC COMMERCIAL
PROFESSIONAL 4764 AETNA BETTER HEALTH PLAN COMMERCIAL
INSTITUTIONAL 5964 AETNA BETTER HEALTH PLAN COMMERCIAL
INSTITUTIONAL 99138 AETNA ENCOUNTERS COMMERCIAL
PROFESSIONAL 3428 AETNA ENCOUNTERS SR. and JR. COMMERCIAL
PROFESSIONAL 5810 AFFILIATED DOCTORS OF ORANGE COUNTY (ADOC) COMMERCIAL
INSTITUTIONAL ADOCS Affiliated Doctors of Orange County (ADOC) COMMERCIAL
INSTITUTIONAL APG01 Affiliated Physicians Group COMMERCIAL
INSTITUTIONAL 1933 AFFINITY HEALTH PLAN COMMERCIAL
INSTITUTIONAL 13334 Affinity Health Plan COMMERCIAL
PROFESSIONAL 5217 AFFINITY MEDICAL GROUP COMMERCIAL
INSTITUTIONAL 46594 AFFINITY MEDICAL GROUP COMMERCIAL
PROFESSIONAL 5297 AFFORDABLE BENEFIT ADMINISTATORS, INC COMMERCIAL
INSTITUTIONAL 95426 Affordable Benefit Administrators Inc. COMMERCIAL
INSTITUTIONAL 3946 AFTRA HEALTH FUND COMMERCIAL
INSTITUTIONAL 13346 AFTRA Health Fund COMMERCIAL
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 20048 Agate Resources Inc. (LIPA) COMMERCIAL
INSTITUTIONAL 3900 AGATE RESOURCES, INC. (LIPA) COMMERCIAL
INSTITUTIONAL 3981 AHPO COMMERCIAL
PROFESSIONAL 4296 AHPO COMMERCIAL
INSTITUTIONAL 31138 AHPO (Cleveland OH) COMMERCIAL
INSTITUTIONAL 12B82 AHS State Network (Mississippi BC) COMMERCIAL
INSTITUTIONAL 19402 AIG COMMERCIAL
INSTITUTIONAL 3675 MICHAEL REESE PHYSICIAN GROUP COMMERCIAL
PROFESSIONAL 2804 MICHAEL REESE PHYSICIANS GROUP COMMERCIAL
INSTITUTIONAL 37127 Michael Reese Physicians Group COMMERCIAL
PROFESSIONAL 2113 MID ROGUE IPA COMMERCIAL
INSTITUTIONAL 1613 MID‐AMERICA ASSOCIATES COMMERCIAL
PROFESSIONAL 5294 MID‐AMERICA ASSOCIATES COMMERCIAL
INSTITUTIONAL 37281 Mid‐America Associates Inc. COMMERCIAL
INSTITUTIONAL 77012 MidCoast IPA COMMERCIAL
INSTITUTIONAL 1918 MIDLAND MANAGEMENT / MFC COMMERCIAL
PROFESSIONAL 3229 MIDLAND MANAGEMENT / MFC COMMERCIAL
INSTITUTIONAL 6588 MIDLANDS CHOICE COMMERCIAL
PROFESSIONAL 47080 Midlands Choice Inc. COMMERCIAL
DENTAL 41101 Midwest Dental Benefits COMMERCIAL
PROFESSIONAL 1796 MIDWEST GROUP BENEFITS COMMERCIAL
INSTITUTIONAL 76079 Midwest Health Partners COMMERCIAL
INSTITUTIONAL 1977 MIDWEST HEALTH PLANS COMMERCIAL
INSTITUTIONAL 12T54 Midwest Health Plans Inc. COMMERCIAL
INSTITUTIONAL TH074 Midwest Health Plans Inc. COMMERCIAL
PROFESSIONAL 3422 MIDWEST HEALTH PLANS, INC. COMMERCIAL
INSTITUTIONAL 10895 Midwest Insurance COMMERCIAL
INSTITUTIONAL 2584 MID‐WEST NATIONAL LIFE INS. CO. OF TN COMMERCIAL
PROFESSIONAL 59224 Mid‐West National Life Insurance Co. of Tennessee ‐ Insurance Center COMMERCIAL
PROFESSIONAL 2115 MIDWEST SECURITIES COMMERCIAL
INSTITUTIONAL MPHS1 Mills Peninsula Health Services COMMERCIAL
PROFESSIONAL MPMG1 Mills Peninsula Medical Group COMMERCIAL
PROFESSIONAL 2130 MILLS PENINSULA MEDICAL GROUP, INC. COMMERCIAL
INSTITUTIONAL 35316 MMA COMMERCIAL
INSTITUTIONAL 41154 MMSI COMMERCIAL
INSTITUTIONAL 12X09 Molina Healthcare COMMERCIAL
PROFESSIONAL 5443 MOLINA HEALTHCARE of MICHIGAN MI COMMERCIAL
INSTITUTIONAL 38334 Molina Healthcare of MICHIGAN MI COMMERCIAL
INSTITUTIONAL 1951 MOLINA HEALTHCARE of MISSOURI MO COMMERCIAL
PROFESSIONAL 2239 MOLINA HEALTHCARE of MISSOURI MO COMMERCIAL
INSTITUTIONAL 71079 Molina Healthcare of Missouri MO COMMERCIAL
INSTITUTIONAL 20676 Molina Healthcare of Nevada NV COMMERCIAL
INSTITUTIONAL 8914 MOLINA HEALTHCARE OF NEW MEXICO NM COMMERCIAL
INSTITUTIONAL 09824 Molina Healthcare of New Mexico ‐ Salud NM COMMERCIAL
INSTITUTIONAL 04423 Molina Healthcare of New Mexico ‐SCI NM COMMERCIAL
INSTITUTIONAL 1908 MOLINA HEALTHCARE OF OHIO OH COMMERCIAL
PROFESSIONAL 2286 MOLINA HEALTHCARE OF OHIO OH COMMERCIAL
INSTITUTIONAL 20149 Molina Healthcare of Ohio OH COMMERCIAL
INSTITUTIONAL 4957 MOLINA HEALTHCARE of TEXAS TX COMMERCIAL
PROFESSIONAL 2475 MONARCH IPA COMMERCIAL
INSTITUTIONAL IP095 Monarch IPA COMMERCIAL
INSTITUTIONAL 50749 Mondial Assistance COMMERCIAL
INSTITUTIONAL 7541 MONTEFIORE CMO COMMERCIAL
INSTITUTIONAL 13174 Montefiore Contract Management Organization COMMERCIAL
INSTITUTIONAL 12T38 Monumental Life Ins. Co. COMMERCIAL
INSTITUTIONAL 12T68 Monumental Life Insurance Company COMMERCIAL
INSTITUTIONAL TH094 Monumental Life Insurance Company COMMERCIAL
INSTITUTIONAL TH121 Monumental Life Insurance Company COMMERCIAL
INSTITUTIONAL 3998 MORRIS ASSOCIATES COMMERCIAL
PROFESSIONAL 4424 MORRIS ASSOCIATES COMMERCIAL
INSTITUTIONAL 35092 MORRIS ASSOCIATES COMMERCIAL
INSTITUTIONAL J1127 Morton ISD COMMERCIAL
PROFESSIONAL 4150 MOSAIC IPA MEDICAL GROUP COMMERCIAL
©copyright 2013 CompuGroup Medical. All rights reserved. Page 6 of 69
EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL IP083 Mosaic IPA Medical Group COMMERCIAL
PROFESSIONAL 1714 MOTION PICTURE INDUSTRY PENSIONS and HEALTH PLAN COMMERCIAL
INSTITUTIONAL 99282 Motion Pictures Industry COMMERCIAL
INSTITUTIONAL 36111 Motorola COMMERCIAL
INSTITUTIONAL 2502 MPLAN, INC. /HEALTHCARE GROUP, LLC COMMERCIAL
INSTITUTIONAL 20572 MSA CareGuard COMMERCIAL
INSTITUTIONAL J1128 Muleshoe ISD COMMERCIAL
PROFESSIONAL 2167 MUNICIPAL HEALTH BENEFIT FUND COMMERCIAL
INSTITUTIONAL 5956 MUNICIPAL HEALTH BENEFIT FUND COMMERCIAL
INSTITUTIONAL 81883 Municipal Health Benefit Fund COMMERCIAL
INSTITUTIONAL 2959 MUTUAL ASSURANCE ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 37256 Mutual Assurance Administrators COMMERCIAL
INSTITUTIONAL 59140 Mutual Group (The) (US) COMMERCIAL
INSTITUTIONAL CX087 Mutual of Omaha Commercial COMMERCIAL
INSTITUTIONAL 14165 MVP Health Plan of NY NY COMMERCIAL
INSTITUTIONAL 6538 MVP HEALTH PLANS of NEW YORK NY COMMERCIAL
INSTITUTIONAL 12X04 MVP Health Rochester NY COMMERCIAL
INSTITUTIONAL SX089 MVP Health Rochester NY COMMERCIAL
INSTITUTIONAL 65085 NAA (North America Administrators L.P.) (Nashville TN) TN COMMERCIAL
PROFESSIONAL 3812 NAA (NORTH AMERICAN ADMINISTRATORS, LP) (NASHVILLE TN COMMERCIAL
PROFESSIONAL 2234 NAPERVILLE HEALTHCARE COMMERCIAL
INSTITUTIONAL 12T26 Naperville HealthCare COMMERCIAL
INSTITUTIONAL TH088 Naperville Healthcare COMMERCIAL
INSTITUTIONAL 53011 National Association of Letter Carriers/NALC COMMERCIAL
INSTITUTIONAL 5549 NATIONAL BENEFIT ADMINISTATORS ‐ NORTH CAROLINA NC COMMERCIAL
PROFESSIONAL 3769 NATIONAL BENEFIT ADMINISTRATORS ‐ NC NC COMMERCIAL
INSTITUTIONAL 56175 National Benefit Administrators ‐ New Jersey NJ COMMERCIAL
PROFESSIONAL 3768 NATIONAL BENEFIT ADMINISTRATORS ‐ NJ NJ COMMERCIAL
INSTITUTIONAL 56176 National Benefit Administrators ‐ North Carolina NC COMMERCIAL
INSTITUTIONAL 8970 NATIONAL BENEFIT ADMINISTRATORS NEW JERSEY NJ COMMERCIAL
PROFESSIONAL 90001 National Capital Preferred Provider Organization (NCPPO) COMMERCIAL
INSTITUTIONAL CX045 National Elevator Industry Benefit Plan (NEIB) COMMERCIAL
INSTITUTIONAL 1637 NATIONAL HEALTH BENEFITS CORPORATION COMMERCIAL
PROFESSIONAL 5239 NATIONAL HEALTH BENEFITS CORPORATION COMMERCIAL
INSTITUTIONAL 12X27 National Imaging Assoc Inc / Magellan Health Services COMMERCIAL
PROFESSIONAL 4485 NATIONAL IMAGING ASSOCIATES COMMERCIAL
INSTITUTIONAL SX190 National Imaging Associates COMMERCIAL
INSTITUTIONAL CX057 National Pacific of TX (NCFLEX) TX COMMERCIAL
INSTITUTIONAL 52132 National Rural Electric Coop (NRECA) COMMERCIAL
PROFESSIONAL 2407 NATIONAL TELECOMMUNICATIONS COOPERATIVE ASSOC. COMMERCIAL
INSTITUTIONAL 52120 National Telecommunications Cooperative Association COMMERCIAL
INSTITUTIONAL 52104 National Telecommunications Cooperative Association (NTCA ‐ Staff) COMMERCIAL
INSTITUTIONAL 52103 National Telecommunications Cooperative Association (NTCA) COMMERCIAL
INSTITUTIONAL 2977 NATIONWIDE HEALTH PLANS COMMERCIAL
INSTITUTIONAL 31417 Nationwide Health Plans COMMERCIAL
INSTITUTIONAL 2914 NCAS COMMERCIAL
PROFESSIONAL 75190 NCAS ‐ Fairfax VA VA COMMERCIAL
INSTITUTIONAL 4943 NCAS‐CHARLOTTE NC COMMERCIAL
INSTITUTIONAL 3987 NCTA COMMERCIAL
PROFESSIONAL 3251 NESIKA HEALTH GROUP COMMERCIAL
INSTITUTIONAL 3903 NESIKA HEALTH GROUP COMMERCIAL
INSTITUTIONAL 37255 Nesika Health Group COMMERCIAL
INSTITUTIONAL 66055 Netcare Life and Health Insurance (Hagatna Guam) COMMERCIAL
INSTITUTIONAL 4915 NETCARE LIFE HEALTH INSURANCE COMMERCIAL
INSTITUTIONAL 2523 NETWORK HEALTH COMMERCIAL
INSTITUTIONAL 04332 Network Health COMMERCIAL
INSTITUTIONAL 1615 NETWORK HEALTH INSURANCE CORPORATION COMMERCIAL
PROFESSIONAL 2102 NETWORK HEALTH INSURANCE CORPORATION COMMERCIAL
PROFESSIONAL 1783 NETWORK HEALTH PLAN OF WISCONSIN WI COMMERCIAL
INSTITUTIONAL 3574 NETWORK HEALTH PLAN OF WISCONSIN WI COMMERCIAL
INSTITUTIONAL 39111 Network Health Plan of Wisconsin WI COMMERCIAL
INSTITUTIONAL 39144 Network Health Plan of Wisconsin Inc. WI COMMERCIAL
INSTITUTIONAL NMM01 Network Medical Management COMMERCIAL
©copyright 2013 CompuGroup Medical. All rights reserved. Page 7 of 69
EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 95998 NEW AVENUES INC. COMMERCIAL
PROFESSIONAL 5238 NEW CENTURY HEALTH ‐ CAREPLUS CARDIOLOGY COMMERCIAL
PROFESSIONAL 5278 NEW CENTURY HEALTH ‐ HUMANA CA COMMERCIAL
INSTITUTIONAL NCH11 New Century Health ‐ IEHP Oncology COMMERCIAL
PROFESSIONAL 5237 NEW CENTURY HEALTH ‐ VISTA CARDIOLOGY COMMERCIAL
INSTITUTIONAL NCH09 New Century Health ‐ Vista Cardiology COMMERCIAL
PROFESSIONAL 5888 NEW CENTURY INFUSION SOLUTIONS ‐ VISTA ONCOLOGY COMMERCIAL
DENTAL 43351 New England Dental Administrators COMMERCIAL
INSTITUTIONAL 76031 New Era Employee Welfare Benefit Plan Trust COMMERCIAL
INSTITUTIONAL 3973 NEW ERA LIFE COMMERCIAL
PROFESSIONAL 1477 NEW ERA LIFE INSURANCE COMPANY COMMERCIAL
INSTITUTIONAL 75281 New Era Life Insurance Company COMMERCIAL
PROFESSIONAL 3892 NEW MARKET DIMENSIONS COMMERCIAL
INSTITUTIONAL 65056 New Market Dimensions COMMERCIAL
PROFESSIONAL 1812 NEW WEST HEALTH PLAN COMMERCIAL
INSTITUTIONAL SX164 New West Health Services COMMERCIAL
PROFESSIONAL 38225 NGS American Inc COMMERCIAL
INSTITUTIONAL 8522 NGS AMERICAN, INC. COMMERCIAL
INSTITUTIONAL 88050 NHBCAUX COMMERCIAL
INSTITUTIONAL 11325 NHP/SHP (Neighborhood Health Providers and Suffolk Health Plan) COMMERCIAL
INSTITUTIONAL 6539 NIPPON LIFE INSURANCE COMPANY of AMERICA COMMERCIAL
PROFESSIONAL 81264 Nippon Life Insurance Company of America COMMERCIAL
PROFESSIONAL 4155 NOBLE AMA SELECT IPA COMMERCIAL
INSTITUTIONAL 2981 NORTH AMERICAN ADMINISTRATORS, LP COMMERCIAL
PROFESSIONAL 64157 North American Preferred COMMERCIAL
PROFESSIONAL 5140 NORTH SUBURBAN ASSOCIATED PHYSICIANS COMMERCIAL
INSTITUTIONAL 36392 North Suburban Associated Physicians COMMERCIAL
PROFESSIONAL 1746 NORTH TEXAS HEALTHCARE NETWORK COMMERCIAL
INSTITUTIONAL 35212 North Texas Healthcare Network COMMERCIAL
INSTITUTIONAL CX099 Northern California Pipe Trades Trust Funds COMMERCIAL
PROFESSIONAL 2291 NORTHERN ILLINOIS HEALTH PLAN COMMERCIAL
INSTITUTIONAL 8969 NORTHERN ILLINOIS HEALTH PLAN COMMERCIAL
INSTITUTIONAL 36347 Northern Illinois Health Plan COMMERCIAL
DENTAL LX062 Northern Minnesota Dental COMMERCIAL
PROFESSIONAL 3721 NORTHERN NEVADA TRUST FUND COMMERCIAL
INSTITUTIONAL 7584 NORTHERN NEVADA TRUST FUND COMMERCIAL
INSTITUTIONAL 88027 Northern Nevada Trust Fund COMMERCIAL
PROFESSIONAL 3227 NORTHRIDGE MEDICAL GROUP COMMERCIAL
INSTITUTIONAL NMG01 Northridge Medical Group COMMERCIAL
INSTITUTIONAL 36364 NorthShore University Health System Medical Group COMMERCIAL
PROFESSIONAL 2278 NORTHSTAR ADVANTAGE COMMERCIAL
INSTITUTIONAL 60058 Northstar Advantage COMMERCIAL
INSTITUTIONAL NSA01 NorthStar Advantage COMMERCIAL
PROFESSIONAL 4731 NORTHWEST COMMUNITY COMMERCIAL
INSTITUTIONAL 36234 NORTHWEST COMMUNITY HEALTH PARTNERS COMMERCIAL
DENTAL 93525 Northwest Dental Services COMMERCIAL
INSTITUTIONAL 62119 Northwest Diagnostic Clinic/SelectCare of Texas (NWDC) COMMERCIAL
INSTITUTIONAL 36346 Northwest Suburban IPA (Illinois) COMMERCIAL
INSTITUTIONAL 1692 NOVA CASUALTY COMPANY COMMERCIAL
PROFESSIONAL 5718 NOVA CASUALTY COMPANY COMMERCIAL
INSTITUTIONAL 16114 Nova Casualty Company COMMERCIAL
PROFESSIONAL 5486 NOVA HEALTHCARE ADMINISTRATORS, INC. (GRAND ISLAND COMMERCIAL
INSTITUTIONAL 7583 NOVA HEALTHCARE ADMINISTRATORS, INC. (GRAND ISLAND COMMERCIAL
INSTITUTIONAL 1629 NOVANET COMMERCIAL
PROFESSIONAL 6104 NOVANET COMMERCIAL
INSTITUTIONAL 06226 Novanet COMMERCIAL
INSTITUTIONAL 2511 NOVASYS HEALTH NETWORK COMMERCIAL
PROFESSIONAL 71080 Novasys Health Network COMMERCIAL
PROFESSIONAL 5258 NTCA STAFF COMMERCIAL
INSTITUTIONAL 3944 NTCS STAFF COMMERCIAL
INSTITUTIONAL 3586 NYHART COMMERCIAL
PROFESSIONAL 3842 NYHART COMMERCIAL
INSTITUTIONAL 37299 Nyhart COMMERCIAL
©copyright 2013 CompuGroup Medical. All rights reserved. Page 8 of 69
EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 14142 NYS DOH UCP COMMERCIAL
PROFESSIONAL 4735 OAK WEST COMMERCIAL
INSTITUTIONAL 36402 OAK WEST PRIMARY PHYSICIAN ASSOCIATION COMMERCIAL
INSTITUTIONAL DESRT Oasis IPA COMMERCIAL
INSTITUTIONAL 2576 ODS HEALTH PLAN COMMERCIAL
INSTITUTIONAL 13350 ODS Health Plan COMMERCIAL
PROFESSIONAL 72087 Office of Group Benefits‐ Louisiana COMMERCIAL
INSTITUTIONAL 68037 OMNI/Medicore HP COMMERCIAL
INSTITUTIONAL 25150 Omnicare A Coventry Health Plan COMMERCIAL
INSTITUTIONAL IP088 Omnicare Medical Group (OMNI) COMMERCIAL
INSTITUTIONAL 20621 One Beacon Insurance COMMERCIAL
INSTITUTIONAL 3696 ONE CALL MEDICAL COMMERCIAL
INSTITUTIONAL 22321 One Call Medical COMMERCIAL
PROFESSIONAL 52149 OneNet PPO LLC. COMMERCIAL
PROFESSIONAL 1795 OPTICARE EYE HEALTH COMMERCIAL
INSTITUTIONAL 56190 OptiCare Managed Vision COMMERCIAL
ALL 52148 Optimum Choice of the Carolinas Inc. (OCCI) COMMERCIAL
INSTITUTIONAL 52152 Optimum Choice of the Carolinas Inc. (OCCI) COMMERCIAL
PROFESSIONAL 3429 OPTIMUM CHOICE, INC. COMMERCIAL
PROFESSIONAL 4227 OPTIMUM HEALTHCARE COMMERCIAL
INSTITUTIONAL 20133 Optimum Healthcare Inc. COMMERCIAL
PROFESSIONAL 3424 ORANGE COUNTY FOUNDATION for MEDICAL CARE COMMERCIAL
PROFESSIONAL 2263 ORTHONET ‐ AETNA COMMERCIAL
PROFESSIONAL 3208 ORTHONET ‐ HEALTHNET COMMERCIAL
INSTITUTIONAL 13382 Orthonet ‐ Uniformed Services Family Health Plan COMMERCIAL
INSTITUTIONAL 13383 Orthonet‐ Aetna COMMERCIAL
INSTITUTIONAL 3947 ORTHONET CORPORATION COMMERCIAL
PROFESSIONAL 2264 ORTHONET CORPORATION ‐ CIGNA COMMERCIAL
INSTITUTIONAL 13381 Orthonet Corporation ‐ CIGNA COMMERCIAL
INSTITUTIONAL 25681 Orthonet‐HealthNet COMMERCIAL
INSTITUTIONAL 62171 OSF Health Plans COMMERCIAL
INSTITUTIONAL 73071 OSMA Health ‐ C. L. Frates COMMERCIAL
INSTITUTIONAL CX075 OSMA Health ‐ C. L. Frates and Company COMMERCIAL
PROFESSIONAL 06111 Oxford Health Plans COMMERCIAL
INSTITUTIONAL 6549 OXFORD HEALTH PLANS COMMERCIAL
PROFESSIONAL 2217 P5 HEALTH PLAN SOLUTIONS OF UTAH COMMERCIAL
INSTITUTIONAL 87068 P5 Health Plan Solutions of Utah COMMERCIAL
INSTITUTIONAL 2969 P5 HEATLH PLAN SOLUTION COMMERCIAL
PROFESSIONAL 4170 PACIFIC IPA COMMERCIAL
INSTITUTIONAL PCFCI Pacific IPA COMMERCIAL
INSTITUTIONAL CX056 Pacific Union COMMERCIAL
PROFESSIONAL 2867 PACIFICARE BEHAVIORAL HEALTH COMMERCIAL
INSTITUTIONAL 2944 PACIFICARE BEHAVIORAL HEALTH COMMERCIAL
ALL 33053 PacifiCare Behavioral Health COMMERCIAL
PROFESSIONAL 2816 PACIFICARE CLAIMS (CA, OK, OR, TX, WA) COMMERCIAL
INSTITUTIONAL 6597 PACIFICARE CLAIMS (CA, OK, OR, TX, WA) COMMERCIAL
DENTAL CX060 Pacificare Dental and Vision HMO COMMERCIAL
DENTAL CX053 Pacificare Dental and Vision PPO COMMERCIAL
ALL 41194 PacifiCare Encounters COMMERCIAL
INSTITUTIONAL 1593 PACIFICARE HEALTH SYSTEMS ‐ PPO COMMERCIAL
PROFESSIONAL 3808 PACIFICARE HEALTH SYSTEMS ‐ PPO COMMERCIAL
INSTITUTIONAL 2560 PACIFICARE OF ARIZONA DOS <01/01/11 AZ COMMERCIAL
PROFESSIONAL 3439 PACIFICARE OF ARIZONA DOS <01/01/11 AZ COMMERCIAL
PROFESSIONAL 2740 PACIFICARE of CA, OK, TX ENCOUNTERS COMMERCIAL
INSTITUTIONAL 1932 PACIFICARE of COLORADO ‐ CLAIMS DOS <01/01/11 CO COMMERCIAL
PROFESSIONAL 2428 PACIFICARE of COLORADO DOS <01/01/11 CO COMMERCIAL
PROFESSIONAL 5468 PACIFICARE of WASHINGTON ENCOUNTERS COMMERCIAL
ALL 95999 PacifiCare PPO ‐ All States COMMERCIAL
PROFESSIONAL 5805 PACIFICSOURCE ADMINISTRATORS COMMERCIAL
PROFESSIONAL 4627 PACIFICSOURCE COMMUNITY HEALTH PLAN INC. COMMERCIAL
PROFESSIONAL 4794 PACIFICSOURCE COMMUNITY SOLUTIONS, INC. COMMERCIAL
INSTITUTIONAL 4972 PACIFICSOURCE COMMUNITY SOLUTIONS, INC. COMMERCIAL
INSTITUTIONAL 6575 PACIFICSOURCE HEALTH PLANS COMMERCIAL
©copyright 2013 CompuGroup Medical. All rights reserved. Page 9 of 69
EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
PROFESSIONAL 93029 PacificSource Health Plans COMMERCIAL
PROFESSIONAL 4877 PALLIDIAN COMMERCIAL
INSTITUTIONAL J1001 Paradigm COMMERCIAL
INSTITUTIONAL 58174 Paragon Benefits Inc. COMMERCIAL
PROFESSIONAL 3453 PARAGON BENEFITS, INC. COMMERCIAL
INSTITUTIONAL 9572 PARAGON BENEFITS, INC. COMMERCIAL
PROFESSIONAL 3275 PARAMOUNT COMMERCIAL
INSTITUTIONAL 5977 PARAMOUNT COMMERCIAL
INSTITUTIONAL SX158 Paramount COMMERCIAL
PROFESSIONAL 1892 PARITY HEALTHCARE LLC COMMERCIAL
PROFESSIONAL 1763 PARKLAND COMMUNITY HEALTH PLAN COMMERCIAL
INSTITUTIONAL 66917 Parkland Community Health Plan COMMERCIAL
INSTITUTIONAL 8967 PARKLAND COMMUNITY HEALTHPLAN COMMERCIAL
INSTITUTIONAL PBGSM Partners Benefit Group COMMERCIAL
PROFESSIONAL SX140 Partnership Health of California‐CAPHP COMMERCIAL
INSTITUTIONAL 12M81 Partnership Health Plan Of CA COMMERCIAL
INSTITUTIONAL 3902 PARTNERSHIP HEALTH PLAN of CALIFORNIA COMMERCIAL
INSTITUTIONAL 76569 Passport Advantage COMMERCIAL
PROFESSIONAL 4129 PASSPORT ADVANTAGE ‐ DOS >12/31/09 COMMERCIAL
INSTITUTIONAL 8523 PASSPORT ADVANTAGE ‐ DOS >12/31/09 COMMERCIAL
INSTITUTIONAL 4584 PASSPORT HEALTH PLAN COMMERCIAL
INSTITUTIONAL 61129 Passport Health Plan COMMERCIAL
INSTITUTIONAL CX091 Passport Health Plan COMMERCIAL
INSTITUTIONAL 2963 PATIENT ADVOCATE,LLC COMMERCIAL
PROFESSIONAL 3247 PATIENT ADVOCATES COMMERCIAL
INSTITUTIONAL 10525 Patient Advocates LLC COMMERCIAL
INSTITUTIONAL 1921 PEACH STATE HEALTH PLAN COMMERCIAL
PROFESSIONAL 4225 PEDIATRIC ASSOCIATES COMMERCIAL
INSTITUTIONAL CX080 PEHP (Public Employees Health Program) COMMERCIAL
INSTITUTIONAL 2923 PEOPLES HEALTH NETWORK COMMERCIAL
PROFESSIONAL 8455 PEOPLES HEALTH NETWORK COMMERCIAL
INSTITUTIONAL 72126 Peoples Health Network COMMERCIAL
INSTITUTIONAL 37121 Pequot Plus Health Benefit Administrators COMMERCIAL
PROFESSIONAL 4236 PERFECT HEALTH COMMERCIAL
INSTITUTIONAL 25176 PerformCare‐Select Health MH/SA COMMERCIAL
INSTITUTIONAL 8966 PERSONAL INSURANCE ADMINISTRATION COMMERCIAL
PROFESSIONAL 5855 PERSONAL INSURANCE ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 95397 Personal Insurance Administrators Inc. (Agoura Hills CA) COMMERCIAL
INSTITUTIONAL 72099 PHCS Claims (formerly American LIFECARE) COMMERCIAL
PROFESSIONAL 2152 PHCS SAVILITY COMMERCIAL
INSTITUTIONAL 8968 PHCS SAVILITY COMMERCIAL
INSTITUTIONAL 13306 PHCS Savility Payers COMMERCIAL
INSTITUTIONAL 03440 Phoenix Health Plan COMMERCIAL
INSTITUTIONAL 5945 PHOENIX HEALTH PLANS COMMERCIAL
PROFESSIONAL 2131 PHOENIX LIFE INSURANCE COMPANY COMMERCIAL
INSTITUTIONAL 2687 PHYSICIAN ASSOCIATES COMMERCIAL
PROFESSIONAL 2706 PHYSICIAN ASSOCIATES COMMERCIAL
INSTITUTIONAL PA513 Physician Associates of the Greater San Gabriel Valley COMMERCIAL
PROFESSIONAL 3235 PHYSICIANS ALLIANCE CORP / SRRIPA (THE) COMMERCIAL
INSTITUTIONAL 8960 PHYSICIANS ALLIANCE CORP / SRRIPA (THE) COMMERCIAL
INSTITUTIONAL 15749 Physicians Alliance/Stones River Regional IPA COMMERCIAL
PROFESSIONAL PCN12 Physician's Care Network COMMERCIAL
INSTITUTIONAL 38265 Physicians Care Network (ASR Corporation) COMMERCIAL
INSTITUTIONAL 36345 Physicians Care Network (Rockford IL only) IL COMMERCIAL
PROFESSIONAL 2840 PHYSICIANS CARE NETWORK (ROCKFORD, IL only) IL COMMERCIAL
PROFESSIONAL 3770 PHYSICIANS HEALTH ASSOCIATION OF ILLINOIS COMMERCIAL
INSTITUTIONAL 37136 Physicians Health Association of Illinois COMMERCIAL
INSTITUTIONAL 5944 PHYSICIANS HEALTH CHOICE COMMERCIAL
INSTITUTIONAL 12T51 Physicians Health Choice ‐ Claims COMMERCIAL
INSTITUTIONAL 12T44 Physicians Health Choice ‐ Encounters COMMERCIAL
INSTITUTIONAL TH114 Physicians Health Choice ‐ Encounters COMMERCIAL
INSTITUTIONAL TH113 Physicians Health Claims ‐ Claims COMMERCIAL
INSTITUTIONAL 3959 PHYSICIANS HEALTH COLLABORATIVE COMMERCIAL
©copyright 2013 CompuGroup Medical. All rights reserved. Page 10 of 69
EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
PROFESSIONAL 5255 PHYSICIANS HEALTH COLLABORATIVE COMMERCIAL
INSTITUTIONAL 20398 Physicians Health Collaborative COMMERCIAL
INSTITUTIONAL MHM03 Physicians Health Network COMMERCIAL
INSTITUTIONAL 09173 Physicians Health Plan (PHP) ‐ SC COMMERCIAL
INSTITUTIONAL 1936 PHYSICIANS HEALTH PLAN MID‐MICHIGAN / PHP COMMERCIAL
PROFESSIONAL 2498 PHYSICIANS HEALTH PLAN MID‐MICHIGAN / PHP COMMERCIAL
INSTITUTIONAL 3596 PHYSICIANS HEALTH PLAN of NORTHERN INDIANA ‐ PHP COMMERCIAL
INSTITUTIONAL 12399 Physicians Health Plan of Northern Indiana Inc COMMERCIAL
INSTITUTIONAL 37330 Physicians Health Plan PHP South Michigan COMMERCIAL
PROFESSIONAL 4455 PHYSICIANS HEALTH PLAN SOUTH CAROLINA COMMERCIAL
PROFESSIONAL 3430 PHYSICIANS MEDICAL GROUP of SAN JOSE COMMERCIAL
INSTITUTIONAL EXC01 Physicians Medical Group of San Jose COMMERCIAL
INSTITUTIONAL CX068 Physicians Mutual COMMERCIAL
PROFESSIONAL 3889 PHYSICIANS MUTUAL INSURANCE COMPANY COMMERCIAL
INSTITUTIONAL 4508 PHYSICIANS MUTUAL INSURANCE COMPANY COMMERCIAL
INSTITUTIONAL 47027 Physicians Mutual Insurance Company COMMERCIAL
INSTITUTIONAL 3978 PHYSICIANS PLUS INSURANCE CORP. COMMERCIAL
INSTITUTIONAL 39156 Physicians Plus Insurance Corporation COMMERCIAL
PROFESSIONAL 4785 PHYSICIANS UNITED PLAN COMMERCIAL
INSTITUTIONAL 12T79 Physicians United Plan COMMERCIAL
INSTITUTIONAL TH131 Physicians United Plan COMMERCIAL
INSTITUTIONAL 06607 Piedmont Behavioral Health COMMERCIAL
INSTITUTIONAL 09861 PIMA Health COMMERCIAL
PROFESSIONAL 3287 PINNACLE HEALTH RESOURCES COMMERCIAL
INSTITUTIONAL 45985 Pinnacle Physician Management ORG COMMERCIAL
INSTITUTIONAL 3905 PINNACOL ASSURANCE COMMERCIAL
PROFESSIONAL 84109 Pinnacol Assurance COMMERCIAL
INSTITUTIONAL PIONR Pioneer Medical Group COMMERCIAL
INSTITUTIONAL 37224 Pittman & Associates COMMERCIAL
INSTITUTIONAL 7574 PITTMAN and ASSOCIATES COMMERCIAL
INSTITUTIONAL 64160 Pivotal Plan COMMERCIAL
INSTITUTIONAL 37287 Planned Administrators Inc. COMMERCIAL
INSTITUTIONAL 3927 PLANNED ADMINISTRATORS, INC. (PREFERRED BLUE PROV) COMMERCIAL
INSTITUTIONAL 58204 Podi Care Managed Care COMMERCIAL
PROFESSIONAL 4251 PODIATRY FIRST COMMERCIAL
INSTITUTIONAL 59324 PODIATRY NETWORK FL FL COMMERCIAL
INSTITUTIONAL 1661 PODIATRY NETWORK of FLORIDA FL COMMERCIAL
PROFESSIONAL 5833 PODIATRY NETWORK of FLORIDA FL COMMERCIAL
DENTAL 3997 POLY AMERICA MEDICAL and DENTAL BENEFITS PLAN COMMERCIAL
INSTITUTIONAL 2521 POMCO COMMERCIAL
INSTITUTIONAL 16111 POMCO COMMERCIAL
PROFESSIONAL 38335 PPOM LLC COMMERCIAL
INSTITUTIONAL 2522 PPOPLUS LLC COMMERCIAL
PROFESSIONAL 72148 PPOPlus LLC COMMERCIAL
PROFESSIONAL 1888 PRACTICARE COMMERCIAL
INSTITUTIONAL 04334 Practicare Inc COMMERCIAL
INSTITUTIONAL 36373 Prairie States Enterprises Inc. COMMERCIAL
INSTITUTIONAL 3984 PRAIRIE STATES ENTERPRISES, INC COMMERCIAL
INSTITUTIONAL 2970 PREFERRED BENEFIT ADMINISTRATORS ‐ WICHITA, KS COMMERCIAL
PROFESSIONAL 3198 PREFERRED BENEFITS ADMINISTRATION COMMERCIAL
INSTITUTIONAL 61665 Preferred Benefits Administrator COMMERCIAL
PROFESSIONAL 2432 PREFERRED BENEFITS ADMINISTRATOR ‐ WICHITA, KS COMMERCIAL
INSTITUTIONAL 3929 PREFERRED CARE PARTNERS COMMERCIAL
PROFESSIONAL 65088 Preferred Care Partners Florida COMMERCIAL
INSTITUTIONAL 8515 PREFERRED COMMUNITY CHOICE/PCCSELECT/COMPMED COMMERCIAL
PROFESSIONAL 73145 Preferred Community Choice/PCCSelect/CompMed COMMERCIAL
PROFESSIONAL 5253 PREFERRED HEALTH CARE of PENNSYLVANIA COMMERCIAL
INSTITUTIONAL 6580 PREFERRED HEALTH PLAN COMMERCIAL
INSTITUTIONAL 61106 Preferred Health Plan (Louisville KY) COMMERCIAL
PROFESSIONAL 1807 PREFERRED HEALTH PLAN, INC. COMMERCIAL
INSTITUTIONAL 31478 Preferred Health Professionals COMMERCIAL
INSTITUTIONAL 1912 PREFERRED HEALTH PROFESSIONALS (PHP KANSAS CITY) COMMERCIAL
INSTITUTIONAL 2916 PREFERRED HEALTH SYSTEMS ‐ KANSAS COMMERCIAL
©copyright 2013 CompuGroup Medical. All rights reserved. Page 11 of 69
EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 2524 PREFERRED HEALTHCARE SYSTEM ‐ PPO ALTOONA, PA COMMERCIAL
PROFESSIONAL 3225 PREFERRED IPA COMMERCIAL
INSTITUTIONAL PFIPA Preferred IPA COMMERCIAL
INSTITUTIONAL 36401 Preferred Network Access Inc. COMMERCIAL
INSTITUTIONAL 4536 PREFERRED NETWORK ACCESS, INC. COMMERCIAL
INSTITUTIONAL 8578 PREFERRED ONE COMMUNITY HEALTH PLAN COMMERCIAL
PROFESSIONAL 60110 Preferred Plus of Kansas COMMERCIAL
INSTITUTIONAL 7516 PREFERRED PROVIDER OF MICHIGAN (PPOM) COMMERCIAL
PROFESSIONAL 5894 PREFERRED VALUE HIGH DEDUCTIBLE PLAN COMMERCIAL
PROFESSIONAL 41147 PreferredOne (MN) COMMERCIAL
INSTITUTIONAL 47570 Premera BC COMMERCIAL
INSTITUTIONAL 12B27 Premera BC COMMERCIAL
INSTITUTIONAL 12B47 Premera BC COMMERCIAL
INSTITUTIONAL CX078 Premier Access Insurance Company COMMERCIAL
INSTITUTIONAL 7550 PREMIER BENEFITS INC. COMMERCIAL
DENTAL CX029 Premier Dental Plan of MN COMMERCIAL
INSTITUTIONAL 65054 Premier Eye Care COMMERCIAL
PROFESSIONAL 2746 PREMIER HEALTH PLANS COMMERCIAL
INSTITUTIONAL 43166 Premier Health Plans COMMERCIAL
INSTITUTIONAL 90440 Premier Health Systems Inc COMMERCIAL
PROFESSIONAL 2292 PREMIER HEALTH SYSTEMS, INC. COMMERCIAL
PROFESSIONAL 2704 PREMIER MANAGED CARE COMMERCIAL
INSTITUTIONAL 05003 Presbyterian (NM) COMMERCIAL
PROFESSIONAL 4252 PRESBYTERIAN SALUD COMMERCIAL
PROFESSIONAL 2106 PRESTIGE HEALTH CHOICE COMMERCIAL
INSTITUTIONAL 8963 PRESTIGE HEALTH CHOICE COMMERCIAL
INSTITUTIONAL 45056 Prestige Health Choice COMMERCIAL
INSTITUTIONAL 7579 PREVEA HEALTH INSURANCE PLAN COMMERCIAL
PROFESSIONAL 2832 PREVEA HEALTH PLAN COMMERCIAL
INSTITUTIONAL 39185 Prevea Health Plan COMMERCIAL
INSTITUTIONAL IP096 Prima Health IPA COMMERCIAL
INSTITUTIONAL IP079 Primary Care Associates Medical Group COMMERCIAL
INSTITUTIONAL 1938 PRIMARY HEALTH NETWORK COMMERCIAL
PROFESSIONAL 2729 PRIMARY HEALTH NETWORK COMMERCIAL
INSTITUTIONAL 82048 Primary Health Network COMMERCIAL
PROFESSIONAL 56144 Primary PhysicianCare Inc. COMMERCIAL
INSTITUTIONAL 1565 PRIME WEST COMMERCIAL
PROFESSIONAL 2786 PRIME WEST COMMERCIAL
INSTITUTIONAL LX049 Prime West Health COMMERCIAL
INSTITUTIONAL 61604 Prime West Health Plan COMMERCIAL
INSTITUTIONAL 61271 Principal Financial Group COMMERCIAL
INSTITUTIONAL 38217 Priority Health COMMERCIAL
INSTITUTIONAL 3591 PRIORITY HEALTH of MICHIGAN COMMERCIAL
PROFESSIONAL 5158 PRISM FIRST HEALTH COMMERCIAL
INSTITUTIONAL 37268 Prism Network Inc. COMMERCIAL
PROFESSIONAL 5159 PRISM UNIVERA COMMERCIAL
INSTITUTIONAL 37303 Prism‐First Health COMMERCIAL
INSTITUTIONAL 37315 Prism‐Univera COMMERCIAL
INSTITUTIONAL 2954 PRO CARE HEALTH PLAN COMMERCIAL
INSTITUTIONAL 38329 Pro Care Health Plan Inc. (Detroit MI) COMMERCIAL
PROFESSIONAL 2126 PRO CARE PLUS HP COMMERCIAL
PROFESSIONAL 4444 PROCTECTIVE LIFE INSURANCE COMMERCIAL
INSTITUTIONAL 2950 PROFESSIONAL BENEFIT ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 59296 Professional Benefit Administrators (Winter Park FL) COMMERCIAL
PROFESSIONAL 36331 Professional Benefit Administrators Inc. (Oak Brook IL) COMMERCIAL
PROFESSIONAL 4430 PROFESSIONAL BENEFIT ADMINSTRATORS COMMERCIAL
INSTITUTIONAL 4916 PROFESSIONAL BENEFIT ADMINSTRATORS COMMERCIAL
PROFESSIONAL 4874 PROFESSIONAL RISK MANAGEMENT COMMERCIAL
INSTITUTIONAL 34134 Professional Risk Management COMMERCIAL
INSTITUTIONAL 2976 PROFESSIONAL RISK MGM COMMERCIAL
PROFESSIONAL 5222 PROJECT ACCESS OF DURHAM COUNTY COMMERCIAL
INSTITUTIONAL IP057 ProMed HealthCare Administrators COMMERCIAL
INSTITUTIONAL 37309 Protective Life Insurance Company COMMERCIAL
©copyright 2013 CompuGroup Medical. All rights reserved. Page 12 of 69
EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
PROFESSIONAL SX133 Providence of Oregon Health Plan COMMERCIAL
INSTITUTIONAL SX187 Providence PPO COMMERCIAL
PROFESSIONAL 2403 PROVIDENCE PREFERRED COMMERCIAL
PROFESSIONAL 2133 PROVIDENT LIFE INSURANCE COMPANY COMMERCIAL
INSTITUTIONAL 4619 PROViDRs CARE NETWORK COMMERCIAL
PROFESSIONAL 6133 PROViDRs CARE NETWORK COMMERCIAL
INSTITUTIONAL 48100 ProviDRs Care Network COMMERCIAL
DENTAL CX049 Prudential Dental COMMERCIAL
INSTITUTIONAL 51052 PSYCHCARE LLC COMMERCIAL
PROFESSIONAL 4727 PUBLIC EMPLOYEES HEALTH PROGRAM (PEHP) COMMERCIAL
INSTITUTIONAL 2929 PUGET SOUND HEALTH PARTNERS INC. COMMERCIAL
PROFESSIONAL 4762 PUGET SOUND HEALTH PARTNERS INC. COMMERCIAL
PROFESSIONAL 5274 PYSCHCARE LLC COMMERCIAL
INSTITUTIONAL 9571 PYSCHCARE LLC COMMERCIAL
INSTITUTIONAL 4912 QUAD MED LLC COMMERCIAL
PROFESSIONAL 2257 QUAD MED LLC ‐ PEWAUKEE, WI COMMERCIAL
INSTITUTIONAL 39197 Quad Med LLC (Pewaukee WI) COMMERCIAL
INSTITUTIONAL 35174 Qual Choice of Arkansas COMMERCIAL
PROFESSIONAL 23342 QualCare Inc. COMMERCIAL
INSTITUTIONAL 4548 QUALCARE, INC COMMERCIAL
INSTITUTIONAL 2593 QUALCHOICE OF ARKANSAS/QCA HEALTH PLANS COMMERCIAL
INSTITUTIONAL 89461 Quality Care Partners COMMERCIAL
PROFESSIONAL 2107 QUALITY HEALTH PLANS COMMERCIAL
INSTITUTIONAL 59375 QUALITY HEALTH PLANS INC. COMMERCIAL
INSTITUTIONAL CX077 Quality Plan Administrators Inc COMMERCIAL
INSTITUTIONAL 73067 QuikTrip COMMERCIAL
INSTITUTIONAL 8937 QUIKTRIP CORPORATION COMMERCIAL
PROFESSIONAL 1769 QVI RISK SOLUTIONS COMMERCIAL
INSTITUTIONAL 57117 QVI Risk Solutions Inc. COMMERCIAL
INSTITUTIONAL 91176 RBMS LLC COMMERCIAL
INSTITUTIONAL 1948 RBMS LLC (RISK BENEFIT MANAGEMENT SERVICES) COMMERCIAL
PROFESSIONAL 3863 RBMS, LLC COMMERCIAL
INSTITUTIONAL 41193 Recovery & Claim Services AKA Mayo Clinic COMMERCIAL
PROFESSIONAL 3292 REGAL MEDICAL GROUP COMMERCIAL
INSTITUTIONAL REGAL Regal Medical Group COMMERCIAL
INSTITUTIONAL 93200 Regence Northwest Health COMMERCIAL
INSTITUTIONAL 38221 Regency Employee Benefits COMMERCIAL
INSTITUTIONAL 2967 REGIONAL CARE INC COMMERCIAL
INSTITUTIONAL 47076 Regional Care Inc. COMMERCIAL
PROFESSIONAL 3266 REGIONAL CARE, INC. COMMERCIAL
INSTITUTIONAL 36088 Reliance Standard Life COMMERCIAL
INSTITUTIONAL RLHA1 Renaissance Life and Health COMMERCIAL
PROFESSIONAL 3197 RENAISSANCE PHYSICIANS ORGANIZATION COMMERCIAL
INSTITUTIONAL 7948 RENAISSANCE PHYSICIANS ORGANIZATION COMMERCIAL
INSTITUTIONAL 76066 Renaissance Physicians Organization COMMERCIAL
INSTITUTIONAL 12475 Republic Franklin Insurance COMMERCIAL
INSTITUTIONAL J1008 Republic Indemnity COMMERCIAL
INSTITUTIONAL 2682 RESERVE NATIONAL INSURANCE COMMERCIAL
PROFESSIONAL 73066 Reserve National Insurance COMMERCIAL
PROFESSIONAL 3257 RESOURCEONE ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 37278 ResourceOne Administrators COMMERCIAL
INSTITUTIONAL 4929 RESOURCEONE ADMINISTRATORS FKA ADMINONE COMMERCIAL
INSTITUTIONAL 4923 RESURRECTION HEALTH CARE PREFERRED COMMERCIAL
INSTITUTIONAL 36396 Resurrection Health Care Preferred/FKA Family Medical Network COMMERCIAL
PROFESSIONAL 4270 RESURRECTION PHYSICIAN PROVIDERS GROUP COMMERCIAL
INSTITUTIONAL 26316 Retiree Health Trust COMMERCIAL
INSTITUTIONAL 12M80 RHHI JC (MAC J11) COMMERCIAL
INSTITUTIONAL 37331 RightChoice Benefit Administrators COMMERCIAL
INSTITUTIONAL 2677 RIGHTCHOICE BENEFITS ADMINISTRATORS COMMERCIAL
PROFESSIONAL 5807 RIGHTCHOICE BENEFITS ADMINISTRATORS COMMERCIAL
PROFESSIONAL 5872 RIVERSIDE FAMILY HEALTH MEDICAL GROUP IPA COMMERCIAL
INSTITUTIONAL 50664 RIVERSIDE SAN BERNARDINO COUNTY INDIAN HEALTH INC. COMMERCIAL
INSTITUTIONAL 16117 RMSCO INC. COMMERCIAL
©copyright 2013 CompuGroup Medical. All rights reserved. Page 13 of 69
EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
PROFESSIONAL 3272 RMSCO, INC. COMMERCIAL
INSTITUTIONAL 2958 RMSCO,INC. COMMERCIAL
INSTITUTIONAL 41625 Rochester Public Schools COMMERCIAL
INSTITUTIONAL 6505 ROCKWELL INTERNATIONAL COMMERCIAL
INSTITUTIONAL SX141 Rocky Mountain Health Plan ‐ Grand Junction COMMERCIAL
INSTITUTIONAL 84065 Rocky Mountain Health Plan‐ Grand Junction COMMERCIAL
PROFESSIONAL 7470 ROCKY MOUNTAIN HMO COMMERCIAL
DENTAL 84102 Rocky Mountain Life Dental COMMERCIAL
INSTITUTIONAL 37602 Rooney Life Inc. COMMERCIAL
INSTITUTIONAL J1202 RTW (Return to Work) COMMERCIAL
PROFESSIONAL 4144 RUSH PRUDENTIAL HEALTH PLANS (HMO ONLY) COMMERCIAL
INSTITUTIONAL 7949 RUSH PRUDENTIAL HEALTH PLANS (HMO ONLY) COMMERCIAL
INSTITUTIONAL 36389 Rush Prudential Health Plans (HMO Only) COMMERCIAL
PROFESSIONAL 4776 RWDSU COMMERCIAL
INSTITUTIONAL 5915 RWDSU COMMERCIAL
INSTITUTIONAL 63070 RWDSU BENEFIT FUND COMMERCIAL
INSTITUTIONAL AMM03 Ryan White Network COMMERCIAL
INSTITUTIONAL J1009 Ryder Services Inc. COMMERCIAL
INSTITUTIONAL 31441 S & S Healthcare Strategies COMMERCIAL
INSTITUTIONAL 2518 S and S HEALTHCARE STRATEGIES COMMERCIAL
INSTITUTIONAL 24740 SafeCo Insurance COMMERCIAL
DENTAL 4262 SAFEGUARD DENTAL and VISION COMMERCIAL
INSTITUTIONAL CX048 Safeguard HMO COMMERCIAL
INSTITUTIONAL CX030 SafeGuard PPO COMMERCIAL
INSTITUTIONAL 35164 Sagamore Health Network COMMERCIAL
INSTITUTIONAL 4543 SAGAMORE HEALTH NETWORK, INC. COMMERCIAL
PROFESSIONAL 3761 SAGE TECHNOLOGIES COMMERCIAL
INSTITUTIONAL 37105 Sage Technologies COMMERCIAL
PROFESSIONAL 4747 SAGE TECHNOLOGIES ‐ PBS COMMERCIAL
INSTITUTIONAL 8590 SAINT BARNABAS SYSTEM HEALTH PLAN COMMERCIAL
PROFESSIONAL 4256 SAINT MARYS HEALTH PLAN COMMERCIAL
INSTITUTIONAL 88029 SAINT MARYs HEALTH PLAN COMMERCIAL
PROFESSIONAL 1851 SAINT THERESE PHYSICIAN ASSOCIATES COMMERCIAL
INSTITUTIONAL 34154 Salvation Army COMMERCIAL
INSTITUTIONAL CP001 Samaritan Health Plans COMMERCIAL
INSTITUTIONAL 37259 SAMBA COMMERCIAL
PROFESSIONAL 2116 SANFORD HEALTH PLAN COMMERCIAL
INSTITUTIONAL 5961 SANFORD HEALTH PLAN COMMERCIAL
INSTITUTIONAL 91184 Sanford Health Plan COMMERCIAL
INSTITUTIONAL TP984 SANFORD HEALTH PLANS ‐ Repriced Claims COMMERCIAL
INSTITUTIONAL 3613 SANTA CLARA FAMILY HEALTH PLAN COMMERCIAL
PROFESSIONAL 5181 SANTA CLARA FAMILY HEALTH PLAN COMMERCIAL
INSTITUTIONAL 24077 SANTA CLARA FAMILY HEALTH PLAN COMMERCIAL
PROFESSIONAL 77038 Sante Health System and Affiliates COMMERCIAL
INSTITUTIONAL 99157 SCAN ENCOUNTERS COMMERCIAL
INSTITUTIONAL 4901 SCAN HEALTH ARIZONA COMMERCIAL
INSTITUTIONAL 2983 SCAN HEALTH PLAN COMMERCIAL
PROFESSIONAL 4464 SCAN HEALTH PLAN COMMERCIAL
INSTITUTIONAL 72261 SCAN Health Plan COMMERCIAL
PROFESSIONAL 5813 SCAN HEALTH PLAN ARIZONA COMMERCIAL
INSTITUTIONAL 73172 Scan Health Plan Arizona COMMERCIAL
INSTITUTIONAL 3608 SCAN LONG TERM CARE COMMERCIAL
PROFESSIONAL 5139 SCAN LONG TERM CARE COMMERCIAL
INSTITUTIONAL 20460 SCAN Long Term Care COMMERCIAL
INSTITUTIONAL 2928 SCHALLER SUN HEALTH COMMERCIAL
INSTITUTIONAL 16146 SCHC Total Care Inc. Claimsnet is the Gateway COMMERCIAL
PROFESSIONAL 3434 SCHS TOTAL CARE INC. COMMERCIAL
DENTAL SCION SCION Dental COMMERCIAL
INSTITUTIONAL TH002 Scott & White COMMERCIAL
INSTITUTIONAL 12T05 Scott & White Health Plan COMMERCIAL
PROFESSIONAL 2254 SCOTT and WHITE HEALTH PLAN COMMERCIAL
DENTAL 86057 SecureCare Dental COMMERCIAL
INSTITUTIONAL 93742 Securian COMMERCIAL
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 4588 SECURITY HEALTH PLAN COMMERCIAL
INSTITUTIONAL 39045 Security Health Plan COMMERCIAL
INSTITUTIONAL CX092 Security Life Insurance Co of America COMMERCIAL
INSTITUTIONAL 77024 SeeChange COMMERCIAL
INSTITUTIONAL 64088 Select Administrative Services (SAS) COMMERCIAL
INSTITUTIONAL SA704 Select Advantage COMMERCIAL
INSTITUTIONAL 3988 SELECT BENEFIT ADMINISTRATION COMMERCIAL
INSTITUTIONAL 3627 SELECT BENEFIT ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 93031 Select Benefit Administrators COMMERCIAL
PROFESSIONAL 37282 Select Benefit Administrators of America COMMERCIAL
INSTITUTIONAL 12X37 SELECT HEALTH COMMERCIAL
INSTITUTIONAL CX107 Select Health COMMERCIAL
INSTITUTIONAL 23285 Select Health of South Carolina SC COMMERCIAL
INSTITUTIONAL 20415 Select Senior Clinic COMMERCIAL
INSTITUTIONAL 00014 SelectCare COMMERCIAL
INSTITUTIONAL 1904 SELECTCARE COMMERCIAL
PROFESSIONAL 4290 SELECTCARE of OKLAHOMA OK COMMERCIAL
INSTITUTIONAL 1991 SELECTCARE of TEXAS TX COMMERCIAL
INSTITUTIONAL 76045 SelectCare of Texas (HPN) Heritage Physicians Network TX COMMERCIAL
INSTITUTIONAL 61225 SelectCare of Texas (Kelsey‐Seybold) COMMERCIAL
INSTITUTIONAL 1532 SELECTHEALTH COMMERCIAL
INSTITUTIONAL SX107 SelectHealth COMMERCIAL
INSTITUTIONAL 39926 Selective COMMERCIAL
INSTITUTIONAL CX109 Sele‐Dent COMMERCIAL
INSTITUTIONAL 8587 SELF FUNDED PLANS COMMERCIAL
PROFESSIONAL 6494 SELF FUNDED PLANS (IL, PA, OH) COMMERCIAL
INSTITUTIONAL 4922 SELF INSURED BENEFIT ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 59111 Self Insured Benefit Administrators (Clearwater FL) COMMERCIAL
PROFESSIONAL 2213 SELF INSURED BENEFITS ADMINISTRATORS (CLEARWATER, COMMERCIAL
INSTITUTIONAL 4940 SELF INSURED PLANS LLC COMMERCIAL
INSTITUTIONAL CX020 Self Insured Services Company (SISCO) COMMERCIAL
INSTITUTIONAL 34131 Self‐Funded Plans Inc. COMMERCIAL
DENTAL CX076 Self‐Insured Dental Services (SIDS) COMMERCIAL
INSTITUTIONAL 36404 Self‐Insured Plans LLC COMMERCIAL
INSTITUTIONAL 36426 Sendero Health COMMERCIAL
INSTITUTIONAL 36390 Senior Care Partners COMMERCIAL
PROFESSIONAL 80141 Senior Health Partners (SHP) COMMERCIAL
PROFESSIONAL 3443 SENIOR WHOLE HEALTH COMMERCIAL
INSTITUTIONAL 3916 SENIOR WHOLE HEALTH COMMERCIAL
INSTITUTIONAL 83035 SENIOR WHOLE HEALTH COMMERCIAL
INSTITUTIONAL 54154 Sentara Health Management COMMERCIAL
INSTITUTIONAL 2995 SENTINEL MANAGEMENT COMMERCIAL
PROFESSIONAL 3256 SENTINEL MANAGEMENT SERVICES COMMERCIAL
INSTITUTIONAL 23249 Sentinel Management Services COMMERCIAL
INSTITUTIONAL 1958 SENTRY INSURANCE COMMERCIAL
PROFESSIONAL 5252 SENTRY INSURANCE COMMERCIAL
INSTITUTIONAL 39033 Sentry Life of New York COMMERCIAL
DENTAL CX038 Serentas Dental Care Solutions COMMERCIAL
INSTITUTIONAL 38610 SET SEG COMMERCIAL
INSTITUTIONAL 76056 Seton CHIP COMMERCIAL
INSTITUTIONAL 12T46 Seton Employee Plan COMMERCIAL
PROFESSIONAL TH080 Seton Employee Plan COMMERCIAL
INSTITUTIONAL 12T55 Seton Health Plan ‐ Exclusive COMMERCIAL
INSTITUTIONAL TH079 Seton Health Plan ‐ Exclusive COMMERCIAL
PROFESSIONAL 3731 SETON MAP PROGRAM COMMERCIAL
INSTITUTIONAL 12T57 Seton MAP Program COMMERCIAL
INSTITUTIONAL TH081 Seton MAP Program COMMERCIAL
INSTITUTIONAL 3609 SEVEN CORNERS COMMERCIAL
PROFESSIONAL 5144 SEVEN CORNERS COMMERCIAL
INSTITUTIONAL 25404 Seven Corners COMMERCIAL
INSTITUTIONAL 2966 SHASTA ADMINISTRATIVE SERVICES COMMERCIAL
PROFESSIONAL 75280 Shasta Administrative Services COMMERCIAL
PROFESSIONAL 38238 Sheet Metal Workers Local 104 Health Care Plan (San Ramon CA) CA COMMERCIAL
©copyright 2013 CompuGroup Medical. All rights reserved. Page 15 of 69
EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 41143 Sheffield Olson & McQueen Inc COMMERCIAL
INSTITUTIONAL 1906 SHEFFIELD, OLSON, and McQUEEN, INC. (ST. PAUL, MN) COMMERCIAL
PROFESSIONAL 2283 SHEFFIELD, OLSON, and McQUEEN, INC. (ST. PAUL, MN) COMMERCIAL
INSTITUTIONAL CX067 Shenandoah Life Insurance COMMERCIAL
PROFESSIONAL 5866 SHERMAN CHOICE COMMERCIAL
ALL 00611 ID BCBS REGENCE ID BCBS
INSTITUTIONAL PROSP Sierra Family Network (Prospect Medical Group) COMMERCIAL
PROFESSIONAL 76342 Sierra Health Services COMMERCIAL
INSTITUTIONAL 1994 SIERRA HEALTH SERVICES, INC. (CLAIMS) COMMERCIAL
INSTITUTIONAL 2685 SIERRA HEALTH SERVICES, INC. (ENCOUNTERS) COMMERCIAL
PROFESSIONAL 3879 SIERRA HEALTH SERVICES, INC. (ENCOUNTERS) COMMERCIAL
INSTITUTIONAL MBA01 Sierra Nevada Medical Association COMMERCIAL
INSTITUTIONAL 62159 Signature Health Alliance COMMERCIAL
INSTITUTIONAL 2568 SIGNATURE HEALTH ALLIANCE (SHA) COMMERCIAL
PROFESSIONAL 5497 SIGNATURE HEALTH ALLIANCE (SHA) COMMERCIAL
PROFESSIONAL 5469 SIGNIFICA BENEFIT SERVICES, INC. COMMERCIAL
INSTITUTIONAL 7532 SIGNIFICA BENEFIT SERVICES, INC. COMMERCIAL
INSTITUTIONAL 23250 Significa Benefits Services Inc. COMMERCIAL
INSTITUTIONAL CX046 Significa Benefits Services Inc. COMMERCIAL
PROFESSIONAL 4732 SILVER CROSS COMMERCIAL
INSTITUTIONAL 36387 Silver Cross Managed Care Organization COMMERCIAL
INSTITUTIONAL 27094 Simply Healthcare COMMERCIAL
INSTITUTIONAL 4617 SIMPLY HEALTHCARE PLANS COMMERCIAL
PROFESSIONAL 6129 SIMPLY HEALTHCARE PLANS COMMERCIAL
PROFESSIONAL 3886 SINCLAIR HEALTH PLAN COMMERCIAL
INSTITUTIONAL 84076 Sinclair Health Plan COMMERCIAL
INSTITUTIONAL 1982 SISCO COMMERCIAL
INSTITUTIONAL 84096 Sloans Lake Preferred Health Networks COMMERCIAL
INSTITUTIONAL 3992 SMITH ADMINISTATORS COMMERCIAL
INSTITUTIONAL 02057 Smith Administrators COMMERCIAL
INSTITUTIONAL 76578 Solstice Benefits COMMERCIAL
PROFESSIONAL 91131 Sound Health (now known as First Choice Health Network) COMMERCIAL
INSTITUTIONAL 42172 Soundpath Health COMMERCIAL
INSTITUTIONAL 2926 SOUTH CENTRAL PREFERRED COMMERCIAL
INSTITUTIONAL 23266 South Central Preferred ‐ PPO York PA (IHS Gateway Payer) PA COMMERCIAL
INSTITUTIONAL SX142 South Indiana Health Operations ‐ HMO IN COMMERCIAL
INSTITUTIONAL SX143 South Indiana Health Options ‐ Prime Care Choice IN COMMERCIAL
INSTITUTIONAL SX144 South Indiana Health Options ‐ TPA IN COMMERCIAL
INSTITUTIONAL 35227 South Point Hotel & Casino COMMERCIAL
INSTITUTIONAL 4537 SOUTHCARE / HEALTHCARE PREFERRED COMMERCIAL
PROFESSIONAL 3825 SOUTHCARE/HEALTHCARE PREFERRED COMMERCIAL
INSTITUTIONAL 25147 SouthCare/Healthcare Preferred COMMERCIAL
DENTAL 39148 Southeast Dental Associates COMMERCIAL
INSTITUTIONAL TH116 Southeast Texas Govt Employees Benefit Pool COMMERCIAL
INSTITUTIONAL 2542 SOUTHEASTERN INDIANA HEALTH ORGANIZATION ‐ SIHO COMMERCIAL
PROFESSIONAL 4406 SOUTHEASTERN INDIANA HEALTH ORGANIZATION ‐ SIHO COMMERCIAL
INSTITUTIONAL 4924 SOUTHERN BENEFIT SERVICES COMMERCIAL
PROFESSIONAL 5704 SOUTHERN BENEFIT SERVICES COMMERCIAL
INSTITUTIONAL 37318 Southern Benefit Services COMMERCIAL
PROFESSIONAL 5828 SOUTHERN CAL PHYSICIANS MANAGED CARE COMMERCIAL
INSTITUTIONAL SCP01 Southern Cal Physicians Managed Care Services COMMERCIAL
PROFESSIONAL 3280 SOUTHWEST ADMINISTRATORS (CA and NV) COMMERCIAL
INSTITUTIONAL SWSTA Southwest Administrators Nevada COMMERCIAL
INSTITUTIONAL J1233 Southwest Airlines COMMERCIAL
INSTITUTIONAL CX100 Southwest Service Administrators COMMERCIAL
PROFESSIONAL 3244 SOUTHWEST SERVICE LIFE COMMERCIAL
INSTITUTIONAL 37266 Southwest Service Life COMMERCIAL
INSTITUTIONAL 52190 Special Risk International COMMERCIAL
INSTITUTIONAL 2533 SPECIAL RISK INTERNATIONAL (SRI) COMMERCIAL
PROFESSIONAL 3745 SPECIAL RISK INTERNATIONAL (SRI) COMMERCIAL
PROFESSIONAL 3436 SPECTRUM ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 3904 SPECTRUM ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 84146 Spina Bifida ‐ VA HAC COMMERCIAL
©copyright 2013 CompuGroup Medical. All rights reserved. Page 16 of 69
EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 84147 Spina Bifida ‐ VA HAC COMMERCIAL
INSTITUTIONAL 3991 SPOHN HEALTH COMMERCIAL
INSTITUTIONAL 12T63 Spohn Health COMMERCIAL
INSTITUTIONAL TH100 Spohn Health COMMERCIAL
INSTITUTIONAL J1237 SRS Hilton Worldwide Inc COMMERCIAL
INSTITUTIONAL APP01 St Francis IPA COMMERCIAL
INSTITUTIONAL 3977 ST JOHNS CLAIMS ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 9570 ST JOSEPH HERITAGE COMMERCIAL
INSTITUTIONAL 2956 ST MARYS HEATLH PLAN COMMERCIAL
INSTITUTIONAL 7542 ST VINCENT CATH MED CNTR OF NY COMMERCIAL
PROFESSIONAL 22240 St. Barnabas System Health Plan COMMERCIAL
PROFESSIONAL 3414 ST. FRANCIS IPA COMMERCIAL
PROFESSIONAL 3855 ST. JOHNS CLAIMS ADMINISTRATION COMMERCIAL
INSTITUTIONAL 37264 St. Johns Claims Administration COMMERCIAL
PROFESSIONAL 3412 ST. JOSEPH HERITAGE HEALTHCARE COMMERCIAL
INSTITUTIONAL 13411 Standard Insurance Company (NY) COMMERCIAL
INSTITUTIONAL 93024 Standard Insurance Company (OR) COMMERCIAL
INSTITUTIONAL CPPSP STAR +Plus Value Added COMMERCIAL
INSTITUTIONAL CPPSH STAR Health COMMERCIAL
INSTITUTIONAL CX090 StarDent COMMERCIAL
INSTITUTIONAL 4541 STARMARK COMMERCIAL
INSTITUTIONAL 46450 State Auto COMMERCIAL
INSTITUTIONAL 8533 STATE EMPLOYEES GROUP BENEFITS PROGRAM COMMERCIAL
INSTITUTIONAL 31059 State Farm (Casualty & Property Claims) COMMERCIAL
INSTITUTIONAL 6573 STATE FARM INSURANCE COMPANIES COMMERCIAL
INSTITUTIONAL 31053 State Farm Insurance Companies COMMERCIAL
DENTAL 57254 State of Texas Dental Plan TX COMMERCIAL
PROFESSIONAL 5425 STATES GENERAL LIFE INSURANCE COMMERCIAL
INSTITUTIONAL 75087 States General Life Insurance COMMERCIAL
PROFESSIONAL 91151 Sterling Option 1 COMMERCIAL
PROFESSIONAL 2222 STONER AND ASSOCIATES ‐ CINCINNATI, OH COMMERCIAL
INSTITUTIONAL 31121 Stoner and Associates (Cincinnati OH) COMMERCIAL
PROFESSIONAL 4469 STONES RIVER IPA ‐ WINDSOR COMMERCIAL
INSTITUTIONAL 15752 Stones River Regional IPA‐ Windsor COMMERCIAL
INSTITUTIONAL 4593 STUDENT INS.‐MEGA LIFE & HEALTH INSURANCE CO COMMERCIAL
INSTITUTIONAL 40134 SUA Insurance Company COMMERCIAL
PROFESSIONAL 35199 Suburban Health Organization COMMERCIAL
INSTITUTIONAL 7501 SUFFOLK HEALTH PLAN of NEW YORK COMMERCIAL
INSTITUTIONAL 2544 SUMMACARE HEALTH PLAN COMMERCIAL
PROFESSIONAL 95202 SummaCare Health Plan COMMERCIAL
INSTITUTIONAL 86071 Summerlin Life & Health Insurance COMMERCIAL
INSTITUTIONAL 1980 SUMMERLIN LIFE AND HEALTH COMMERCIAL
PROFESSIONAL 4769 SUMMERLIN LIFE AND HEALTH INSURANCE COMMERCIAL
INSTITUTIONAL 2968 SUMMIT AMERICA INSURANCE COMMERCIAL
PROFESSIONAL 37301 Summit America Insurance Services Inc. COMMERCIAL
PROFESSIONAL 3454 SUN HEALTH CORPORATION COMMERCIAL
INSTITUTIONAL 67814 Sun Life and Health Insurance Company (U.S.) (formerly GLHIC) COMMERCIAL
PROFESSIONAL 2111 SUNSHINE STATE HEALTH PLAN COMMERCIAL
INSTITUTIONAL 5947 SUNSHINE STATE HEALTH PLAN COMMERCIAL
INSTITUTIONAL 4968 SUPERIEN HEALTH COMMERCIAL
INSTITUTIONAL 23218 Superior Administrators Inc (Santa Ana CA) COMMERCIAL
PROFESSIONAL 3760 SUPERIOR ADMINISTRATORS, INC. (SANTA ANA.CA) CA COMMERCIAL
INSTITUTIONAL CPPSW SuperiorSTAR Pregnant Women COMMERCIAL
INSTITUTIONAL CX088 Surency Life and Health COMMERCIAL
PROFESSIONAL 5846 SUTTER CONNECT ‐ ABMG ENCOUNTERS COMMERCIAL
PROFESSIONAL 4789 SUTTER CONNECT ‐ CENTRAL VALLEY MEDICAL GROUP‐CLAI COMMERCIAL
PROFESSIONAL 4788 SUTTER CONNECT ‐ CENTRAL VALLEY MEDICAL GROUP‐ENC COMMERCIAL
PROFESSIONAL 4705 SUTTER CONNECT ‐ DELTA CLAIMS COMMERCIAL
PROFESSIONAL 4704 SUTTER CONNECT ‐ DELTA ENCOUNTERS COMMERCIAL
PROFESSIONAL 4713 SUTTER CONNECT ‐ GOULD CLAIMS COMMERCIAL
PROFESSIONAL 4712 SUTTER CONNECT ‐ GOULD ENCOUNTERS COMMERCIAL
PROFESSIONAL 4701 SUTTER CONNECT ‐ SANTA ROSA CLAIMS COMMERCIAL
PROFESSIONAL 4700 SUTTER CONNECT ‐ SANTA ROSA ENCOUNTERS COMMERCIAL
©copyright 2013 CompuGroup Medical. All rights reserved. Page 17 of 69
EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
PROFESSIONAL 4709 SUTTER CONNECT ‐ SIP, SMG, SWMG CLAIMS COMMERCIAL
PROFESSIONAL 4708 SUTTER CONNECT ‐ SIP, SMG, SWMG ENCOUNTERS COMMERCIAL
PROFESSIONAL 4711 SUTTER CONNECT ‐ SOLANO CLAIMS COMMERCIAL
PROFESSIONAL 4710 SUTTER CONNECT ‐ SOLANO ENCOUNTERS COMMERCIAL
INSTITUTIONAL 77318 Sutter Delta Medical Group COMMERCIAL
INSTITUTIONAL 94269 Sutter East Bay Medical Foundation COMMERCIAL
PROFESSIONAL 4257 SUTTER SELECT COMMERCIAL
PROFESSIONAL 4495 SWEDISH CONVENANT COMMERCIAL
INSTITUTIONAL 36411 Swedish Covenant Hospital COMMERCIAL
INSTITUTIONAL SYMED Synermed COMMERCIAL
PROFESSIONAL 3413 TALBERT MEDICAL GROUP COMMERCIAL
INSTITUTIONAL TALMG Talbert Medical Group COMMERCIAL
PROFESSIONAL 4465 TALL TREE ADMINISTRATION COMMERCIAL
INSTITUTIONAL 4935 TALL TREE ADMINISTRATION COMMERCIAL
INSTITUTIONAL 88067 Tall Tree Administrators COMMERCIAL
INSTITUTIONAL 3644 TARRANT HEALTH SERVICES COMMERCIAL
INSTITUTIONAL 37228 Tarrant Health Services COMMERCIAL
PROFESSIONAL 04286 HEALTH NEW ENGLAND COMMERCIAL
ALL 04320 Innovative Healthware Services, Inc. COMMERCIAL
PROFESSIONAL MPM06 Health Care LA IPA COMMERCIAL
PROFESSIONAL 88019 Teachers Health Trust COMMERCIAL
INSTITUTIONAL 75139 Team Choice Gold COMMERCIAL
INSTITUTIONAL 75133 Team Choice PNS COMMERCIAL
PROFESSIONAL 1822 TEAM CHOICE PPO COMMERCIAL
PROFESSIONAL 5177 TEAM CHOICE UMC COMMERCIAL
INSTITUTIONAL 7953 TEAM CHOICE UMC COMMERCIAL
PROFESSIONAL 5178 TEAM HEALTH GOLD COMMERCIAL
INSTITUTIONAL 4507 TEAMCARE COMMERCIAL
INSTITUTIONAL 36215 Teamcare COMMERCIAL
INSTITUTIONAL 94304 Teamsters Benefit Trust COMMERCIAL
PROFESSIONAL 5842 TETHYS HEALTH VENTURES COMMERCIAL
INSTITUTIONAL 20212 Tethys Health Ventures COMMERCIAL
INSTITUTIONAL J1234 The Beacon Mutual Ins Co COMMERCIAL
INSTITUTIONAL 3930 THE BOON GROUP COMMERCIAL
INSTITUTIONAL 68423 The Care Network/The Savannah Business Group COMMERCIAL
INSTITUTIONAL 2545 THE CITY OF ODESSA COMMERCIAL
INSTITUTIONAL 75600 The City of Odessa COMMERCIAL
DENTAL 73288 The Dental Concern COMMERCIAL
INSTITUTIONAL 37305 The Ford Meter Box Company Inc. COMMERCIAL
INSTITUTIONAL J1422 The Hartford COMMERCIAL
INSTITUTIONAL 20356 The Health Exchange (Cerner Corporation) COMMERCIAL
INSTITUTIONAL 34150 The Health Plan (Massillon Ohio and St. Clairsville Ohio only) COMMERCIAL
INSTITUTIONAL 35206 The Healthcare Group COMMERCIAL
PROFESSIONAL 58200 The Integrity Benefit Group Inc. COMMERCIAL
INSTITUTIONAL 23223 The Loomis Company ‐ TPA Wyomissing PA (IHS Gateway Payer) COMMERCIAL
PROFESSIONAL 59221 The MEGA Life & Health Insurance Company ‐ Insurance Center COMMERCIAL
INSTITUTIONAL 59226 The MEGA Life & Health Insurance Company ‐ Insurance Center COMMERCIAL
PROFESSIONAL 59225 The MEGA Life & Health Insurance Company ‐ Starbridge StarHRG COMMERCIAL
INSTITUTIONAL 59227 The MEGA Life & Health Insurance Company‐OKC COMMERCIAL
INSTITUTIONAL 59087 The National Radiology Network COMMERCIAL
INSTITUTIONAL 13522 The Perfect Health Insurance Co. COMMERCIAL
INSTITUTIONAL 31074 The Physicians Assurance Corp (TPAC) /Employee Benefit Management Corp (EBM COMMERCIAL
INSTITUTIONAL CX025 The Physicians Assurance Corp (TPAC)/Employee Benefit Management Corp (EBMC COMMERCIAL
INSTITUTIONAL 13269 The Zenith COMMERCIAL
INSTITUTIONAL 1657 THERAPY REVIEW SYSTEMS COMMERCIAL
PROFESSIONAL 2139 THERAPY REVIEW SYSTEMS COMMERCIAL
INSTITUTIONAL 75305 Therapy Review Systems COMMERCIAL
INSTITUTIONAL 6593 THIRD PARTY ADMINISTRATORS COMMERCIAL
INSTITUTIONAL SX160 Thomas H. Cooper COMMERCIAL
INSTITUTIONAL 39065 Time Insurance Company COMMERCIAL
PROFESSIONAL 4286 TODAYS HEALTH COMMERCIAL
INSTITUTIONAL 20081 Todays Health Wisconsin COMMERCIAL
INSTITUTIONAL 48055 Todays Options powered by CCRX COMMERCIAL
©copyright 2013 CompuGroup Medical. All rights reserved. Page 18 of 69
EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
PROFESSIONAL 4263 TONGASS TIMBER TRUST COMMERCIAL
INSTITUTIONAL 8938 TONGASS TIMBER TRUST COMMERCIAL
INSTITUTIONAL 92620 Tongass Timber Trust COMMERCIAL
PROFESSIONAL 4222 TORRANCE HOSPITAL IPA COMMERCIAL
INSTITUTIONAL THIPA Torrance Hospital IPA COMMERCIAL
INSTITUTIONAL 36342 Total Broker Benefits COMMERCIAL
PROFESSIONAL 4272 TOTAL CAROLINA CARE COMMERCIAL
INSTITUTIONAL 8549 TOTAL CAROLINA CARE COMMERCIAL
PROFESSIONAL 37314 Total Claims Administration COMMERCIAL
INSTITUTIONAL 1634 TOTAL COMMUNITY CARE COMMERCIAL
PROFESSIONAL 4770 TOTAL COMMUNITY CARE COMMERCIAL
INSTITUTIONAL 31182 Total Community Care COMMERCIAL
DENTAL CX112 Total Dental Administrators COMMERCIAL
INSTITUTIONAL 2590 TOTAL HEALTH CARE INC. COMMERCIAL
INSTITUTIONAL 38201 Total Healthcare Inc. COMMERCIAL
PROFESSIONAL 3852 TOTAL HEALTHCARE, INC. COMMERCIAL
PROFESSIONAL 5183 TOUCHPOINT HEALTH PLAN HMO COMMERCIAL
INSTITUTIONAL 97910 Touchpoint Health Plan HMO COMMERCIAL
INSTITUTIONAL 2973 TOUCHSTONE HEALTH COMMERCIAL
INSTITUTIONAL 2919 TOUCHSTONE HEALTH PSO COMMERCIAL
PROFESSIONAL 4737 TOUCHSTONE HEALTH PSO COMMERCIAL
INSTITUTIONAL 23856 Touchstone Health PSO COMMERCIAL
INSTITUTIONAL 13402 TOUCHSTONE HEALTH/HEALTH NET SMART CHOICE COMMERCIAL
INSTITUTIONAL 69493 Tower Life Insurance Co. COMMERCIAL
PROFESSIONAL 5453 TOWER LIFE INSURANCE COMPANY COMMERCIAL
INSTITUTIONAL 6577 TOWER LIFE INSURANCE COMPANY COMMERCIAL
INSTITUTIONAL TKFMC Town & Country COMMERCIAL
INSTITUTIONAL 2941 TPSC ‐ IPN COMMERCIAL
INSTITUTIONAL 3954 TR PAUL INC COMMERCIAL
PROFESSIONAL 3242 TR PAUL INC. COMMERCIAL
INSTITUTIONAL 37230 TR Paul Inc. COMMERCIAL
INSTITUTIONAL 1946 TRANSAMERICA COMMERCIAL
INSTITUTIONAL 12T74 TransAmerica Assurance Company (TLIN3) COMMERCIAL
INSTITUTIONAL TH127 TransAmerica Assurance Company (TLIN3) COMMERCIAL
INSTITUTIONAL 12T73 TransAmerica Assurance Company (TLINS) COMMERCIAL
INSTITUTIONAL TH126 TransAmerica Assurance Company (TLINS) COMMERCIAL
INSTITUTIONAL 12T71 TransAmerica Assurance Company (TSAA2) COMMERCIAL
INSTITUTIONAL TH124 TransAmerica Assurance Company (TSAA2) COMMERCIAL
INSTITUTIONAL 12T72 TransAmerica Assurance Company (TSAAC) COMMERCIAL
INSTITUTIONAL TH125 TransAmerica Assurance Company (TSAAC) COMMERCIAL
PROFESSIONAL 59222 TransAmerica Life Insurance Company COMMERCIAL
DENTAL TH128 TransAmerica Occidental Life Insurance (TOLIC) COMMERCIAL
DENTAL 12T76 TransAmerica Occidental Life Insurance Company COMMERCIAL
PROFESSIONAL 3249 TRANSCHOICE KEY BENEFIT ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 20807 Transchoice or TransSmile ‐ First Service Administrators Inc COMMERCIAL
INSTITUTIONAL 37284 TransChoice‐Key Benefit Administrators COMMERCIAL
INSTITUTIONAL CX069 TransSmile COMMERCIAL
INSTITUTIONAL 19046 Travelers COMMERCIAL
INSTITUTIONAL 65978 Travelers (now MetLife) COMMERCIAL
INSTITUTIONAL 36397 Trellis Health Partners COMMERCIAL
INSTITUTIONAL 73117 Tribute /SelectCare of Oklahoma COMMERCIAL
INSTITUTIONAL PDT01 TriCities IPA COMMERCIAL
INSTITUTIONAL 3610 TRIHEALTH PHYSICIAN SERVICES COMMERCIAL
PROFESSIONAL 5150 TRIHEALTH PHYSICIAN SERVICES COMMERCIAL
INSTITUTIONAL 31144 TRIHEALTH PHYSICIAN SOLUTIONS COMMERCIAL
INSTITUTIONAL 31143 TRIHEALTH PHYSICIAN SOLUTIONS ‐ CONCERN COMMERCIAL
PROFESSIONAL 4871 TRILOGY HEALTH COMMERCIAL
INSTITUTIONAL 5938 TRILOGY HEALTH COMMERCIAL
INSTITUTIONAL 3624 TRILOGY HEALTH NETWORK (TRLHN/EB) COMMERCIAL
PROFESSIONAL 5835 TRILOGY HEALTH NETWORK (TRLHN/EB) COMMERCIAL
INSTITUTIONAL 11983 Triple A COMMERCIAL
INSTITUTIONAL 12B48 Triple‐S Inc. COMMERCIAL
INSTITUTIONAL SB980 Triple‐S Inc. COMMERCIAL
©copyright 2013 CompuGroup Medical. All rights reserved. Page 19 of 69
EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
PROFESSIONAL 1847 TRISURANT COMMERCIAL
INSTITUTIONAL 98514 TRLHN/AS COMMERCIAL
INSTITUTIONAL 62777 TRLHN/EB COMMERCIAL
INSTITUTIONAL 4914 TRUE CHOICE USA COMMERCIAL
PROFESSIONAL 5437 TRUE CHOICE USA COMMERCIAL
INSTITUTIONAL 54210 True Choice USA COMMERCIAL
INSTITUTIONAL TH083 True Choice USA COMMERCIAL
INSTITUTIONAL 3967 TRUE CHOICE USA CHRISTUS HEALTH PLAN COMMERCIAL
PROFESSIONAL 4474 TRUE CHOICE USA CHRISTUS HEALTH PLAN COMMERCIAL
PROFESSIONAL 2238 TRUSTEED PLANS SERVICE CORPORATION COMMERCIAL
INSTITUTIONAL 91078 Trusteed Plans Service Corporation COMMERCIAL
INSTITUTIONAL 61425 Trustmark Insurance Company COMMERCIAL
INSTITUTIONAL 8504 TUFTS ASSOCIATED HEALTH PLAN COMMERCIAL
INSTITUTIONAL 12X50 Ucare Minnesota COMMERCIAL
INSTITUTIONAL 1531 UCARE OF MINNESOTA COMMERCIAL
PROFESSIONAL SX178 UCARE of Minnesota COMMERCIAL
INSTITUTIONAL 1670 UMC HEALTH PLAN COMMERCIAL
PROFESSIONAL 5711 UMC HEALTH PLAN COMMERCIAL
INSTITUTIONAL 75130 UMC HEALTH PLAN COMMERCIAL
PROFESSIONAL 95266 UMR ‐ Harrington COMMERCIAL
INSTITUTIONAL 37237 UMR ‐ Lexington COMMERCIAL
INSTITUTIONAL 79480 UMR ‐ Onalaska COMMERCIAL
PROFESSIONAL 74223 UMR ‐ San Antonio COMMERCIAL
INSTITUTIONAL 39026 UMR ‐ Wausau/UHIS COMMERCIAL
PROFESSIONAL 75196 UMR ‐Harrington (formerly known as Harrington Benefit Services‐Westerville) COMMERCIAL
INSTITUTIONAL 2991 UMWA ‐ UNITED MINE WORKERS ASSOCIATION COMMERCIAL
PROFESSIONAL 52180 UMWA Health & Retirement Funds COMMERCIAL
INSTITUTIONAL TP108 Underwriters Safety and Claims COMMERCIAL
INSTITUTIONAL 80314 UNICARE COMMERCIAL
INSTITUTIONAL 4542 UNIFIED GROUP SERVICE COMMERCIAL
PROFESSIONAL 3838 UNIFIED GROUP SERVICES COMMERCIAL
INSTITUTIONAL 35198 Unified Group Services COMMERCIAL
PROFESSIONAL 5420 UNIFIED HEALTH SERVICES COMMERCIAL
INSTITUTIONAL 7576 UNIFIED HEALTH SERVICES COMMERCIAL
INSTITUTIONAL 62170 Unified Health Services COMMERCIAL
PROFESSIONAL HCP01 Unified IPA COMMERCIAL
INSTITUTIONAL 34638 Unified Physicians Network COMMERCIAL
INSTITUTIONAL 4558 UNIFORM MEDICAL PLAN/HARRINGTON BENEFIT SERVICES COMMERCIAL
PROFESSIONAL 8404 UNIFORM MEDICAL PLAN/HARRINGTON BENEFIT SERVICES COMMERCIAL
INSTITUTIONAL 75243 Uniform Medical Plan/Harrington Benefit Services COMMERCIAL
INSTITUTIONAL 6567 UNION LABOR LIFE INSURANCE COMMERCIAL
PROFESSIONAL 1426 UNION LABOR LIFE INSURANCE COMPANY (THE) COMMERCIAL
INSTITUTIONAL 7587 UNION PACIFIC RAILROAD EMPLOYEE HEALTH SYSTEMS COMMERCIAL
PROFESSIONAL 87042 UNION PACIFIC RAILROAD EMPLOYES Health Systems COMMERCIAL
INSTITUTIONAL 70408 Union Security Insurance Company COMMERCIAL
INSTITUTIONAL 62183 Unison Health Plan/Better Health Plans COMMERCIAL
PROFESSIONAL 25175 Unison Health Plan/Three Rivers COMMERCIAL
PROFESSIONAL UAGBT United Agriculture Benefit Trust COMMERCIAL
ALL 86049 United Americhoice of PA PA COMMERCIAL
INSTITUTIONAL CAPMN United Care Medical Network COMMERCIAL
INSTITUTIONAL CX007 United Concordia ‐ Fee for Service COMMERCIAL
DENTAL CX013 United Concordia Dental Plus COMMERCIAL
INSTITUTIONAL 36659 UNITED FOOD & COMM. WORKERS MIDWEST UNIONS COMMERCIAL
INSTITUTIONAL 99158 United Health Plan Encounters COMMERCIAL
PROFESSIONAL 74227 United HealthCare Insurance Company of New York ‐ Student Insurance NY COMMERCIAL
PROFESSIONAL 95378 United Healthcare of River Valley COMMERCIAL
PROFESSIONAL 36273 United Healthcare Ovations Insurance Solutions (AARP) COMMERCIAL
PROFESSIONAL 1802 UNITED MEDICAL ALLIANCE COMMERCIAL
INSTITUTIONAL 84132 United Medical Alliance COMMERCIAL
PROFESSIONAL 5408 UNITED MEDICAL RESOURCES COMMERCIAL
PROFESSIONAL 71412 United of Omaha COMMERCIAL
PROFESSIONAL 3824 UNITED RESOURCES NETWORK COMMERCIAL
INSTITUTIONAL 9513 UNITED RESOURCES NETWORK COMMERCIAL
©copyright 2013 CompuGroup Medical. All rights reserved. Page 20 of 69
EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 36362 United Security Life & Health Ins Co COMMERCIAL
INSTITUTIONAL 13545 United States Life Insurance Company COMMERCIAL
INSTITUTIONAL 87726 UnitedHealthcare COMMERCIAL
INSTITUTIONAL 16063 Unitrin Direct Property & Casualty Company COMMERCIAL
PROFESSIONAL 66705 Unity Health Insurance COMMERCIAL
INSTITUTIONAL SX087 Univera ‐ Health Care Plan/ChoiceCare Buffalo COMMERCIAL
INSTITUTIONAL SX086 Univera ‐ Pre Paid Health Plan of NY NY COMMERCIAL
INSTITUTIONAL SX088 Univera ‐ Univera Health Southern Tier COMMERCIAL
ALL HC001 Univera Healthcare ‐ CNY NY COMMERCIAL
INSTITUTIONAL 12X17 Univera Healthcare CNY NY COMMERCIAL
INSTITUTIONAL 12X20 Univera Healthcare SSA ENY NY COMMERCIAL
INSTITUTIONAL 12X19 Univera Healthcare SSA WNY PPO Traditional NY COMMERCIAL
INSTITUTIONAL 12X18 Univera Healthcare WNY NY COMMERCIAL
INSTITUTIONAL SX090 Univera SSA ENY NY COMMERCIAL
PROFESSIONAL SX091 Univera SSA WNY NY COMMERCIAL
ALL 00621 IL BCBS HCSC IL BCBS
PROFESSIONAL 3836 UNIVERSAL CARE ‐ CALIFORNIA CA COMMERCIAL
INSTITUTIONAL 33001 Universal Care ‐ California CA COMMERCIAL
INSTITUTIONAL 8983 UNIVERSAL CARE OF CALIFORNIA CA COMMERCIAL
INSTITUTIONAL 50528 Universal Health Care Inc COMMERCIAL
INSTITUTIONAL 09830 University Family Care COMMERCIAL
PROFESSIONAL 2748 UNIVERSITY FAMILY CARE ‐ HEALTHCARE GROUP COMMERCIAL
INSTITUTIONAL 07503 University Family Care ‐ Healthcare Group COMMERCIAL
PROFESSIONAL 2719 UNIVERSITY FAMILY CARE ‐ MARICOPA HEALTH PLAN COMMERCIAL
INSTITUTIONAL 09908 University Family Care ‐ Maricopa Health Plan COMMERCIAL
INSTITUTIONAL 99026 University Health Alliance COMMERCIAL
INSTITUTIONAL 37601 University of Illinois at Chicago Div of Specialized Care for Children COMMERCIAL
INSTITUTIONAL 92579 UNIVERSITY OF MIAMI BEHAVIORAL HEALTH COMMERCIAL
INSTITUTIONAL SX155 University of Utah Health Plans COMMERCIAL
PROFESSIONAL 5240 UNMSCI (MOLINA HEALTHCARE of UNM SCI) COMMERCIAL
INSTITUTIONAL 8903 UNMSCI (MOLINA HEALTHCARE of UNM SCI) COMMERCIAL
INSTITUTIONAL IP056 Upland Medical Group COMMERCIAL
INSTITUTIONAL 7543 UPMC HEALTH PLAN COMMERCIAL
INSTITUTIONAL 23281 UPMC Health Plan COMMERCIAL
INSTITUTIONAL 37324 Upper Peninsula Health Group (TPA) COMMERCIAL
INSTITUTIONAL 2532 UPPER PENINSULA HEALTH PLAN COMMERCIAL
PROFESSIONAL 3741 UPPER PENINSULA HEALTH PLAN COMMERCIAL
INSTITUTIONAL 4970 US BENEFITS COMMERCIAL
PROFESSIONAL 93092 US Benefits COMMERCIAL
INSTITUTIONAL 12X31 US Department of Labor COMMERCIAL
PROFESSIONAL 4493 US FAMILY HEALTH PLAN (USFHP) COMMERCIAL
INSTITUTIONAL 4952 US FAMILY HEALTH PLAN (USFHP) COMMERCIAL
INSTITUTIONAL 12T48 US Family Health Plan (USFHP) COMMERCIAL
INSTITUTIONAL TH103 US Family Health Plan (USFHP) COMMERCIAL
INSTITUTIONAL 6561 USAA (U.S. AUTOMOBILE ASSOCIATION) COMMERCIAL
PROFESSIONAL 74095 USAA (United Services Automobile Association) COMMERCIAL
INSTITUTIONAL TH021 USC Health Services COMMERCIAL
INSTITUTIONAL 13407 USFHP ‐ St. Vincent Catholic Medical Centers of New York COMMERCIAL
PROFESSIONAL 2845 USFHP‐ST. VINCENT CATHOLIC MEDICAL CENTER NEW YORK COMMERCIAL
INSTITUTIONAL C1027 UTICA (C1027) COMMERCIAL
INSTITUTIONAL 25976 Utica Mutual Insurance Company COMMERCIAL
INSTITUTIONAL 43478 Utica National Insurance Co of Texas COMMERCIAL
PROFESSIONAL 91136 UW Graduate Appointee Plan COMMERCIAL
INSTITUTIONAL VCC001 VA PREMIER VA COMMERCIAL
INSTITUTIONAL VPN001 VA PREMIER PHP VA COMMERCIAL
INSTITUTIONAL 12T06 Valley Baptist Health Plan COMMERCIAL
INSTITUTIONAL TH022 Valley Baptist Health Plan COMMERCIAL
INSTITUTIONAL VCIPA Valley Care IPA COMMERCIAL
INSTITUTIONAL 94293 Valley Mental Health COMMERCIAL
INSTITUTIONAL 23253 Valley Preferred ‐ PPO Allentown PA (IHS Gateway Payer) COMMERCIAL
PROFESSIONAL 2112 VALUE OPTIONS COMMERCIAL
INSTITUTIONAL 4926 VALUE OPTIONS COMMERCIAL
INSTITUTIONAL FHC & AFFILIATES VALUE OPTIONS COMMERCIAL
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LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL FHC&AFFILIATES VALUE OPTIONS COMMERCIAL
INSTITUTIONAL 12X56 Value Options ‐ Commercial COMMERCIAL
INSTITUTIONAL SX173 Value Options ‐ Commercial COMMERCIAL
INSTITUTIONAL 99297 VALUE OPTIONS (TX NORTHSTAR) COMMERCIAL
PROFESSIONAL 6127 VALUE OPTIONS MBHP COMMERCIAL
INSTITUTIONAL 12K1A Value Options PA COMMERCIAL
INSTITUTIONAL 22322 ValueOptions Maryland Mental Hygiene Ad COMMERCIAL
INSTITUTIONAL 43307 ValueOptions/MBHP (MA Behavioral Health Partnership) COMMERCIAL
PROFESSIONAL 2497 VANGUARD HEALTH SYSTEMS COMMERCIAL
INSTITUTIONAL 21172 Vanliners Insurance Company COMMERCIAL
PROFESSIONAL 72128 Vantage Health Plan Inc. COMMERCIAL
INSTITUTIONAL 31147 Vantage Health Plan Inc. (Ohio BWC) COMMERCIAL
INSTITUTIONAL 3924 VANTAGE HLTH PLAN INC COMMERCIAL
INSTITUTIONAL 1633 VANTAGE MEDICAL GROUP COMMERCIAL
PROFESSIONAL PPM01 Vantage Medical Group COMMERCIAL
INSTITUTIONAL 68241 Varian Health Care Plan COMMERCIAL
INSTITUTIONAL 86062 VentureNet Healthcare COMMERCIAL
INSTITUTIONAL 66126 Verdugo Hills Medical Group COMMERCIAL
INSTITUTIONAL 3966 VERITY NATIONAL GROUP COMMERCIAL
PROFESSIONAL 4434 VERITY NATIONAL GROUP COMMERCIAL
INSTITUTIONAL 75256 Verity National Group COMMERCIAL
INSTITUTIONAL VVIPA Victor Valley IPA COMMERCIAL
INSTITUTIONAL VVMG1 Victor Valley IPA COMMERCIAL
INSTITUTIONAL 73743 Village Family Practice COMMERCIAL
INSTITUTIONAL 5959 VISITING NURSE SERVICE of NEW YORK COMMERCIAL
INSTITUTIONAL 37297 Vison Care Incorporated COMMERCIAL
INSTITUTIONAL NCH08 Vista Oncology ‐ New Century Infusion Solutions COMMERCIAL
PROFESSIONAL 3239 VOLUSIA HEALTH NETWORK COMMERCIAL
INSTITUTIONAL 3970 VOLUSIA HEALTH NETWORK COMMERCIAL
INSTITUTIONAL 59266 VOLUSIA HEALTH NETWORK COMMERCIAL
INSTITUTIONAL 6562 VYTRA HEALTHCARE COMMERCIAL
INSTITUTIONAL 22264 Vytra Healthcare COMMERCIAL
PROFESSIONAL 4443 WABASH MEMORIAL HOSPITAL COMMERCIAL
INSTITUTIONAL 85256 Wabash Memorial Hospital Association COMMERCIAL
INSTITUTIONAL J1004 Wal‐Mart COMMERCIAL
INSTITUTIONAL 6592 WATERSTONE BENEFIT ADMINISTRATORS COMMERCIAL
PROFESSIONAL 73155 Waterstone Benefit Administrators COMMERCIAL
PROFESSIONAL 5873 WATTS HEALTHCARE CORPORATION IPA COMMERCIAL
INSTITUTIONAL 4590 WAUSAU PREFERRED HEALTH PLANS COMMERCIAL
INSTITUTIONAL 39151 WEA Insurance Group COMMERCIAL
INSTITUTIONAL 59332 Web TPA Inc.of TX COMMERCIAL
INSTITUTIONAL 6504 WEBTPA fka COMMUNITY HEALTH ELECT CLAIMS COMMERCIAL
PROFESSIONAL 75261 webTPA/Community Health Electronic Claims/CHEC COMMERCIAL
INSTITUTIONAL 36337 Weiss Health Providers COMMERCIAL
PROFESSIONAL 1844 WELLCARE COMMERCIAL
INSTITUTIONAL CX083 Wellcare COMMERCIAL
INSTITUTIONAL 8551 WELLCARE HEALTH PLAN / STAYWELL COMMERCIAL
PROFESSIONAL 3211 WELLCARE HEALTH PLAN ENCOUNTERS COMMERCIAL
INSTITUTIONAL 4949 WELLCARE HEALTH PLAN ENCOUNTERS COMMERCIAL
INSTITUTIONAL 1964 WELLCARE PFFS COMMERCIAL
PROFESSIONAL 3746 WELLCARE PFFS COMMERCIAL
PROFESSIONAL 3201 WELLMED COMMERCIAL
INSTITUTIONAL TH023 WellMed COMMERCIAL
PROFESSIONAL 5843 WELLMED ENCOUNTERS COMMERCIAL
PROFESSIONAL 25133 WellPath COMMERCIAL
PROFESSIONAL 87815 Wells Fargo Third Party Administrators Inc. COMMERCIAL
PROFESSIONAL 37272 Wells Fargo Third Party Administrators Inc. (Formerly JSL Administrators) COMMERCIAL
PROFESSIONAL 5824 WENATCHEE VALLEY MEDICAL CENTER COMMERCIAL
INSTITUTIONAL 5992 WENATCHEE VALLEY MEDICAL CENTER COMMERCIAL
INSTITUTIONAL 91064 Wenatchee Valley Medical Center COMMERCIAL
INSTITUTIONAL 3979 WEST & SOUTHERN FINANCIAL GROUP COMMERCIAL
PROFESSIONAL 5890 WEST COVINA MEDICAL GROUP COMMERCIAL
INSTITUTIONAL 66124 West Covina Medical Group COMMERCIAL
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LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL CMSI1 West Covina Medical Group COMMERCIAL
PROFESSIONAL 24735 Western Growers Insurance Company COMMERCIAL
INSTITUTIONAL 68039 Western Health Advantage COMMERCIAL
INSTITUTIONAL 37306 Western Health Inc COMMERCIAL
PROFESSIONAL 3827 WESTERN MUTUAL INSURANCE COMMERCIAL
INSTITUTIONAL 3980 WESTERN MUTUAL INSURANCE COMMERCIAL
INSTITUTIONAL 37247 Western Mutual Insurance COMMERCIAL
INSTITUTIONAL 31048 Western Southern Financial Group (Cincinnati OH) OH COMMERCIAL
PROFESSIONAL 5415 WESTERN SOUTHERN FINANCIAL GROUP (CINCINNATI, OH) OH COMMERCIAL
INSTITUTIONAL 2998 WESTLAKE FINANCIAL GROUP COMMERCIAL
PROFESSIONAL 4435 WESTLAKE FINANCIAL GROUP COMMERCIAL
INSTITUTIONAL 12T62 Westlake Financial Group COMMERCIAL
INSTITUTIONAL 90560 WestLake Financial Group Inc. COMMERCIAL
INSTITUTIONAL 38232 Weyco Inc. COMMERCIAL
INSTITUTIONAL 7504 WEYCO, INC. COMMERCIAL
PROFESSIONAL 3465 WILLIAM C. EARHART COMMERCIAL
INSTITUTIONAL 3919 WILLIAM C. EARHART COMMERCIAL
INSTITUTIONAL 93050 William C. Earhart COMMERCIAL
PROFESSIONAL 2226 WILLIAM J. SUTTON and CO., LTD ‐ TORONTO, CANADA COMMERCIAL
INSTITUTIONAL 3633 WILSON MCSHANE COMMERCIAL
PROFESSIONAL 5839 WILSON MCSHANE COMMERCIAL
INSTITUTIONAL R7002 WilsonMcShane COMMERCIAL
INSTITUTIONAL 41095 Wilson‐McShane COMMERCIAL
PROFESSIONAL 5710 WIN HEALTHCARE COMMERCIAL
INSTITUTIONAL 4761 WINHEALTH COMMERCIAL
INSTITUTIONAL 13413 Womens Integrated Network Inc. (WIN Fertility) COMMERCIAL
INSTITUTIONAL 1658 WORKSITE BENEFIT SERVICES COMMERCIAL
PROFESSIONAL 3243 WORKSITE BENEFIT SERVICES COMMERCIAL
INSTITUTIONAL 20333 Worksite Benefit Services LLC COMMERCIAL
PROFESSIONAL 2849 WORLD INSURANCE COMPANY COMMERCIAL
INSTITUTIONAL 7598 WORLD INSURANCE COMPANY COMMERCIAL
INSTITUTIONAL 75276 World Insurance Company COMMERCIAL
PROFESSIONAL 3202 WPP ELDERCARE COMMERCIAL
INSTITUTIONAL 5983 WPP ELDERCARE COMMERCIAL
INSTITUTIONAL 77080 WPP‐ElderCare Wisconsin COMMERCIAL
INSTITUTIONAL 34080 WPPN COMMERCIAL
INSTITUTIONAL 12X29 WPS Commercial COMMERCIAL
INSTITUTIONAL SX022 WPS Commercial COMMERCIAL
INSTITUTIONAL 2900 WPS REGULAR BUSINESS COMMERCIAL
PROFESSIONAL 4457 WPS REGULAR BUSINESS COMMERCIAL
INSTITUTIONAL 23710 Writers Guild ‐ Industry Health Plan COMMERCIAL
INSTITUTIONAL 4937 WRITERS GUILD‐INDUSTRY HEALTH PLAN COMMERCIAL
INSTITUTIONAL 60646 Yale University Heath Plan COMMERCIAL
PROFESSIONAL 2165 YAVAPAI COUNTY COMMERCIAL
INSTITUTIONAL 2672 YAVAPAI COUNTY COMMERCIAL
INSTITUTIONAL 09829 Yavapai County COMMERCIAL
INSTITUTIONAL STJOE Yorba Park COMMERCIAL
INSTITUTIONAL R7001 Zenith Administrators COMMERCIAL
INSTITUTIONAL 26335 ZEPHERELLA COMMERCIAL
INSTITUTIONAL 30120 Znat Insurance (Zenith National Insurance) COMMERCIAL
INSTITUTIONAL J1015 Zurich Farmers COMMERCIAL
INSTITUTIONAL 16535 Zurich Insurance NA COMMERCIAL
ALL 00720 MN BCBS MN BCBS
ALL 720 MN BCBS MN BCBS
ALL 00722 MN BCBS MN BCBS
ALL 722 MN BCBS MN BCBS
PROFESSIONAL 06311 Alabama Medical Surgical Associates COMMERCIAL
ALL 00790 NM BCBS HCSC NM BCBS
ALL 00840 OK BCBS HCSC OK BCBS
ALL 00851 OR BCBS OR BCBS
ALL 00932 WA BS WA BCBS
PROFESSIONAL 00934 BC/WA ‐ PREMERA WA BCBS
ALL 10207 CITRUS HEALTH PLAN COMMERCIAL
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
PROFESSIONAL 1423 COMMERCIAL
PROFESSIONAL 1760 COMMERCIAL
PROFESSIONAL 2279 COMMERCIAL
PROFESSIONAL 3785 COMMERCIAL
PROFESSIONAL 3816 COMMERCIAL
PROFESSIONAL 3876 COMMERCIAL
INSTITUTIONAL 3915 COMMERCIAL
INSTITUTIONAL 3948 COMMERCIAL
PROFESSIONAL 4467 COMMERCIAL
INSTITUTIONAL 4528 COMMERCIAL
PROFESSIONAL 5193 COMMERCIAL
PROFESSIONAL 6445 COMMERCIAL
PROFESSIONAL 6475 COMMERCIAL
INSTITUTIONAL 6587 COMMERCIAL
PROFESSIONAL 07302 COMMERCIAL
INSTITUTIONAL 7561 COMMERCIAL
ALL 12611 FLORIDA HEALTH CARE PLUS FL COMMERCIAL
INSTITUTIONAL 10262 COMMERCIAL
ALL 14829 COORDINATED BENEFITS PLANS COMMERCIAL
INSTITUTIONAL 13010 COMMERCIAL
INSTITUTIONAL 13141 COMMERCIAL
PROFESSIONAL 23226 HealthGuard of Lancaster COMMERCIAL
PROFESSIONAL 23252 Amerihealth Administrators COMMERCIAL
ALL 26375 AMERIGROUP COMMERCIAL
PROFESSIONAL 33029 Medical Pathways COMMERCIAL
PROFESSIONAL 34178 Benefit Services, Inc. (Akron, OH) OH COMMERCIAL
PROFESSIONAL 35167 Carewise COMMERCIAL
INSTITUTIONAL 36365 Our Lady of the Resurrection Physician Association COMMERCIAL
ALL 35076 STATE COMPENSATION FUND WC
ALL 37234 Grant Physicians Practice Association COMMERCIAL
ALL 41170 CBCA Administrators (HRM) COMMERCIAL
PROFESSIONAL 53476 Preferred Benefit Administrators COMMERCIAL
ALL 38338 MCLAREN HEALTH PLAN COMMERCIAL
PROFESSIONAL 54720 KHP Central COMMERCIAL
ALL 58203 Medical Resource Network (MRN) COMMERCIAL
ALL 59347 Hillcrest Benefit Administrators COMMERCIAL
PROFESSIONAL 56131 COMMERCIAL
PROFESSIONAL 57082 COMMERCIAL
INSTITUTIONAL 58730 COMMERCIAL
PROFESSIONAL 59354 COMMERCIAL
PROFESSIONAL 61102 COMMERCIAL
PROFESSIONAL 65099 UNICARE (Old John Hancock) COMMERCIAL
PROFESSIONAL 74234 8th District Electric COMMERCIAL
PROFESSIONAL 74214 COMMERCIAL
PROFESSIONAL 75258 Mapco, Inc. COMMERCIAL
PROFESSIONAL 81949 American Insurance Company of Texas COMMERCIAL
PROFESSIONAL ASRM1 RELIANCE STANDARD COMMERCIAL
ALL 76343 Health Plan of Nevada (Encounter claims) COMMERCIAL
INSTITUTIONAL 77045 COMMERCIAL
PROFESSIONAL 78521 COMMERCIAL
INSTITUTIONAL 80840 COMMERCIAL
PROFESSIONAL 84141 New West Health Plan COMMERCIAL
PROFESSIONAL 88030 Scott & White Health Care Plan TX COMMERCIAL
PROFESSIONAL 88461 COMMERCIAL
PROFESSIONAL 90010 Community Health Plan (located in St. Joseph, MO. Service Area includes NW Missouri, NE KCOMMERCIAL
PROFESSIONAL 90956 National Financial Insurance Co. COMMERCIAL
PROFESSIONAL 93100 North American Medical Management ‐ Texas (NAMM) B50 TX COMMERCIAL
INSTITUTIONAL 94036 COMMERCIAL
ALL 94254 Health Plan of the Redwoods (Mediprime) CA COMMERCIAL
ALL 94267 HealthPartners COMMERCIAL
PROFESSIONAL 95009 HealthPlus of Louisiana COMMERCIAL
PROFESSIONAL 95019 Health First Health Plan COMMERCIAL
INSTITUTIONAL 95123 HealthEdge Administrators (Bakersfield,CA) COMMERCIAL
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
PROFESSIONAL 95348 Humana Health Plans Of Ohio (formerly Choice Care) COMMERCIAL
ALL 95440 Arnett Health Plan COMMERCIAL
PROFESSIONAL 95655 MediGold COMMERCIAL
PROFESSIONAL 95958 COMMERCIAL
PROFESSIONAL 98205 National Foundation Life Insurance Co. COMMERCIAL
INSTITUTIONAL 3414A COMMERCIAL
PROFESSIONAL ACN01 American Chiropractic Network Group COMMERCIAL
PROFESSIONAL AHIPA Accountable IPA COMMERCIAL
INSTITUTIONAL 61101 Humana Insurance Company Choice Care Network COMMERCIAL
PROFESSIONAL AMM06 Access Santa Monica (Access Medical Group) COMMERCIAL
PROFESSIONAL ASRM1 AMERICORP COMMERCIAL
PROFESSIONAL BC004 Medical Mutual of Ohio OH COMMERCIAL
PROFESSIONAL BNMK1 Benmark COMMERCIAL
INSTITUTIONAL BS002 Blue Shield ‐ Idaho ID BCBS
ALL BS003 Blue Shield ‐ North Carolina NC BCBS
PROFESSIONAL BS010 Blue Cross ‐ Premera WA BCBS
PROFESSIONAL BS017 Blue Shield ‐ Michigan MI BCBS
PROFESSIONAL BS018 Blue Shield ‐ Illinois IL BCBS
PROFESSIONAL BS021 Blue Shield ‐ Texas TX BCBS
PROFESSIONAL BS022 Blue Shield ‐ Florida FL BCBS
PROFESSIONAL BS027 Blue Shield ‐ PA ‐ Highmark Claims/ Encounters PA BCBS
PROFESSIONAL BS028 BlueChoice HealthPlan SC BCBS
PROFESSIONAL BS029 Blue Shield ‐ Virginia (Anthem) VA BCBS
PROFESSIONAL BS031 Blue Shield ‐ New Jersey NJ BCBS
PROFESSIONAL BS032 Blue Shield ‐ Tennessee TN BCBS
PROFESSIONAL BS033 Blue Shield ‐ New York (Empire) NY BCBS
ALL BS038 Blue Shield ‐ Louisiana LA BCBS
PROFESSIONAL BS039 Blue Shield ‐ Georgia GA BCBS
PROFESSIONAL BS041 Blue Shield ‐ Oklahoma OK BCBS
PROFESSIONAL BS042 Blue Shield ‐ Delaware DE BCBS
PROFESSIONAL BS043 Blue Shield ‐ Connecticut ‐‐‐ Anthem CT BCBS
PROFESSIONAL BS047 Blue Shield ‐ Mississippi MS BCBS
PROFESSIONAL BS049 Blue Shield ‐ Indiana ‐‐‐ Anthem IN BCBS
PROFESSIONAL BS050 Blue Shield ‐ Kentucky ‐‐‐ Anthem KY BCBS
PROFESSIONAL BS059 Blue Shield ‐ Massachusetts MA BCBS
PROFESSIONAL BS067 Blue Shield ‐ New Hampshire ‐‐‐ Anthem NH BCBS
PROFESSIONAL CASD1 Chiropractic Assoc. of South Dakota ‐ Dakota Care SD COMMERCIAL
PROFESSIONAL CCS99 Clayton County Health Benefit Plan COMMERCIAL
PROFESSIONAL CLW99 Chicago Laborers Health & Welfare Fund IL COMMERCIAL
PROFESSIONAL CMGWV Community Medical Group of the West Valley CA COMMERCIAL
PROFESSIONAL CWS99 California Water Services CA COMMERCIAL
INSTITUTIONAL D9900900 COMMERCIAL
PROFESSIONAL DHS01 Delta Health Systems COMMERCIAL
INSTITUTIONAL EM205 COMMERCIAL
PROFESSIONAL EPNSH Seton Health Plan ‐ Exclusive Provider Network (EPN) TX COMMERCIAL
PROFESSIONAL FBI99 Fidelity Benefit Administrators COMMERCIAL
PROFESSIONAL FH001 Foundation Health CA COMMERCIAL
INSTITUTIONAL FOREN COMMERCIAL
PROFESSIONAL GASA1 Group Admin Self‐Funded Alternative COMMERCIAL
PROFESSIONAL GCU99 Graphic Communications Union Local 8‐M & 96B Health & Welfare Fund COMMERCIAL
PROFESSIONAL GTPA1 Encore Encore COMMERCIAL
PROFESSIONAL HCOMP Community First ‐ Star Health Plan COMMERCIAL
INSTITUTIONAL 61120 Humana VA ARCH COMMERCIAL
INSTITUTIONAL 77082 Care Improvement Plus COMMERCIAL
PROFESSIONAL HGL99 Heavy & General Laborers Welfare Fund COMMERCIAL
PROFESSIONAL HM001 Health Net (Encounters Only) COMMERCIAL
PROFESSIONAL HM006 Blue Cross ‐ California Care ‐ HMO (Encounters ONLY) CA BCBS
ALL HM007 Blue Shield California ‐ HMO (Encounters) CA COMMERCIAL
PROFESSIONAL HM033 HMO Blue ‐ MediCaid TX COMMERCIAL
PROFESSIONAL HM057 Sutter Connect ‐ Santa Rosa Network ‐ Encounters CA COMMERCIAL
PROFESSIONAL HM058 Sutter Connect ‐ Sutter Gould Medical Foundation ‐ Encounters CA COMMERCIAL
PROFESSIONAL HM059 Sutter Connect ‐ SIP, SMG, SWMG ‐ Encounters CA COMMERCIAL
PROFESSIONAL HM062 Sutter Connect ‐ Solano Regional Medical Group ‐ Encounters CA COMMERCIAL
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
PROFESSIONAL HPFFS Hispanic Physicians IPA Fee For Service Only COMMERCIAL
PROFESSIONAL HPN11 Heritage Physician Network (HPN) COMMERCIAL
PROFESSIONAL HSPC1 HealthSmart Preferred Care COMMERCIAL
PROFESSIONAL HT001 HealthSpring TN COMMERCIAL
PROFESSIONAL IAT99 IATSE Atlanta Health & Welfare Fund COMMERCIAL
PROFESSIONAL IMG01 Independence Medical Group ‐ Kern County COMMERCIAL
PROFESSIONAL IMG02 Independence Medical Group ‐ Tulare County COMMERCIAL
INSTITUTIONAL IP086 COMMERCIAL
PROFESSIONAL IP090 Sutter Connect ‐ Santa Rosa Network ‐ Claims CA COMMERCIAL
PROFESSIONAL IP091 Sutter Connect ‐ Sutter Gould Medical Foundation ‐ Claims CA COMMERCIAL
PROFESSIONAL IP092 Sutter Connect ‐ SIP, SMG, SWMG ‐ Claims CA COMMERCIAL
PROFESSIONAL IP097 Meritage Medical Network (formerly Marin IPA) CA COMMERCIAL
PROFESSIONAL IP099 Sutter Connect ‐ Solano Regional Medical Group ‐ Claims CA COMMERCIAL
PROFESSIONAL ISL11 Insurance Service Of Lubbock COMMERCIAL
PROFESSIONAL JMH01 John Muir Health Network COMMERCIAL
PROFESSIONAL KMCHP Kern Medical Center Health Plan COMMERCIAL
INSTITUTIONAL KS001 Kaiser Permanente (Southern California) CA COMMERCIAL
INSTITUTIONAL KS003 Kaiser Health Plan Nothern California CA COMMERCIAL
PROFESSIONAL MC005 Medicaid ‐ Texas TX MEDICAID
PROFESSIONAL MC009 Medicaid ‐ Illinois IL MEDICAID
PROFESSIONAL MC016 Medicaid ‐ Pennsylvania PA MEDICAID
PROFESSIONAL MC017 Medicaid ‐ Virginia VA MEDICAID
PROFESSIONAL MC019 Medicaid ‐ Mississippi MS MEDICAID
PROFESSIONAL MC020 Medicaid ‐ Georgia GA MEDICAID
PROFESSIONAL MC021 Medicaid ‐ North Carolina NC MEDICAID
PROFESSIONAL MC022 Medicaid ‐ Indiana IN MEDICAID
PROFESSIONAL MC024 Medicaid ‐ South Carolina SC MEDICAID
PROFESSIONAL MC029 Medicaid ‐ Arkansas AR MEDICAID
PROFESSIONAL MC032 Medicaid ‐ Kentucky KY MEDICAID
PROFESSIONAL MC035 Medicaid ‐ Michigan MI MEDICAID
PROFESSIONAL MC039 Medicaid ‐ Connecticut CT MEDICAID
PROFESSIONAL MC046 Medicaid ‐ Ohio OH MEDICAID
PROFESSIONAL MC051 California Children's Services (CCS) CA MEDICAID
PROFESSIONAL MC087 Medicaid ‐ New Jersey NJ MEDICAID
PROFESSIONAL MC091 Medicaid ‐ Maryland MD MEDICAID
PROFESSIONAL MDL99 Detroit Laborers (Metropolitan) MI COMMERCIAL
INSTITUTIONAL 77950 Health Alliance Medical Plan COMMERCIAL
INSTITUTIONAL 84980 TX BCBS TX BCBS
INSTITUTIONAL 86916 Texas Medicaid ‐ Availity TX MEDICAID
INSTITUTIONAL 93221 ASURIS HEALTHY OPTIONS COMMERCIAL
PROFESSIONAL MNM99 Mennonite Mutual Aid COMMERCIAL
PROFESSIONAL MPI01 Motion Picture Industry Health Plan COMMERCIAL
PROFESSIONAL MPM03 Centinela Valley IPA COMMERCIAL
PROFESSIONAL MPM04 El Proyecto De Barrio COMMERCIAL
PROFESSIONAL MPM05 Global Care Medical Group IPA COMMERCIAL
PROFESSIONAL MPM07 Mission Community IPA Medical Group COMMERCIAL
PROFESSIONAL MPM08 Riverside Family Health Medical Grp COMMERCIAL
PROFESSIONAL MPM09 Watts Health Care COMMERCIAL
PROFESSIONAL MPM10 Bella Vista Med Grp COMMERCIAL
PROFESSIONAL MPM11 Apollo Healthcare IPA COMMERCIAL
PROFESSIONAL MR001 Medicare ‐ California ‐ Southern Region CA MEDICARE
PROFESSIONAL MR002 Medicare ‐ California ‐ Northern Region CA MEDICARE
PROFESSIONAL MR003 Medicare ‐ Idaho ID MEDICARE
PROFESSIONAL MR007 Medicare ‐ Nevada NV MEDICARE
PROFESSIONAL MR013 Medicare ‐ Oklahoma OK MEDICARE
PROFESSIONAL MR015 Medicare ‐ Georgia GA MEDICARE
PROFESSIONAL MR017 Medicare ‐ Michigan MI MEDICARE
PROFESSIONAL MR018 Railroad Medicare ‐ Palmetto GBA MEDICARE
PROFESSIONAL MR022 Medicare ‐ Virginia ‐‐‐ All Other Areas VA MEDICARE
PROFESSIONAL MR023 Medicare ‐ Illinois IL MEDICARE
PROFESSIONAL MR025 Medicare ‐ Florida FL MEDICARE
PROFESSIONAL MR027 Medicare ‐ Pennsylvania PA MEDICARE
PROFESSIONAL MR028 Medicare ‐ South Carolina SC MEDICARE
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
PROFESSIONAL MR035 Medicare ‐ New Jersey NJ MEDICARE
PROFESSIONAL MR038 Medicare ‐ Maryland MD MEDICARE
PROFESSIONAL MR041 Medicare ‐ Indiana IN MEDICARE
PROFESSIONAL MR042 Medicare ‐ New York (Empire) NY MEDICARE
PROFESSIONAL MR045 Medicare ‐ New York (GHI Queens County Only) NY MEDICARE
PROFESSIONAL MR048 Medicare ‐ Louisiana LA MEDICARE
PROFESSIONAL MR049 Medicare ‐ Connecticut CT MEDICARE
PROFESSIONAL MR050 Medicare ‐ Mississippi MS MEDICARE
PROFESSIONAL MR052 Medicare ‐ Kentucky KY MEDICARE
PROFESSIONAL MR061 Medicare ‐ Massachusetts MA MEDICARE
PROFESSIONAL MRC01 Mercy Care (Arizona) AZ MEDICARE
PROFESSIONAL MSI01 Midwest Security Administration (MSA) COMMERCIAL
PROFESSIONAL MVMM1 Inland Faculty Medical Group COMMERCIAL
PROFESSIONAL MWP01 Metrowest Health Plan ‐ Preferred Care COMMERCIAL
PROFESSIONAL DAK01 ID BCBS‐DAC ID BCBS
PROFESSIONAL NTA11 National Teachers Association (NTA) COMMERCIAL
PROFESSIONAL NTX11 North Texas Healthcare TX COMMERCIAL
PROFESSIONAL OMN02 Omnicare Medical Group (OMNI) COMMERCIAL
PROFESSIONAL PARHC Paramount Health Care COMMERCIAL
PROFESSIONAL PCM99 Plasterers' & Cement Masons' Health & Welfare Fund COMMERCIAL
PROFESSIONAL PHCS1 COMMERCIAL
PROFESSIONAL PHIPA Physicians’ Healthways IPA COMMERCIAL
PROFESSIONAL PHP01 Providence Choice Option COMMERCIAL
PROFESSIONAL PHP02 Partnership Health Plan COMMERCIAL
PROFESSIONAL PPOM1 COFINITY (AKA PPOM, Inc. (Pref Prov Org Of Michigan) MI COMMERCIAL
PROFESSIONAL PRW99 Pavers & Road Builders Welfare Fund COMMERCIAL
PROFESSIONAL RMHMO Rocky Mountain HMO COMMERCIAL
PROFESSIONAL SCPCI Sonoma County Primary Care COMMERCIAL
PROFESSIONAL SEI99 Southeastern Service Employees International Union (SEIU) Health & Welfare Fund COMMERCIAL
PROFESSIONAL SHEBP Seton Employee Plan COMMERCIAL
PROFESSIONAL SHPCH Seton Health Plan ‐ CHIP COMMERCIAL
PROFESSIONAL SMW99 Sheet Metal Workers Local 91 COMMERCIAL
PROFESSIONAL TCUSA True Choice USA TX COMMERCIAL
ALL HESUN HEALTHSUN FL COMMERCIAL
INSTITUTIONAL HMA01 Healthcare Management Administrators Inc. COMMERCIAL
PROFESSIONAL TIC99 TIC International, Inc. COMMERCIAL
INSTITUTIONAL IL621 IL Medicaid IL MEDICAID
PROFESSIONAL TRAN1 Transwestern COMMERCIAL
INSTITUTIONAL UH107 SelectHealth (Formerly IHC) COMMERCIAL
INSTITUTIONAL UMRC1 COMMERCIAL
PROFESSIONAL VHP99 Valley Health Plan COMMERCIAL
PROFESSIONAL WC001 Labor and Industry WA COMMERCIAL
PROFESSIONAL WELM2 Wellmed COMMERCIAL
PROFESSIONAL WOA99 Woodman of the World/ Omaha Woodman COMMERCIAL
PROFESSIONAL WPS01 Wisconsin Commercial WI COMMERCIAL
PROFESSIONAL 2891 VHP COMMUNITY CARE COMMERCIAL
PROFESSIONAL 752548221 MEDICAID AL P AL MEDICAID
INSTITUTIONAL 12K01 MEDICAID AL I AL MEDICAID
INSTITUTIONAL 5560 MEDICAID AL I AL MEDICAID
INSTITUTIONAL 5587 MEDICAID AL OP AL MEDICAID
PROFESSIONAL 4489 MEDICAID AK P AK MEDICAID
INSTITUTIONAL 5524 MEDICAID AK I AK MEDICAID
INSTITUTIONAL CKAK1 MEDICAID AK I AK MEDICAID
INSTITUTIONAL SKAK0 MEDICAID AK P AK MEDICAID
INSTITUTIONAL MSCAID MEDICAID MS I MS MEDICAID
PROFESSIONAL 4427 MEDICAID MT P MT MEDICAID
INSTITUTIONAL 12K77 MEDICAID MT I MT MEDICAID
INSTITUTIONAL CKMT1 MEDICAID MT I MT MEDICAID
INSTITUTIONAL SKMT0 MEDICAID MT I MT MEDICAID
PROFESSIONAL DNC00 NC MEDICAID NC MEDICAID
INSTITUTIONAL MC NC MEDICAID NC MEDICAID
INSTITUTIONAL 12K23 North Carolina Medicaid NC MEDICAID
INSTITUTIONAL SKNC0 North Carolina Medicaid NC MEDICAID
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LOB outbound_payer_cd payer_name State Type
PROFESSIONAL 1487 NORTH DAKOTA MEDICAID ND MEDICAID
INSTITUTIONAL 5594 NORTH DAKOTA MEDICAID ND MEDICAID
INSTITUTIONAL CKND1 North Dakota Medicaid ND MEDICAID
INSTITUTIONAL 12K78 North Dakota Medicaid (Hospital) ND MEDICAID
INSTITUTIONAL SKND0 North Dakota Medicaid (Medical) ND MEDICAID
PROFESSIONAL NEMEDICAID NE Medicaid NE MEDICAID
PROFESSIONAL 1476 NEBRASKA MEDICAID NE MEDICAID
INSTITUTIONAL 1520 NEBRASKA MEDICAID NE MEDICAID
INSTITUTIONAL 12K19 Nebraska Medicaid NE MEDICAID
INSTITUTIONAL CKNE1 Nebraska Medicaid NE MEDICAID
INSTITUTIONAL SKNE0 Nebraska Medicaid NE MEDICAID
INSTITUTIONAL 2575 NEW HAMPSHIRE MEDICAID NH MEDICAID
PROFESSIONAL 7423 NEW HAMPSHIRE MEDICAID NH MEDICAID
INSTITUTIONAL 12K90 New Hampshire Medicaid NH MEDICAID
INSTITUTIONAL SKNH0 New Hampshire Medicaid NH MEDICAID
INSTITUTIONAL 02600618 NH Medicaid NH MEDICAID
INSTITUTIONAL 026000618 NH Medicaid NH MEDICAID
PROFESSIONAL 1483 NEW JERSEY MEDICAID NJ MEDICAID
INSTITUTIONAL 5505 NEW JERSEY MEDICAID NJ MEDICAID
INSTITUTIONAL 12006 New Jersey Medicaid NJ MEDICAID
INSTITUTIONAL SKNJ0 New Jersey Medicaid NJ MEDICAID
PROFESSIONAL 1492 NEW MEXICO MEDICAID NM MEDICAID
INSTITUTIONAL 5562 NEW MEXICO MEDICAID NM MEDICAID
INSTITUTIONAL 12K22 New Mexico Medicaid NM MEDICAID
INSTITUTIONAL CKNM1 New Mexico Medicaid NM MEDICAID
INSTITUTIONAL SKNM0 New Mexico Medicaid NM MEDICAID
PROFESSIONAL 7495 NEVADA MEDICAID NV MEDICAID
INSTITUTIONAL 12K20 Nevada Medicaid NV MEDICAID
INSTITUTIONAL SKNV0 Nevada Medicaid: First Health Services NV MEDICAID
INSTITUTIONAL DHCFP NV MEDICAID NV MEDICAID
INSTITUTIONAL 3545 NEW YORK INDEPENDENT HLTH ASSOC‐WESTERN ‐ MEDICAID NY MEDICAID
INSTITUTIONAL 12K35 New York Medicaid NY MEDICAID
INSTITUTIONAL CKNY1 New York Medicaid NY MEDICAID
PROFESSIONAL SKNY0 New York Medicaid NY MEDICAID
PROFESSIONAL 1422 NEW YORK MEDICAID ‐ PHASE II NY MEDICAID
INSTITUTIONAL 1501 NEW YORK MEDICAID INPATIENT ‐ PHASE II NY MEDICAID
INSTITUTIONAL 1502 NEW YORK MEDICAID OUTPATIENT ‐ PHASE II NY MEDICAID
INSTITUTIONAL 1500 NEW YORK MEDICAID TITLE XIX ‐ PHASE II NY MEDICAID
PROFESSIONAL 2481 OHIO MEDICAID OH MEDICAID
INSTITUTIONAL 3509 OHIO MEDICAID OH MEDICAID
INSTITUTIONAL 12K24 Ohio Medicaid OH MEDICAID
INSTITUTIONAL SKOH0 Ohio Medicaid OH MEDICAID
PROFESSIONAL 731476619 OK MEDICAID OK MEDICAID
INSTITUTIONAL 3594 OKLAHOMA MEDICAID OK MEDICAID
INSTITUTIONAL 12K25 Oklahoma Medicaid OK MEDICAID
PROFESSIONAL 1481 OREGON MEDICAID OR MEDICAID
INSTITUTIONAL 5517 OREGON MEDICAID OR MEDICAID
INSTITUTIONAL 12K41 Oregon Medicaid OR MEDICAID
INSTITUTIONAL SKOR0 Oregon Medicaid OR MEDICAID
INSTITUTIONAL 000512 PA MEDICAID PA MEDICAID
INSTITUTIONAL 12008 Pennsylvania Medicaid PA MEDICAID
PROFESSIONAL 7421 RHODE ISLAND MEDICAID RI MEDICAID
INSTITUTIONAL 12K74 Rhode Island Medicaid RI MEDICAID
INSTITUTIONAL SKRI0 Rhode Island Medicaid RI MEDICAID
INSTITUTIONAL 056000522 RI MEDICAID RI MEDICAID
INSTITUTIONAL 00403 SC Blue Choice Medicaid HMO via Wellpoint SC MEDICAID
INSTITUTIONAL 616 SC MEDICAID SC MEDICAID
PROFESSIONAL SCXIX SC MEDICAID SC MEDICAID
INSTITUTIONAL 12K46 Tennessee Medicaid TN MEDICAID
INSTITUTIONAL SKTN2 Tennessee Medicaid TN MEDICAID
INSTITUTIONAL 1911 TEXAS CHILDRENS HEALTH PLAN (MEDICAID) TX MEDICAID
PROFESSIONAL 2483 TEXAS CHILDRENS HEALTH PLAN (MEDICAID) TX MEDICAID
INSTITUTIONAL 75228 Texas Childrens Health Plan (Medicaid) TX MEDICAID
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 12K64 Texas Medicaid TX MEDICAID
PROFESSIONAL 4279 TEXAS PREMIER PLAN ‐ MEDICAID TX MEDICAID
PROFESSIONAL 617591011C21P TX MEDICAID TX MEDICAID
INSTITUTIONAL 12T29 TX Premier Plan ‐ Medicaid TX MEDICAID
INSTITUTIONAL 3678 TX PREMIER PLAN MEDICAID TX MEDICAID
PROFESSIONAL 1486 UTAH MEDICAID UT MEDICAID
INSTITUTIONAL 12K42 Utah Medicaid UT MEDICAID
INSTITUTIONAL SKUT0 Utah Medicaid UT MEDICAID
INSTITUTIONAL CKVA1 Virginia Medicaid VA MEDICAID
INSTITUTIONAL CVAK1 Virginia Medicaid VA MEDICAID
INSTITUTIONAL SKVA0 Virginia Medicaid VA MEDICAID
PROFESSIONAL 1482 WASHINGTON MEDICAID WA MEDICAID
INSTITUTIONAL 5523 WASHINGTON MEDICAID WA MEDICAID
INSTITUTIONAL 12K27 Washington Medicaid WA MEDICAID
INSTITUTIONAL SKWA0 Washington Medicaid (Provider One) WA MEDICAID
PROFESSIONAL 1467 WISCONSIN MEDICAID WI MEDICAID
INSTITUTIONAL 12K29 Wisconsin Medicaid WI MEDICAID
INSTITUTIONAL SKWI0 Wisconsin Medicaid WI MEDICAID
INSTITUTIONAL 2577 WYOMING MEDICAID WY MEDICAID
PROFESSIONAL 7458 WYOMING MEDICAID WY MEDICAID
INSTITUTIONAL 12K30 Wyoming Medicaid WY MEDICAID
INSTITUTIONAL SKWY0 Wyoming Medicaid WY MEDICAID
INSTITUTIONAL 26337 Aetna ‐ IL Medicaid IL MEDICAID
INSTITUTIONAL 4623 AETNA BETTER HEALTH ‐ IL MEDICAID IL MEDICAID
PROFESSIONAL 6140 AETNA BETTER HEALTH ‐ IL MEDICAID IL MEDICAID
INSTITUTIONAL 23228 Aetna Better Health ‐ PA Medicaid PA MEDICAID
INSTITUTIONAL 3617 AETNA BETTER HEALTH ‐ PENNSYLVANIA MEDICAID PA MEDICAID
PROFESSIONAL 5823 AETNA BETTER HEALTH ‐ PENNSYLVANIA MEDICAID PA MEDICAID
INSTITUTIONAL 23225 Aetna Better Health Connecticut Medicaid CT MEDICAID
PROFESSIONAL 38692 Aetna TX Medicaid & CHIP TX MEDICAID
ALL 86047 AmeriChoice of New Jersey Inc. (Medicaid NJ) NJ MEDICAID
ALL 86048 AmeriChoice of New York Inc. (Medicaid NY) NJ MEDICAID
PROFESSIONAL 2806 AMERICHOICE of NJ (MEDICAID NJ) NJ MEDICAID
INSTITUTIONAL 2541 AMERICHOICE of NY (MEDICAID NY) NY MEDICAID
PROFESSIONAL 2815 AMERICHOICE of NY (MEDICAID NY) NY MEDICAID
INSTITUTIONAL 2500 AMERICHOICE of PA (MEDICAID PA) PA MEDICAID
PROFESSIONAL 2827 AMERICHOICE of PA (MEDICAID PA) PA MEDICAID
PROFESSIONAL 716007869 AR Medicaid AR MEDICAID
PROFESSIONAL 4405 ARIZONA MEDICAID AZ MEDICAID
INSTITUTIONAL 5548 ARIZONA MEDICAID AZ MEDICAID
INSTITUTIONAL 12K02 Arizona Medicaid AZ MEDICAID
INSTITUTIONAL SKAZ0 Arizona Medicaid AZ MEDICAID
INSTITUTIONAL 5597 ARKANSAS MEDICAID AR MEDICAID
INSTITUTIONAL 12023 Arkansas Medicaid AR MEDICAID
INSTITUTIONAL 5970 ATRIUM HEALTH PLAN INC ‐ MEDICAID HMO MEDICAID
INSTITUTIONAL SB562 Blue Care Family/Anthem Medicaid MEDICAID
INSTITUTIONAL 5953 BLUECHOICE SOUTH CAROLINA MEDICAID SC MEDICAID
INSTITUTIONAL 57016 California Medicaid ‐ Medi‐Cal CA MEDICAID
INSTITUTIONAL SKCA0 California Medicaid (Medi‐Cal) CA MEDICAID
INSTITUTIONAL 25140 Carelink Medicaid MEDICAID
PROFESSIONAL 1496 COLORADO MEDICAID CO MEDICAID
INSTITUTIONAL 1548 COLORADO MEDICAID CO MEDICAID
INSTITUTIONAL 12K03 Colorado Medicaid CO MEDICAID
INSTITUTIONAL SKCO0 Colorado Medicaid CO MEDICAID
INSTITUTIONAL 12K79 Connecticut Blue Care (Medicaid)/ Anthem E. Region CT MEDICAID
INSTITUTIONAL 1922 CONNECTICUT BLUECARE FAM PLAN (MEDICAID) CT MEDICAID
PROFESSIONAL 2427 CONNECTICUT BLUECARE FAM PLAN (MEDICAID) CT MEDICAID
PROFESSIONAL 4476 CONNECTICUT MEDICAID CT MEDICAID
INSTITUTIONAL 12K04 Connecticut Medicaid CT MEDICAID
INSTITUTIONAL SKCT0 Connecticut Medicaid CT MEDICAID
INSTITUTIONAL 3535 CONNECTICUT MEDICAID ‐ INPATIENT/OUTPATIENT CT MEDICAID
INSTITUTIONAL 95748 DC Chartered Health Plan Inc. (Medicaid & Alliance) DC MEDICAID
PROFESSIONAL 2794 DC CHARTERED HEALTH PLAN INC. MEDICAID and ALLIANC DC MEDICAID
©copyright 2013 CompuGroup Medical. All rights reserved. Page 29 of 69
EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 2543 DC CHARTERED HEALTH PLAN, INC. (MEDICAID / ALLIANC DC MEDICAID
INSTITUTIONAL SKDC0 DC Medicaid DC MEDICAID
PROFESSIONAL 2726 DELAWARE MEDICAID DE MEDICAID
INSTITUTIONAL CKDE1 Delaware Medicaid DE MEDICAID
INSTITUTIONAL SKDE0 Delaware Medicaid DE MEDICAID
INSTITUTIONAL 2943 DENVER HEALTH MEDICAID CHOICE CO MEDICAID
PROFESSIONAL 4425 DISTRICT OF COLUMBIA MEDICAID DC MEDICAID
INSTITUTIONAL 5550 DISTRICT OF COLUMBIA MEDICAID DC MEDICAID
INSTITUTIONAL 12001 District of Columbia Medicaid DC MEDICAID
INSTITUTIONAL CKDC1 District of Columbia Medicaid DC MEDICAID
PROFESSIONAL 4759 FAMILYCARE (MEDICAID HMO) MEDICAID
INSTITUTIONAL 5919 FAMILYCARE (MEDICAID HMO) MEDICAID
PROFESSIONAL 1478 FLORIDA MEDICAID FL MEDICAID
INSTITUTIONAL 3516 FLORIDA MEDICAID FL MEDICAID
INSTITUTIONAL 12K34 Florida Medicaid FL MEDICAID
INSTITUTIONAL SKFL0 Florida Medicaid FL MEDICAID
INSTITUTIONAL 77034 GA MEDICAID GA MEDICAID
INSTITUTIONAL 4569 GATEWAY HEALTH PLAN ‐ MEDICAID PA PA MEDICAID
PROFESSIONAL 8472 GATEWAY HEALTH PLAN ‐ MEDICAID PA PA MEDICAID
INSTITUTIONAL 25169 Gateway Health Plan Medicaid PA PA MEDICAID
PROFESSIONAL 1494 GEORGIA MEDICAID GA MEDICAID
INSTITUTIONAL 3538 GEORGIA MEDICAID GA MEDICAID
INSTITUTIONAL 12K05 Georgia Medicaid GA MEDICAID
INSTITUTIONAL SKGA0 Georgia Medicaid GA MEDICAID
PROFESSIONAL 1499 GEORGIA MEDICAID ANESTHESIA GA MEDICAID
PROFESSIONAL 2715 HAWAII MEDICAID HI MEDICAID
INSTITUTIONAL SKHI0 Hawaii Medicaid HI MEDICAID
INSTITUTIONAL CX010 Health Partners of Minnesota ‐ Medicaid MN MEDICAID
INSTITUTIONAL 18049 IA MEDICAID IA MEDICAID
INSTITUTIONAL 5583 IDAHO MEDICAID ID MEDICAID
PROFESSIONAL 7427 IDAHO MEDICAID ID MEDICAID
INSTITUTIONAL 12K07 Idaho Medicaid ID MEDICAID
INSTITUTIONAL SKID0 Idaho Medicaid ID MEDICAID
PROFESSIONAL 2488 ILLINOIS MEDICAID IL MEDICAID
INSTITUTIONAL CKIL1 Illinois Medicaid IL MEDICAID
PROFESSIONAL HP IN MEDICAID IN MEDICAID
INSTITUTIONAL 3501 INDIANA MEDICAID IN MEDICAID
INSTITUTIONAL 12K09 Indiana Medicaid IN MEDICAID
PROFESSIONAL 1469 IOWA MEDICAID IA MEDICAID
INSTITUTIONAL 2571 IOWA MEDICAID IA MEDICAID
INSTITUTIONAL 12K10 Iowa Medicaid IA MEDICAID
INSTITUTIONAL SKIA0 Iowa Medicaid IA MEDICAID
INSTITUTIONAL 3683 JACKSON MEMORIAL HEALTH MEDICAID HMO MEDICAID
PROFESSIONAL 5885 JACKSON MEMORIAL HEALTH MEDICAID HMO MEDICAID
PROFESSIONAL 2784 JACKSON MEMORIAL HEALTH PLAN ‐ MEDICAID MEDICAID
INSTITUTIONAL 16001 JMH Health Plan Medicaid HMO MEDICAID
PROFESSIONAL 1485 KANSAS MEDICAID KS MEDICAID
INSTITUTIONAL 47163 Kansas Medicaid KS MEDICAID
INSTITUTIONAL CKKS1 Kansas Medicaid KS MEDICAID
INSTITUTIONAL SKKS0 Kansas Medicaid KS MEDICAID
PROFESSIONAL 1493 KENTUCKY MEDICAID KY MEDICAID
INSTITUTIONAL 5535 KENTUCKY MEDICAID KY MEDICAID
INSTITUTIONAL 12K11 Kentucky Medicaid KY MEDICAID
INSTITUTIONAL CKKY1 Kentucky Medicaid KY MEDICAID
INSTITUTIONAL SKKY0 Kentucky Medicaid KY MEDICAID
INSTITUTIONAL KYMEDICAID KY MEDICAID KY MEDICAID
PROFESSIONAL 1475 LOUISIANA MEDICAID LA MEDICAID
INSTITUTIONAL 3578 LOUISIANA MEDICAID LA MEDICAID
INSTITUTIONAL 12K12 Louisiana Medicaid LA MEDICAID
INSTITUTIONAL SKLA0 Louisiana Medicaid LA MEDICAID
PROFESSIONAL 2236 LOUISIANA MEDICAID ‐ AMBULANCE LA MEDICAID
INSTITUTIONAL SKLA2 Louisiana Medicaid ‐ Ambulance claims LA MEDICAID
INSTITUTIONAL SKLA1 Louisiana Medicaid ‐ DME Claims LA MEDICAID
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL SKLA3 Louisiana Medicaid ‐ KidMed Claims LA MEDICAID
DENTAL CKLA2 Louisiana Medicaid (Adult Dental) LA MEDICAID
INSTITUTIONAL CKLA1 Louisiana Medicaid (EPSDT) LA MEDICAID
PROFESSIONAL 4249 LOUISIANA MEDICAID KIDMED LA MEDICAID
INSTITUTIONAL SKME0 Maine Medicaid ME MEDICAID
PROFESSIONAL 5259 MAINE MEDICAID ‐ DOS >08/31/10 ME MEDICAID
INSTITUTIONAL 9582 MAINE MEDICAID ‐ DOS >08/31/10 ME MEDICAID
INSTITUTIONAL 12K13 Maine Medicaid (Dept of Health and Human Srvcs) ME MEDICAID
PROFESSIONAL 1488 MARYLAND MEDICAID MD MEDICAID
INSTITUTIONAL 5552 MARYLAND MEDICAID MD MEDICAID
INSTITUTIONAL 12007 Maryland Medicaid MD MEDICAID
INSTITUTIONAL SKMD0 Maryland Medicaid MD MEDICAID
INSTITUTIONAL 5529 MASSACHUSETTS MEDICAID MA MEDICAID
INSTITUTIONAL 12K14 Massachusetts Medicaid MA MEDICAID
INSTITUTIONAL SKMA0 Massachusetts Medicaid MA MEDICAID
PROFESSIONAL 4492 MASSACHUSETTS MEDICAID (FORMAT 5) MA MEDICAID
PROFESSIONAL 4491 MASSACHUSETTS MEDICAID (FORMAT 9) MA MEDICAID
PROFESSIONAL 3794 MCLAREN MEDICAID MEDICAID
PROFESSIONAL 526002033MCP MD Medicaid MD MEDICAID
PROFESSIONAL 1754 MDWISE MEDICAID PROHEALTH NETWORK MEDICAID
INSTITUTIONAL 2990 MDWISE MEDICAID PROHEALTH NETWORK MEDICAID
INSTITUTIONAL 12K86 Medicaid Alaska AK MEDICAID
INSTITUTIONAL 12K62 MEDICAID HAWAII HI MEDICAID
INSTITUTIONAL 77059 Medicaid Hawaii Waivers HI MEDICAID
PROFESSIONAL 1419 MEDICAID MAGELLAN PSYCH NETWORK MEDICAID
INSTITUTIONAL SKNYT Medicaid New York (eMedNY Test System) NY MEDICAID
INSTITUTIONAL CKAL1 Medicaid of Alabama AL MEDICAID
INSTITUTIONAL CKAR1 Medicaid of Arkansas AR MEDICAID
INSTITUTIONAL 94146 Medicaid of California CA MEDICAID
INSTITUTIONAL CKCO1 Medicaid of Colorado CO MEDICAID
INSTITUTIONAL CKCT1 Medicaid of Connecticut CN MEDICAID
INSTITUTIONAL 12K87 Medicaid of Delaware DE MEDICAID
INSTITUTIONAL CKFL1 Medicaid of Florida (FL) FL MEDICAID
INSTITUTIONAL CKGA1 Medicaid of Georgia (GA) GA MEDICAID
INSTITUTIONAL CKID1 Medicaid of Idaho ID MEDICAID
INSTITUTIONAL CKIN1 Medicaid of Indiana IN MEDICAID
INSTITUTIONAL CKIA1 Medicaid of Iowa IA MEDICAID
INSTITUTIONAL CKKY3 Medicaid of Kentucky Region #3 KY MEDICAID
INSTITUTIONAL 12K94 Medicaid of Louisiana‐Home Health LA MEDICAID
INSTITUTIONAL CKME1 Medicaid of Maine ME MEDICAID
INSTITUTIONAL CKMD1 Medicaid of Maryland Department of Health and Mental Hygiene MD MEDICAID
INSTITUTIONAL CKMA1 Medicaid of Massachusetts MA MEDICAID
INSTITUTIONAL CKMN1 Medicaid of Minnesota MN MEDICAID
INSTITUTIONAL CKMO1 Medicaid of Missouri MS MEDICAID
INSTITUTIONAL CKNV1 Medicaid of Nevada NV MEDICAID
INSTITUTIONAL CKNH1 Medicaid of New Hampshire NH MEDICAID
INSTITUTIONAL CKNJ1 Medicaid of New Jersey NJ MEDICAID
DENTAL CKNY2 Medicaid of New York (Dental Clinics Only) NY MEDICAID
INSTITUTIONAL CKNC1 Medicaid of North Carolina NC MEDICAID
INSTITUTIONAL CKOH1 Medicaid of Ohio OH MEDICAID
INSTITUTIONAL CKOK1 Medicaid of Oklahoma OK MEDICAID
INSTITUTIONAL CKOR1 Medicaid of Oregon OR MEDICAID
INSTITUTIONAL CKPA1 Medicaid of Pennsylvania PA MEDICAID
INSTITUTIONAL CKRI1 Medicaid of Rhode Island RI MEDICAID
INSTITUTIONAL CKTX1 Medicaid of Texas TX MEDICAID
INSTITUTIONAL CKUT1 Medicaid of Utah UT MEDICAID
INSTITUTIONAL CKVT1 Medicaid of Vermont VT MEDICAID
INSTITUTIONAL CKWA1 Medicaid of Washington WA MEDICAID
INSTITUTIONAL CKWV1 Medicaid of West Virginia WV MEDICAID
INSTITUTIONAL CKWI1 Medicaid of Wisconsin WI MEDICAID
INSTITUTIONAL CKWY1 Medicaid of Wyoming WY MEDICAID
INSTITUTIONAL 12K55 Medicaid South Carolina SC MEDICAID
INSTITUTIONAL TH069 Metrowest Star Medicaid MEDICAID
©copyright 2013 CompuGroup Medical. All rights reserved. Page 31 of 69
EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL D00111 MI MEDICAID MI MEDICAID
PROFESSIONAL 2480 MICHIGAN MEDICAID MI MEDICAID
INSTITUTIONAL 3512 MICHIGAN MEDICAID MI MEDICAID
INSTITUTIONAL 12K37 Michigan Medicaid MI MEDICAID
INSTITUTIONAL CKMI1 Michigan Medicaid MI MEDICAID
INSTITUTIONAL SKMI0 Michigan Medicaid MI MEDICAID
PROFESSIONAL 1468 MINNESOTA MEDICAID MN MEDICAID
INSTITUTIONAL 1568 MINNESOTA MEDICAID MN MEDICAID
INSTITUTIONAL 12K16 Minnesota Medicaid MN MEDICAID
INSTITUTIONAL SKMN0 Minnesota Medicaid MN MEDICAID
PROFESSIONAL 1490 MISSISSIPPI MEDICAID MS MEDICAID
INSTITUTIONAL 12K17 Mississippi Medicaid MS MEDICAID
INSTITUTIONAL CKMS1 Mississippi Medicaid MS MEDICAID
INSTITUTIONAL SKMS0 Mississippi Medicaid MS MEDICAID
PROFESSIONAL 43179 Missouri Care/MC MO MEDICAID
PROFESSIONAL 1471 MISSOURI MEDICAID MO MEDICAID
INSTITUTIONAL 12K15 Missouri Medicaid MO MEDICAID
INSTITUTIONAL SKMO0 Missouri Medicaid MO MEDICAID
INSTITUTIONAL 35177 MPlan (Medicaid) MEDICAID
INSTITUTIONAL 1653 PRO CARE HEALTH PLAN MEDICAID MEDICAID
PROFESSIONAL 5277 PROCARE HEALTH PLAN MEDICAID MEDICAID
INSTITUTIONAL 70259 ProCare Health Plan Medicaid MEDICAID
INSTITUTIONAL CKSC1 South Carolina Medicaid SC MEDICAID
PROFESSIONAL 4478 SOUTH DAKOTA MEDICAID SD MEDICAID
INSTITUTIONAL 5591 SOUTH DAKOTA MEDICAID SD MEDICAID
INSTITUTIONAL 12K36 South Dakota Medicaid SD MEDICAID
INSTITUTIONAL SKSD0 South Dakota Medicaid SD MEDICAID
INSTITUTIONAL 38337 Upper Peninsula Health Plan (Medicaid) MEDICAID
INSTITUTIONAL VAMCD VA MEDICAID VA MEDICAID
PROFESSIONAL 7492 VERMONT MEDICAID VT MEDICAID
INSTITUTIONAL SKVT0 Vermont Medicaid VT MEDICAID
INSTITUTIONAL 3569 VERMONT MEDICAID INPATIENT VT MEDICAID
INSTITUTIONAL 3570 VERMONT MEDICAID OUTPATIENT VT MEDICAID
PROFESSIONAL 2477 WEST VIRGINIA MEDICAID WV MEDICAID
INSTITUTIONAL 5532 WEST VIRGINIA MEDICAID WV MEDICAID
INSTITUTIONAL 12K28 WEST VIRGINIA MEDICAID WV MEDICAID
INSTITUTIONAL SKWV0 WEST VIRGINIA MEDICAID WV MEDICAID
INSTITUTIONAL 02001 MEDA AK AK Medicare
PROFESSIONAL 02102 MEDB AK AK Medicare
INSTITUTIONAL SMAK0 MEDB AK AK Medicare
INSTITUTIONAL 10101 MEDA AL AL Medicare
INSTITUTIONAL 12M01 MEDA AL AL Medicare
INSTITUTIONAL SMAL0 MEDB AL AL Medicare
PROFESSIONAL 10102 MEDB AL AL Medicare
PROFESSIONAL 2468 MEDB AL AL Medicare
INSTITUTIONAL 5559 MEDA AL AL Medicare
INSTITUTIONAL 56152 NC Blue Medicare HMO/PPO NC MEDICARE
INSTITUTIONAL 12M23 NC Medicare Part A (J11) NC MEDICARE
INSTITUTIONAL SMNC0 NC Medicare Part B (J11) NC MEDICARE
PROFESSIONAL 1464 NORTH CAROLINA MEDICARE NC MEDICARE
INSTITUTIONAL 3563 NORTH CAROLINA MEDICARE NC MEDICARE
INSTITUTIONAL 12M82 ND Medicare Part A (J3 ‐ Noridian) ND MEDICARE
INSTITUTIONAL SMND0 ND Medicare Part B (J3 ‐ Noridian) ND MEDICARE
INSTITUTIONAL 1523 NORTH DAKOTA MEDICARE ND MEDICARE
PROFESSIONAL 2453 NORTH DAKOTA MEDICARE ND MEDICARE
INSTITUTIONAL 12M19 NE Medicare Part A (J5 ‐ WPS) NE MEDICARE
INSTITUTIONAL SMNE0 NE Medicare Part B (J5 ‐ WPS) NE MEDICARE
PROFESSIONAL 1451 NEBRASKA MEDICARE NE MEDICARE
INSTITUTIONAL 1519 NEBRASKA MEDICARE NE MEDICARE
PROFESSIONAL 2470 NEW HAMPSHIRE MEDICARE NH MEDICARE
INSTITUTIONAL 2528 NEW HAMPSHIRE MEDICARE NH MEDICARE
INSTITUTIONAL 12M21 NH Medicare Part A (J14 ‐ NHIC) NH MEDICARE
INSTITUTIONAL SMNH0 NH Medicare Part B (J14 ‐ NHIC) NH MEDICARE
©copyright 2013 CompuGroup Medical. All rights reserved. Page 32 of 69
EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
PROFESSIONAL 1465 NEW JERSEY MEDICARE NJ MEDICARE
INSTITUTIONAL 5503 NEW JERSEY MEDICARE NJ MEDICARE
INSTITUTIONAL 12005 NJ Medicare Part A (J12 ‐ Highmark) NJ MEDICARE
INSTITUTIONAL SMNJ0 NJ Medicare Part B (J12 ‐ Highmark) NJ MEDICARE
PROFESSIONAL 1457 NEW MEXICO MEDICARE NM MEDICARE
INSTITUTIONAL 5566 NEW MEXICO MEDICARE NM MEDICARE
INSTITUTIONAL 12M22 NM Medicare Part A (J4 ‐ Trailblazer) NM MEDICARE
INSTITUTIONAL SMNM0 NM Medicare Part B (J4 ‐ Trailblazer) NM MEDICARE
PROFESSIONAL 1446 NEVADA MEDICARE NV MEDICARE
INSTITUTIONAL SMNV0 NV Medicare Part B (J1 ‐ PGBA) NV MEDICARE
INSTITUTIONAL 3519 NEW YORK EMPIRE MEDICARE NY MEDICARE
PROFESSIONAL 4442 NEW YORK EMPIRE MEDICARE NY MEDICARE
PROFESSIONAL 1463 NEW YORK MEDICARE (UPSTATE) NY MEDICARE
PROFESSIONAL 7401 NEW YORK MEDICARE GHI NY MEDICARE
INSTITUTIONAL 12M35 NY Medicare Part A (J13 ‐ NGS) NY MEDICARE
INSTITUTIONAL SMNY0 NY Medicare Part B Downstate (J13 ‐ NGS) NY MEDICARE
INSTITUTIONAL SMNY2 NY Medicare Part B Queens (J13 ‐ NGS) NY MEDICARE
INSTITUTIONAL SMNY1 NY Medicare Part B Upstate (J13 ‐ NGS) NY MEDICARE
PROFESSIONAL 13292 NY Queens Medicare B NY MEDICARE
INSTITUTIONAL 12M24 OH Medicare Part A (J15) OH MEDICARE
INSTITUTIONAL SMOH0 OH Medicare Part B (J15) OH MEDICARE
PROFESSIONAL 1447 OHIO MEDICARE OH MEDICARE
INSTITUTIONAL 3507 OHIO MEDICARE OH MEDICARE
INSTITUTIONAL 12M37 OK Medicare Part A (J4 ‐ Trailblazer) OK MEDICARE
INSTITUTIONAL SMOK0 OK Medicare Part B (J4 ‐ Trailblazer) OK MEDICARE
PROFESSIONAL 1458 OKLAHOMA MEDICARE OK MEDICARE
INSTITUTIONAL 1558 OKLAHOMA MEDICARE OK MEDICARE
INSTITUTIONAL 12M41 OR Medicare Part A (J2 ‐ Noridian) OR MEDICARE
INSTITUTIONAL SMOR0 OR Medicare Part B (J2 ‐ Noridian) OR MEDICARE
PROFESSIONAL 1459 OREGON MEDICARE OR MEDICARE
INSTITUTIONAL 5515 OREGON MEDICARE OR MEDICARE
INSTITUTIONAL 12M60 PA Medicare Part A (J12 ‐ Highmark) PA MEDICARE
INSTITUTIONAL SMPA0 PA Medicare Part B (J12 ‐ Highmark) PA MEDICARE
PROFESSIONAL 2457 PENNSYLVANIA MEDICARE PA MEDICARE
INSTITUTIONAL 5598 PENNSYLVANIA MEDICARE PA MEDICARE
INSTITUTIONAL 5578 RHODE ISLAND MEDICARE RI MEDICARE
PROFESSIONAL 7419 RHODE ISLAND MEDICARE RI MEDICARE
INSTITUTIONAL 12M74 RI Medicare Part A (J14 ‐ NHIC) RI MEDICARE
INSTITUTIONAL SMRI0 RI Medicare Part B (J14 ‐ NHIC) RI MEDICARE
INSTITUTIONAL 11001 SC Medicare A SC MEDICARE
INSTITUTIONAL 12M55 SC Medicare Part A & SW/SE RHHI (J11) SC MEDICARE
INSTITUTIONAL SMSC0 SC Medicare Part B (J11) SC MEDICARE
PROFESSIONAL 1453 TENNESSEE MEDICARE TN MEDICARE
INSTITUTIONAL 5525 TENNESSEE MEDICARE TN MEDICARE
INSTITUTIONAL 12M53 TN Medicare Part A (J10 ‐ Cahaba) TN MEDICARE
INSTITUTIONAL SMTN0 TN Medicare Part B (J10 ‐ Cahaba) TN MEDICARE
PROFESSIONAL 1440 TEXAS MEDICARE TX MEDICARE
INSTITUTIONAL 5502 TEXAS MEDICARE TX MEDICARE
INSTITUTIONAL 12M31 TX Medicare Part A and Indian Health Services (J4 ‐ Trailblazer) TX MEDICARE
INSTITUTIONAL SMTX0 TX Medicare Part B and Indian Health Services (J4 ‐ Trailblazer) TX MEDICARE
INSTITUTIONAL 12M84 UT Medicare Part A (J3 ‐ Noridian) UT MEDICARE
INSTITUTIONAL SMUT0 UT Medicare Part B (J3 ‐ Noridian) UT MEDICARE
INSTITUTIONAL 1527 UTAH MEDICARE UT MEDICARE
PROFESSIONAL 2458 UTAH MEDICARE UT MEDICARE
INSTITUTIONAL 11003 VA‐WV Medicare A VA MEDICARE
PROFESSIONAL 1442 VIRGINIA MEDICARE VA MEDICARE
INSTITUTIONAL 5536 VIRGINIA MEDICARE VA MEDICARE
PROFESSIONAL 2461 VIRGINIA MEDICARE (ALEX, ARLGTN, FAIRFAX VA MEDICARE
INSTITUTIONAL 12M45 WA Medicare Part A (J2 ‐ Noridian) WA MEDICARE
INSTITUTIONAL SMWA0 WA Medicare Part B (J2 ‐ Noridian) WA MEDICARE
INSTITUTIONAL 5521 WASHINGTON AND ALASKA MEDICARE WA MEDICARE
INSTITUTIONAL 1522 WASHINGTON DC MEDICARE WA MEDICARE
PROFESSIONAL 2459 WASHINGTON DC MEDICARE WA MEDICARE
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
PROFESSIONAL 1462 WASHINGTON MEDICARE WA MEDICARE
INSTITUTIONAL 12M29 WI Medicare Part A & FQHC (J6) WI MEDICARE
INSTITUTIONAL SMWI0 WI Medicare Part B (J6) WI MEDICARE
PROFESSIONAL 1434 WISCONSIN MEDICARE WI MEDICARE
INSTITUTIONAL 5512 WISCONSIN MEDICARE WI MEDICARE
INSTITUTIONAL 11003 VA‐WV Medicare A WV MEDICARE
INSTITUTIONAL 12M28 WV Medicare Part A (J11) WV MEDICARE
INSTITUTIONAL SMWV0 WV Medicare Part B (J11) WV MEDICARE
PROFESSIONAL 11402 WV MEDIPARTB WV MEDICARE
INSTITUTIONAL 12M30 WY Medicare Part A (J3 ‐ Noridian) WY MEDICARE
INSTITUTIONAL SMWY0 WY Medicare Part B (J3 ‐ Noridian) WY MEDICARE
INSTITUTIONAL 03601 WY MEDIPARTA WY MEDICARE
PROFESSIONAL 03602 WY MEDIPARTB WY MEDICARE
PROFESSIONAL 2466 WYOMING MEDICARE WY MEDICARE
INSTITUTIONAL 3583 WYOMING MEDICARE WY MEDICARE
INSTITUTIONAL 1600 AFFINITY HEALTH PLAN MEDICARE ADVANTAGE MEDICARE
PROFESSIONAL 5282 AFFINITY HEALTH PLAN MEDICARE ADVANTAGE MEDICARE
INSTITUTIONAL 13333 Affinity Medicare Advantage MEDICARE
ALL 86001 AmeriChoice of New Jersey Personal Care Plus (Medicare) NJ MEDICARE
ALL 86002 AmeriChoice of New York Personal Care Plus (Medicare) NY MEDICARE
INSTITUTIONAL 2501 AMERICHOICE of NJ PERSONAL CARE PLUS (MEDICARE) NJ MEDICARE
PROFESSIONAL 2853 AMERICHOICE of NJ PERSONAL CARE PLUS (MEDICARE) NJ MEDICARE
PROFESSIONAL 3748 AMERICHOICE of NY PERSONAL CARE PLUS (MEDICARE) NJ MEDICARE
INSTITUTIONAL 9568 AMERICHOICE OF NY PERSONAL CARE PLUS (MEDICARE) NJ MEDICARE
PROFESSIONAL 3749 AMERICHOICE of PA PERSONAL CARE PLUS (MEDICARE) PA MEDICARE
ALL 86003 AmeriChoice of Pennsylvania Personal Care Plus (Medicare) PA MEDICARE
INSTITUTIONAL 12022 AR Medicare Part A (J7) AR MEDICARE
INSTITUTIONAL SMAR0 AR Medicare Part B (J7) AR MEDICARE
PROFESSIONAL 1456 ARIZONA MEDICARE AZ MEDICARE
INSTITUTIONAL 5546 ARIZONA MEDICARE AZ MEDICARE
INSTITUTIONAL 1526 ARKANSAS MEDICARE AR MEDICARE
PROFESSIONAL 2455 ARKANSAS MEDICARE AR MEDICARE
INSTITUTIONAL 12M02 AZ Medicare Part A (J3 ‐ Noridian) AZ MEDICARE
INSTITUTIONAL SMAZ0 AZ Medicare Part B (J3 ‐ Noridian) AZ MEDICARE
PROFESSIONAL 7472 BLUE MEDICARE NORTH CAROLINA NC MEDICARE
INSTITUTIONAL 7514 BLUE MEDICARE NORTH CAROLINA NC MEDICARE
INSTITUTIONAL SMCA1 CA Medicare Part B North (J1 ‐ PGBA) CA MEDICARE
INSTITUTIONAL SMCA2 CA Medicare Part B South (J1 ‐ PGBA) CA MEDICARE
INSTITUTIONAL 3508 CALIFORNIA MEDICARE CA MEDICARE
INSTITUTIONAL 77015 Carilion Clinic Medicare Health Plan MEDICARE
INSTITUTIONAL 86033 CIGNA Medicare Advantage ALL MEDICARE
INSTITUTIONAL 12M03 CO Medicare Part A (J4 ‐ Trailblazer) CO MEDICARE
INSTITUTIONAL SMCO0 CO Medicare Part B (J4 ‐ Trailblazer) CO MEDICARE
INSTITUTIONAL 12M88 CO NM OK TX ‐ MEDICARE PART A (MAC J4) LEGACY WPS MEDICARE
PROFESSIONAL 1449 COLORADO MEDICARE CO MEDICARE
INSTITUTIONAL 1547 COLORADO MEDICARE CO MEDICARE
INSTITUTIONAL 78375 Connecticare ‐ Medicare CT MEDICARE
PROFESSIONAL 4471 CONNECTICARE MEDICARE CT MEDICARE
INSTITUTIONAL 4969 CONNECTICARE MEDICARE CT MEDICARE
PROFESSIONAL 1452 CONNECTICUT MEDICARE CT MEDICARE
INSTITUTIONAL 3533 CONNECTICUT MEDICARE CT MEDICARE
PROFESSIONAL 13102 CT Medicare B CT MEDICARE
INSTITUTIONAL 12M04 CT Medicare Part A (J13 ‐ NGS) CT MEDICARE
INSTITUTIONAL SMCT0 CT Medicare Part B (J13 ‐ NGS) CT MEDICARE
INSTITUTIONAL 12M63 DC Medicare Part A (J12 ‐ Highmark) DC MEDICARE
INSTITUTIONAL SMDC0 DC Medicare Part B (J12 ‐ Highmark) DC MEDICARE
INSTITUTIONAL SMDE0 DE Medicare Part B (J12 ‐ Highmark) DE MEDICARE
PROFESSIONAL 2456 DELAWARE MEDICARE DE MEDICARE
INSTITUTIONAL 5912 DELAWARE MEDICARE DE MEDICARE
INSTITUTIONAL 84131 Denver Health Medical Plan Inc. ‐ Medicare Choice CO MEDICARE
INSTITUTIONAL SX111 Educators Mututal Medicare Advantage MEDICARE
INSTITUTIONAL 12M76 Empire Medicare Services MEDICARE
INSTITUTIONAL 5910 FAMILY CARE MEDICARE MEDICARE
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
PROFESSIONAL 4758 FAMILYCARE (MEDICARE ADVANTAGE PLAN) MEDICARE
INSTITUTIONAL 12M34 FL Medicare Part A (J9 First Coast) FL MEDICARE
INSTITUTIONAL SMFL0 FL Medicare Part B (J9 First Coast) FL MEDICARE
PROFESSIONAL 1448 FLORIDA MEDICARE FL MEDICARE
INSTITUTIONAL 3518 FLORIDA MEDICARE FL MEDICARE
INSTITUTIONAL SB942 Freedom Blue Medicare Advantage Claims MEDICARE
INSTITUTIONAL 12M05 GA Medicare Part A (J10 ‐ Cahaba) GA MEDICARE
INSTITUTIONAL SMGA0 GA Medicare Part B (J10 ‐ Cahaba) GA MEDICARE
PROFESSIONAL 2298 GATEWAY HEALTH PLAN ‐ MEDICARE ASSURED MEDICARE
INSTITUTIONAL 2912 GATEWAY HEALTH PLAN ‐ MEDICARE ASSURED MEDICARE
INSTITUTIONAL 60550 Gateway Health Plan ‐ Medicare Assured MEDICARE
PROFESSIONAL 1466 GEORGIA MEDICARE GA MEDICARE
INSTITUTIONAL 3536 GEORGIA MEDICARE GA MEDICARE
INSTITUTIONAL 3661 GHI MEDICARE PFFS MEDICARE
PROFESSIONAL 5867 GHI MEDICARE PFFS MEDICARE
PROFESSIONAL 2467 HAWAII MEDICARE HI MEDICARE
INSTITUTIONAL 63092 HealthSpring HMO/HealthSpring Medicare+Choice MEDICARE
INSTITUTIONAL SMHI0 HI Medicare Part B (J1 ‐ PGBA) HI MEDICARE
INSTITUTIONAL 1987 HOME HEALTH MEDICARE REGION VII IA MEDICARE
INSTITUTIONAL 12M10 IA Medicare Part A (J5 ‐ WPS) IA MEDICARE
INSTITUTIONAL SMIA0 IA Medicare Part B (J5 ‐ WPS) ID MEDICARE
PROFESSIONAL 02202 ID Medicare B ID MEDICARE
INSTITUTIONAL 12M07 ID Medicare Part A (J2) ID MEDICARE
INSTITUTIONAL SMID0 ID Medicare Part B (J2) ID MEDICARE
PROFESSIONAL 2465 IDAHO MEDICARE ID MEDICARE
INSTITUTIONAL 5581 IDAHO MEDICARE ID MEDICARE
INSTITUTIONAL 12M08 IL Medicare Part A (J6) IL MEDICARE
INSTITUTIONAL SMIL0 IL Medicare Part B (J6) IL MEDICARE
PROFESSIONAL 1437 ILLINOIS MEDICARE IL MEDICARE
INSTITUTIONAL 5506 ILLINOIS MEDICARE IL MEDICARE
PROFESSIONAL 08102 IN MEDICARE B IN MEDICARE
INSTITUTIONAL 12M09 IN Medicare Part A (J8) IN MEDICARE
INSTITUTIONAL SMIN0 IN Medicare Part B (J8) IN MEDICARE
PROFESSIONAL 1445 INDIANA MEDICARE IN MEDICARE
INSTITUTIONAL 3500 INDIANA MEDICARE IN MEDICARE
PROFESSIONAL 1438 IOWA MEDICARE IA MEDICARE
INSTITUTIONAL 2537 IOWA MEDICARE IA MEDICARE
INSTITUTIONAL 12M64 J1 MAC Medicare Part A (CAHINV) MEDICARE
INSTITUTIONAL 12M99 J12 MEDICARE PART A LEGACY WPS (DC DE MD NJ PA) MEDICARE
INSTITUTIONAL 3681 JACKSON MEMORIAL HEALTH MEDICARE ADVANTAGE MEDICARE
PROFESSIONAL 5884 JACKSON MEMORIAL HEALTH MEDICARE ADVANTAGE MEDICARE
INSTITUTIONAL 59171 JMH Medicare Advantage MEDICARE
PROFESSIONAL 2463 KANSAS MEDICARE KS MEDICARE
INSTITUTIONAL 5518 KANSAS MEDICARE KS MEDICARE
PROFESSIONAL 2462 KENTUCKY MEDICARE KY MEDICARE
INSTITUTIONAL 5533 KENTUCKY MEDICARE KY MEDICARE
INSTITUTIONAL SMKS0 KS Medicare Part B (J5 ‐ WPS) KS MEDICARE
INSTITUTIONAL 12M11 KY Medicare Part A (J15) KY MEDICARE
INSTITUTIONAL SMKY0 KY Medicare Part B (J15) KY MEDICARE
INSTITUTIONAL 12M12 LA Medicare Part A (J7) LA MEDICARE
INSTITUTIONAL SMLA0 LA Medicare Part B (J7) LA MEDICARE
PROFESSIONAL 1460 LOUISIANA MEDICARE LA MEDICARE
INSTITUTIONAL 3579 LOUISIANA MEDICARE LA MEDICARE
INSTITUTIONAL 12M14 MA Medicare Part A (J14 ‐ NHIC) MA MEDICARE
INSTITUTIONAL SMMA0 MA Medicare Part B (J14 ‐ NHIC) MA MEDICARE
PROFESSIONAL 2472 MAINE MEDICARE ME MEDICARE
INSTITUTIONAL 3547 MAINE MEDICARE ME MEDICARE
INSTITUTIONAL 5554 MARYLAND MEDICARE MD MEDICARE
PROFESSIONAL 7402 MARYLAND MEDICARE MD MEDICARE
PROFESSIONAL 2464 MARYLAND MEDICARE (MONTG, PRINCE GEORGE) MD MEDICARE
PROFESSIONAL 2469 MASSACHUSETTS MEDICARE MA MEDICARE
INSTITUTIONAL 5527 MASSACHUSETTS MEDICARE MA MEDICARE
INSTITUTIONAL 12010 MD Medicare Part A (J12 ‐ Highmark) MD MEDICARE
©copyright 2013 CompuGroup Medical. All rights reserved. Page 35 of 69
EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL SMMD0 MD Medicare Part B (J12 ‐ Highmark) MD MEDICARE
INSTITUTIONAL 12M13 ME Medicare Part A (J14 ‐ NHIC) ME MEDICARE
PROFESSIONAL SMME0 ME Medicare Part B (J14 ‐ NHIC) ME MEDICARE
INSTITUTIONAL SDMEA Medicare DME (JA ‐ CEDI/NHIC) MEDICARE
INSTITUTIONAL SDMEB Medicare DME (JB ‐ CEDI/NGS) MEDICARE
INSTITUTIONAL SDMEC Medicare DME (JC ‐ CEDI/CGS) MEDICARE
PROFESSIONAL 7475 MEDICARE DME MAC JURISDICTION A MEDICARE
PROFESSIONAL 7476 MEDICARE DME MAC JURISDICTION B MEDICARE
PROFESSIONAL 7477 MEDICARE DME MAC JURISDICTION C MEDICARE
PROFESSIONAL 7478 MEDICARE DME MAC JURISDICTION D MEDICARE
INSTITUTIONAL 12HHA Medicare Home Helath & Hospice (J14 ‐ NHIC) MEDICARE
INSTITUTIONAL 12M65 MEDICARE PART A (CAHINV) MEDICARE
INSTITUTIONAL SX170 Medicare Plus Blue MEDICARE
INSTITUTIONAL 1913 MEDICARE PLUS BLUE ‐ MEDICARE ADVANTAGE PLAN MEDICARE
PROFESSIONAL 2287 MEDICARE PLUS BLUE ‐ MEDICARE ADVANTAGE PLAN MEDICARE
INSTITUTIONAL 12M52 Medicare Virgin Islands VI MEDICARE
PROFESSIONAL 08202 MI MEDB MI MEDICARE
INSTITUTIONAL 12M18 MI Medicare Part A (J8) MI MEDICARE
INSTITUTIONAL SMMI0 MI Medicare Part B (J8) MI MEDICARE
PROFESSIONAL 1461 MICHIGAN MEDICARE MI MEDICARE
INSTITUTIONAL 3515 MICHIGAN MEDICARE MI MEDICARE
PROFESSIONAL 1435 MINNESOTA MEDICARE MN MEDICARE
INSTITUTIONAL 3521 MINNESOTA MEDICARE MN MEDICARE
PROFESSIONAL 2451 MISSISSIPPI MEDICARE MS MEDICARE
INSTITUTIONAL 5556 MISSISSIPPI MEDICARE MS MEDICARE
INSTITUTIONAL 5572 MISSOURI MEDICARE MS MEDICARE
PROFESSIONAL 1441 MISSOURI MEDICARE EASTERN MS MEDICARE
INSTITUTIONAL 12M16 MN Medicare Part A (J6) MN MEDICARE
INSTITUTIONAL SMMN0 MN Medicare Part B (J6) MN MEDICARE
INSTITUTIONAL 00320 MN MEDIPARTA MEDICARE
PROFESSIONAL 00954 MN MEDIPARTB MEDICARE
INSTITUTIONAL 12M15 MO Medicare Part A (J5 ‐ WPS) MO MEDICARE
INSTITUTIONAL SMMO0 MO Medicare Part B East (J5 ‐ WPS) MO MEDICARE
INSTITUTIONAL SMKC0 MO Medicare Part B West (J5 ‐ WPS) MO MEDICARE
PROFESSIONAL 05302 MO MEDIPARTB MEDICARE
PROFESSIONAL 7400 MONTANA MEDICARE MT MEDICARE
INSTITUTIONAL 2535 MUTUAL OF OMAHA MEDICARE MEDICARE
INSTITUTIONAL 77076 Network Health Insurance Corp‐Medicare MEDICARE
PROFESSIONAL 1436 NORTHERN CALIFORNIA MEDICARE CA MEDICARE
INSTITUTIONAL 20377 PacificSource Medicare MEDICARE
INSTITUTIONAL SMPR0 PR Medicare Part B (J9 ‐ First Coast) PR MEDICARE
INSTITUTIONAL 3544 PUERTO RICO COSVI MEDICARE PR MEDICARE
INSTITUTIONAL SRRGA Railroad Medicare (PGBA) MEDICARE
PROFESSIONAL 1443 RETIRED RAILROAD MEDICARE MEDICARE
INSTITUTIONAL 57011 RHHI Medicare Part A (NGS) MEDICARE
PROFESSIONAL 00882 RR MEDICARE MEDICARE
INSTITUTIONAL 12M83 SD Medicare Part A (J3 ‐ Noridian) SD MEDICARE
INSTITUTIONAL SMSD0 SD Medicare Part B (J3 ‐ Noridian) SD MEDICARE
INSTITUTIONAL 1560 SOUTH CAROLINA MEDICARE SC MEDICARE
PROFESSIONAL 2452 SOUTH CAROLINA MEDICARE SC MEDICARE
PROFESSIONAL 2454 SOUTH DAKOTA MEDICARE SD MEDICARE
INSTITUTIONAL 5589 SOUTH DAKOTA MEDICARE SD MEDICARE
PROFESSIONAL 1444 SOUTHERN CALIFORNIA MEDICARE CA MEDICARE
INSTITUTIONAL 1620 STERLING MEDICARE ADVANTAGE MEDICARE
PROFESSIONAL 6111 STERLING MEDICARE ADVANTAGE MEDICARE
INSTITUTIONAL 67829 Sterling Medicare Advantage MEDICARE
INSTITUTIONAL 12004 VA Medicare Part A (J11) VA MEDICARE
INSTITUTIONAL SMVA0 VA Medicare Part B (J11) VA MEDICARE
PROFESSIONAL 11302 VA MEDIPARTB VA MEDICARE
PROFESSIONAL 2471 VERMONT MEDICARE VT MEDICARE
INSTITUTIONAL SMVI0 VI Medicare Part B (J9 ‐ First Coast) VI MEDICARE
PROFESSIONAL 4487 VIRGIN ISLANDS MEDICARE VI MEDICARE
PROFESSIONAL 4472 VIVA HEALTH CARE and VIVA MEDICARE MEDICARE
©copyright 2013 CompuGroup Medical. All rights reserved. Page 36 of 69
EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 5949 VIVA HEALTH CARE and VIVA MEDICARE MEDICARE
PROFESSIONAL 77073 VNS CHOICE Medicare MEDICARE
INSTITUTIONAL 12M26 VT Medicare Part A (J14 ‐ NHIC) VT MEDICARE
INSTITUTIONAL SMVT0 VT Medicare Part B (J14 ‐ NHIC) VT MEDICARE
PROFESSIONAL 1450 WEST VIRGINIA MEDICARE MEDICARE
INSTITUTIONAL 1953 WINDSOR MEDICARE EXTRA MEDICARE
PROFESSIONAL 2294 WINDSOR MEDICARE EXTRA MEDICARE
INSTITUTIONAL 62153 Windsor Medicare Extra MEDICARE
PROFESSIONAL 52280 WPS J3 LEGACY A MEDICARE
INSTITUTIONAL 57324 WPS Medicare KS Part A KS MEDICARE
PROFESSIONAL 1455 MEDB AK AK MEDICARE
INSTITUTIONAL 12M17 MEDA MS MS MEDICARE
INSTITUTIONAL SMMS0 MEDB MS MS MEDICARE
PROFESSIONAL 00512 MEDB MS MS MEDICARE
INSTITUTIONAL 12M77 MEDA MT MT MEDICARE
INSTITUTIONAL SMMT0 MEDB MT MT MEDICARE
INSTITUTIONAL 03001 MT MEDIPARTA MT MEDICARE
PROFESSIONAL 03202 MT MEDIPARTB MT MEDICARE
INSTITUTIONAL 11501 NC MEDIPARTA NC MEDICARE
PROFESSIONAL 11502 NC MEDIPARTB NC MEDICARE
INSTITUTIONAL 03301 ND MEDIPARTA ND MEDICARE
PROFESSIONAL 03302 ND MEDIPARTB ND MEDICARE
PROFESSIONAL 05402 NE MEDIPARTB NE MEDICARE
PROFESSIONAL 14302 NH MEDIPARTB NH MEDICARE
PROFESSIONAL 12402 NJ MEDIPARTB NJ MEDICARE
PROFESSIONAL 04212 NM MEDIPARTB NM MEDICARE
PROFESSIONAL 01302 NV MEDIPARTB NV MEDICARE
PROFESSIONAL 13202 NY DMEDIPARTB NY MEDICARE
PROFESSIONAL 13282 NY UMEDIPARTB NY MEDICARE
PROFESSIONAL 15202 OH MEDIPARTB OH MEDICARE
INSTITUTIONAL 04301 OK MEDIPARTA OK MEDICARE
PROFESSIONAL 04312 OK MEDIPARTB OK MEDICARE
PROFESSIONAL 02302 OR MEDIPARTB OR MEDICARE
PROFESSIONAL 12502 PA MEDIPARTB PA MEDICARE
PROFESSIONAL 14402 RI MEDIPARTB RI MEDICARE
PROFESSIONAL 11202 SC MEDIPARTB SC MEDICARE
INSTITUTIONAL 10301 TN MEDIPARTA TN MEDICARE
PROFESSIONAL 10302 TN MEDIPARTB TN MEDICARE
INSTITUTIONAL 04411 TX MEDIPARTA TX MEDICARE
PROFESSIONAL 04412 TX MEDIPARTB TX MEDICARE
INSTITUTIONAL 03501 UT MEDIPARTA UT MEDICARE
PROFESSIONAL 03502 UT MEDIPARTB UT MEDICARE
PROFESSIONAL 02402 WA MEDIPARTB WA MEDICARE
PROFESSIONAL 00951 WI MEDIPARTB WI MEDICARE
INSTITUTIONAL 03101 AZ MEDIPARTA MEDICARE
PROFESSIONAL 03102 AZ MEDIPARTB MEDICARE
PROFESSIONAL 01102 CA NMEDIPARTB MEDICARE
PROFESSIONAL 01192 CA SMEDIPARTB MEDICARE
PROFESSIONAL 04112 CO MEDIPARTB MEDICARE
PROFESSIONAL 12202 DC MEDIPARTB MEDICARE
PROFESSIONAL 12102 DE MEDIPARTB MEDICARE
PROFESSIONAL 09102 FL MEDIPARTB MEDICARE
PROFESSIONAL 10202 GA MEDIPARTB MEDICARE
PROFESSIONAL 05102 IA MEDIPARTB MEDICARE
PROFESSIONAL 05130 ID MEDIPARTB MEDICARE
PROFESSIONAL 00952 IL MEDIPARTB MEDICARE
PROFESSIONAL 14202 MA MEDIPARTB MEDICARE
PROFESSIONAL 12302 MD MEDIPARTB MEDICARE
PROFESSIONAL 14102 ME MEDIPARTB MEDICARE
INSTITUTIONAL 03401 SD MEDIPARTA SD MEDICARE
PROFESSIONAL 03402 SD MEDIPARTB SD MEDICARE
INSTITUTIONAL 1503 CHAMPVA ‐ HAC TRICARE
PROFESSIONAL 3807 CHAMPVA ‐ HAC TRICARE
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
DENTAL CDCA1 Delta Dental of California/Tricare Retiree Denta TRICARE
INSTITUTIONAL 614 PGBA TRICARE TRICARE
INSTITUTIONAL 61160 PGBA TRICARE HERO TRICARE
INSTITUTIONAL 8503 TRICARE ‐ NORTH REGION TRICARE
INSTITUTIONAL 3552 TRICARE ‐ WEST REGION TRICARE
PROFESSIONAL 4749 TRICARE for LIFE TRICARE
INSTITUTIONAL 5913 TRICARE for LIFE TRICARE
INSTITUTIONAL TDFIC TRICARE FOR LIFE TRICARE
DENTAL CX002 United Concordia (Tricare Dental Plan) TRICARE
INSTITUTIONAL SX176 WPS ‐ Tricare for Life TRICARE
INSTITUTIONAL WESTR WPS TRICARE TRICARE
INSTITUTIONAL 12X43 WPS‐ Tricare For Life TRICARE
INSTITUTIONAL 12C01 WPS Tricare TriWest TRICARE
INSTITUTIONAL SCWI0 WPS Tricare TriWest TRICARE
INSTITUTIONAL SX067 Workers Comp of West Virginia WV WORKERS COMP
INSTITUTIONAL 12048 Workers Comp/Arkansas BC AS WORKERS COMP
INSTITUTIONAL 13978 WORKERS COMPENSATION WORKERS COMP
INSTITUTIONAL 21407 WORKERS COMPENSATION WORKERS COMP
INSTITUTIONAL 25224 WORKERS COMPENSATION WORKERS COMP
INSTITUTIONAL J1056 WORKERS COMPENSATION WORKERS COMP
INSTITUTIONAL J1203 WORKERS COMPENSATION WORKERS COMP
INSTITUTIONAL J1204 WORKERS COMPENSATION WORKERS COMP
INSTITUTIONAL TP117 WORKERS COMPENSATION WORKERS COMP
INSTITUTIONAL 92600 Alaska Electrical Health & Welfare Fund AK COMMERCIAL
INSTITUTIONAL 3539 MOLINA HEALTHCARE OF CALIFORNIA CA COMMERCIAL
INSTITUTIONAL 38333 Molina Healthcare of CALIFORNIA CA COMMERCIAL
INSTITUTIONAL 2931 NORTH AMERICAN MEDICAL MANAGEMENT (NAMM ‐ N CA) CA COMMERCIAL
INSTITUTIONAL E3510 North American Medical Management (NAMM) ‐ Southern California CA COMMERCIAL
PROFESSIONAL 51062 Molina Healthcare of Florida FL COMMERCIAL
INSTITUTIONAL 8913 MOLINA HEALTHCARE OF FORIDA FL COMMERCIAL
INSTITUTIONAL 1567 NEIGHBORHOOD HEALTH PARTNERSHIP of FLORIDA FL COMMERCIAL
PROFESSIONAL 96107 Neighborhood Health Partnership of Florida FL COMMERCIAL
PROFESSIONAL 1865 NEW ORLEANS DIVISION of MULTIPLAN LA COMMERCIAL
INSTITUTIONAL 8556 NEW ORLEANS DIVISION of MULTIPLAN LA COMMERCIAL
INSTITUTIONAL 04293 Neighborhood Health Plan (Boston MA) MA COMMERCIAL
INSTITUTIONAL 8588 NEIGHBORHOOD HEALTH PLAN (MASSACHUSETTS) MA COMMERCIAL
INSTITUTIONAL 61472 North Carolina Health Choice for Children NC COMMERCIAL
INSTITUTIONAL SX104 BCBS of South Carolina ‐ Planned Administrators Inc. SC BCBS
DENTAL CX004 North Dakota Dental Service ND COMMERCIAL
INSTITUTIONAL SX103 BCBS of South Carolina ‐ State Health Plan SC BCBS
INSTITUTIONAL 1559 SOUTH CAROLINA BC SC BCBS
PROFESSIONAL 2410 SOUTH CAROLINA BS SC BCBS
INSTITUTIONAL 4928 NJ CARPENTERS HEALTH NJ COMMERCIAL
PROFESSIONAL 22603 NJ Carpenters Health Fund NJ COMMERCIAL
INSTITUTIONAL 922 SC Blue Choice HealthPlan SC BCBS
INSTITUTIONAL 12B33 BC of South Dakota SC BCBS
INSTITUTIONAL SB889 BCBS of South Dakota (Sioux Falls) SD BCBS
PROFESSIONAL 4275 NEVADACARE NV COMMERCIAL
INSTITUTIONAL 86067 NevadaCare NV COMMERCIAL
INSTITUTIONAL 1510 SOUTH DAKOTA/IOWA BC SD BCBS
PROFESSIONAL 3425 NEW YORK INDEPENDENT HEALTH ASSOC (IHA) ‐ WESTERN NY COMMERCIAL
PROFESSIONAL 4403 NEW YORK LIFE NY COMMERCIAL
INSTITUTIONAL 12T69 New York Life NY COMMERCIAL
INSTITUTIONAL TH122 New York Life NY COMMERCIAL
PROFESSIONAL 2169 NEW YORK NETWORD MANAGEMENT (NYNM) NY COMMERCIAL
INSTITUTIONAL 11334 New York Network Management NY COMMERCIAL
INSTITUTIONAL 2948 NEW YORK PRESBYTERIAN SYSTEM SELECT NY COMMERCIAL
PROFESSIONAL 5257 NEW YORK PRESBYTERIAN SYSTEM SELECT HEALTH NY COMMERCIAL
INSTITUTIONAL 24819 New York Presbyterian System Select Health NY COMMERCIAL
INSTITUTIONAL 3665 NEW YORK STATE DEPT of HEALTH UNCOMPENSATED CARE NY COMMERCIAL
PROFESSIONAL 5863 NEW YORK STATE DEPT of HEALTH UNCOMPENSATED CARE NY COMMERCIAL
INSTITUTIONAL 45052 New York State Insurance Fund (NYSIF) NY COMMERCIAL
INSTITUTIONAL 34159 North American Benefits Network (Cleveland OH) OH COMMERCIAL
©copyright 2013 CompuGroup Medical. All rights reserved. Page 38 of 69
EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 4534 NORTH AMERICAN BENEFITS NETWORK (CLEVELAND, OH) OH COMMERCIAL
DENTAL GP133 OH Dental / UHC Dental Government Programs OH COMMERCIAL
INSTITUTIONAL 00390 TN BCBS TN BCBS
PROFESSIONAL 2440 OHIO CHOICECARE HMO OH COMMERCIAL
PROFESSIONAL 34189 Ohio Health Choice PPO OH COMMERCIAL
INSTITUTIONAL 95435 Ohio Health Group OH COMMERCIAL
INSTITUTIONAL 74431 Ohio PPO Connect OH COMMERCIAL
INSTITUTIONAL 22521 OK State Employees & Educators (EDS) OK COMMERCIAL
INSTITUTIONAL 12B45 BCBS of Tennessee TN BCBS
INSTITUTIONAL 1900 OKLAHOMA STATE MEDICAL ASSOCIATION (OSMA HEALTH) OK COMMERCIAL
INSTITUTIONAL SB891 BCBS of Tennessee (Chattanooga HMO Plans) TN BCBS
INSTITUTIONAL 1540 OREGON SELECTCARE OR COMMERCIAL
INSTITUTIONAL 95044 PA AHLTHMO PA COMMERCIAL
INSTITUTIONAL SB890 BCBS of Tennessee (Chattanooga) TN BCBS
INSTITUTIONAL SB892 BCBS of Tennessee (Memphis) TN BCBS
INSTITUTIONAL 5513 TENNESSEE BC TN BCBS
INSTITUTIONAL CX066 PA Faculty Health & Welfare PA COMMERCIAL
PROFESSIONAL 54763 PA INDADMIN PA COMMERCIAL
INSTITUTIONAL 95056 PA KHPEAST PA COMMERCIAL
INSTITUTIONAL 2939 PA PREFERRED HEALTH NETWORK ‐ PPHN PA COMMERCIAL
PROFESSIONAL 4756 PA PREFERRED HEALTH NETWORK ‐ PPHN PA COMMERCIAL
PROFESSIONAL 2401 TENNESSEE BS TN BCBS
PROFESSIONAL 2495 TENNESSEE BLUECARE TN BCBS
INSTITUTIONAL 3557 PENNSYLVANIA INDEPENDENCE AMERIHEALTH HMO PA COMMERCIAL
INSTITUTIONAL 3558 PENNSYLVANIA INDEPENDENCE AMERIHEALTH PPO PA COMMERCIAL
INSTITUTIONAL 3560 PENNSYLVANIA INDEPENDENCE BC PA COMMERCIAL
INSTITUTIONAL 3559 PENNSYLVANIA INDEPENDENCE KEYSTONE HLTH PLAN EAST PA COMMERCIAL
INSTITUTIONAL 20172 Pennsylvania Pace PA COMMERCIAL
INSTITUTIONAL 3645 NEIGHBORHOOD HEALTH PLAN of RHODE ISLAND RI COMMERCIAL
INSTITUTIONAL 05047 Neighborhood Health Plan of Rhode Island (NHPRI) RI COMMERCIAL
INSTITUTIONAL 5514 TENNESSEE BLUECARE TN BCBS
INSTITUTIONAL 12B53 BC of Tennessee TN BCBS
INSTITUTIONAL CBTN1 BC of Tennessee TN BCBS
INSTITUTIONAL CB900 BC of Texas TX BCBS
INSTITUTIONAL 12B1E BCBS Utah FEP UT BCBS
INSTITUTIONAL SB910 Regence BCBS of Utah UT BCBS
INSTITUTIONAL CBUT1 Regence UT BCBS UT BCBS
INSTITUTIONAL 15750 TN IPA TN COMMERCIAL
INSTITUTIONAL 20554 Molina Healthcare of Texas TX COMMERCIAL
INSTITUTIONAL A0235 Texas A&M TAMU TX COMMERCIAL
INSTITUTIONAL A0234 Texas Association of School Boards TX COMMERCIAL
INSTITUTIONAL TXCSM TEXAS CHILDRENS HEALTH TX COMMERCIAL
INSTITUTIONAL 76048 Texas Childrens Health Plan TX COMMERCIAL
PROFESSIONAL 1729 TEXAS CHILDRENS HEALTH PLAN ‐ CHIP TX COMMERCIAL
INSTITUTIONAL 6583 TEXAS CHILDRENS HEALTH PLAN ‐ CHIP TX COMMERCIAL
PROFESSIONAL 4766 TEXAS FIRST HEALTH PLAN TX COMMERCIAL
INSTITUTIONAL 76046 Texas First Health Plans (TIOPA) TX COMMERCIAL
PROFESSIONAL 4742 TEXAS HEALTHSPRING TX COMMERCIAL
INSTITUTIONAL 33104 Texas HealthSpring TX COMMERCIAL
INSTITUTIONAL 6557 TEXAS MUNICIPAL LEAGUE GROUP TX COMMERCIAL
INSTITUTIONAL A0245 Texas Municipal League IRP TX COMMERCIAL
INSTITUTIONAL 22945 Texas Mutual Insurance Company TX COMMERCIAL
INSTITUTIONAL TH089 Texas Premier Plan TX COMMERCIAL
INSTITUTIONAL 1996 TEXAS TRUE CHOICE TX COMMERCIAL
INSTITUTIONAL 12T20 Texas True Choice TX COMMERCIAL
INSTITUTIONAL TH055 Texas True Choice TX COMMERCIAL
PROFESSIONAL 1360 TEXAS WORKERS COMPENSATION TX WORKERS COMP
INSTITUTIONAL 13185 TexasFirst Health Plan (NTX) TX COMMERCIAL
PROFESSIONAL 4237 MOLINA HEALTHCARE of UTAH UT COMMERCIAL
INSTITUTIONAL SX109 Molina Healthcare Utah (aka: American Family Care) UT COMMERCIAL
INSTITUTIONAL CX110 UT Chips UT COMMERCIAL
INSTITUTIONAL SX198 Virginia Premier Gold VA COMMERCIAL
PROFESSIONAL 2245 VIRGINIA PREMIER HEALTH PLAN VA COMMERCIAL
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 54176 Virginia Premier Health Plan VA COMMERCIAL
INSTITUTIONAL 12K83 Virginia Premier Health Plan VA COMMERCIAL
INSTITUTIONAL 2561 MOLINA HEALTHCARE of WASHINGTON WA COMMERCIAL
PROFESSIONAL 38336 Molina Healthcare of WASHINGTON WA COMMERCIAL
INSTITUTIONAL SC359 Sherman's Choice COMMERCIAL
INSTITUTIONAL 916001069 WA WLNI WA COMMERCIAL
INSTITUTIONAL 5522 WASHINGTON AND ALASKA BC WA COMMERCIAL
DENTAL 91062 Washington Dental Service WA COMMERCIAL
INSTITUTIONAL SX063 WASHINGTON State Dept of LABOR & INDUSTRY WA COMMERCIAL
INSTITUTIONAL 4404 WASHINGTON WORKERS COMPENSATION WA WORKERS COMP
INSTITUTIONAL 00450 WI FQHC WI COMMERCIAL
PROFESSIONAL 3259 WISCONSIN AUTO and TRUCK DEALERS WI COMMERCIAL
INSTITUTIONAL 8950 WISCONSIN AUTO and TRUCK DEALERS WI COMMERCIAL
INSTITUTIONAL 39200 Wisconsin Auto and Truck Dealers WI COMMERCIAL
INSTITUTIONAL 5511 WISCONSIN BC WI COMMERCIAL
PROFESSIONAL 4774 WISCONSIN DEPARTMENT OF CORRECTIONS WI COMMERCIAL
INSTITUTIONAL 74101 Wisconsin Department of Corrections WI COMMERCIAL
INSTITUTIONAL 95930 Wisconsin Physician Services‐Midlands WI COMMERCIAL
INSTITUTIONAL SX162 Wisconsin Physicians Service ‐ Third Party Pricing WI COMMERCIAL
INSTITUTIONAL CBUTF Regence UT BCBS FEP UT BCBS
INSTITUTIONAL 1530 UTAH BC ‐ FEP UT BCBS
INSTITUTIONAL 4591 ALICARE COMMERCIAL
INSTITUTIONAL 81040 Allegiance Benefit Plan COMMERCIAL
INSTITUTIONAL CX016 Allen Medical Claims Administrator COMMERCIAL
INSTITUTIONAL 1935 ALLIANCE (THE) COMMERCIAL
INSTITUTIONAL 13079 Alliance Healthcare/Florida for Stones River Regional IPA COMMERCIAL
INSTITUTIONAL 2589 ALLIANT HEALTH PLANS of GEORGIA GA COMMERCIAL
PROFESSIONAL 58234 Alliant Health Plans of Georgia GA COMMERCIAL
PROFESSIONAL 94177 Allied Administrators (San Francisco CA) CA COMMERCIAL
INSTITUTIONAL 8573 ALLIED BENEFIT SYSTEM, INC. COMMERCIAL
PROFESSIONAL 37308 Allied Benefit Systems COMMERCIAL
INSTITUTIONAL SX156 Allied Health Systems Chiropractic COMMERCIAL
PROFESSIONAL 3204 ALLSTATE INSURANCE COMPANY COMMERCIAL
INSTITUTIONAL 5962 ALLSTATE INSURANCE COMPANY COMMERCIAL
INSTITUTIONAL TH085 Alpha Data COMMERCIAL
INSTITUTIONAL A0701 Alta Bates Medical Group COMMERCIAL
INSTITUTIONAL 1536 ALTIUS HEALTH PLAN COMMERCIAL
INSTITUTIONAL 50503 Altus COMMERCIAL
INSTITUTIONAL TH071 AMA Insurance Agency COMMERCIAL
INSTITUTIONAL 13550 Amalgamated Life COMMERCIAL
INSTITUTIONAL 13343 Amalgamated Life ‐ PA / Alicare PA COMMERCIAL
PROFESSIONAL 4297 AMALGAMATED LIFE aka ALICARE KOP PA LOC COMMERCIAL
INSTITUTIONAL 62176 AMCO COMMERCIAL
PROFESSIONAL 4298 AMERAPLAN COMMERCIAL
INSTITUTIONAL 4554 AMERAPLAN COMMERCIAL
INSTITUTIONAL 38219 AmeraPlan COMMERCIAL
INSTITUTIONAL 12X28 Ameri Health PPO NJ COMMERCIAL
INSTITUTIONAL 2999 AMERIBEN SOLUTIONS COMMERCIAL
PROFESSIONAL 75137 AmeriBen Solutions Inc. COMMERCIAL
INSTITUTIONAL J1427 America First COMMERCIAL
INSTITUTIONAL 27517 Americaid Community Care (Maryland) COMMERCIAL
INSTITUTIONAL 27516 Americaid Community Care (New Jersey) COMMERCIAL
PROFESSIONAL 3276 AMERICAN ADMINISTRATIVE GROUP COMMERCIAL
INSTITUTIONAL 75240 American Administrative Group COMMERCIAL
PROFESSIONAL 4178 AMERICAN ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 7911 AMERICAN ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 42112 American Administrators (West Des Moines Iowa) COMMERCIAL
INSTITUTIONAL 42137 American Administrators dba Select Benefit Administrators (W.DesMoines IA) IA COMMERCIAL
PROFESSIONAL 5244 AMERICAN BEHAVIOR COMMERCIAL
INSTITUTIONAL 8935 AMERICAN BEHAVIOR COMMERCIAL
INSTITUTIONAL 63103 American Behavioral COMMERCIAL
PROFESSIONAL 5850 AMERICAN BEHAVIORAL FEP/ITS COMMERCIAL
INSTITUTIONAL 63106 American Behavioral FEP/ITS COMMERCIAL
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 63101 American Behavioral‐LifeSynch COMMERCIAL
INSTITUTIONAL CX084 American Benefit Corporation COMMERCIAL
INSTITUTIONAL 3964 AMERICAN BENEFIT MANAGEMENT COMMERCIAL
PROFESSIONAL 4179 AMERICAN BENEFIT PLAN ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 7912 AMERICAN BENEFIT PLAN ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 95170 American Benefit Plan Administrators COMMERCIAL
PROFESSIONAL 2230 AMERICAN BENEFITS MANAGEMENT ‐ NORTH CANTON, OH OH COMMERCIAL
INSTITUTIONAL 34187 American Benefits Management (North Canton OH) OH COMMERCIAL
PROFESSIONAL 41161 American Chiropractic Network (ACN) COMMERCIAL
PROFESSIONAL 3270 AMERICAN CHIROPRACTIC NETWORK IPA of NY (ACNIPA) ny COMMERCIAL
ALL 41160 American Chiropractic Network IPA of NY (ACNIPA) ny COMMERCIAL
INSTITUTIONAL 60305 American Community Mutual Insurance COMMERCIAL
INSTITUTIONAL 4502 AMERICAN COMMUNITY MUTUAL LIFE COMMERCIAL
PROFESSIONAL 8411 AMERICAN COMMUNITY MUTUAL LIFE COMMERCIAL
INSTITUTIONAL 3680 AMERICAN FAMILY administered by AMERICAN REPUBLIC COMMERCIAL
PROFESSIONAL 5883 AMERICAN FAMILY administered by AMERICAN REPUBLIC COMMERCIAL
PROFESSIONAL 2138 AMERICAN FAMILY INSURANCE COMMERCIAL
INSTITUTIONAL 4907 AMERICAN FAMILY INSURANCE COMMERCIAL
INSTITUTIONAL 12T31 American Family Insurance COMMERCIAL
INSTITUTIONAL TH095 American Family Insurance COMMERCIAL
INSTITUTIONAL 56071 American Family PPO Policies Administered by Am Rep COMMERCIAL
INSTITUTIONAL 62030 American General COMMERCIAL
PROFESSIONAL 3862 AMERICAN GENERAL LIFE and ACCIDENT COMMERCIAL
INSTITUTIONAL 3949 AMERICAN GENERAL LIFE and ACCIDENT COMMERCIAL
INSTITUTIONAL 01066 American Healthcare Alliance COMMERCIAL
INSTITUTIONAL 1959 AMERICAN HEALTHCARE ALLIANCE COMMERCIAL
PROFESSIONAL 3895 AMERICAN HEALTHCARE ALLIANCE COMMERCIAL
PROFESSIONAL 2188 AMERICAN HERITAGE LIFE INSURANCE COMMERCIAL
INSTITUTIONAL 36369 American Imaging Management Inc. COMMERCIAL
PROFESSIONAL 8433 AMERICAN IMAGING MANAGEMENT, INC. COMMERCIAL
INSTITUTIONAL 8518 AMERICAN IMAGING MGMT (UTILIMED) COMMERCIAL
PROFESSIONAL 1347 AMERICAN INSURANCE ADMINISTRATORS (AIA) COMMERCIAL
INSTITUTIONAL 23212 American Medical and Life Insurance COMMERCIAL
INSTITUTIONAL CX001 American Medical Security COMMERCIAL
PROFESSIONAL 81400 American Medical Security Inc. COMMERCIAL
INSTITUTIONAL 1941 AMERICAN MEDICAL SECURITY, INC. COMMERCIAL
PROFESSIONAL 3869 AMERICAN NATIONAL INS. CO (ANICO) COMMERCIAL
INSTITUTIONAL 74048 American National Ins. Co. (ANICO) COMMERCIAL
INSTITUTIONAL 4974 AMERICAN NATIONAL INSURANCE COMPANY COMMERCIAL
INSTITUTIONAL 4503 AMERICAN POSTAL WORKERS UNION COMMERCIAL
INSTITUTIONAL 44444 American Postal Workers Union Health Plan COMMERCIAL
INSTITUTIONAL 1553 AMERICAN REPUBLIC INSURANCE COMMERCIAL
PROFESSIONAL 42011 American Republic Insurance COMMERCIAL
PROFESSIONAL 4869 AMERICAN SENTINEL INSURANCE COMPANY COMMERCIAL
PROFESSIONAL 4875 AMERICAN SPECIALTY HEALTH COMMERCIAL
INSTITUTIONAL TH117 American Whole Health Networks COMMERCIAL
PROFESSIONAL 3273 AMERICAN WORKER HEALTH PLAN COMMERCIAL
INSTITUTIONAL 37322 American Worker Health Plan COMMERCIAL
INSTITUTIONAL 3989 AMERICAN WORKER HEALTH PLUS COMMERCIAL
PROFESSIONAL 3196 AMERICAS 1ST CHOICE HEALTH PLAN COMMERCIAL
INSTITUTIONAL 26078 Americas 1st Choice Health Plans of North Carolina Inc. COMMERCIAL
INSTITUTIONAL 20553 Americas 1st Choice Health Plans of South Carolina Inc. COMMERCIAL
PROFESSIONAL 5841 AMERICAS 1ST CHOICE PLANS of NORTH CAROLINA COMMERCIAL
PROFESSIONAL 4468 AMERICAS CHOICE HEALTHPLAN COMMERCIAL
PROFESSIONAL 2143 AMERICAS PPO ARAZ GROUP COMMERCIAL
INSTITUTIONAL 4905 AMERICAS PPO ARAZ GROUP COMMERCIAL
INSTITUTIONAL 6986 AMERICAS PPO ARAZ GROUP COMMERCIAL
INSTITUTIONAL 1569 AMERIGROUP CORPORATION COMMERCIAL
PROFESSIONAL 27514 Amerigroup Corporation (Ft Worth) COMMERCIAL
INSTITUTIONAL 27515 Amerigroup Corporation (Houston) COMMERCIAL
INSTITUTIONAL 27519 Amerigroup Florida COMMERCIAL
INSTITUTIONAL 27518 Amerigroup Ohio COMMERCIAL
PROFESSIONAL SX074 AmeriHealth ‐ Delaware (Non‐HMO Claims) COMMERCIAL
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
PROFESSIONAL SX075 AmeriHealth ‐ New Jersey (Non‐HMO Claims) COMMERCIAL
INSTITUTIONAL 4555 AMERIHEALTH ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 23037 AmeriHealth HMO New Jersey and Delaware COMMERCIAL
PROFESSIONAL 22248 AmeriHealth Mercy Health Plan COMMERCIAL
INSTITUTIONAL 4547 AMERIHEALTH MERCY HEALTH PLAN ‐ NORTHERN PA COMMERCIAL
INSTITUTIONAL 1930 AMERIHEALTH NEW JERSEY/DELAWARE ‐ HMO COMMERCIAL
INSTITUTIONAL C1004 Ameriprise Auto & Home Ins. COMMERCIAL
INSTITUTIONAL 72630 Ameritas Life Insurance Corp. of New York COMMERCIAL
INSTITUTIONAL 12287 Amica COMMERCIAL
PROFESSIONAL 3466 AMIDA CARE COMMERCIAL
INSTITUTIONAL 3940 AMIDA CARE COMMERCIAL
INSTITUTIONAL 24818 Amida Care COMMERCIAL
INSTITUTIONAL 38255 Amway Corporation COMMERCIAL
INSTITUTIONAL 8948 ANCHOR BENEFIT CONSULTING COMMERCIAL
PROFESSIONAL 53085 Anchor Benefit Consulting Inc. COMMERCIAL
PROFESSIONAL 3811 ANCILLARY BENEFIT SYSTEMS COMMERCIAL
INSTITUTIONAL 03172 Ancillary Care Management/ACM COMMERCIAL
PROFESSIONAL 2290 ANTARES MANAGEMENT SOLUTIONS COMMERCIAL
INSTITUTIONAL 2935 ANTARES MANAGEMENT SOLUTIONS COMMERCIAL
INSTITUTIONAL 34192 Antares Management Solutions COMMERCIAL
INSTITUTIONAL 16140 APA Partners Inc. COMMERCIAL
INSTITUTIONAL 9566 APA PARTNERS, INC. COMMERCIAL
INSTITUTIONAL 2994 APEX BENEFIT SERVICES COMMERCIAL
PROFESSIONAL 3814 APEX BENEFIT SERVICES COMMERCIAL
INSTITUTIONAL 34196 Apex Benefit Services COMMERCIAL
PROFESSIONAL 5875 APOLLO HEALTHCARE IPA COMMERCIAL
PROFESSIONAL 2444 APROPO BENEFITS MANAGEMENT COMMERCIAL
PROFESSIONAL 54160 APS Healthcare Inc. COMMERCIAL
INSTITUTIONAL 1956 APS HEALTHCARE, INC. (AMERICAN PSYCH SYSTEMS) COMMERCIAL
INSTITUTIONAL 54100 APS Paper Claim COMMERCIAL
PROFESSIONAL 07102 AR MEDB ‐ Novitas COMMERCIAL
PROFESSIONAL 7424 ARAZ COMMERCIAL
INSTITUTIONAL 16120 Araz Group COMMERCIAL
INSTITUTIONAL 2927 ARCADIAN MANAGEMENT SERVICES COMMERCIAL
INSTITUTIONAL 5547 ARIZONA BC COMMERCIAL
INSTITUTIONAL 1570 ARIZONA FOUNDATION FOR MEDICAL CARE COMMERCIAL
PROFESSIONAL 3438 ARIZONA FOUNDATION for MEDICAL CARE COMMERCIAL
INSTITUTIONAL 1585 ARIZONA PHYSICIANS IPA COMMERCIAL
INSTITUTIONAL 03432 Arizona Physicians IPA COMMERCIAL
INSTITUTIONAL 2540 ARKANSAS BEST CORP COMMERCIAL
PROFESSIONAL 75278 Arkansas Best Corporation ‐ Choice Benefits COMMERCIAL
INSTITUTIONAL 5596 ARKANSAS BC COMMERCIAL
PROFESSIONAL 2416 ARKANSAS BS COMMERCIAL
PROFESSIONAL 2141 ARKANSAS MANAGED CARE ORGANIZATION COMMERCIAL
INSTITUTIONAL 5955 ARKANSAS MANAGED CARE ORGANIZATION COMMERCIAL
INSTITUTIONAL 6540 ARNETT HEALTH PLANS COMMERCIAL
PROFESSIONAL 8457 ARNETT HEALTH PLANS COMMERCIAL
INSTITUTIONAL 1960 ASR PHYSICIAN CARE COMMERCIAL
PROFESSIONAL 4294 ASR PHYSICIANS CARE COMMERCIAL
PROFESSIONAL 2144 ASSOCIATED THIRD PARTY ADMINISTRATION (ATPA) COMMERCIAL
INSTITUTIONAL 36326 Associates for Health Care Inc. (AHC) COMMERCIAL
INSTITUTIONAL 4540 ASSURANT HEALTH COMMERCIAL
INSTITUTIONAL 4610 ASSURANT HEALTH REPRICING via HEALTHSPAN COMMERCIAL
PROFESSIONAL 6103 ASSURANT HEALTH REPRICING via HEALTHSPAN COMMERCIAL
INSTITUTIONAL 2993 ASSURANT HEALTH SELF FUND COMMERCIAL
INSTITUTIONAL 37313 Assurant Health Self‐Funded (Ft. Mill SC) COMMERCIAL
INSTITUTIONAL ASHC1 Assurant Supplemental Insurance COMMERCIAL
PROFESSIONAL 88035 AssureCare Inc. COMMERCIAL
INSTITUTIONAL 2683 ASSURECARE of MINNESOTA COMMERCIAL
PROFESSIONAL 4265 ASSURED BENEFITS COMMERCIAL
INSTITUTIONAL 2980 ASSURED BENEFITS ADMINISTRATION COMMERCIAL
INSTITUTIONAL 74240 Assured Benefits Administrators COMMERCIAL
PROFESSIONAL SHP11 SUPERIOR MEDICAID MEDICAID
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
PROFESSIONAL 4881 ASURIS NORTHWEST COMMERCIAL
INSTITUTIONAL 5942 ASURIS NORTHWEST COMMERCIAL
PROFESSIONAL 4477 ASURIS NORTHWEST MEDADVANTAGE COMMERCIAL
INSTITUTIONAL SX179 Asuris Northwest/MedAdvantage COMMERCIAL
INSTITUTIONAL 65064 ATA‐FL COMMERCIAL
PROFESSIONAL 1732 ATHENS AREA HEALTH PLAN SELECT COMMERCIAL
INSTITUTIONAL 6579 ATHENS AREA HEALTH PLAN SELECT COMMERCIAL
INSTITUTIONAL 95691 Athens Area Health Plan Select COMMERCIAL
DENTAL CX085 Atlantic Dental Inc. (ADI) ‐ Commercial COMMERCIAL
INSTITUTIONAL 9562 ATLANTIC MEDICAL COMMERCIAL
INSTITUTIONAL 22285 Atlantic Medical Insurance COMMERCIAL
INSTITUTIONAL 7502 ATLANTICARE COMMERCIAL
INSTITUTIONAL 13853 Atlantis Health Plan COMMERCIAL
INSTITUTIONAL TH004 Atlas Administrators COMMERCIAL
PROFESSIONAL 2899 AULTRA ADMINISTRATIVE GROUP COMMERCIAL
INSTITUTIONAL 7560 AULTRA ADMINISTRATIVE GROUP COMMERCIAL
INSTITUTIONAL 37242 Aultra Administrative Group COMMERCIAL
PROFESSIONAL 3230 AUTOMATED BENEFIT SERVICES COMMERCIAL
INSTITUTIONAL 8947 AUTOMATED BENEFIT SERVICES COMMERCIAL
INSTITUTIONAL 38259 Automated Benefit Services COMMERCIAL
PROFESSIONAL 3878 AUTOMATED GROUP ADMINISTRATION COMMERCIAL
INSTITUTIONAL 37280 Automated Group Administration Inc. COMMERCIAL
INSTITUTIONAL 4931 AUTOMATED GROUP ADMINISTRATORS COMMERCIAL
PROFESSIONAL 1786 AVERA HEALTH PLANS COMMERCIAL
INSTITUTIONAL 8561 AVERA HEALTH PLANS COMMERCIAL
INSTITUTIONAL 46045 Avera Health Plans COMMERCIAL
INSTITUTIONAL 3652 AVERDE HEALTH COMMERCIAL
PROFESSIONAL 5857 AVERDE HEALTH COMMERCIAL
INSTITUTIONAL 26355 Averde Health COMMERCIAL
INSTITUTIONAL 87098 Avesis Third Party Administrators COMMERCIAL
PROFESSIONAL 6135 AVESIS TPA COMMERCIAL
PROFESSIONAL 59274 AvMed Inc. COMMERCIAL
INSTITUTIONAL 1573 AVMED, INC. COMMERCIAL
PROFESSIONAL AXM01 AXMINISTER Medical Group COMMERCIAL
INSTITUTIONAL AFMC AZ FNDTN COMMERCIAL
INSTITUTIONAL 16644 Azeros Health Plans Inc. COMMERCIAL
PROFESSIONAL 4241 BAKERSFIELD FAMILY MEDICAL CENTER COMMERCIAL
INSTITUTIONAL BKRFM Bakersfield Family Medical Center COMMERCIAL
INSTITUTIONAL 12X42 Banner Health COMMERCIAL
PROFESSIONAL 3845 BANNER HEALTH ARIZONA COMMERCIAL
INSTITUTIONAL SX145 Banner Health Co. ‐ SECURE HORIZONS MOUNTAIN SHADOWS COMMERCIAL
INSTITUTIONAL 77078 Banner Medisun COMMERCIAL
PROFESSIONAL 2275 BANNER MEDISUN formerly SUNHEALTH MEDISUN COMMERCIAL
INSTITUTIONAL 5904 BANNER MEDISUN formerly SUNHEALTH MEDISUN COMMERCIAL
INSTITUTIONAL NCH06 Bascom Palmer Eye Care Network ‐ New Century Health COMMERCIAL
INSTITUTIONAL CHSBA Bay Area Automotive Group COMMERCIAL
INSTITUTIONAL CHSBD Bay Area Delivery Drivers COMMERCIAL
INSTITUTIONAL 12B60 BC PA Western/Highmark COMMERCIAL
INSTITUTIONAL 49153 BCI Administrators Inc. COMMERCIAL
PROFESSIONAL 2228 BCI ADMINISTRATORS, INC. COMMERCIAL
INSTITUTIONAL 5909 BEACON HEALTH STRATEGIES COMMERCIAL
INSTITUTIONAL 43324 BEACON HEALTH STRATEGIES COMMERCIAL
INSTITUTIONAL 95377 Beech Street COMMERCIAL
INSTITUTIONAL 2586 BEECH STREET CORPORATION COMMERCIAL
PROFESSIONAL 3795 BEECH STREET CORPORATION COMMERCIAL
INSTITUTIONAL 63100 Behavioral Health Systems COMMERCIAL
PROFESSIONAL 6106 BEHAVIORIAL HEALTH SYSTEMS COMMERCIAL
PROFESSIONAL 5874 BELLA VISTA MEDICAL GROUP IPA COMMERCIAL
DENTAL 23210 BeneCare Dental Plans COMMERCIAL
INSTITUTIONAL 99320 Benefit & Risk Management Services COMMERCIAL
INSTITUTIONAL 88055 Benefit Admin Services COMMERCIAL
PROFESSIONAL 5849 BENEFIT ADMINISTRATION SERVICES, LTD (BAS LTD) COMMERCIAL
INSTITUTIONAL 36149 Benefit Administrative Systems COMMERCIAL
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 2984 BENEFIT ADMINISTRATIVE SYSTEMS, LLC COMMERCIAL
INSTITUTIONAL 25145 Benefit Coordinators Corporation (Pittsburgh PA) COMMERCIAL
PROFESSIONAL 3864 BENEFIT COORDINATORS CORPORATION (PITTSBURGH, PA) COMMERCIAL
INSTITUTIONAL R7003 Benefit Inc. COMMERCIAL
INSTITUTIONAL 4918 BENEFIT MANAGEMENT COMMERCIAL
INSTITUTIONAL 74266 BENEFIT MANAGEMENT ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 1632 BENEFIT MANAGEMENT INC OF KS COMMERCIAL
PROFESSIONAL 6118 BENEFIT MANAGEMENT INC OF KS COMMERCIAL
INSTITUTIONAL 48611 Benefit Management Inc. of KS COMMERCIAL
INSTITUTIONAL 56139 Benefit Management Services Inc COMMERCIAL
INSTITUTIONAL 00999 Benefit Management Services Inc. COMMERCIAL
INSTITUTIONAL 5946 BENEFIT MANAGEMENT SERVICES of LOUISIANA COMMERCIAL
PROFESSIONAL 3226 BENEFIT MANAGEMENT SERVICES of NORTH CAROLINA COMMERCIAL
INSTITUTIONAL 37212 Benefit Management Systems Inc COMMERCIAL
INSTITUTIONAL 2529 BENEFIT MANAGEMENT SYSTEMS of MISSISSIPPI COMMERCIAL
INSTITUTIONAL 1659 BENEFIT MANAGEMENT, INC. COMMERCIAL
PROFESSIONAL 3255 BENEFIT MANAGEMENT, INC. COMMERCIAL
INSTITUTIONAL 3920 BENEFIT PLAN ADMINISTRATION INC COMMERCIAL
PROFESSIONAL 8482 BENEFIT PLAN ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 88052 Benefit Plan Administrators COMMERCIAL
PROFESSIONAL 39081 Benefit Plan Administrators Co. (Eau Claire WI) COMMERCIAL
PROFESSIONAL 5218 BENEFIT PLAN ADMINISTRATORS, INC. COMMERCIAL
INSTITUTIONAL 7526 BENEFIT PLAN ADMINISTRATORS, INC. COMMERCIAL
INSTITUTIONAL 37118 Benefit Plan Administrators_VA COMMERCIAL
INSTITUTIONAL 4594 BENEFIT PLANNERS, INC. COMMERCIAL
PROFESSIONAL 3291 BENEFIT SERVICES INC. COMMERCIAL
INSTITUTIONAL 4504 BENEFIT SYSTEMS AND SERVICES, INC. COMMERCIAL
PROFESSIONAL 8409 BENEFIT SYSTEMS AND SERVICES, INC. COMMERCIAL
PROFESSIONAL 3877 BENEFITS, INC. dba CARE PROVIDER NETWORK COMMERCIAL
INSTITUTIONAL 1924 BENEFITS, INC.dba CARE PROVIDER NETWORK COMMERCIAL
PROFESSIONAL 7455 BENESIGHT COMMERCIAL
INSTITUTIONAL 7523 BENESIGHT COMMERCIAL
INSTITUTIONAL 87265 Benesight COMMERCIAL
INSTITUTIONAL 1575 BENESYS COMMERCIAL
INSTITUTIONAL 3974 BENESYS COMMERCIAL
PROFESSIONAL 5216 BENESYS COMMERCIAL
INSTITUTIONAL 23243 Berkshire Health Partners ‐ PPO Wyomissing PA (IHS Gateway Payer) COMMERCIAL
PROFESSIONAL 1433 BERKSHIRE HEALTH PLAN COMMERCIAL
INSTITUTIONAL 2942 BERKSHIRE HEALTH PLAN COMMERCIAL
INSTITUTIONAL 10956 Berkshire Intergroup COMMERCIAL
INSTITUTIONAL 95606 Berkshire Lehigh Partners COMMERCIAL
INSTITUTIONAL 4925 BEST LIFE & HEALTH COMPANY COMMERCIAL
INSTITUTIONAL 95604 Best Life & Health Insurance Co. COMMERCIAL
PROFESSIONAL 3269 BEST LIFE and HEALTH INSURANCE COMPANY COMMERCIAL
INSTITUTIONAL 20488 Better Health Plan of Florida COMMERCIAL
INSTITUTIONAL 3697 BETTER HEALTH PLAN of FLORIDA ‐ DOS >11/21/2010 FL COMMERCIAL
PROFESSIONAL 5896 BETTER HEALTH PLAN of FLORIDA ‐ DOS >11/21/2010 FL COMMERCIAL
INSTITUTIONAL 32006 Better Health Plans of South Carolina SC COMMERCIAL
INSTITUTIONAL 44219 BHP‐Unity COMMERCIAL
INSTITUTIONAL SX002 BHSG of Tennessee TN COMMERCIAL
INSTITUTIONAL 12X40 Bienvivir COMMERCIAL
INSTITUTIONAL 2972 BIENVIVIR SENIOR HEALTH SERVICES COMMERCIAL
PROFESSIONAL 4185 BIG LOTS ASSOCIATES BENEFIT PLANS COMMERCIAL
PROFESSIONAL 2426 BLUE CARE NETWORK HMO COMMERCIAL
INSTITUTIONAL 12B42 Utah BC (Regence BC of Oregon) UT BCBS
INSTITUTIONAL 1529 UTAH BC (REGUALR BUSINESS) UT BCBS
PROFESSIONAL 2412 UTAH BS UT BCBS
INSTITUTIONAL 058916206CMSCOS VA BCBS VA BCBS
INSTITUTIONAL SB924 Trigon BC and BS (Virginia) VA BCBS
INSTITUTIONAL CB923 Trigon BC of Virginia VA BCBS
INSTITUTIONAL 12B32 BCBS of Vermont VT BCBS
INSTITUTIONAL SB915 BCBS of Vermont VT BCBS
INSTITUTIONAL 4967 VERMONT BC VT BCBS
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
PROFESSIONAL 7493 VERMONT BS VT BCBS
INSTITUTIONAL 1997 WASHINGTON BC REGENCE WA BCBS
INSTITUTIONAL 12B90 BS Washington WA BCBS
PROFESSIONAL 00950 WI BCBS WI BCBS
INSTITUTIONAL 12B29 BCBS of Wisconsin WI BCBS
INSTITUTIONAL CB950 BC of Wisconsin WI BCBS
INSTITUTIONAL SB941 Mountain State BC and BS WV BCBS
INSTITUTIONAL 12B28 Mountain State BC of West Virginia WV BCBS
INSTITUTIONAL 3589 MOUNTAIN STATE BC (WEST VIRGINIA) WV BCBS
PROFESSIONAL 00960 WY BCBS WY BCBS
INSTITUTIONAL SB960 BCBS Wyoming WY BCBS
INSTITUTIONAL 3584 WYOMING BC WY BCBS
INSTITUTIONAL 12B30 Wyoming BC WY BCBS
PROFESSIONAL 7489 WYOMING BS WY BCBS
PROFESSIONAL 2797 DERMATOLOGY NETWORK SOLUTIONS, LLC BCBS BCBS
INSTITUTIONAL 14232 First Priority‐aka: BCBS NEPA BCBS
PROFESSIONAL 4724 MED3000 HEALTH SELECT IPABCBS BCBS
PROFESSIONAL 2490 SOUTH DAKOTA BS BCBS
INSTITUTIONAL 12B92 Wellmark BCBS ‐ Medicare COB BCBS
INSTITUTIONAL 12B88 Regence BS Idaho BCBS
INSTITUTIONAL SB611 Regence BS of Idaho BCBS
INSTITUTIONAL 24705 Capital BC ‐ Facility BCBS
INSTITUTIONAL 12B61 Capital BC ‐ Facility BCBS
PROFESSIONAL 2713 CAPITAL BC ‐ FACILITY CONTRACTED PROVIDERS BCBS
PROFESSIONAL 2858 CAPITAL BC ‐PHYSICIAN CONTRACTED PROVIDERS BCBS
INSTITUTIONAL SB865 Highmark BC & BS of Pennsylvania BCBS
PROFESSIONAL 7426 IDAHO BS REGENCE BCBS
PROFESSIONAL 2781 INDEPENDENCE BC PERSONAL CHOICE BCBS
PROFESSIONAL 2422 KANSAS BS ‐ TOPEKA BCBS
PROFESSIONAL 4419 KANSAS CITY BS ‐ KANSAS CITY, MO BCBS
PROFESSIONAL 2419 MARYLAND BS ‐ CAREFIRST BCBS
PROFESSIONAL 7474 MOUNTAIN STATE BS (WEST VIRGINIA) BCBS
INSTITUTIONAL 3532 BLUE CARE NETWORK HMO BCBS
INSTITUTIONAL 1509 BC OF NATIONAL CAPITAL AREA ‐ CAREFIRST BCBS
PROFESSIONAL 2104 BLUE GRASS FAMILY HEALTH (SRRIPA) BCBS
INSTITUTIONAL 15754 Blue Grass Family Health/SRRIPA ONLY BCBS
PROFESSIONAL 2425 BS OF NATIONAL CAPITOL AREA ‐ CAREFIRST BCBS
INSTITUTIONAL 61124 Bluegrass Family Health COMMERCIAL
INSTITUTIONAL 2591 BOILERMAKERS NATIONAL HEALTH and WELFARE COMMERCIAL
INSTITUTIONAL 8500 BOON CHAPMAN ADMINISTRATORS COMMERCIAL
PROFESSIONAL 4278 BOON GROUP (THE) COMMERCIAL
INSTITUTIONAL 74237 Boon‐Chapman Benefit Administrators Inc. COMMERCIAL
PROFESSIONAL 74238 Boon‐Chapman Benefit Administrators Inc. COMMERCIAL
INSTITUTIONAL 2921 BOSTON MEDICAL CENTER HEALTH PLAN COMMERCIAL
INSTITUTIONAL 13337 Boston Medical Center Health Plan Inc. COMMERCIAL
INSTITUTIONAL 37286 BPA/Benefit Plan Administrators (North Dakota) COMMERCIAL
PROFESSIONAL 52192 Bravo Health COMMERCIAL
INSTITUTIONAL 3590 BRICKSTREET MUTUAL INSURANCE COMMERCIAL
PROFESSIONAL 4428 BRICKSTREET MUTUAL INSURANCE COMMERCIAL
INSTITUTIONAL CX028 Bridgeport LLC COMMERCIAL
PROFESSIONAL 4288 BRIDGEWAY ARIZONA AZ COMMERCIAL
INSTITUTIONAL 3922 BRIDGEWAY NETWORK COMMERCIAL
INSTITUTIONAL 22286 BritCay COMMERCIAL
INSTITUTIONAL 8567 BRITCAY MEDICAL COMMERCIAL
INSTITUTIONAL 51037 Brockerage Concepts Inc. COMMERCIAL
PROFESSIONAL 1830 BROKERAGE CONCEPTS COMMERCIAL
INSTITUTIONAL 8562 BROKERAGE CONCEPTS COMMERCIAL
INSTITUTIONAL CX032 Brokers National COMMERCIAL
INSTITUTIONAL 94316 Brown & Toland Medical Group COMMERCIAL
PROFESSIONAL 1750 BROWN and TOLAND MEDICAL GROUP COMMERCIAL
INSTITUTIONAL BTSS1 Brown and Toland Medical Group COMMERCIAL
PROFESSIONAL 5816 BROWN and TOLAND SUTTER SELECT COMMERCIAL
INSTITUTIONAL J1123 Brownfield ISD COMMERCIAL
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 1962 BUCKEYE COMMUNITY HEALTH ‐ OHIO OH COMMERCIAL
PROFESSIONAL 4717 BUCKEYE COMMUNITY HEALTH ‐ OHIO OH COMMERCIAL
INSTITUTIONAL 47009 Businessmens Assurance (BMA) COMMERCIAL
INSTITUTIONAL 8946 BUTLER BENEFIT COMMERCIAL
INSTITUTIONAL 42150 Butler Benefit COMMERCIAL
PROFESSIONAL 3250 BUTLER BENEFITS COMMERCIAL
PROFESSIONAL 2850 C and O EMPLOYEES HOSPITAL ASSN. COMMERCIAL
INSTITUTIONAL 23708 C&O Employees Hospital Association COMMERCIAL
INSTITUTIONAL 953865941 CA CENCAL CA COMMERCIAL
INSTITUTIONAL 12M98 CA Home Health & Hospice CA COMMERCIAL
INSTITUTIONAL 610442 CA MEDI‐CAL CA COMMERCIAL
PROFESSIONAL 4221 CAL OPTIMA DIRECT CA COMMERCIAL
INSTITUTIONAL 5914 CAL OPTIMA DIRECT CA COMMERCIAL
PROFESSIONAL 1409 CALIFORNIA BS CA COMMERCIAL
INSTITUTIONAL 6569 CALIFORNIA BS CA COMMERCIAL
PROFESSIONAL 4461 CALIFORNIA CARE CA COMMERCIAL
PROFESSIONAL 2730 CALIFORNIA CARE (HUMBOLT DEL NORTE) CA COMMERCIAL
INSTITUTIONAL NCH05 California Eye Care ‐ New Century Health CA COMMERCIAL
PROFESSIONAL 1473 CALIFORNIA MEDI‐CAL CA COMMERCIAL
INSTITUTIONAL 3510 CALIFORNIA MEDI‐CAL CA COMMERCIAL
INSTITUTIONAL CPPCA California State Government Programs CA COMMERCIAL
INSTITUTIONAL CALOP Cal‐Optima Direct CA COMMERCIAL
INSTITUTIONAL 1516 CANNON COCHRAN MANAGEMENT SERVICES COMMERCIAL
INSTITUTIONAL 71057 Cannon Cochran Management Services Inc. Metairie LA COMMERCIAL
INSTITUTIONAL 4908 CANNON COCHRAN MANAGEMENT SERVICES METAIRIE, LA COMMERCIAL
PROFESSIONAL 5832 CANNON COCHRAN MANAGEMENT SERVICES METAIRIE, LA COMMERCIAL
PROFESSIONAL 5837 CAP MANAGEMENT SYSTEMS COMMERCIAL
INSTITUTIONAL 95399 CAP Management Systems COMMERCIAL
INSTITUTIONAL 3551 CAPE HEALTH PLAN COMMERCIAL
INSTITUTIONAL 23045 Capital BC/CAIC COMMERCIAL
DENTAL CX037 Capital Dental COMMERCIAL
INSTITUTIONAL 12X03 Capital District Physicians Health Plan COMMERCIAL
INSTITUTIONAL SX065 Capital District Physicians Health Plan COMMERCIAL
INSTITUTIONAL 2987 CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) COMMERCIAL
PROFESSIONAL 3786 CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) COMMERCIAL
INSTITUTIONAL 1985 CAPITAL HEALTH PLAN COMMERCIAL
PROFESSIONAL 4246 CAPITAL HEALTH PLAN COMMERCIAL
INSTITUTIONAL 95112 Capital Health Plan COMMERCIAL
INSTITUTIONAL 2989 CAPITOL ADMINISTRATOR COMMERCIAL
PROFESSIONAL 2810 CAPITOL ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 68011 Capitol Administrators COMMERCIAL
DENTAL CX095 Capitol Dental COMMERCIAL
INSTITUTIONAL 3623 CAPSTONE HEALTH PLAN COMMERCIAL
PROFESSIONAL 5834 CAPSTONE HEALTH PLAN COMMERCIAL
INSTITUTIONAL 86044 CAPSTONE HEALTH PLAN INC COMMERCIAL
PROFESSIONAL 4276 CARDOVASCULAR CARE PROVIDERS INC. (CVCP) COMMERCIAL
PROFESSIONAL 2289 CARE 1ST HEALTH PLAN OF ARIZONA COMMERCIAL
INSTITUTIONAL 2949 CARE 1ST HEALTH PLAN OF ARIZONA COMMERCIAL
INSTITUTIONAL 57116 Care 1st Health Plan of Arizona COMMERCIAL
INSTITUTIONAL 57115 CARE 1ST HEALTH PLAN OF CA COMMERCIAL
INSTITUTIONAL 1627 CARE 1ST HEALTH PLAN of CALIFORNIA COMMERCIAL
PROFESSIONAL 6114 CARE 1ST HEALTH PLAN of CALIFORNIA COMMERCIAL
INSTITUTIONAL 5967 CARE NETWORK COMMERCIAL
INSTITUTIONAL 41222 Care To Care COMMERCIAL
INSTITUTIONAL 2680 CARE WISCONSIN HEALTH PLAN COMMERCIAL
PROFESSIONAL 5809 CARE WISCONSIN HEALTH PLAN COMMERCIAL
INSTITUTIONAL 27004 Care Wisconsin Health Plan (Trizetto) COMMERCIAL
INSTITUTIONAL 11345 CareCentrix COMMERCIAL
PROFESSIONAL 3894 CARECORE NATIONAL COMMERCIAL
INSTITUTIONAL 4962 CARECORE NATIONAL COMMERCIAL
PROFESSIONAL 2835 CARECORE AETNA RADIOLOGY COMMERCIAL
INSTITUTIONAL 4960 CARECORE AETNA RADIOLOGY COMMERCIAL
PROFESSIONAL 3859 CARECORE HEALTHNET COMMERCIAL
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 4961 CARECORE HEALTHNET COMMERCIAL
INSTITUTIONAL 14182 CareCore National COMMERCIAL
INSTITUTIONAL 14184 CareCore National ‐ Healthnet COMMERCIAL
INSTITUTIONAL 14185 CareCore National LLC ‐ Health Net New Jersey COMMERCIAL
INSTITUTIONAL 14179 CareCore National LLC (Aetna Radiology Claims) COMMERCIAL
INSTITUTIONAL 14180 CareCore National LLC (Oxford Radiology Claims) COMMERCIAL
PROFESSIONAL 2268 CARECORE NATIONAL, LLC ‐ HEALTH NET OF NEW JERSEY COMMERCIAL
INSTITUTIONAL 4963 CARECORE NATIONAL, LLC ‐ HEALTH NET OF NEW JERSEY COMMERCIAL
PROFESSIONAL 1727 CARECORE OXFORD RADIOLOGY COMMERCIAL
INSTITUTIONAL 4964 CARECORE OXFORD RADIOLOGY COMMERCIAL
INSTITUTIONAL 14188 CareCore/WCNY RAD COMMERCIAL
PROFESSIONAL 75191 CareFirst Administrators/NCAS COMMERCIAL
PROFESSIONAL CM001 Caremore COMMERCIAL
INSTITUTIONAL 25142 Carenet COMMERCIAL
PROFESSIONAL 2249 CAREOREGON COMMERCIAL
INSTITUTIONAL 2551 CAREOREGON COMMERCIAL
INSTITUTIONAL 93975 CareOregon Inc. COMMERCIAL
INSTITUTIONAL NCH04 CarePlus Cardiology ‐ New Century Health COMMERCIAL
INSTITUTIONAL NCH01 CarePlus Dermatology ‐ New Century Health COMMERCIAL
PROFESSIONAL 65031 CarePlus Health Plans Inc. COMMERCIAL
INSTITUTIONAL NCH07 CarePlus Oncology ‐ New Century Infusion Solutions COMMERCIAL
INSTITUTIONAL NCH03 CarePlus Urology ‐ New Century Health COMMERCIAL
INSTITUTIONAL CKOH2 CareSource COMMERCIAL
PROFESSIONAL 1439 CARESOURCE OF INDIANA COMMERCIAL
INSTITUTIONAL 6519 CARESOURCE OF INDIANA COMMERCIAL
INSTITUTIONAL 2526 CARESOURCE of OHIO COMMERCIAL
INSTITUTIONAL 31114 CareSource OH COMMERCIAL
PROFESSIONAL 3274 CAREWORKS COMMERCIAL
INSTITUTIONAL 10010 Careworks COMMERCIAL
PROFESSIONAL 2870 CARITEN HEALTHCARE COMMERCIAL
INSTITUTIONAL 7596 CARITEN HEALTHCARE COMMERCIAL
PROFESSIONAL 2869 CARITEN SENIOR HEALTH COMMERCIAL
INSTITUTIONAL 7571 CARITEN SENIOR HEALTH COMMERCIAL
PROFESSIONAL 5195 CAROLINA BEHAVORIAL HEALTH ALLIANCE ‐ CBHA COMMERCIAL
INSTITUTIONAL 29076 Carolina Care Plan COMMERCIAL
INSTITUTIONAL 3506 CAROLINA CARE PLAN INC. COMMERCIAL
PROFESSIONAL 4423 CAROLINA CARE PLAN, INC. COMMERCIAL
PROFESSIONAL 4470 CAROLINA CRESCENT HEALTH PLAN COMMERCIAL
INSTITUTIONAL 8550 CAROLINA CRESCENT HEALTH PLAN COMMERCIAL
INSTITUTIONAL 12K85 Carolina Crescent Health Plan COMMERCIAL
INSTITUTIONAL SX191 Carolina Crescent Health Plan Inc. COMMERCIAL
INSTITUTIONAL 56195 Carolina Summit Healthcare Inc. COMMERCIAL
INSTITUTIONAL 3695 CAROLINA SUMMIT HEALTHCARE, INC. COMMERCIAL
PROFESSIONAL 5466 CAROLINA SUMMIT HEALTHCARE, INC. COMMERCIAL
INSTITUTIONAL CX101 Carpenters Health and Welfare Fund of Philadelphia COMMERCIAL
PROFESSIONAL 3789 CARPENTERS HEALTH AND WELFARE OF ST LOUIS COMMERCIAL
INSTITUTIONAL 25125 Carpenters Health and Welfare Trust Fund of St. Louis COMMERCIAL
INSTITUTIONAL 7575 CARPENTERS HEALTH and WELFARE TRUST OF ST. LOUIS COMMERCIAL
INSTITUTIONAL 37060 Caterpillar Inc. COMMERCIAL
INSTITUTIONAL 3550 CATERPILLAR, INC COMMERCIAL
INSTITUTIONAL 9503 CBCA ADMINISTRATORS COMMERCIAL
PROFESSIONAL 55438 CBCA Administrators COMMERCIAL
PROFESSIONAL 6459 CBCA ADMINISTRATORS (HRM) COMMERCIAL
INSTITUTIONAL 65391 CBHNP ‐ HealthChoices COMMERCIAL
INSTITUTIONAL J1010 CCMSI COMMERCIAL
INSTITUTIONAL 2979 CDS GROUP HEALTH COMMERCIAL
PROFESSIONAL 4253 CDS GROUP HEALTH COMMERCIAL
INSTITUTIONAL 88022 CDS Group Health COMMERCIAL
INSTITUTIONAL 33010 Cedars Sinai Medical Cente COMMERCIAL
INSTITUTIONAL 95164 Cedars Sinai Medical Cente COMMERCIAL
PROFESSIONAL 3472 CEDARS SINAI MEDICAL ENCOUNTER COMMERCIAL
PROFESSIONAL 3295 CEDARS SINAI MEDICAL NETWORK COMMERCIAL
INSTITUTIONAL 95166 Cedars‐Sinai Medical Network Services COMMERCIAL
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
PROFESSIONAL 68063 Celtic Insurance COMMERCIAL
PROFESSIONAL 2129 CELTICARE MASSACHUSETTS MEDICAL COMMERCIAL
INSTITUTIONAL 6591 CEMENT MASONS & PLASTERERS HLTH/WEL TRUS COMMERCIAL
INSTITUTIONAL 4909 CENPATICO ARIZONA COMMERCIAL
INSTITUTIONAL 3663 CENPATICO BEHAVIORAL HEALTH ‐ KANSAS COMMERCIAL
INSTITUTIONAL 1660 CENPATICO BEHAVIORAL HEALTH ‐ OHIO COMMERCIAL
PROFESSIONAL 2175 CENPATICO BEHAVIORAL HEALTH ‐ OHIO COMMERCIAL
PROFESSIONAL 3220 CENPATICO BEHAVIORAL HEALTH ‐ WISCONSIN COMMERCIAL
INSTITUTIONAL 1630 CENPATICO BEHAVIORAL HEALTH FLORIDA COMMERCIAL
PROFESSIONAL 2190 CENPATICO BEHAVIORAL HEALTH FLORIDA COMMERCIAL
INSTITUTIONAL 3912 CENPATICO GEORGIA COMMERCIAL
PROFESSIONAL 4239 CENPATICO GEORGIA COMMERCIAL
INSTITUTIONAL 2985 CENPATICO INDIANA COMMERCIAL
PROFESSIONAL 3236 CENPATICO INDIANA COMMERCIAL
PROFESSIONAL 5207 CENPATICO KANSAS COMMERCIAL
INSTITUTIONAL 68068 Cenpatico Kentucky COMMERCIAL
INSTITUTIONAL 3962 CENPATICO TEXAS COMMERCIAL
INSTITUTIONAL 19895 Centennial Insurance Company COMMERCIAL
PROFESSIONAL 5868 CENTINELLA VALLEY, IPA COMMERCIAL
PROFESSIONAL 1845 CENTRAL BENEFITS MUTUAL COMMERCIAL
INSTITUTIONAL 4505 CENTRAL BENEFITS NATIONAL COMMERCIAL
INSTITUTIONAL 31118 Central Benefits National COMMERCIAL
INSTITUTIONAL 2997 CENTRAL CALIFORNIA ALLIANCE for HEALTH COMMERCIAL
INSTITUTIONAL 12K82 Central California Alliance for Health COMMERCIAL
INSTITUTIONAL SX169 Central California Alliance for Health COMMERCIAL
PROFESSIONAL 6489 CENTRAL RESERVE LIFE COMMERCIAL
INSTITUTIONAL 34097 Central Reserve Life COMMERCIAL
INSTITUTIONAL 4506 CENTRAL RESERVE LIFE OH COMMERCIAL
INSTITUTIONAL 62218 Central SeniorCare COMMERCIAL
INSTITUTIONAL 55731 Central Susquehanna Healthcare Providers (CSHP) COMMERCIAL
INSTITUTIONAL 77035 Central Valley Medical Group COMMERCIAL
INSTITUTIONAL 9515 CENTURY HEALTH SOLUTIONS COMMERCIAL
PROFESSIONAL 48120 Century Health Solutions COMMERCIAL
INSTITUTIONAL 7525 CHA HEALTH COMMERCIAL
INSTITUTIONAL 23171 CHA Health COMMERCIAL
PROFESSIONAL 2496 CHATWINS HEALTHCARE ADMINISTRATORS COMMERCIAL
PROFESSIONAL 2231 CHAUTAUQUA COUNTY HEALTHCARE PLAN ‐ MAYVILLE, NY COMMERCIAL
INSTITUTIONAL 16600 Chautauqua County Healthcare Plan (Mayville NY) COMMERCIAL
INSTITUTIONAL 25151 CHCcares of South Carolina COMMERCIAL
PROFESSIONAL 3713 CHESAPEAKE LIFE INSURANCE COMPANY COMMERCIAL
INSTITUTIONAL 8979 CHESAPEAKE LIFE INSURANCE COMPANY COMMERCIAL
INSTITUTIONAL 59223 Chesapeake Life Insurance Company ‐ Insurance Center COMMERCIAL
PROFESSIONAL 4245 CHESTERFIELD COMPANIES (THE) COMMERCIAL
INSTITUTIONAL 3999 CHESTERFIELD RESOURCES, INC. COMMERCIAL
INSTITUTIONAL 94321 Children First Medical Group COMMERCIAL
PROFESSIONAL 2151 CHILDRENS MEDICAL GROUP COMMERCIAL
INSTITUTIONAL CPMG1 Childrens Physician Medical Group COMMERCIAL
INSTITUTIONAL CSSD2 Childrens Specialist of San Diego COMMERCIAL
PROFESSIONAL 3473 CHINESE COMMUNITY HEALTH PLAN COMMERCIAL
INSTITUTIONAL 94302 Chinese Community Health Plan COMMERCIAL
PROFESSIONAL 2135 CHIROCARE COMMERCIAL
INSTITUTIONAL 33065 CHOC ‐ Childrens Hospital Of Orange County Health Alliance COMMERCIAL
PROFESSIONAL 3265 CHOC ‐ CHILDRENS HOSPITAL of ORANGE COUNTY HEATLH COMMERCIAL
PROFESSIONAL 5454 CHOICE ONE/UTMB CHIP HEALTH PLAN COMMERCIAL
INSTITUTIONAL 76049 Choice One/UTMB CHIP Health Plan COMMERCIAL
PROFESSIONAL 3288 CHOICENET COMMERCIAL
INSTITUTIONAL 3684 CHOICENET COMMERCIAL
INSTITUTIONAL 90441 CHP DIRECT SUPERMED COMMERCIAL
PROFESSIONAL 2177 CHP DIRECT/SUPERMED COMMERCIAL
INSTITUTIONAL 5984 CHP DIRECT/SUPERMED COMMERCIAL
INSTITUTIONAL 38308 Christian Brothers Services COMMERCIAL
PROFESSIONAL 3282 CHRISTUS SPOHN COMMERCIAL
INSTITUTIONAL 62308 Cigna COMMERCIAL
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LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 5943 CIGNA BEHAVIORAL HEALTH COMMERCIAL
PROFESSIONAL SX071 CIGNA Behavioral Health COMMERCIAL
INSTITUTIONAL 99139 CIGNA ENCOUNTERS COMMERCIAL
PROFESSIONAL 4741 CINCINNATI FINANCIAL CORPORATION COMMERCIAL
INSTITUTIONAL 7921 CINCINNATI FINANCIAL CORPORATION COMMERCIAL
INSTITUTIONAL 46871 Cincinnati Financial Corporation COMMERCIAL
INSTITUTIONAL CX071 Citizens Security Life Insurance COMMERCIAL
PROFESSIONAL 4773 CITRUS HEALTH COMMERCIAL
INSTITUTIONAL TH130 Citrus Health COMMERCIAL
INSTITUTIONAL CVPG1 Citrus Valley Physicians Medical Group COMMERCIAL
INSTITUTIONAL TH107 City of Amarillo COMMERCIAL
PROFESSIONAL 3245 CITY OF ODESSA (THE) COMMERCIAL
PROFESSIONAL 2435 CITY of SAN ANTONIO COMMERCIAL
INSTITUTIONAL CX054 Civil Service Employees Association (CSEA) COMMERCIAL
INSTITUTIONAL 39141 Claims Management Services COMMERCIAL
INSTITUTIONAL 4975 CLAIMS WARE, INC. COMMERCIAL
INSTITUTIONAL 11752 Claimsbridge West COMMERCIAL
PROFESSIONAL 27008 Claimshop‐ Employers Coalition on Health COMMERCIAL
PROFESSIONAL 57080 ClaimsWare Inc. dba ManageMed COMMERCIAL
INSTITUTIONAL 33192 Clarendons Healthy Kids COMMERCIAL
PROFESSIONAL 95444 Clarian Health Plans Inc. COMMERCIAL
INSTITUTIONAL 77201 Clearchoice Health Plan / COIHS COMMERCIAL
INSTITUTIONAL 56211 CM Administrators Inc COMMERCIAL
INSTITUTIONAL 20443 CNA Insurance COMMERCIAL
PROFESSIONAL 4882 COASTAL ADMINISTRATIVE SERVICES COMMERCIAL
INSTITUTIONAL 77052 Coastal Administrative Services COMMERCIAL
PROFESSIONAL 5708 COLONIAL HEALTHCARE COMMERCIAL
INSTITUTIONAL 9579 COLONIAL HEALTHCARE COMMERCIAL
INSTITUTIONAL 37123 Colonial Healthcare COMMERCIAL
PROFESSIONAL 5811 COLONIAL MEDICAL COMMERCIAL
INSTITUTIONAL 8999 COLONIAL MEDICAL COMMERCIAL
INSTITUTIONAL 22284 Colonial Medical COMMERCIAL
PROFESSIONAL 84129 Colorado Access COMMERCIAL
INSTITUTIONAL 1549 COLORADO BC COMMERCIAL
PROFESSIONAL 1787 COLUMBIA CORNELL CARE, LLC COMMERCIAL
INSTITUTIONAL 1974 COLUMBIA UNITED PROVIDERS COMMERCIAL
PROFESSIONAL 3772 COLUMBIA UNITED PROVIDERS COMMERCIAL
INSTITUTIONAL 91162 Columbia United Providers COMMERCIAL
INSTITUTIONAL 2955 COMMERCE BENEFITS GROUP COMMERCIAL
PROFESSIONAL 3759 COMMERCE BENEFITS GROUP COMMERCIAL
INSTITUTIONAL 34181 Commerce Benefits Group COMMERCIAL
INSTITUTIONAL 7559 COMMONWEALTH ADMINISTRATOR, LLC COMMERCIAL
PROFESSIONAL 3700 COMMONWEALTH ADMINISTRATORS, INC. COMMERCIAL
INSTITUTIONAL 1604 COMMONWEALTH CARE ALLIANCE COMMERCIAL
PROFESSIONAL 3437 COMMONWEALTH CARE ALLIANCE COMMERCIAL
INSTITUTIONAL 14315 Commonwealth Care Alliance COMMERCIAL
INSTITUTIONAL 1969 COMMUNITY CARE BEHAVIORAL HEALTH ORGANIZATION COMMERCIAL
PROFESSIONAL 4248 COMMUNITY CARE BEHAVIORAL HEALTH ORGANIZATION COMMERCIAL
INSTITUTIONAL 23282 Community Care BHO COMMERCIAL
INSTITUTIONAL 60995 Community Care Inc. ‐ Family Care (Wisconsin) COMMERCIAL
INSTITUTIONAL 39126 Community Care Inc. (Wisconsin) COMMERCIAL
PROFESSIONAL 73143 Community Care Managed Health Care Plans of Oklahoma COMMERCIAL
INSTITUTIONAL 8560 COMMUNITY CARE MGD HEALTHCARE PLANS OF OK COMMERCIAL
PROFESSIONAL 2232 COMMUNITY CARE ORGANIZATION COMMERCIAL
INSTITUTIONAL 3938 COMMUNITY CARE ORGANIZATOIN COMMERCIAL
INSTITUTIONAL 3957 COMMUNITY CHOICE HEALTH PLAN COMMERCIAL
INSTITUTIONAL 1926 COMMUNITY CHOICE of MICHIGAN COMMERCIAL
PROFESSIONAL 5431 COMMUNITY CHOICE OF MICHIGAN COMMERCIAL
INSTITUTIONAL 38325 Community Choice of Michigan COMMERCIAL
PROFESSIONAL 3809 COMMUNITY FIRST COMMERCIAL
INSTITUTIONAL 12T02 Community First COMMERCIAL
INSTITUTIONAL TH005 Community First COMMERCIAL
INSTITUTIONAL 1910 COMMUNITY HEALTH ALLIANCE COMMERCIAL
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
PROFESSIONAL 3820 COMMUNITY HEALTH ALLIANCE COMMERCIAL
INSTITUTIONAL 35193 Community Health Alliance COMMERCIAL
INSTITUTIONAL 2538 COMMUNITY HEALTH CHOICE COMMERCIAL
PROFESSIONAL 3773 COMMUNITY HEALTH CHOICE COMMERCIAL
INSTITUTIONAL 48145 Community Health Choice COMMERCIAL
INSTITUTIONAL 4559 COMMUNITY HEALTH ELECTRONIC CLAIMS ‐CHEC COMMERCIAL
PROFESSIONAL 2841 COMMUNITY HEALTH NETWORK of CONNECTICUT COMMERCIAL
INSTITUTIONAL 7519 COMMUNITY HEALTH NETWORK OF CONNECTICUT COMMERCIAL
INSTITUTIONAL 62149 Community Health Network of CT COMMERCIAL
INSTITUTIONAL 1927 COMMUNITY HEALTH PLAN OF WASHINGTON COMMERCIAL
INSTITUTIONAL 12T30 Community Health Plan of Washington COMMERCIAL
PROFESSIONAL SB613 Community Health Plan Washington COMMERCIAL
INSTITUTIONAL 4637 COMMUNITY HEALTH SOLUTIONS COMMERCIAL
PROFESSIONAL 6155 COMMUNITY HEALTH SOLUTIONS COMMERCIAL
INSTITUTIONAL 66121 Community Medical Group of the West Valley Inc. COMMERCIAL
PROFESSIONAL 3753 COMMUNITY PREMIER PLUS FOR NEIGHBORHOOD HLTH PROV COMMERCIAL
INSTITUTIONAL 7595 COMMUNITY PREMIER PLUS for NEIGHBORHOOD HLTH PROV COMMERCIAL
PROFESSIONAL 7453 COMMUNITYCONNECT HEALTHPLAN COMMERCIAL
INSTITUTIONAL 34177 Comp ‐ Ohio (Austintown OH) COMMERCIAL
INSTITUTIONAL 77828 Companion Life COMMERCIAL
INSTITUTIONAL CX021 CompBenefits COMMERCIAL
PROFESSIONAL 2243 COMPBENEFITS CORPORATION COMMERCIAL
PROFESSIONAL 3221 COMPLIMENTARY HEALTH CARE COMMERCIAL
INSTITUTIONAL 2952 COMPREHEN BEHAVIORAL COMMERCIAL
INSTITUTIONAL 59314 Comprehensive Behavioral Care COMMERCIAL
PROFESSIONAL 3462 COMPREHENSIVE BEHAVORIAL CARE COMMERCIAL
INSTITUTIONAL 7540 COMPREHENSIVE BENFITS ADMINISTRATOR, IN COMMERCIAL
PROFESSIONAL 4250 COMPREHENSIVE CARE MANAGEMENT CORPORATION COMMERCIAL
INSTITUTIONAL 6500 CONNECTICARE COMMERCIAL
INSTITUTIONAL 06105 ConnectiCare Inc COMMERCIAL
INSTITUTIONAL 3534 CONNECTICUT BC COMMERCIAL
INSTITUTIONAL 37307 Connecticut Carpenters Health Fund COMMERCIAL
INSTITUTIONAL 7557 CONSOCIATE GROUP COMMERCIAL
INSTITUTIONAL 37135 Consociate Group COMMERCIAL
PROFESSIONAL 2233 CONSOLIDATED ASSOCIATES RAILROAD COMMERCIAL
INSTITUTIONAL 75284 Consolidated Associates Railroad COMMERCIAL
DENTAL 61305 Consolidated Group Dental COMMERCIAL
INSTITUTIONAL 2670 CONSOLIDATED HEALTH PLANS COMMERCIAL
PROFESSIONAL 5803 CONSOLIDATED HEALTH PLANS COMMERCIAL
INSTITUTIONAL 87843 Consolidated Health Plans COMMERCIAL
PROFESSIONAL 71404 Continental General Insurance Company COMMERCIAL
INSTITUTIONAL 1535 CONTINENTAL KEY FAMILY COMMERCIAL
PROFESSIONAL 5236 CONTINENTAL KEY FAMILY COMMERCIAL
INSTITUTIONAL 35315 Continental Key Family COMMERCIAL
INSTITUTIONAL 1957 CONTNENTAL GENERAL INSURANCE COMMERCIAL
INSTITUTIONAL 47046 Contractors Laborers Teamsters & Engineers COMMERCIAL
INSTITUTIONAL 55544 Conversion Plan‐APWU COMMERCIAL
INSTITUTIONAL TH104 Cook Childrens Health Group COMMERCIAL
PROFESSIONAL 4751 COOK CHILDRENS HEALTH PLAN COMMERCIAL
INSTITUTIONAL 8924 COOK CHILDRENS HEALTH PLAN COMMERCIAL
INSTITUTIONAL 12T58 Cook Childrens Health Plan COMMERCIAL
PROFESSIONAL 4752 COOK CHILDRENS STAR PLAN COMMERCIAL
INSTITUTIONAL 9580 COOK CHILDRENS STAR PLAN COMMERCIAL
INSTITUTIONAL 3995 COOK GROUP HEALTH PLAN COMMERCIAL
PROFESSIONAL 4460 COOK GROUP HEALTH PLAN COMMERCIAL
INSTITUTIONAL 35149 Cook Group Health Plan COMMERCIAL
INSTITUTIONAL 4532 COOPERATIVE BENEFIT ADMINISTRATORS (CBA) COMMERCIAL
INSTITUTIONAL 2911 COOPERATIVE MANAGED CARE SERIVCES COMMERCIAL
PROFESSIONAL 5290 CO‐ORDINATED BENEFIT PLAN, LLC COMMERCIAL
PROFESSIONAL 3856 CORE ADMINISTRATIVE SERVICES COMMERCIAL
INSTITUTIONAL 58231 Core Administrative Services COMMERCIAL
INSTITUTIONAL 3923 CORE MGMT RESORCE GROUP COMMERCIAL
INSTITUTIONAL 1983 CORESOURCE LITTLE ROCK COMMERCIAL
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
PROFESSIONAL 75136 CoreSource Little Rock COMMERCIAL
INSTITUTIONAL 35180 CoreSource NC IN COMMERCIAL
INSTITUTIONAL 35182 CoreSource NC IN COMMERCIAL
INSTITUTIONAL 4947 CORESOURCE OH COMMERCIAL
INSTITUTIONAL 35183 CoreSource OH COMMERCIAL
PROFESSIONAL 3254 CORESOURCE OHIO COMMERCIAL
INSTITUTIONAL 3983 CORESOURCE‐INTERNAL COMMERCIAL
INSTITUTIONAL 35187 CoreSource‐Internal COMMERCIAL
INSTITUTIONAL 43160 Corizon Inc. COMMERCIAL
INSTITUTIONAL 35202 Cornerstone Benefit Adminstrators COMMERCIAL
PROFESSIONAL 4412 CORNERSTONE BENEFIT ASSOCIATES COMMERCIAL
INSTITUTIONAL 4941 CORNERSTONE BENEFIT ASSOCIATES COMMERCIAL
INSTITUTIONAL 56116 Corporate Benefits Service Inc. (NC) COMMERCIAL
PROFESSIONAL 3832 CORPORATE BENEFITS SERVICES COMMERCIAL
INSTITUTIONAL 3939 CORPORATE BENEFITS SERVICES, INC. COMMERCIAL
INSTITUTIONAL 37246 Corporate Systems Administration COMMERCIAL
INSTITUTIONAL 1603 CORRECTIONAL MEDICAL SERVICES COMMERCIAL
PROFESSIONAL 2831 CORRECTIONAL MEDICAL SERVICES, INC. COMMERCIAL
INSTITUTIONAL 3961 CORSOLUTIONS COMMERCIAL
INSTITUTIONAL 2587 COTTAGE HEALTH SYSTEM COMMERCIAL
PROFESSIONAL 3791 COTTAGE HEALTH SYSTEM COMMERCIAL
PROFESSIONAL 3113 COTTINGHAM and BUTLER CLAIM SERVICES, INC. COMMERCIAL
INSTITUTIONAL 7503 COUNTRY LIFE INSURANCE COMPANY COMMERCIAL
PROFESSIONAL 62553 Country Life Insurance Company COMMERCIAL
INSTITUTIONAL 1606 COUNTY HEALTH PLANS COMMERCIAL
PROFESSIONAL 3828 COVENANT ADMINISTATORS, INC. (ATLANTA, GA) COMMERCIAL
INSTITUTIONAL 58102 Covenant Administrators Inc. (Atlanta GA) COMMERCIAL
INSTITUTIONAL 12T60 Covenant Management Systems COMMERCIAL
INSTITUTIONAL TH108 Covenant Management Systems COMMERCIAL
INSTITUTIONAL 25148 Coventry Health Care of Georgia COMMERCIAL
INSTITUTIONAL 86098 CoventryCares COMMERCIAL
PROFESSIONAL 2482 COX HEALTH PLAN COMMERCIAL
INSTITUTIONAL 7534 CREATIVE MEDICAL SYSTEMS COMMERCIAL
INSTITUTIONAL 8997 CREATIVE PLAN ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 37320 Creative Plan Administrators COMMERCIAL
DENTAL CX074 Crescent Dental ‐ Meritain Health COMMERCIAL
INSTITUTIONAL 3963 CROY‐HALL MANAGEMENT INC aka SOUTHEST SERVICE COMMERCIAL
INSTITUTIONAL 31348 Crum & Forster Indemnity Company COMMERCIAL
INSTITUTIONAL 42141 CTI ADMINISTRATORS INC. COMMERCIAL
INSTITUTIONAL 3643 CUSTODIAL MEDICAL SERVICES COMMERCIAL
INSTITUTIONAL 3622 CUSTOM BENEFIT ADMINISTRATION COMMERCIAL
INSTITUTIONAL 82056 Custom Design Benefits Inc. COMMERCIAL
PROFESSIONAL 2103 CUSTOM DESIGN BENEFITS, INC. COMMERCIAL
INSTITUTIONAL 5936 CUSTOM DESIGN BENEFITS, INC. COMMERCIAL
PROFESSIONAL 2492 DAKOTACARE COMMERCIAL
INSTITUTIONAL 4956 DART CONTAINER CORP COMMERCIAL
INSTITUTIONAL DARTC Dart Container Corporation COMMERCIAL
INSTITUTIONAL TH073 Dart Container Corporation COMMERCIAL
INSTITUTIONAL 06172 Dart Management Corporation COMMERCIAL
INSTITUTIONAL 3994 DAVITA VILLIAGE HEALTH COMMERCIAL
INSTITUTIONAL 95740 DC Chartered Health Plan Inc. (Alliance) COMMERCIAL
INSTITUTIONAL 3659 DC HEALTHCARE ALLIANCE COMMERCIAL
INSTITUTIONAL 3581 DEAN HEALTH PLAN COMMERCIAL
INSTITUTIONAL 39113 Dean Health Plan COMMERCIAL
PROFESSIONAL 1497 DEAN HEALTH PLANS COMMERCIAL
DENTAL 07035 DeCare Dental Health Insurance COMMERCIAL
INSTITUTIONAL 6535 DEFINITY HEALTH COMMERCIAL
ALL 64159 Definity Health COMMERCIAL
PROFESSIONAL 3797 DEFINITY SERVICES COMMERCIAL
INSTITUTIONAL 77124 DELANO IPA COMMERCIAL
INSTITUTIONAL 1546 DELAWARE BC COMMERCIAL
PROFESSIONAL 7456 DELAWARE BS COMMERCIAL
INSTITUTIONAL 27009 Delaware Physicians Care Inc. COMMERCIAL
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LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 9501 DELAWARE PHYSICIANS CARE, INC. COMMERCIAL
DENTAL DDAL1 Delta Dental of Alabama (DDIC) COMMERCIAL
DENTAL DDAK1 Delta Dental of Alaska (DDIC) COMMERCIAL
DENTAL 86027 Delta Dental of Arizona COMMERCIAL
DENTAL CDAR1 Delta Dental of Arkansas COMMERCIAL
DENTAL 77777 Delta Dental of California COMMERCIAL
DENTAL 84056 Delta Dental of Colorado COMMERCIAL
DENTAL 51022 Delta Dental of Delaware COMMERCIAL
DENTAL DDFL1 Delta Dental of Florida (DDIC) COMMERCIAL
DENTAL DDGA1 Delta Dental of Georgia (DDIC) COMMERCIAL
DENTAL 82029 Delta Dental of Idaho COMMERCIAL
DENTAL 05030 Delta Dental of Illinois COMMERCIAL
DENTAL CDIN1 Delta Dental of Indiana COMMERCIAL
DENTAL CDIA1 Delta Dental of Iowa COMMERCIAL
DENTAL CDKS1 Delta Dental of Kansas COMMERCIAL
DENTAL CDKY1 Delta Dental of Kentucky COMMERCIAL
DENTAL DDLA1 Delta Dental of Louisiana (DDIC) COMMERCIAL
DENTAL 04614 Delta Dental of Massachusetts COMMERCIAL
DENTAL CDMI0 Delta Dental of Michigan COMMERCIAL
DENTAL CDMN1 Delta Dental of Minnesota COMMERCIAL
DENTAL DDMS1 Delta Dental of Mississippi (DDIC) COMMERCIAL
DENTAL 43090 Delta Dental of Missouri COMMERCIAL
DENTAL DDMT1 Delta Dental of Montana (DDIC) COMMERCIAL
DENTAL CDNE1 Delta Dental of Nebraska COMMERCIAL
DENTAL DDNV1 Delta Dental of Nevada (DDIC) COMMERCIAL
DENTAL 22189 Delta Dental of New Jersey COMMERCIAL
DENTAL 85022 Delta Dental of New Mexico COMMERCIAL
DENTAL 11198 Delta Dental of New York COMMERCIAL
DENTAL 56101 Delta Dental of North Carolina COMMERCIAL
DENTAL CDND1 Delta Dental of North Dakota COMMERCIAL
DENTAL CDOH1 Delta Dental of Ohio COMMERCIAL
DENTAL CDOK1 Delta Dental of Oklahoma COMMERCIAL
DENTAL CDOR1 Delta Dental of Oregon (Oregon Dental Service) COMMERCIAL
DENTAL 23166 Delta Dental of Pennsylvania COMMERCIAL
DENTAL 05029 Delta Dental of Rhode Island COMMERCIAL
DENTAL 43091 Delta Dental of South Carolina COMMERCIAL
DENTAL 54097 Delta Dental of South Dakota COMMERCIAL
DENTAL CDTN1 Delta Dental of Tennessee COMMERCIAL
DENTAL DDTX1 Delta Dental of Texas (DDIC) COMMERCIAL
DENTAL 94276 Delta Dental of Utah (DDIC) COMMERCIAL
DENTAL CDVA1 Delta Dental of Virginia COMMERCIAL
DENTAL 52147 Delta Dental of Washington DC COMMERCIAL
DENTAL 31096 Delta Dental of West Virginia COMMERCIAL
DENTAL 39069 Delta Dental of Wisconsin COMMERCIAL
DENTAL CDWY1 Delta Dental of Wyoming COMMERCIAL
DENTAL CPPTX Delta Dental Texas CHIP Dental Services COMMERCIAL
INSTITUTIONAL DDUT1 Delta Dentoal of Utah (DDIC) COMMERCIAL
INSTITUTIONAL 3931 DELTA HEALTH SYSTEMS COMMERCIAL
PROFESSIONAL 94235 Delta Health Systems COMMERCIAL
INSTITUTIONAL DDCA2 DeltaCare USA Claims COMMERCIAL
INSTITUTIONAL DDCA3 DeltaCare USA Encounters COMMERCIAL
DENTAL 52133 Dental Benefit Providers COMMERCIAL
DENTAL CX035 Dental Care Plus COMMERCIAL
DENTAL CX034 Dental Network of MD COMMERCIAL
DENTAL CX093 Dental Select COMMERCIAL
DENTAL CX017 DentalComp COMMERCIAL
INSTITUTIONAL 04356 DentaQuest COMMERCIAL
INSTITUTIONAL CX014 DENTAQUEST COMMERCIAL
INSTITUTIONAL CX052 DentaQuest ‐ Government COMMERCIAL
INSTITUTIONAL J1124 Denver City ISD COMMERCIAL
PROFESSIONAL 4889 DENVER HEALTH ‐ INDIGENT COMMERCIAL
INSTITUTIONAL 84134 Denver Health ‐ Indigent COMMERCIAL
PROFESSIONAL 2433 DENVER HEALTH and HOSPITAL AUTHORITY COMMERCIAL
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LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 84133 Denver Health and Hospital Authority COMMERCIAL
INSTITUTIONAL 3936 DENVER HEALTH MED PLAN COMMERCIAL
PROFESSIONAL 4285 DENVER HEALTH MEDICAL PLAN COMMERCIAL
INSTITUTIONAL 84135 Denver Health Medical Plan COMMERCIAL
INSTITUTIONAL 3932 DEPARTMENT of LABOR OFFICE of WORKERS COMP COMMERCIAL
PROFESSIONAL 2434 DERMATOLOGY NETWORK SOLUTIONS ‐ HEALTH OPTIONS COMMERCIAL
PROFESSIONAL 2796 DERMATOLOGY NETWORK SOLUTIONS, LLC HUMANA COMMERCIAL
INSTITUTIONAL 12X35 Deseret Mutual COMMERCIAL
INSTITUTIONAL SX105 Deseret Mutual COMMERCIAL
INSTITUTIONAL CX089 Deseret Mutual Benefit Administrators COMMERCIAL
PROFESSIONAL 4728 DESERET MUTUAL BENEFIT ASSOCIATES (DMBA) COMMERCIAL
INSTITUTIONAL 8995 DESERET MUTUAL BENEFIT ASSOCIATES (DMBA) COMMERCIAL
PROFESSIONAL 3285 DESERT MEDICAL GROUP COMMERCIAL
PROFESSIONAL 2406 DETROIT MEDICAL CENTER COMMERCIAL
INSTITUTIONAL 56240 Detroit Medical Center COMMERCIAL
INSTITUTIONAL 2913 DETROIT MEDICAL CTR COMMERCIAL
INSTITUTIONAL CX065 DH Evans COMMERCIAL
INSTITUTIONAL 25131 Diamond Plan COMMERCIAL
INSTITUTIONAL 36439 DiaTri LLC COMMERCIAL
PROFESSIONAL 2180 DIATRI, LLC COMMERCIAL
INSTITUTIONAL 4902 DIRECTORS GUILD OF AMERICA COMMERCIAL
INSTITUTIONAL 23706 Directors Guild of America ‐ Producer Health Plan COMMERCIAL
INSTITUTIONAL 06102 Diversified Administration Corporation COMMERCIAL
INSTITUTIONAL CX040 Diversified Administration Corporation COMMERCIAL
INSTITUTIONAL 1976 DIVERSIFIED GROUP ADMINISTRATORS COMMERCIAL
PROFESSIONAL 4738 DIVERSIFIED GROUP ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 3934 DIVERSIFIED GROUP BKG COMMERCIAL
PROFESSIONAL 6481 DIVERSIFIED GROUP BROKERAGE COMMERCIAL
INSTITUTIONAL SDMED DME Region D (DMERC D) COMMERCIAL
PROFESSIONAL 16003 DMERC REGION A COMMERCIAL
PROFESSIONAL 17003 DMERC REGION B COMMERCIAL
PROFESSIONAL 18003 DMERC REGION C COMMERCIAL
PROFESSIONAL 19003 DMERC REGION D COMMERCIAL
INSTITUTIONAL 39044 Doctors Choice COMMERCIAL
INSTITUTIONAL DREYR Dreyer Health COMMERCIAL
PROFESSIONAL 3234 DRISCOLL CHILDRENS HEALTH PLAN COMMERCIAL
INSTITUTIONAL 3925 DRISCOLL CHILDRENS HEALTH PLAN COMMERCIAL
INSTITUTIONAL 74284 DRISCOLL CHILDRENs HEALTH PLAN COMMERCIAL
INSTITUTIONAL 1914 DUNN and ASSOCIATES COMMERCIAL
PROFESSIONAL 2293 DUNN and ASSOCIATES COMMERCIAL
INSTITUTIONAL 35186 Dunn and Associates Benefits Administrators Inc. COMMERCIAL
INSTITUTIONAL 34108 E.S. BEVERIDGE & ASSOCIATES COMMERCIAL
INSTITUTIONAL TH084 Early Intervention Central COMMERCIAL
PROFESSIONAL 3477 EARLY INTERVENTION CENTRAL BILLING COMMERCIAL
PROFESSIONAL 1809 EAST BAY MEDICAL NETWORK COMMERCIAL
INSTITUTIONAL 66122 Eastland Medical Group COMMERCIAL
INSTITUTIONAL 3951 EBC INC COMMERCIAL
PROFESSIONAL 4414 EBC INC COMMERCIAL
PROFESSIONAL SX182 EBMS COMMERCIAL
INSTITUTIONAL 81039 EBMS (Employee Benefit Management Services Inc.) COMMERCIAL
INSTITUTIONAL 12X44 EBMS (Employee Benefit Management Services Inc.) COMMERCIAL
INSTITUTIONAL CX043 EBS Benefit Solutions COMMERCIAL
INSTITUTIONAL 5917 EDS HEALTHCHOICE OF OK COMMERCIAL
PROFESSIONAL SX110 Educators Mutual (EMIA) COMMERCIAL
INSTITUTIONAL 12T27 El Paso First ‐ CHIP COMMERCIAL
INSTITUTIONAL TH090 El Paso First ‐ Chip COMMERCIAL
PROFESSIONAL 4289 EL PASO FIRST CHIP COMMERCIAL
INSTITUTIONAL 8923 EL PASO FIRST CHIP COMMERCIAL
PROFESSIONAL 5869 EL PROYECTO DEL BARRIO IPA COMMERCIAL
INSTITUTIONAL 1978 ELDER HEALTH HMO of MD and PA ‐ BRAVO HEALTH COMMERCIAL
PROFESSIONAL 31625 ElderPlan Inc. COMMERCIAL
INSTITUTIONAL 21261 Electric Insurance (EIC) COMMERCIAL
INSTITUTIONAL 36399 Elmcare LLC COMMERCIAL
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LOB outbound_payer_cd payer_name State Type
PROFESSIONAL 1498 ELMCO COMMERCIAL
INSTITUTIONAL 4911 ELMCO COMMERCIAL
INSTITUTIONAL 37253 Elmco COMMERCIAL
PROFESSIONAL 4734 ELMHURST MEMORIAL COMMERCIAL
PROFESSIONAL 8451 EMERALD HEALTH NETWORK, INC. (ALL PPO BUSINESS) COMMERCIAL
INSTITUTIONAL CX079 EMI Health (f.k.a. Educators Mutual Insurance Association) COMMERCIAL
INSTITUTIONAL 59299 EMI‐KP Ambulance Claims COMMERCIAL
INSTITUTIONAL 12B36 Empire Omnipro (BC NY City) COMMERCIAL
INSTITUTIONAL 12B35 Empire Omnipro (BC NY State) COMMERCIAL
PROFESSIONAL 2146 EMPIRE PHYSICIANS MEDICAL GROUP COMMERCIAL
INSTITUTIONAL EMP01 Empire Physicians Medical Group COMMERCIAL
INSTITUTIONAL CX012 Employee Benefit Administrators COMMERCIAL
INSTITUTIONAL 38241 Employee Benefit Concepts (Farmington Hills MI) COMMERCIAL
PROFESSIONAL 3705 EMPLOYEE BENEFIT CONCEPTS (FARMINGTON HILLS, MI) COMMERCIAL
INSTITUTIONAL 37257 Employee Benefit Consultants COMMERCIAL
INSTITUTIONAL 2915 EMPLOYEE BENEFIT CONSULTANTS (EBC) COMMERCIAL
PROFESSIONAL 4449 EMPLOYEE BENEFIT CONSULTANTS (EBC) COMMERCIAL
INSTITUTIONAL 2986 EMPLOYEE BENEFIT MANAGEMENT CORP (EBMC) COMMERCIAL
INSTITUTIONAL 2947 EMPLOYEE BENEFIT MANAGEMENT SERV (EBMS) HEALTHEWEB COMMERCIAL
PROFESSIONAL 2836 EMPLOYEE BENEFIT SERVICES ‐ FT MILL, SC COMMERCIAL
INSTITUTIONAL 7528 EMPLOYEE BENEFIT SERVICES ‐ FT MILL, SC COMMERCIAL
PROFESSIONAL 4796 EMPLOYEE BENEFIT SERVICES (EBS) of SAN ANTONIO COMMERCIAL
INSTITUTIONAL 37216 Employee Benefit Services (Ft. Mill SC) COMMERCIAL
INSTITUTIONAL 41198 Employee Benefit Services of Louisiana Inc (EBS) COMMERCIAL
INSTITUTIONAL 1934 EMPLOYEE BENEFIT SERVICES OF LOUISIANA, INC. (EBS) COMMERCIAL
PROFESSIONAL 3222 EMPLOYEE BENEFIT SERVICES of LOUISIANA, INC. (EBS) COMMERCIAL
INSTITUTIONAL TH109 Employee Benefit Services of San Antonio COMMERCIAL
INSTITUTIONAL 3672 EMPLOYEE BENEFIT SYSTEMS COMMERCIAL
PROFESSIONAL 5877 EMPLOYEE BENEFIT SYSTEMS COMMERCIAL
INSTITUTIONAL 42149 Employee Benefit Systems COMMERCIAL
INSTITUTIONAL 22262 Employee Benefits Administration and Management Corp. COMMERCIAL
PROFESSIONAL 1790 EMPLOYEE BENEFITS CORPORATION COMMERCIAL
INSTITUTIONAL 03036 Employee Benefits Plan Administration Inc. (E.B.P.A.) COMMERCIAL
PROFESSIONAL 4894 EMPLOYEE CLAIM ADJUDICATION SERVICES COMMERCIAL
INSTITUTIONAL CX022 Employee Group Services COMMERCIAL
INSTITUTIONAL 35112 Employee Plans LLC COMMERCIAL
PROFESSIONAL 1834 EMPLOYEE PLANS, LLC COMMERCIAL
INSTITUTIONAL 8548 EMPLOYEE PLANS, LLC COMMERCIAL
INSTITUTIONAL 1628 EMPLOYER PLAN SERVICES COMMERCIAL
PROFESSIONAL 74212 Employer Plan Services COMMERCIAL
INSTITUTIONAL CX031 Employer Plan Services Inc. COMMERCIAL
INSTITUTIONAL 8994 EMPLOYERS COALITION COMMERCIAL
PROFESSIONAL 4436 EMPLOYERS DIRECT EMP COMMERCIAL
INSTITUTIONAL 4948 EMPLOYERS DIRECT EMP COMMERCIAL
INSTITUTIONAL 75232 Employers Direct Health COMMERCIAL
INSTITUTIONAL 75236 Employers Direct Health ‐ Employee Plan COMMERCIAL
INSTITUTIONAL 75235 Employers Direct Health ‐ FI COMMERCIAL
PROFESSIONAL 2218 EMPLOYERS DIRECT HEALTH ‐ SF COMMERCIAL
INSTITUTIONAL 75233 Employers Direct Health ‐ SF COMMERCIAL
PROFESSIONAL 3241 EMPLOYERS DIRECT HEALTH FI COMMERCIAL
INSTITUTIONAL 3996 EMPLOYERS DIRECT SF COMMERCIAL
INSTITUTIONAL J1232 Employers Insurance Group COMMERCIAL
PROFESSIONAL 3884 EMPLOYERS LIFE INSURANCE CORPORATION COMMERCIAL
PROFESSIONAL 59298 Employers Mutual Inc (Jacksonville Florida) COMMERCIAL
INSTITUTIONAL 59297 Employers Mutual Inc. COMMERCIAL
INSTITUTIONAL 59331 Employers Mutual Inc. (Stuart Florida) COMMERCIAL
INSTITUTIONAL WDENC Encara COMMERCIAL
INSTITUTIONAL 36878 Entrust COMMERCIAL
INSTITUTIONAL 4906 EPIC LIFE INSURANCE (WISCONSIN PHYSICIAN SERVICES) COMMERCIAL
PROFESSIONAL 3217 EQUITABLE PLAN SERVICES COMMERCIAL
INSTITUTIONAL 3911 EQUITABLE PLAN SERVICES COMMERCIAL
INSTITUTIONAL 73126 Equitable Plan Services (Oklahoma City OK) COMMERCIAL
PROFESSIONAL 3405 ERISA COMMERCIAL
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LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL TH110 ERISA COMMERCIAL
INSTITUTIONAL 4953 ES BEVERIDGE ASC COMMERCIAL
INSTITUTIONAL TP043 ESIS COMMERCIAL
INSTITUTIONAL 8993 ESSENCE COMMERCIAL
INSTITUTIONAL 20818 ESSENCE HEALTHCARE COMMERCIAL
DENTAL 43168 Essex Dental Benefits COMMERCIAL
INSTITUTIONAL 30210 Esurance Inc. COMMERCIAL
INSTITUTIONAL 3651 EVERENCE COMMERCIAL
INSTITUTIONAL 35605 Everence COMMERCIAL
PROFESSIONAL 5418 EVERGREEN HEALTH PLAN COMMERCIAL
INSTITUTIONAL 6570 EVERGREEN HEALTH PLAN COMMERCIAL
INSTITUTIONAL 59313 Evolutions Healthcare Systems (New Port Richey FL) COMMERCIAL
INSTITUTIONAL 3956 EVOLUTIONS HEALTHCARE SYSTEMS, INC. COMMERCIAL
PROFESSIONAL 4438 EVOLUTIONS HEALTHCARE SYSTEMS, INC. COMMERCIAL
INSTITUTIONAL SB804 Excellus ‐ BC/BS Rochester Area COMMERCIAL
INSTITUTIONAL 4530 EXCLUSICARE COMMERCIAL
PROFESSIONAL 2212 EYE SPECIALIST of ARIZONA COMMERCIAL
INSTITUTIONAL TP044 F.A. Richard & Associates (FARA) COMMERCIAL
PROFESSIONAL 4896 FACEY MEDICAL FOUNDATION COMMERCIAL
INSTITUTIONAL 95432 Facey Medical Foundation COMMERCIAL
PROFESSIONAL 3854 FACS GROUP COMMERCIAL
INSTITUTIONAL 1576 FALLON COMMUNITY HEALTH PLAN COMMERCIAL
INSTITUTIONAL 22254 Fallon Community Health Plan COMMERCIAL
INSTITUTIONAL 1619 FAMILY CARE ‐ MILWAUKEE WI COMMERCIAL
PROFESSIONAL 6110 FAMILY CARE ‐ MILWAUKEE WI COMMERCIAL
DENTAL CX096 Family Dental COMMERCIAL
INSTITUTIONAL 1950 FAMILY HEALTH PARTNERS ‐ HEALTHWAVE of KANSAS COMMERCIAL
INSTITUTIONAL 31472 Family Health Partners ‐ Healthwave of Kansas COMMERCIAL
PROFESSIONAL 3709 FAMILY HEALTH PARTNERS MC + MISSOURI COMMERCIAL
INSTITUTIONAL 7517 FAMILY HEALTH PARTNERS MC + MISSOURI COMMERCIAL
INSTITUTIONAL 43173 Family Health Partners/MC+ Missouri COMMERCIAL
INSTITUTIONAL TH045 Family Health Plan COMMERCIAL
PROFESSIONAL 2479 FAMILY MEDICAL NETWORK COMMERCIAL
INSTITUTIONAL 4910 FAMILYCARE COMMERCIAL
INSTITUTIONAL 93087 FamilyCare Inc COMMERCIAL
PROFESSIONAL 5876 FARM FAMILY COMMERCIAL
INSTITUTIONAL 8945 FARM FAMILY COMMERCIAL
INSTITUTIONAL 14140 Farm Family Life COMMERCIAL
INSTITUTIONAL C1025 FARMERS INSURANCE COMMERCIAL
INSTITUTIONAL 3941 FCE BENEFIT ADMINISTRATORS COMMERCIAL
PROFESSIONAL 33033 FCE Benefit Administrators COMMERCIAL
INSTITUTIONAL 1579 FEDERAL EMPLOYEES HEALTH BENEFIT PROGRAM (FEHB) COMMERCIAL
INSTITUTIONAL 1505 FEDERALLY QUALIFIED HEALTHCARE CLINICS COMMERCIAL
INSTITUTIONAL J1297 Federated COMMERCIAL
INSTITUTIONAL 37300 Federated HR Services COMMERCIAL
INSTITUTIONAL 8592 FEDERATED MUTUAL INSURANCE COMMERCIAL
PROFESSIONAL 41041 Federated Mutual Insurance COMMERCIAL
INSTITUTIONAL 13935 Federated Services Insurance Company COMMERCIAL
DENTAL FDIC1 Fidelio Dental Insurance Company COMMERCIAL
INSTITUTIONAL 11315 Fidelis Care New York COMMERCIAL
INSTITUTIONAL 6536 FIDELIS CARE of NEW YORK COMMERCIAL
PROFESSIONAL 4748 FIDELIS SECURE CARE COMMERCIAL
INSTITUTIONAL 5906 FIDELIS SECURE CARE COMMERCIAL
INSTITUTIONAL 77054 Fidelis Secure Care COMMERCIAL
INSTITUTIONAL 21873 Firemans Fund Insurance Company COMMERCIAL
INSTITUTIONAL C1019 Firemans Fund Insurance Company COMMERCIAL
INSTITUTIONAL FAMR1 FIRST ADMINISTRATORS INC COMMERCIAL
PROFESSIONAL 4402 FIRST ADMINISTRATORS INC. (FAI) COMMERCIAL
INSTITUTIONAL CX050 First Care/Southwest Life & Health COMMERCIAL
PROFESSIONAL 1804 FIRST CAROLINA CARE COMMERCIAL
INSTITUTIONAL 56196 First Carolina Care COMMERCIAL
INSTITUTIONAL 6554 FIRST CHOICE HEALTH NETWORK COMMERCIAL
INSTITUTIONAL 4562 FIRST CHOICE of MIDWEST ‐ PPO COMMERCIAL
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
PROFESSIONAL 75138 First Choice of Midwest (PPO) COMMERCIAL
DENTAL CX086 First Dental Health of CA COMMERCIAL
PROFESSIONAL 73159 First Health Network (f.k.a. CCN Managed Care Inc. & PPO Oklahoma) COMMERCIAL
PROFESSIONAL 1857 FIRST INTEGRATED HEALTH COMMERCIAL
INSTITUTIONAL 8992 FIRST INTEGRATED HEALTH COMMERCIAL
PROFESSIONAL 23241 First Priority COMMERCIAL
INSTITUTIONAL 42331 FIRST PRIORITY HEALTH COMMERCIAL
INSTITUTIONAL 13317 First Reliance Standard (NY Business) COMMERCIAL
INSTITUTIONAL 59276 First Service Administrators Inc Lakeland Florida COMMERCIAL
INSTITUTIONAL 6507 FIRST SERVICE ADMINISTRATORS, INC. COMMERCIAL
INSTITUTIONAL 12047 First Source/Arkansas BC COMMERCIAL
INSTITUTIONAL 12T03 FirstCare COMMERCIAL
PROFESSIONAL TH003 FirstCare COMMERCIAL
INSTITUTIONAL 1995 FIRSTCARE (VALLEY BAPTIST HEALTH PLAN) COMMERCIAL
INSTITUTIONAL J1011 Firstcomp COMMERCIAL
PROFESSIONAL 3897 FIRSTGUARD HEALTH PLAN MISSOURI COMMERCIAL
INSTITUTIONAL 8521 FiSERV HEALTH (KANSAS and TENNESSEE) COMMERCIAL
PROFESSIONAL 4142 FITZHARRIS & COMPANY COMMERCIAL
INSTITUTIONAL 11244 Fitzharris & Company Inc. COMMERCIAL
INSTITUTIONAL 09101 FL MEDA COMMERCIAL
INSTITUTIONAL R7004 Flex Compension COMMERCIAL
INSTITUTIONAL 3517 FLORIDA BC COMMERCIAL
PROFESSIONAL 2150 FLORIDA HEALTH CARE PLAN COMMERCIAL
INSTITUTIONAL 59322 Florida Health Care Plan COMMERCIAL
INSTITUTIONAL 3561 FLORIDA HEALTH OPTIONS HMO COMMERCIAL
INSTITUTIONAL 3918 FLORIDA HOSPITAL HC SYSTEM COMMERCIAL
PROFESSIONAL 5414 FLORIDA HOSPITAL HEALTHCARE SYSTEMS COMMERCIAL
INSTITUTIONAL 59321 Florida Hospital Healthcare Systems COMMERCIAL
INSTITUTIONAL 3642 FLORIDA HOSPITAL WATERMAN COMMERCIAL
PROFESSIONAL 5472 FLORIDA HOSPITAL WATERMAN COMMERCIAL
INSTITUTIONAL 48116 Florida Hospital Waterman COMMERCIAL
INSTITUTIONAL 59698 Florida League of Cities Inc. COMMERCIAL
PROFESSIONAL 5101 FLORIDA LEAGUE OF CITIES, INC. COMMERCIAL
PROFESSIONAL 2140 FLORIDA NETPASS COMMERCIAL
INSTITUTIONAL 48117 FMH Benefit Services Inc. COMMERCIAL
INSTITUTIONAL 4568 FMH BENEFIT SERVICES, INC. COMMERCIAL
PROFESSIONAL 2711 FOND DU LAC AREA BUSINESS on HEALTH ‐ FABOH COMMERCIAL
PROFESSIONAL 4466 FORD METER BOX IN (THE) COMMERCIAL
INSTITUTIONAL 4932 FORD METER BOX IN (THE) COMMERCIAL
INSTITUTIONAL 2504 FORMAX, INC. COMMERCIAL
PROFESSIONAL 3850 FORMAX, INC. COMMERCIAL
DENTAL LX050 Formula Card Dental COMMERCIAL
INSTITUTIONAL 4513 FORTIS BENEFITS INSURANCE COMPANY COMMERCIAL
INSTITUTIONAL BOONG Foundation Benefit Admin (FBA) ‐ Boon Group COMMERCIAL
PROFESSIONAL 2246 FOUNDATION for MEDICAL CARE ‐ TULARE AND KING CO. COMMERCIAL
INSTITUTIONAL 6576 FOX EVERETT, INC. COMMERCIAL
PROFESSIONAL 5440 FOX VALLEY MEDICINE COMMERCIAL
INSTITUTIONAL 64069 Fox‐Everett Inc. COMMERCIAL
INSTITUTIONAL TP056 Frank Gates Service Company COMMERCIAL
DENTAL CX041 Fraternal Order of Police ‐ Dental Division (Philadelphia PA) COMMERCIAL
INSTITUTIONAL 4625 FREEDOM FIRST COMMERCIAL
PROFESSIONAL 5864 FREEDOM FIRST COMMERCIAL
INSTITUTIONAL 31313 Freedom First COMMERCIAL
PROFESSIONAL 2100 FREEDOM HEALTH COMMERCIAL
INSTITUTIONAL 41212 Freedom Health Plan COMMERCIAL
PROFESSIONAL 2134 FREEDOM LIFE INSURANCE COMPANY COMMERCIAL
INSTITUTIONAL J1125 Frenship ISD COMMERCIAL
PROFESSIONAL 4745 FRESENIUS COMMERCIAL
INSTITUTIONAL 4955 FRESENIUS MEDICAL CARE COMMERCIAL
INSTITUTIONAL 23130 Fresenius Medical Care COMMERCIAL
PROFESSIONAL 1862 FRINGE BENEFIT MANAGEMENT COMMERCIAL
INSTITUTIONAL 8586 FRINGE BENEFIT MANAGEMENT COMMERCIAL
INSTITUTIONAL 59069 Fringe Benefit Management COMMERCIAL
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
PROFESSIONAL 5247 FRINGE BENEFITS COORDINATORS COMMERCIAL
INSTITUTIONAL 8944 FRINGE BENEFITS COORDINATORS COMMERCIAL
INSTITUTIONAL 59204 Fringe Benefits Coordinators COMMERCIAL
INSTITUTIONAL 1966 FRONTPATH HEALTH COALITION COMMERCIAL
PROFESSIONAL 2299 FRONTPATH HEALTH COALITION COMMERCIAL
INSTITUTIONAL 34171 FrontPath Health Coalition COMMERCIAL
INSTITUTIONAL 10201 GA MEDA COMMERCIAL
INSTITUTIONAL 3926 GALLAGHER BENEFIT ADMINSTRATORS COMMERCIAL
INSTITUTIONAL 30005 Galveston County Indigent Health Care COMMERCIAL
INSTITUTIONAL 2975 GALVESTON COUNTY INDIGENT HEALTHCARE COMMERCIAL
INSTITUTIONAL SX078 Gateway COMMERCIAL
INSTITUTIONAL 2559 GEISINGER HEALTH PLAN COMMERCIAL
PROFESSIONAL 5473 GEISINGER HEALTH PLAN COMMERCIAL
INSTITUTIONAL 75273 Geisinger Health Plan COMMERCIAL
INSTITUTIONAL 4607 GEMCARE ‐ KERN COUNTY COMMERCIAL
PROFESSIONAL 6100 GEMCARE ‐ KERN COUNTY COMMERCIAL
PROFESSIONAL 3219 GEMCARE (GOLDEN EMPIRE MANAGED CARE SYSTEM) COMMERCIAL
INSTITUTIONAL 20376 Gemcare Health Plan COMMERCIAL
INSTITUTIONAL MCS03 Gemcare Health Plan COMMERCIAL
INSTITUTIONAL 27133 Gemcare IPA COMMERCIAL
INSTITUTIONAL 7553 GENERAL AMERICAN LIFE INS CO COMMERCIAL
PROFESSIONAL 5826 GENERATIONS HEALTH COMMERCIAL
INSTITUTIONAL 8991 GENERATIONS HEALTH COMMERCIAL
INSTITUTIONAL 46050 Generations Healthcare COMMERCIAL
INSTITUTIONAL 46051 Generations‐Hillcrest COMMERCIAL
PROFESSIONAL 3278 GENESIS HEALTHCARE COMMERCIAL
PROFESSIONAL 5266 GENTIVE CARE CENTRIX COMMERCIAL
INSTITUTIONAL 3537 GEORGIA BC COMMERCIAL
INSTITUTIONAL CX064 Gettysburg COMMERCIAL
INSTITUTIONAL 2681 GETTYSBURG HEALTH COMMERCIAL
PROFESSIONAL 4772 GETTYSBURG HEALTH COMMERCIAL
INSTITUTIONAL 13551 GHI ‐ New York (Group Health Inc.) COMMERCIAL
INSTITUTIONAL 7510 GHI (GROUP HEALTH INC.) COMMERCIAL
PROFESSIONAL 25531 GHI HMO COMMERCIAL
INSTITUTIONAL 1578 GHI HMO ‐ NY COMMERCIAL
INSTITUTIONAL 2557 GILSBAR INC. COMMERCIAL
INSTITUTIONAL 07205 Gilsbar Inc. COMMERCIAL
INSTITUTIONAL 1937 GLOBAL CARE COMMERCIAL
PROFESSIONAL 2720 GLOBAL CARE COMMERCIAL
INSTITUTIONAL 07689 Global Care Inc. COMMERCIAL
PROFESSIONAL 5870 GLOBAL CARE MEDICAL GROUP IPA COMMERCIAL
INSTITUTIONAL GEM01 Global Excel Management COMMERCIAL
PROFESSIONAL 5814 GLOBAL HEALTH OKC COMMERCIAL
INSTITUTIONAL 12X59 Global Healthcare Alliance COMMERCIAL
INSTITUTIONAL 4919 GMS INC COMMERCIAL
PROFESSIONAL 5853 GMS INC. COMMERCIAL
INSTITUTIONAL 47083 GMS Inc. COMMERCIAL
INSTITUTIONAL 4945 GOLDEN STATE PHYSICIANS MEDICAL GROUP COMMERCIAL
INSTITUTIONAL 72189 Golden Triangle Physician Alliance/SelectCare of Texas (GTPA) COMMERCIAL
PROFESSIONAL 3283 GOLDEN TRIANGLE PHYSICIAN ASSOCIATES COMMERCIAL
DENTAL GWD01 Golden West Dental COMMERCIAL
PROFESSIONAL 3279 GOOD SAMARITAN MEDICAL PRACTICE ASSOC. (GSMPA) COMMERCIAL
INSTITUTIONAL AMM01 Good Samaritan Medical Practice Association COMMERCIAL
INSTITUTIONAL 76923 GOOD SHEPHERD HOSPICE INC COMMERCIAL
INSTITUTIONAL 44054 Government Employees Hospital Association (GEHA) COMMERCIAL
INSTITUTIONAL 25984 Graphic Arts Mutual COMMERCIAL
INSTITUTIONAL 26832 Great American Alliance Ins Co. COMMERCIAL
INSTITUTIONAL 26344 Great American Assurance Company COMMERCIAL
INSTITUTIONAL 22136 Great American Ins. Co. of N.Y. COMMERCIAL
INSTITUTIONAL 16691 Great American Ins. Company COMMERCIAL
PROFESSIONAL 1886 GREAT LAKES HEALTH PLAN COMMERCIAL
INSTITUTIONAL 8577 GREAT LAKES HEALTH PLAN COMMERCIAL
ALL 95467 Great Lakes Health Plan COMMERCIAL
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LOB outbound_payer_cd payer_name State Type
PROFESSIONAL 4154 GREATER ORANGE COUNTY MEDICAL GROUP COMMERCIAL
INSTITUTIONAL 63665 Great‐West Healthcare COMMERCIAL
INSTITUTIONAL 80705 Great‐West Healthcare COMMERCIAL
INSTITUTIONAL 6997 GREENTREE ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 8501 GROUP ADMINISTRATORS LTD. COMMERCIAL
PROFESSIONAL 36338 Group Administrators Ltd. COMMERCIAL
INSTITUTIONAL 2936 GROUP and PENSION ADMINISTRATORS COMMERCIAL
PROFESSIONAL 48143 Group and Pension Administrators COMMERCIAL
INSTITUTIONAL CX011 Group Benefit Services COMMERCIAL
DENTAL CX036 Group Dental Service COMMERCIAL
INSTITUTIONAL 8990 GROUP HEALTH ‐ MADISON, WI COMMERCIAL
INSTITUTIONAL 12X16 Group Health Co‐op COMMERCIAL
PROFESSIONAL 1877 GROUP HEALTH COOPERATIVE COMMERCIAL
INSTITUTIONAL 95192 Group Health Cooperative of Eau Claire COMMERCIAL
INSTITUTIONAL 39167 Group Health Cooperative of South Central Wisconsin COMMERCIAL
INSTITUTIONAL 39168 Group Health Cooperative of South Central Wisconsin COMMERCIAL
PROFESSIONAL 1876 GROUP HEALTH COOPERATIVE SOUTH CENTRAL WISCONSIN COMMERCIAL
INSTITUTIONAL 22937 Group Health Inc. COMMERCIAL
INSTITUTIONAL 38194 Group Health Managers COMMERCIAL
INSTITUTIONAL 91051 Group Health Options ‐ WA State COMMERCIAL
INSTITUTIONAL 8558 GROUP HLTH COOP‐MADISON WI (ENCOUNTERS) COMMERCIAL
INSTITUTIONAL 3982 GROUP INSURANCE SERVICE CENTER COMMERCIAL
PROFESSIONAL 4450 GROUP INSURANCE SERVICE CENTER COMMERCIAL
INSTITUTIONAL 37276 Group Insurance Service Center Inc. COMMERCIAL
INSTITUTIONAL 4927 GROUP PRACTICE AFFILIATES COMMERCIAL
INSTITUTIONAL 4517 GUARDIAN COMMERCIAL
PROFESSIONAL 2161 GUARDIAN HEALTHCARE COMMERCIAL
INSTITUTIONAL 77010 Guardian Healthcare INC. (SC) COMMERCIAL
PROFESSIONAL 64246 Guardian Life Insurance Company of America COMMERCIAL
PROFESSIONAL 3463 GULF QUEST RENAISSANCE COMMERCIAL
PROFESSIONAL 3833 GUNDERSEN LUTHERAN HEALTH PLAN COMMERCIAL
INSTITUTIONAL 5948 GUNDERSEN LUTHERAN HEALTH PLAN COMMERCIAL
INSTITUTIONAL LX059 H & A Administrators COMMERCIAL
INSTITUTIONAL 37114 H.E.R.E.I.U Welfare Pension Funds COMMERCIAL
PROFESSIONAL 2865 H.E.R.E.I.U. WELFARE PENSION PLAN COMMERCIAL
INSTITUTIONAL 8532 H.E.R.E.I.U. WELFARE PENSION PLAN COMMERCIAL
PROFESSIONAL 5206 HAA PREFERRED PARTNERS COMMERCIAL
INSTITUTIONAL 65101 HAA Preferred Partners COMMERCIAL
PROFESSIONAL 2769 HAP ‐ JVHL COMMERCIAL
INSTITUTIONAL HPRNT HARDCOPY Inst COMMERCIAL
PROFESSIONAL SPRNT HARDCOPY Prof COMMERCIAL
INSTITUTIONAL 7520 HARRINGTON BENEFIT SERVICES, INC. COMMERCIAL
INSTITUTIONAL 59143 Harrington Health Non‐EPO COMMERCIAL
PROFESSIONAL 62061 Harrington Health‐Kansas (formerly known as Fiserv Health‐Kansas) COMMERCIAL
INSTITUTIONAL 04271 Harvard Pilgrim Health Care COMMERCIAL
INSTITUTIONAL 6512 HARVARD PILGRIM HEALTH CARE COMMERCIAL
INSTITUTIONAL 1518 HAWAII BC COMMERCIAL
INSTITUTIONAL 12B62 Hawaii BC COMMERCIAL
PROFESSIONAL 2714 HAWAII HMSA COMMERCIAL
INSTITUTIONAL 99208 Hawaii Medical Assurance Association (HMAA/HWMG) COMMERCIAL
INSTITUTIONAL SB971 Hawaii Medical Service Association (HMSA) COMMERCIAL
INSTITUTIONAL 8512 HCHA ALBQ‐SELF FUNDED COMMERCIAL
INSTITUTIONAL 37329 HCHA Albq‐Self Funded COMMERCIAL
INSTITUTIONAL 2996 HCPC ALLIANCE PHYSICI COMMERCIAL
INSTITUTIONAL 82018 HCS ‐ Health Claims Service (Boise ID) COMMERCIAL
PROFESSIONAL 2731 HDM BENEFIT SOLUTIONS COMMERCIAL
INSTITUTIONAL 90023 HDPC ‐ Premier Healthcare COMMERCIAL
PROFESSIONAL 3471 HDPC ALLIANCE PHYSICIANS COMMERCIAL
INSTITUTIONAL 3913 HDPC PREMIER HEALTHCA COMMERCIAL
PROFESSIONAL 4755 HDPC PREMIER HEALTHCARE COMMERCIAL
INSTITUTIONAL 20257 HDPC/Alliance Physicians COMMERCIAL
INSTITUTIONAL 7500 HEALTH ADMINISTRATION SERV., INC. COMMERCIAL
INSTITUTIONAL 12049 Health Adv/US Able/First Pyramid Life/Arkansas BC COMMERCIAL
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL TP057 Gallagher Bassett COMMERCIAL
PROFESSIONAL 2494 HEALTH ALLIANCE MEDICAL PLAN of ILLINOIS COMMERCIAL
INSTITUTIONAL 2509 HEALTH ALLIANCE MEDICAL PLAN of ILLINOIS COMMERCIAL
PROFESSIONAL 2148 HEALTH CARE DISTRICT PALM BEACH COUNTY COMMERCIAL
PROFESSIONAL 42102 Health Care Network of Wisconsin (HCN) COMMERCIAL
INSTITUTIONAL 2930 HEALTH CHOICE ARIZONA COMMERCIAL
PROFESSIONAL 62179 Health Choice Arizona COMMERCIAL
PROFESSIONAL 4878 HEALTH CHOICE GENERATIONS COMMERCIAL
INSTITUTIONAL 8985 HEALTH CHOICE GENERATIONS COMMERCIAL
INSTITUTIONAL 62180 Health Choice Generations COMMERCIAL
PROFESSIONAL 3267 HEALTH CLAIM SERVICES COMMERCIAL
PROFESSIONAL 3805 HEALTH COST SOLUTIONS COMMERCIAL
INSTITUTIONAL 3917 HEALTH COST SOLUTIONS COMMERCIAL
INSTITUTIONAL 62111 Health Cost Solutions COMMERCIAL
INSTITUTIONAL 34158 Health Design Plus (Hudson OH) COMMERCIAL
PROFESSIONAL 2898 HEALTH DESIGN PLUS (HUDSON, OH) COMMERCIAL
INSTITUTIONAL 7552 HEALTH DESIGN PLUS (HUDSON, OH) COMMERCIAL
INSTITUTIONAL CX039 Health Economics Group Inc. COMMERCIAL
PROFESSIONAL 2408 HEALTH EXCHANGE (THE) (CERNER CORPORATION) COMMERCIAL
INSTITUTIONAL 2964 HEALTH EXCHANGE (THE) (CERNER CORPORATION) COMMERCIAL
INSTITUTIONAL 6568 HEALTH FIRST (TYLER, TEXAS) COMMERCIAL
PROFESSIONAL 3205 HEALTH FIRST HEALTH PLAN COMMERCIAL
INSTITUTIONAL 3612 HEALTH FIRST TPA ‐ AUSTIN COMMERCIAL
PROFESSIONAL 5179 HEALTH FIRST TPA ‐ AUSTIN COMMERCIAL
PROFESSIONAL TH049 Health Management Administrators (HMA) COMMERCIAL
INSTITUTIONAL 6514 HEALTH NET CALIFORNIA and OREGON (CLAIMS) COMMERCIAL
PROFESSIONAL 38309 Health Net of Arizona COMMERCIAL
INSTITUTIONAL 2598 HEALTH NET OF ARIZONA, INC. COMMERCIAL
PROFESSIONAL 1432 HEALTH NET OF CALIFORNIA ‐ ENCOUNTERS COMMERCIAL
INSTITUTIONAL 8984 HEALTH NET OF CALIFORNIA ‐ ENCOUNTERS COMMERCIAL
PROFESSIONAL 95567 Health Net of California and Oregon ‐ Claims COMMERCIAL
PROFESSIONAL 4483 HEALTH NET of the NORTHEAST COMMERCIAL
INSTITUTIONAL 4586 HEALTH NET of the NORTHEAST COMMERCIAL
INSTITUTIONAL 06108 Health Net of the Northeast Inc. COMMERCIAL
PROFESSIONAL 5709 HEALTH NET OREGON COMMERCIAL
PROFESSIONAL 5229 HEALTH NETWORK ONE COMMERCIAL
INSTITUTIONAL 65062 Health Network One COMMERCIAL
INSTITUTIONAL 65063 Health Network One COMMERCIAL
INSTITUTIONAL 12K89 Health Network One COMMERCIAL
INSTITUTIONAL 3628 HEALTH NEW ENGLAND COMMERCIAL
PROFESSIONAL SX030 Health Options of Florida COMMERCIAL
PROFESSIONAL 4736 HEALTH OPTIONS of ILLINOIS COMMERCIAL
INSTITUTIONAL 36368 Health Options of Illinois COMMERCIAL
PROFESSIONAL 5458 HEALTH PARTNERS ‐ JACKSON TN COMMERCIAL
INSTITUTIONAL 62157 Health Partners ‐ Jackson TN COMMERCIAL
INSTITUTIONAL 8520 HEALTH PARTNERS ‐ JACKSON, TN COMMERCIAL
INSTITUTIONAL 44547 Health Partners Managed Care COMMERCIAL
INSTITUTIONAL CX009 Health Partners of Minnesota ‐ Commercial COMMERCIAL
PROFESSIONAL 80142 Health Partners PA COMMERCIAL
INSTITUTIONAL 4572 HEALTH PARTNERS, PA COMMERCIAL
INSTITUTIONAL 20270 Health Payment Systems Inc. COMMERCIAL
PROFESSIONAL 4768 HEALTH PAYMENT SYSTEMS, INC. COMMERCIAL
PROFESSIONAL 2824 HEALTH PLAN (THE) COMMERCIAL
INSTITUTIONAL 7551 HEALTH PLAN (THE) COMMERCIAL
PROFESSIONAL 63719 Health Plan Management Services (HPMS) COMMERCIAL
INSTITUTIONAL 4560 HEALTH PLAN of MICHIGAN COMMERCIAL
PROFESSIONAL 83253 Health Plan of Michigan COMMERCIAL
PROFESSIONAL 4292 HEALTH PLAN of SAN MATEO COMMERCIAL
INSTITUTIONAL 2953 HEALTH PLAN SERVICES COMMERCIAL
PROFESSIONAL 44273 Health Plans Inc. COMMERCIAL
INSTITUTIONAL CX055 Health Plans Inc. COMMERCIAL
INSTITUTIONAL 1909 HEALTH PLANS, INC. COMMERCIAL
PROFESSIONAL 1898 HEALTH PLUS PHSP ‐ BROOKLYN, NY COMMERCIAL
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 11324 Health Plus PHSP (Brooklyn NY) COMMERCIAL
INSTITUTIONAL CX019 Health Resources Incorporated (HRI) COMMERCIAL
INSTITUTIONAL 52201 Health Right COMMERCIAL
INSTITUTIONAL 3928 HEALTH RISK MANAGEMENT COMMERCIAL
PROFESSIONAL 1712 HEALTH SERVICE MANAGEMENT COMMERCIAL
INSTITUTIONAL 20896 Health Services Consulting Group Inc. COMMERCIAL
INSTITUTIONAL 1920 HEALTH SERVICES for CHILDREN with SPECIAL NEEDS COMMERCIAL
PROFESSIONAL 2297 HEALTH SERVICES for CHILDREN with SPECIAL NEEDS COMMERCIAL
INSTITUTIONAL 37290 Health Services for Children with Special Needs COMMERCIAL
INSTITUTIONAL 41150 Health Services Management COMMERCIAL
INSTITUTIONAL SX044 Health Strategies COMMERCIAL
INSTITUTIONAL 2594 HEALTHCARE GROUP (THE) COMMERCIAL
PROFESSIONAL 2825 HEALTHCARE GROUP (THE) COMMERCIAL
INSTITUTIONAL 5931 HEALTHCARE MANAGEMENT ADMINISTRATORS COMMERCIAL
PROFESSIONAL 5243 HEALTHCARE MGMT ADMINISTRATORS ‐ WESTERN REGION COMMERCIAL
INSTITUTIONAL 8920 HEALTHCARE MGMT ADMINISTRATORS ‐ WESTERN REGION COMMERCIAL
INSTITUTIONAL 2940 HEALTHCARE PARTNERS COMMERCIAL
INSTITUTIONAL 11328 HealthCare Partners IPA COMMERCIAL
INSTITUTIONAL 2920 HEALTHCARE PARTNERS IPA HERITAGE NY MEDICAL GROUP COMMERCIAL
INSTITUTIONAL 4954 HEALTHCARE RESOURCES COMMERCIAL
PROFESSIONAL 2174 HEALTHCARE RESOURCES NORTHWEST COMMERCIAL
INSTITUTIONAL 56731 Healthcare Resources NW COMMERCIAL
INSTITUTIONAL 3965 HEALTHCARE SOLUTIONS COMMERCIAL
PROFESSIONAL 4267 HEALTHCARE SOLUTIONS GROUP COMMERCIAL
INSTITUTIONAL 73147 Healthcare Solutions Group COMMERCIAL
INSTITUTIONAL 25143 Healthcare USA COMMERCIAL
PROFESSIONAL 85729 Healthcomp Inc. COMMERCIAL
INSTITUTIONAL 2934 HEALTHCOMP, INC. COMMERCIAL
INSTITUTIONAL 95213 HealthEdge Administrators (Bakersfield CA) COMMERCIAL
INSTITUTIONAL 4592 HEALTHEOS ASSOCIATES FOR HEALTH CARE INC (AHC) COMMERCIAL
INSTITUTIONAL 4571 HEALTHEOS HEALTH CARE NETWORK OF WISCONSIN (HCN) COMMERCIAL
INSTITUTIONAL 2971 HEALTHEOS WISCONSIN PREFERRED PROVIDER NETWORKS COMMERCIAL
INSTITUTIONAL 41178 HealthEZ COMMERCIAL
INSTITUTIONAL 1973 HEALTHFIRST COMMERCIAL
INSTITUTIONAL 75289 Healthfirst of Austin COMMERCIAL
INSTITUTIONAL 34185 HealthFirst TPA (Houston TX) COMMERCIAL
PROFESSIONAL 75234 Healthfirst TPA (Tyler TX) COMMERCIAL
INSTITUTIONAL 23274 HealthGroup Limited COMMERCIAL
PROFESSIONAL 8439 HEALTHGUARD OF LANCASTER COMMERCIAL
PROFESSIONAL 6476 HEALTHHELP NETWORKS, INC. (HHNI) COMMERCIAL
INSTITUTIONAL 8507 HEALTHLINK HMO COMMERCIAL
PROFESSIONAL 96475 Healthlink HMO COMMERCIAL
INSTITUTIONAL 8508 HEALTHLINK PPO COMMERCIAL
INSTITUTIONAL 55204 Healthnow Division COMMERCIAL
PROFESSIONAL 7485 HEALTHNOW NEW YORK BS COMMERCIAL
INSTITUTIONAL CBNYE Healthnow of Northeastern NY COMMERCIAL
INSTITUTIONAL CBNYW Healthnow of Western NY COMMERCIAL
INSTITUTIONAL 12X51 HealthPartners COMMERCIAL
INSTITUTIONAL SX009 HealthPartners MN COMMERCIAL
INSTITUTIONAL 1525 HEALTHPARTNERS of MINNESOTA COMMERCIAL
PROFESSIONAL 3411 HEALTHPARTNERS of MINNESOTA COMMERCIAL
PROFESSIONAL 8431 HEALTHPLAN SERVICES (TAMPA only) COMMERCIAL
PROFESSIONAL 5435 HEALTHPLEDGE HMO/PLUS COMMERCIAL
INSTITUTIONAL 11271 Healthplex Inc. COMMERCIAL
PROFESSIONAL 2258 HEALTHPLUS of LOUISIANA COMMERCIAL
INSTITUTIONAL 2567 HEALTHPLUS of LOUISIANA COMMERCIAL
PROFESSIONAL 2776 HEALTHPLUS OF MICHIGAN COMMERCIAL
INSTITUTIONAL 3566 HEALTHPLUS OF MICHIGAN COMMERCIAL
INSTITUTIONAL 38216 HealthPlus of Michigan COMMERCIAL
INSTITUTIONAL 52429 Healthscope Benefits ‐ EHC Repricing COMMERCIAL
INSTITUTIONAL 71063 HealthSCOPE Benefits Inc. COMMERCIAL
INSTITUTIONAL 4598 HEALTHSCOPE BENEFITS, INC. COMMERCIAL
INSTITUTIONAL 3694 HEALTHSELECT PPO PLAN COMMERCIAL
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 75237 Healthsmart Accel COMMERCIAL
PROFESSIONAL 37283 HealthSmart Benefit Solutions COMMERCIAL
PROFESSIONAL 75250 HealthSmart Preferred Care Inc. COMMERCIAL
INSTITUTIONAL 1517 HEALTHSMART PREFERRED CARE, INC. COMMERCIAL
INSTITUTIONAL 71075 Healthsource AR (Med) (CIGNA) AR COMMERCIAL
INSTITUTIONAL 58210 Healthsource GA (CIGNA) GA COMMERCIAL
INSTITUTIONAL 61127 Healthsource KY KY COMMERCIAL
INSTITUTIONAL 02041 Healthsource Massachusetts Inc. MA COMMERCIAL
INSTITUTIONAL 01041 Healthsource ME ME COMMERCIAL
INSTITUTIONAL 75255 Healthsource N. TX (CIGNA) TX COMMERCIAL
INSTITUTIONAL 56147 Healthsource NC (CIGNA) NC COMMERCIAL
INSTITUTIONAL 02038 Healthsource NH NH COMMERCIAL
INSTITUTIONAL 31141 Healthsource OH OH COMMERCIAL
INSTITUTIONAL 68195 Healthsource Provident COMMERCIAL
INSTITUTIONAL 06119 Healthsource SC SC COMMERCIAL
INSTITUTIONAL 62129 Healthsource TN (CIGNA) TN COMMERCIAL
INSTITUTIONAL HSPAN HealthSpan Network Repricing COMMERCIAL
INSTITUTIONAL 4609 HEALTHSPAN REPRICING COMMERCIAL
PROFESSIONAL 6102 HEALTHSPAN REPRICING COMMERCIAL
INSTITUTIONAL 1556 HEALTHSPRING COMMERCIAL
INSTITUTIONAL 6527 HEALTHSTAR INC. COMMERCIAL
INSTITUTIONAL 36332 HealthStar Inc. COMMERCIAL
PROFESSIONAL 8400 HEALTHSTAR, INC. COMMERCIAL
PROFESSIONAL 4740 HEALTHWAYS WHOLEHEALTH NETWORKS COMMERCIAL
INSTITUTIONAL 58213 Healthways WholeHealth Networks COMMERCIAL
PROFESSIONAL 4763 HEALTHY PALM BEACHES COMMERCIAL
INSTITUTIONAL 68064 Healthy Texas COMMERCIAL
PROFESSIONAL 5840 HEATLHCARE LA, IPA COMMERCIAL
INSTITUTIONAL 4523 HERITAGE CHOICE COMMERCIAL
PROFESSIONAL 2874 HERITAGE CONSULTANTS COMMERCIAL
INSTITUTIONAL 59230 Heritage Consultants COMMERCIAL
INSTITUTIONAL TH011 Heritage Physician Network COMMERCIAL
PROFESSIONAL 3286 HERITAGE PHYSICIANS NETWORK COMMERCIAL
PROFESSIONAL 5895 HERITAGE PHYSICIANS NETWORK/SELECTCARE OF TEXAS COMMERCIAL
INSTITUTIONAL 36335 HFN Inc. COMMERCIAL
INSTITUTIONAL 2503 HFN, INC. COMMERCIAL
PROFESSIONAL 3290 HIGH DESERT MEDICAL GROUP COMMERCIAL
INSTITUTIONAL 2974 HIGH DESERT PRIMARY CARE COMMERCIAL
PROFESSIONAL 3470 HIGH DESERT PRIMARY CARE COMMERCIAL
INSTITUTIONAL 33069 High Desert Primary Care COMMERCIAL
INSTITUTIONAL 91161 Highline Medical Service Organization ‐ PSHP COMMERCIAL
PROFESSIONAL 4102 HIGHLINE MSO MOLINA COMMERCIAL
INSTITUTIONAL 6984 HIGHLINE MSO MOLINA COMMERCIAL
PROFESSIONAL 4103 HIGHLINE MSO PSHP COMMERCIAL
INSTITUTIONAL 6985 HIGHLINE MSO PSHP COMMERCIAL
PROFESSIONAL 4454 HIGHMARK COMMERCIAL
INSTITUTIONAL 35145 Highmark‐ Key Family COMMERCIAL
INSTITUTIONAL 00046 Hill Physicians Medical Group COMMERCIAL
PROFESSIONAL 2846 HILL PHYSICIANS MEDICAL GROUP COMMERCIAL
PROFESSIONAL 4733 HINSDALE PHYSICIAN HEALTHCARE COMMERCIAL
INSTITUTIONAL 36385 Hinsdale Physician Healthcare COMMERCIAL
PROFESSIONAL 55247 HIP ‐ Health Insurance Plan of Greater New York COMMERCIAL
INSTITUTIONAL 8599 HIP‐HEALTH INSURANCE PLAN of GREATER NY COMMERCIAL
INSTITUTIONAL HPIPA Hispanic Physicians IPA COMMERCIAL
INSTITUTIONAL 12T11 HMA ‐ Health Management Admin COMMERCIAL
INSTITUTIONAL 1981 HMA HAWAII HI COMMERCIAL
PROFESSIONAL 4753 HMA HAWAII HI COMMERCIAL
INSTITUTIONAL 86066 HMA Hawaii HI COMMERCIAL
INSTITUTIONAL 1902 HMAA ‐ HAWAII MANAGEMENT ALLIANCE ASSOCIATION COMMERCIAL
PROFESSIONAL 2280 HMAA ‐ HAWAII MANAGEMENT ALLIANCE ASSOCIATION COMMERCIAL
INSTITUTIONAL 91164 HMSO‐Highline Medical Service Organization COMMERCIAL
PROFESSIONAL 4765 HOLY CROSS HEALTH PARTNERS COMMERCIAL
INSTITUTIONAL 36412 Holy Cross Health Partners COMMERCIAL
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 12M97 Home Health & Hospice J15 Cigna COMMERCIAL
INSTITUTIONAL 2960 HOMETOWN HEALTH COMMERCIAL
PROFESSIONAL 2839 HOMETOWN HEALTH PLAN NEVADA COMMERCIAL
INSTITUTIONAL 88023 Hometown Health Plan Nevada COMMERCIAL
INSTITUTIONAL 3619 HOMETOWN HEALTH PROVIDERS COMMERCIAL
PROFESSIONAL 5825 HOMETOWN HEALTH PROVIDERS COMMERCIAL
INSTITUTIONAL 88537 Hometown Health Providers COMMERCIAL
DENTAL CX015 Hoosier Dental (in Indianapolis Indiana) IN COMMERCIAL
INSTITUTIONAL 22099 Horizon Healthcare of NY NY COMMERCIAL
INSTITUTIONAL 22304 Horizon Inner Circle Tier 1/Rayant COMMERCIAL
INSTITUTIONAL 6534 HORIZON NJ HEALTH COMMERCIAL
PROFESSIONAL 22326 Horizon NJ Health NJ COMMERCIAL
INSTITUTIONAL 37274 Hospital Benefits Inc. COMMERCIAL
INSTITUTIONAL 2580 HPS PARADIGM INC COMMERCIAL
INSTITUTIONAL 58227 HPS Paradigm Inc. COMMERCIAL
PROFESSIONAL 3778 HPS PARADIGM, INC. COMMERCIAL
INSTITUTIONAL 37137 HSHS Medical Group IPA COMMERCIAL
INSTITUTIONAL 3503 HTP COMMERCIAL
PROFESSIONAL 6451 HUDSON HEALTH PLAN COMMERCIAL
INSTITUTIONAL 6516 HUDSON HEALTH PLAN COMMERCIAL
INSTITUTIONAL 13335 Hudson Health Plan COMMERCIAL
INSTITUTIONAL NCH02 Humana Dermatology ‐ New Century Health COMMERCIAL
INSTITUTIONAL UNINW Univera Traditional PPO COMMERCIAL
PROFESSIONAL 4739 HUMANA VETERANS HEALTHCARE SERVICES COMMERCIAL
INSTITUTIONAL 5902 HUMANA VETERANS HEALTHCARE SERVICES COMMERCIAL
INSTITUTIONAL 94154 Humboldt‐Del Norte Foundation for Medical Care COMMERCIAL
INSTITUTIONAL 9573 HUMBOLDT‐DEL NORTE FOUNDATION IPA COMMERCIAL
PROFESSIONAL 3478 HUNT INSURANCE GROUP COMMERCIAL
INSTITUTIONAL 4930 HUNT INSURANCE GRP COMMERCIAL
PROFESSIONAL 3240 I E SHAFFER COMMERCIAL
INSTITUTIONAL 3993 I E SHAFFER COMMERCIAL
INSTITUTIONAL 41600 I Mcare COMMERCIAL
INSTITUTIONAL 22175 I. E. Shaffer (West Trenton NJ) NJ COMMERCIAL
INSTITUTIONAL 7527 IBA SELF FUNDED GROUP COMMERCIAL
INSTITUTIONAL 12X26 IBC Personal Choice COMMERCIAL
INSTITUTIONAL SX083 IBC Personal Choice COMMERCIAL
PROFESSIONAL 5299 ICARE HEALTH OPTIONS TPA COMMERCIAL
INSTITUTIONAL 26054 iCare Health Options TPA COMMERCIAL
INSTITUTIONAL 1907 ICARE, INDEPENDENT CARE HEALTH PLAN COMMERCIAL
PROFESSIONAL 2285 ICARE, INDEPENDENT CARE HEALTH PLAN COMMERCIAL
PROFESSIONAL 5111 ICM COMMERCIAL
PROFESSIONAL 4418 ICON BENEFIT ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 12504 IDS PROPERTY CASUALTY INSURANCE COMPANY COMMERCIAL
INSTITUTIONAL 75274 IHG Direct COMMERCIAL
INSTITUTIONAL 1635 ILLINICARE GROUP HEALTH IL COMMERCIAL
PROFESSIONAL 6120 ILLINICARE GROUP HEALTH IL COMMERCIAL
INSTITUTIONAL 86069 Illinois Health Solutions IL COMMERCIAL
INSTITUTIONAL 1942 IMCARE COMMERCIAL
PROFESSIONAL 3764 IMCARE COMMERCIAL
PROFESSIONAL 4876 IMG ‐ INTERNATIONAL MEDICAL GROUP COMMERCIAL
INSTITUTIONAL TH099 IMS Management Services COMMERCIAL
INSTITUTIONAL 12T64 IMS Management Svcs ‐ Texas TX COMMERCIAL
INSTITUTIONAL 86070 IMX Easy COMMERCIAL
INSTITUTIONAL 2946 INDECS CORPORATION COMMERCIAL
PROFESSIONAL 40585 INDECS Corporation COMMERCIAL
PROFESSIONAL 5113 INDEPENDENCE ADMINISTRATORS COMMERCIAL
INSTITUTIONAL TA720 Independence Administrators COMMERCIAL
PROFESSIONAL 4242 INDEPENDENCE MEDICAL GROUP COMMERCIAL
INSTITUTIONAL MHM01 Independence Medical Group COMMERCIAL
INSTITUTIONAL 26274 Independence Medical Group ‐ Tulare COMMERCIAL
PROFESSIONAL 6119 INDEPENDENCE MEDICAL GROUP ‐ TULARE COUNTY COMMERCIAL
INSTITUTIONAL 12X01 Independent Health COMMERCIAL
INSTITUTIONAL SX073 Independent Health COMMERCIAL
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
PROFESSIONAL 5865 INDIAN HEALTH SERVICES COMMERCIAL
INSTITUTIONAL 8921 INDIAN HEALTH SERVICES COMMERCIAL
INSTITUTIONAL SX171 Indian Health Services COMMERCIAL
INSTITUTIONAL 3502 INDIANA BC COMMERCIAL
INSTITUTIONAL CX070 Indiana Childrens Special Healthcare COMMERCIAL
INSTITUTIONAL 35600 Indiana Department of Health ‐ Childrens Health ‐ Claims COMMERCIAL
INSTITUTIONAL 35161 Indiana ProHealth Network COMMERCIAL
PROFESSIONAL 2826 INDIANA TEAMSTERS HLTH BENEFITS FUND (INDIANAPOLIS IN COMMERCIAL
INSTITUTIONAL 7509 INDIANA TEAMSTERS HLTH BENEFITS FUND (INDIANAPOLIS IN COMMERCIAL
INSTITUTIONAL 43471 INETICO INC. COMMERCIAL
PROFESSIONAL 52196 Informed LLC COMMERCIAL
INSTITUTIONAL 96490 InforMed LLC COMMERCIAL
INSTITUTIONAL 50946 Informed UHC COMMERCIAL
INSTITUTIONAL 1614 INFORMED UHC COMPASS ROSE COMMERCIAL
INSTITUTIONAL 7590 INFORMED, LLC COMMERCIAL
PROFESSIONAL 4497 INGALLS PROVIDER GROUP COMMERCIAL
INSTITUTIONAL 36348 Ingalls Provider Group COMMERCIAL
INSTITUTIONAL 52212 Injured Workers Insurance Fund COMMERCIAL
PROFESSIONAL 4244 INLAND EMPIRE HEALTH PLAN COMMERCIAL
INSTITUTIONAL IEHP1 Inland Empire Health Plan COMMERCIAL
INSTITUTIONAL 31172 Innovante Benefit Administrators COMMERCIAL
PROFESSIONAL 2814 INNOVATED HEALTHWARE SERVICES COMMERCIAL
INSTITUTIONAL 04204 Insurance Administrative Solutions COMMERCIAL
INSTITUTIONAL 1595 INSURANCE ADMINISTRATORS OF AMERICA (IAA) COMMERCIAL
INSTITUTIONAL 37279 Insurance Administrators of America Inc. COMMERCIAL
PROFESSIONAL 3237 INSURANCE ADMINISTRATORS OF AMERICA, INC. COMMERCIAL
INSTITUTIONAL 3906 INSURANCE DESIGN ADMINISTRATION COMMERCIAL
PROFESSIONAL 2871 INSURANCE DESIGN ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 13315 Insurance Design Administrators COMMERCIAL
INSTITUTIONAL 15688 Insurance Management Services (Amarillo TX) TX COMMERCIAL
PROFESSIONAL 4445 INSURANCE MANAGEMENT SERVICES (IMS) of TEXAS TX COMMERCIAL
INSTITUTIONAL 8918 INSURANCE MGMT SVCS TEXAS TX COMMERCIAL
PROFESSIONAL 7425 INSURANCE SERVICES of LUBBOCK TX COMMERCIAL
INSTITUTIONAL TH012 Insurance Services of Lubbock TX COMMERCIAL
INSTITUTIONAL 39182 InsuranceTPA.com COMMERCIAL
INSTITUTIONAL SX011 Insurdata/Insurnational COMMERCIAL
INSTITUTIONAL 4913 INSURERS ADMINISTRATION COMMERCIAL
INSTITUTIONAL 86304 Insurers Administrative Corp. COMMERCIAL
PROFESSIONAL 2484 INSURERS ADMINISTRATIVE CORPORATION COMMERCIAL
INSTITUTIONAL 51020 Integra Administrative Group (Seaford DE) COMMERCIAL
PROFESSIONAL 1864 INTEGRA GROUP COMMERCIAL
INSTITUTIONAL 3955 INTEGRA GROUP COMMERCIAL
INSTITUTIONAL 31127 Integra Group COMMERCIAL
PROFESSIONAL 3860 INTEGRA GROUP ‐ CHA COMMERCIAL
INSTITUTIONAL 31128 INTEGRA GROUP/HOME COMMERCIAL
INSTITUTIONAL 31129 Integra Group‐CHA COMMERCIAL
INSTITUTIONAL 3646 INTEGRAL QUALITY CARE COMMERCIAL
PROFESSIONAL 5852 INTEGRAL QUALITY CARE COMMERCIAL
INSTITUTIONAL 23229 Integral Quality Care COMMERCIAL
INSTITUTIONAL 6503 INTEGRATED CARE NETWORK (ICN) by EMERALD HEALTH COMMERCIAL
INSTITUTIONAL 34167 Integrated Care Network (ICN) by Emerald Health COMMERCIAL
PROFESSIONAL 4746 INTEGRATED MENTAL HEALTH SERVICES (IMHS) COMMERCIAL
INSTITUTIONAL 7569 INTEGRITY BENEFIT GROUP, INC. (THE) COMMERCIAL
INSTITUTIONAL 10322 Integrity Mutual Insurance Company COMMERCIAL
INSTITUTIONAL 3968 INTER UNION OF OPER15 COMMERCIAL
INSTITUTIONAL 56132 Interactive Medical Systems COMMERCIAL
PROFESSIONAL 37227 InterCare Health Plans Inc. COMMERCIAL
INSTITUTIONAL 2988 INTERCARE HEALTH PLANS, INC. COMMERCIAL
INSTITUTIONAL SX079 Inter‐County Health Plan COMMERCIAL
INSTITUTIONAL 8943 INTERFACE EAP COMMERCIAL
INSTITUTIONAL 60280 Interface EAP (IEAP) COMMERCIAL
PROFESSIONAL 4441 INTERFACE EAP IEAP COMMERCIAL
INSTITUTIONAL 2961 INTERGROUP SERVICES CORPORATION COMMERCIAL
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 23287 Intergroup Services Corporation COMMERCIAL
INSTITUTIONAL 36609 International Brotherhood of Boilermakers COMMERCIAL
INSTITUTIONAL 2678 INTERNATIONAL BROTHERHOOD of BOILERMAKERS EMP HLTH COMMERCIAL
PROFESSIONAL 5808 INTERNATIONAL BROTHERHOOD of BOILERMAKERS EMP HLTH COMMERCIAL
INSTITUTIONAL 48603 International Brotherhood of Boilermakers Employee Health Care Plan(IBBEHC) COMMERCIAL
INSTITUTIONAL 16158 International Educational Exchange Services Inc. (IEES) COMMERCIAL
INSTITUTIONAL 1638 INTERNATIONAL EDUCATIONAL EXCHANGE SERVICES, INC. COMMERCIAL
PROFESSIONAL 5700 INTERNATIONAL EDUCATIONAL EXCHANGE SERVICES, INC. COMMERCIAL
PROFESSIONAL 2176 INTERNATIONAL FUNDING INC. COMMERCIAL
INSTITUTIONAL 2688 INTERNATIONAL FUNDING, INC. COMMERCIAL
INSTITUTIONAL TH105 International Medical Group COMMERCIAL
INSTITUTIONAL 12T61 International Medical Group (IMG) COMMERCIAL
PROFESSIONAL 3260 INTERNATIONAL UNION of OPERATING ENGINEERS LOC 15 COMMERCIAL
PROFESSIONAL 3451 INTERWEST HEALTH ‐ ACCEPTIUS GATEWAY PAYOR COMMERCIAL
INSTITUTIONAL 84137 InterWest Health (Acceptius Gateway payer) COMMERCIAL
INSTITUTIONAL 4601 INTERWEST HEALTH (ACCEPTIUS GATEWAY PAYOR) COMMERCIAL
PROFESSIONAL 1404 IOWA BS COMMERCIAL
INSTITUTIONAL 86068 Iowa Health Solutions IA COMMERCIAL
INSTITUTIONAL 12K81 IU Health Inc COMMERCIAL
INSTITUTIONAL SX172 IU Medical Group Primary Care COMMERCIAL
INSTITUTIONAL 6556 J. SMITH LANIER and CO. ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 04911 J4 WPS LEGACY A COMMERCIAL
INSTITUTIONAL 1663 JACKSON MEMORIAL HEALTH PLAN COMMERCIAL HMO COMMERCIAL
PROFESSIONAL 2777 JACKSON MEMORIAL HEALTH PLAN COMMERCIAL HMO COMMERCIAL
INSTITUTIONAL 3682 JACKSON MEMORIAL HEALTH SFCCH PHT (PSN, CMSN) COMMERCIAL
INSTITUTIONAL CXJAS Jensen Administrative Services Inc. COMMERCIAL
INSTITUTIONAL TH033 JI Specialties COMMERCIAL
INSTITUTIONAL J1006 JI Specialty Services COMMERCIAL
INSTITUTIONAL 09822 JMH ‐ SFCCN PHT (PSN CMSN) COMMERCIAL
INSTITUTIONAL 05014 JMH HEALTH PLAN COMMERCIAL HMO COMMERCIAL
PROFESSIONAL 6491 JOHN ALDEN LIFE COMMERCIAL
INSTITUTIONAL 4522 JOHN ALDEN LIFE INSURANCE COMMERCIAL
INSTITUTIONAL 41099 John Alden Life Insurance Co. COMMERCIAL
PROFESSIONAL 4291 JOHN MORRELL COMPANY ‐ AHPBA COMMERCIAL
INSTITUTIONAL 38310 JOHN MORRELL COMPANY CO. ‐ AHPBA COMMERCIAL
PROFESSIONAL 68036 John Muir Physician Network COMMERCIAL
PROFESSIONAL 4271 JOHN MUIR TRAUMA PHYSICIANS COMMERCIAL
INSTITUTIONAL 1592 JOHNS HOPKINS HEALTHCARE COMMERCIAL
INSTITUTIONAL 52189 Johns Hopkins Healthcare (EHP/PP) COMMERCIAL
PROFESSIONAL 52123 Johns Hopkins Healthcare (USFHP) COMMERCIAL
INSTITUTIONAL 4959 JOHNS HOPKINS MEDICAL SERVICE COMMERCIAL
INSTITUTIONAL J1410 Jopari COMMERCIAL
INSTITUTIONAL 43178 Joplin Claims / Benefit Management Inc COMMERCIAL
INSTITUTIONAL 2578 JP FARLEY CORPORATION COMMERCIAL
PROFESSIONAL 3771 JP FARLEY CORPORATION COMMERCIAL
INSTITUTIONAL 34136 JP Farley Corporation COMMERCIAL
INSTITUTIONAL 12T47 JP Specialties COMMERCIAL
INSTITUTIONAL CX073 Kaiser COMMERCIAL
PROFESSIONAL 94320 Kaiser CSI‐California Select for Individuals (formerly known as Kaiser PPO) COMMERCIAL
PROFESSIONAL 91617 Kaiser Foundation Health Plan of Colorado COMMERCIAL
INSTITUTIONAL 94135 Kaiser Foundation Health Plan of Northern CA Region COMMERCIAL
INSTITUTIONAL 34092 Kaiser Foundation Health Plan of Ohio COMMERCIAL
INSTITUTIONAL 94134 Kaiser Foundation Health Plan of Southern CA Region COMMERCIAL
PROFESSIONAL 52095 Kaiser Foundation Health Plan of the Mid‐Atlantic States Inc. COMMERCIAL
PROFESSIONAL 93079 Kaiser Foundation of the Northwest COMMERCIAL
INSTITUTIONAL 7506 KAISER PERMANENTE MID‐ATLANTIC STATES COMMERCIAL
INSTITUTIONAL 1931 KAISER PERMANENTE of COLORADO COMMERCIAL
INSTITUTIONAL 8546 KAISER PERMANENTE of GEORGIA COMMERCIAL
PROFESSIONAL 21313 Kaiser Permanente of Georgia COMMERCIAL
INSTITUTIONAL 2582 KAISER PERMANENTE of N CA REGION COMMERCIAL
PROFESSIONAL 3781 KAISER PERMANENTE of N CA REGION COMMERCIAL
PROFESSIONAL 2259 KAISER PERMANENTE of OHIO COMMERCIAL
INSTITUTIONAL 2992 KAISER PERMANENTE of OHIO COMMERCIAL
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
PROFESSIONAL 1703 KAISER PERMANENTE of S CA REGION COMMERCIAL
INSTITUTIONAL 4576 KAISER PERMANENTE of S CA REGION COMMERCIAL
INSTITUTIONAL 1544 KAISER PERMANENTE of the NORTHWEST COMMERCIAL
INSTITUTIONAL 57038 Kanawha Insurance Co. COMMERCIAL
PROFESSIONAL 2837 KANAWHA INSURANCE COMPANY COMMERCIAL
INSTITUTIONAL 5545 KANAWHA INSURANCE COMPANY COMMERCIAL
INSTITUTIONAL CX058 Kansas City Life COMMERCIAL
INSTITUTIONAL 81812 Katy Medical Claims COMMERCIAL
PROFESSIONAL 1428 KELSEY SEYBOLD COMMERCIAL
INSTITUTIONAL 5982 KELSEY SEYBOLD COMMERCIAL
PROFESSIONAL 8435 KEMPTOM COMPANY COMMERCIAL
INSTITUTIONAL 4577 KEMPTON GROUP ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 73100 Kempton Group Administrators COMMERCIAL
INSTITUTIONAL 27215 Kentucky Health Administrators Inc. COMMERCIAL
INSTITUTIONAL 4629 KENTUCKY SPIRIT HEALTH PLAN COMMERCIAL
PROFESSIONAL 6149 KENTUCKY SPIRIT HEALTH PLAN COMMERCIAL
INSTITUTIONAL 28021 Kern County CDCR COMMERCIAL
INSTITUTIONAL 9500 KERN HEALTH SYSTEMS COMMERCIAL
PROFESSIONAL 77039 Kern Health Systems COMMERCIAL
PROFESSIONAL 37217 Key Benefit Administrators (Indianapolis IN) COMMERCIAL
INSTITUTIONAL 7505 KEY BENEFIT ADMINISTRATORS, INC. COMMERCIAL
INSTITUTIONAL 35317 KEY GAP COMMERCIAL
PROFESSIONAL 4167 KEY MEDICAL GROUP COMMERCIAL
INSTITUTIONAL IP082 Key Medical Group COMMERCIAL
INSTITUTIONAL 4933 KEY SELECT COMMERCIAL
PROFESSIONAL 5880 KEY SELECT COMMERCIAL
INSTITUTIONAL 37321 Key Select COMMERCIAL
PROFESSIONAL SX055 Keystone Health Plan East COMMERCIAL
INSTITUTIONAL 12X25 Keystone Health Plan East/IBC COMMERCIAL
INSTITUTIONAL SX056 Keystone Health Plan West COMMERCIAL
INSTITUTIONAL 6531 KEYSTONE MERCY HEALTH PLAN COMMERCIAL
PROFESSIONAL 8475 KEYSTONE MERCY HEALTH PLAN COMMERCIAL
INSTITUTIONAL 23284 Keystone Mercy Health Plan COMMERCIAL
INSTITUTIONAL 3567 KITSAP PHYSICIANS SERVICE (KPS) COMMERCIAL
INSTITUTIONAL 34145 Klais & Company COMMERCIAL
PROFESSIONAL 5422 KLAIS and COMPANY COMMERCIAL
INSTITUTIONAL 6555 KLAIS and COMPANY COMMERCIAL
INSTITUTIONAL KAMG1 Korean American Medical Group COMMERCIAL
PROFESSIONAL KPS01 KPS‐Kitsap Physician Services COMMERCIAL
PROFESSIONAL 15102 KY MedB KY COMMERCIAL
INSTITUTIONAL 5988 LA CARE HEALTH PLAN LA COMMERCIAL
INSTITUTIONAL LACAR LA Care Health Plan LA COMMERCIAL
PROFESSIONAL 07202 LA MEDB ‐ Novitas LA COMMERCIAL
PROFESSIONAL 27357 LACARE LA COMMERCIAL
INSTITUTIONAL 37116 Lake County Physicians Association COMMERCIAL
INSTITUTIONAL 66127 Lakeside Comprehensive Healthcare COMMERCIAL
INSTITUTIONAL LMG11 Lakeside Health Services COMMERCIAL
INSTITUTIONAL 66125 Lakeside Medical Group COMMERCIAL
PROFESSIONAL 8414 LAKESIDE MEDICAL GROUP, INC. COMMERCIAL
PROFESSIONAL 5262 LANCASTER GENERAL HEALTH GROUP COMMERCIAL
INSTITUTIONAL 8939 LANCASTER GENERAL HEALTH GROUP COMMERCIAL
INSTITUTIONAL LNDMK Landmark Healthcare Inc COMMERCIAL
PROFESSIONAL 3294 LANDMARK INSURANCE COMMERCIAL
PROFESSIONAL NMM02 Lasalle Med Assoc COMMERCIAL
PROFESSIONAL 5120 LAWNDALE CHRISTIAN HEALTH CENTER COMMERCIAL
INSTITUTIONAL 36333 Lawndale Christian Health Center COMMERCIAL
INSTITUTIONAL 3691 LBA HEALTH PLANS COMMERCIAL
PROFESSIONAL 52193 LBA Health Plans COMMERCIAL
PROFESSIONAL 2282 LEON MEDICAL CENTER HEALTH PLAN COMMERCIAL
INSTITUTIONAL 37316 Leon Medical Center Health Plan COMMERCIAL
INSTITUTIONAL 2924 LEON MEDICAL CTR HEALTH COMMERCIAL
INSTITUTIONAL J1126 Levelland ISD COMMERCIAL
INSTITUTIONAL J1122 Lewisville ISD Self‐Insured COMMERCIAL
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 37248 LHP Claims Unit COMMERCIAL
INSTITUTIONAL 3953 LIBERTY HEALTH ADVANTAGE COMMERCIAL
INSTITUTIONAL 87071 Liberty Health Advantage COMMERCIAL
PROFESSIONAL 33600 Liberty Mutual COMMERCIAL
PROFESSIONAL 3455 LIBERTY MUTUAL ‐ P2P LINK COMMERCIAL
INSTITUTIONAL 5968 LIBERTY MUTUAL GROUP COMPANIES COMMERCIAL
INSTITUTIONAL 78140 Life Insurance Company of Boston & New York COMMERCIAL
INSTITUTIONAL 12T67 Life Investors Insurance COMMERCIAL
INSTITUTIONAL TH120 Life Investors Insurance COMMERCIAL
INSTITUTIONAL 12T39 Life Investors Insurance of America ‐ Long Term Care COMMERCIAL
INSTITUTIONAL TH093 Life Investors of America ‐ Long Term Care COMMERCIAL
INSTITUTIONAL 25181 LIFE Pittsburgh COMMERCIAL
PROFESSIONAL 3844 LIFE TRAC COMMERCIAL
INSTITUTIONAL 3907 LIFE TRAC COMMERCIAL
INSTITUTIONAL 41136 Life Trac COMMERCIAL
INSTITUTIONAL 76870 LifePath Hospice Inc COMMERCIAL
INSTITUTIONAL 4608 LIFEPRINT COMMERCIAL
PROFESSIONAL 6101 LIFEPRINT COMMERCIAL
INSTITUTIONAL 2581 LIFEWISE HEALTHPLAN of OREGON COMMERCIAL
PROFESSIONAL 2854 LIFEWISE HEALTHPLAN of OREGON COMMERCIAL
INSTITUTIONAL 93093 LifeWise Healthplan of Oregon COMMERCIAL
INSTITUTIONAL CX061 Lincoln Financial Group COMMERCIAL
INSTITUTIONAL LCB01 Line Construction Benefit Fund COMMERCIAL
INSTITUTIONAL TH106 LIPA/Agate Resources COMMERCIAL
INSTITUTIONAL 35107 Local 135 Health Benefits Fund (Indianapolis IN) COMMERCIAL
PROFESSIONAL 5124 LOMA LINDA UNIVERSITY ADVENTIST COMMERCIAL
INSTITUTIONAL 33036 Loma Linda University Healthcare ‐ ManagedCare Claims COMMERCIAL
INSTITUTIONAL 37267 Loma Linda University Student Health Plan COMMERCIAL
PROFESSIONAL 5125 LONDON HEALTH ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 45289 Lone Star TPA COMMERCIAL
INSTITUTIONAL 5541 LOOMIS COMPANY (THE) COMMERCIAL
PROFESSIONAL 1734 BLUEGRASS FAMILY HEALTH BCBS
INSTITUTIONAL 7522 BLUEGRASS FAMILY HEALTH BCBS
PROFESSIONAL 68069 Louisiana Healthcare Solutions LA COMMERCIAL
INSTITUTIONAL 3689 LOVELACE SALUD COMMERCIAL
PROFESSIONAL SX159 Lovelace Salud COMMERCIAL
INSTITUTIONAL 1596 LOVELACE SANDIA HEALTH PLAN COMMERCIAL
PROFESSIONAL 2250 LOVELACE SANDIA HEALTH PLAN COMMERCIAL
INSTITUTIONAL 90328 Lovelace Sandia Health Plan COMMERCIAL
INSTITUTIONAL 10317 Machigonne Benefit Administrators COMMERCIAL
PROFESSIONAL 36334 MacNeal Health Providers‐ CHS COMMERCIAL
INSTITUTIONAL 01260 Magellan Health Services COMMERCIAL
INSTITUTIONAL 5539 MAGELLAN HEALTH SERVICES (MAGELLAN BEHAVIORAL HLT) COMMERCIAL
INSTITUTIONAL 1989 MAGNACARE COMMERCIAL
INSTITUTIONAL 11303 Magnacare COMMERCIAL
INSTITUTIONAL 1611 MAGNOLIA HEALTH PLAN ‐ MISSISSIPPI MS COMMERCIAL
PROFESSIONAL 4462 MAKSIN MANAGEMENT COMMERCIAL
INSTITUTIONAL 3960 MAKSIN MANAGEMENT CORPORATION COMMERCIAL
INSTITUTIONAL 22195 Maksin Management Corporation COMMERCIAL
INSTITUTIONAL CX033 MAMSI COMMERCIAL
PROFESSIONAL 1878 MANAGED CARE SERVICES COMMERCIAL
INSTITUTIONAL 2520 MANAGED CARE SERVICES COMMERCIAL
INSTITUTIONAL 35162 Managed Care Services LLC COMMERCIAL
PROFESSIONAL 4238 MANAGED CARE SYSTEMS (DELANGO REGIONAL MEDICAL) COMMERCIAL
INSTITUTIONAL MCS02 Managed Care Systems (Delano Regional Medical Group) COMMERCIAL
INSTITUTIONAL MCS01 Managed Care Systems (Gemcare) COMMERCIAL
INSTITUTIONAL 1955 MANAGED HEALTH NETWORK COMMERCIAL
PROFESSIONAL 22771 Managed Health Network COMMERCIAL
INSTITUTIONAL 1562 MANAGED HEALTH SERVICES ‐ INDIANA IN COMMERCIAL
INSTITUTIONAL 3504 MANAGED HEALTH SERVICES ‐ WISCONSIN WI COMMERCIAL
INSTITUTIONAL 8977 MANATEE SERVICE CENTER ‐ FLORIDA FL COMMERCIAL
INSTITUTIONAL 41555 Manatee Service Center (Bradenton FL) FL COMMERCIAL
PROFESSIONAL 3728 MANATEE SERVICE CENTER (BRADENTON, FL) FL COMMERCIAL
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 98010 Manulife W. J. Sutton Company COMMERCIAL
PROFESSIONAL 2183 MARIN IPA COMMERCIAL
PROFESSIONAL 2164 MARYLAND BEHAVIORAL HEALTH COMMERCIAL
INSTITUTIONAL 1597 MARYLAND PHYSICIANS CARE COMMERCIAL
INSTITUTIONAL 22348 Maryland Physicians Care COMMERCIAL
INSTITUTIONAL SX069 Maryland Public Mental Health COMMERCIAL
INSTITUTIONAL 8976 MASHANTUCKET PEQUOT TRIB COMMERCIAL
PROFESSIONAL 2818 MASHANTUCKET PEQUOT TRIBAL NAT. COMMERCIAL
INSTITUTIONAL CX098 Masonry Institute/Administrative D. C. No. 1 Welfare Fund COMMERCIAL
INSTITUTIONAL 5528 MASSACHUSETTS BC MA COMMERCIAL
PROFESSIONAL 2424 MASSACHUSETTS BS MA COMMERCIAL
INSTITUTIONAL TH111 Master Mates & Pilots Program COMMERCIAL
PROFESSIONAL 3476 MASTER, MATES, and PILOTS COMMERCIAL
INSTITUTIONAL 12T52 Masters Mates and Pilots Program COMMERCIAL
INSTITUTIONAL 4936 MASTERS, MATES, & PILOTS PROGRAM COMMERCIAL
INSTITUTIONAL TP075 Matrix Absence Management COMMERCIAL
PROFESSIONAL 2752 MAYO MANAGEMENT SERVCES, INC (MMSI) COMMERCIAL
INSTITUTIONAL 7577 MAYO MANAGEMENT SERVCES, INC (MMSI) COMMERCIAL
INSTITUTIONAL 83028 MBA Benefit Adminstrators Inc. (Salt Lake UT) COMMERCIAL
PROFESSIONAL 2267 MBA of UTAH and WYOMING COMMERCIAL
INSTITUTIONAL 1923 MBA of UTAH CDO TECHNOLOGIES UT COMMERCIAL
INSTITUTIONAL 87065 MBA of Wyoming (Worland WY) WY COMMERCIAL
PROFESSIONAL 56205 MBS COMMERCIAL
INSTITUTIONAL 25160 MCA ADMINISTRATORS COMMERCIAL
INSTITUTIONAL 12M85 Mcare Advantage Plan COMMERCIAL
PROFESSIONAL 2844 MCCREARY (EMI) CORPORATION COMMERCIAL
INSTITUTIONAL MHM02 McKinley Medical Group COMMERCIAL
INSTITUTIONAL 2592 MCLAREN HEALTH ADVANTAGE COMMERCIAL
INSTITUTIONAL J1007 MCMC LLC COMMERCIAL
DENTAL 65030 MCNA Dental COMMERCIAL
INSTITUTIONAL 3616 MCOA COMMERCIAL
INSTITUTIONAL FHC &AFFILIATES MD_VALUE_OPTIONS COMMERCIAL
INSTITUTIONAL 80900 MDI Custom Provider Network (Formerly MPA ‐ Custom Provider Network) COMMERCIAL
INSTITUTIONAL 80026 MDI Holdings (Formerly Medical Partners of America) COMMERCIAL
INSTITUTIONAL 8531 MDNY HEALTHCARE COMMERCIAL
INSTITUTIONAL 20475 MDWise Hoosier Alliance COMMERCIAL
INSTITUTIONAL 1954 MDWISE HOOSIER ALLIANCE HEALTH PLAN COMMERCIAL
PROFESSIONAL 3214 MDWISE HOOSIER ALLIANCE HEALTH PLAN COMMERCIAL
INSTITUTIONAL 6139 MDWISE SELECT HEALTH NETWORK COMMERCIAL
INSTITUTIONAL 88058 MED PAY COMMERCIAL
INSTITUTIONAL EM284 MED3000 Safety Net COMMERCIAL
INSTITUTIONAL 58202 MedAdmin Solutions COMMERCIAL
PROFESSIONAL 1707 MEDADMIN SOLUTIONS (ADS) COMMERCIAL
INSTITUTIONAL 8975 MEDADMIN SOLUTIONS(ADS) COMMERCIAL
PROFESSIONAL 3271 MEDCOM COMMERCIAL
INSTITUTIONAL 4939 MEDCOM COMMERCIAL
INSTITUTIONAL 59231 MedCom COMMERCIAL
PROFESSIONAL 4266 MEDCORE HP COMMERCIAL
INSTITUTIONAL 8974 MEDCOST BENEFIT SERVICES COMMERCIAL
INSTITUTIONAL 56162 MedCost Inc. COMMERCIAL
INSTITUTIONAL 38353 MedDirect COMMERCIAL
PROFESSIONAL 3765 MEDFOCUS COMMERCIAL
INSTITUTIONAL 95321 Medfocus COMMERCIAL
PROFESSIONAL 94265 Medica COMMERCIAL
INSTITUTIONAL 8598 MEDICA CHOICE ‐ FEE FOR SERVICE COMMERCIAL
PROFESSIONAL 78857 MEDICA HEALTH CARE PLAN INC. COMMERCIAL
INSTITUTIONAL CX026 MEDICA of Minnesota COMMERCIAL
INSTITUTIONAL 8597 MEDICA PHP SHARE PRIMARY COMMERCIAL
INSTITUTIONAL SKCA1 Medi‐Cal (Vision) CA COMMERCIAL
PROFESSIONAL 3263 MEDICAL BENEFIT ADMIN, INC. / dba MBA OF MD, INC. MD COMMERCIAL
INSTITUTIONAL 3985 MEDICAL BENEFIT ADMIN, INC. / dba MBA OF MD, INC. MD COMMERCIAL
PROFESSIONAL 3231 MEDICAL BENEFIT ADMINISTRATORS COMMERCIAL
INSTITUTIONAL CX024 Medical Benefit Administrators COMMERCIAL
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
INSTITUTIONAL 37298 Medical Benefit Administrators Inc/dba MBA of MD Inc COMMERCIAL
INSTITUTIONAL 8513 MEDICAL BENEFITS ADMINISTRATORS (NEWARK, OH) COMMERCIAL
PROFESSIONAL 1728 MEDICAL BENEFITS MUTUAL COMMERCIAL
INSTITUTIONAL 74323 Medical Benefits Mutual Life Insrance Co. COMMERCIAL
INSTITUTIONAL 4581 MEDICAL CONTROL INC. COMMERCIAL
INSTITUTIONAL 52181 MEDICAL DEVELOPMENT INTERNATIONAL COMMERCIAL
INSTITUTIONAL 3942 MEDICAL MUTUAL OF OHIO CAREWORKS OH COMMERCIAL
INSTITUTIONAL CB833 Medical Mutual of Ohio (MMO) OH COMMERCIAL
INSTITUTIONAL 84600 Medical Network of Colorado Springs COMMERCIAL
INSTITUTIONAL 1524 MEDICAL PARTNERS OF AMERICA COMMERCIAL
PROFESSIONAL 5235 MEDICAL PARTNERS OF AMERICA COMMERCIAL
INSTITUTIONAL 3523 MEDICAL REIMBURSEMENT ASSOCIATES COMMERCIAL
PROFESSIONAL 5293 MEDICAL REIMBURSEMENT ASSOCIATES COMMERCIAL
INSTITUTIONAL 62177 Medical Reimbursements of America COMMERCIAL
PROFESSIONAL 3744 MEDICAL RESOURCE NETWORK COMMERCIAL
INSTITUTIONAL 5911 MEDICAL RESOURCE NETWORK COMMERCIAL
INSTITUTIONAL AMM02 Medical Services for Indigents COMMERCIAL
INSTITUTIONAL 12057 Medical Services Initiative COMMERCIAL
INSTITUTIONAL 6513 MEDICAL VALUE PLAN ‐ OHIO (MVP) OH COMMERCIAL
INSTITUTIONAL 38224 Medical Value Plan ‐ Ohio (MVP) OH COMMERCIAL
INSTITUTIONAL 1584 MEDIGOLD COMMERCIAL
INSTITUTIONAL 35205 MedPartners Administrative Services COMMERCIAL
PROFESSIONAL 62160 MedSolutions Inc COMMERCIAL
INSTITUTIONAL 39190 MedStar Family Choice COMMERCIAL
PROFESSIONAL 7486 MEDSTAR PHYSICIAN PARTNERS BALTIMORE MD COMMERCIAL
INSTITUTIONAL 2583 MEGA LIFE AND HEALTH INSURANCE CO. COMMERCIAL
INSTITUTIONAL 1945 MEGA LIFE and HEALTH INSURANCE COMPANY ‐ OKC COMMERCIAL
PROFESSIONAL 3209 MEGA LIFE and HEALTH INSURANCE COMPANY ‐ OKC COMMERCIAL
INSTITUTIONAL 1944 MEGA LIFE and HEALTH STARBRIDGE STARHRG COMMERCIAL
INSTITUTIONAL 01047 MEMIC COMMERCIAL
PROFESSIONAL 5261 MEMIC COMMERCIAL
INSTITUTIONAL 8978 MEMIC COMMERCIAL
INSTITUTIONAL 62181 Memorial Clinical Associates/ SelectCare of Texas (MCA) COMMERCIAL
INSTITUTIONAL 1961 MEMORIAL CLINICAL ASSOCIATES/SELECTCARE OF TEXAS TX COMMERCIAL
PROFESSIONAL TH092 Memorial Herman Health Network Providers COMMERCIAL
INSTITUTIONAL 12T40 Memorial Hermann Health Network Providers COMMERCIAL
PROFESSIONAL 2160 MEMORIAL INTEGRATED HEALTHCARE COMMERCIAL
INSTITUTIONAL 33650 Mendota Insurance Company COMMERCIAL
INSTITUTIONAL 5960 MENTAL HEALTH NETWORK ‐ MHNET COMMERCIAL
INSTITUTIONAL 86052 Mercy Care Plan (AHCCCS) COMMERCIAL
INSTITUTIONAL 3530 MERCY CARE PLAN of ARIZONA AZ COMMERCIAL
INSTITUTIONAL 5916 MERIDIAN HEALTH PLAN COMMERCIAL
INSTITUTIONAL 13189 Meridian Health Plan COMMERCIAL
INSTITUTIONAL 7529 MERITAIN HEALTH COMMERCIAL
PROFESSIONAL 5260 MERITAIN HEALTH / AGENCY SERVICES COMMERCIAL
INSTITUTIONAL 64158 Meritain Health / Agency Services COMMERCIAL
INSTITUTIONAL 4561 MERITAIN HEALTH MINNEAPOLIS MN COMMERCIAL
PROFESSIONAL 41124 Meritain Health Minneapolis MN COMMERCIAL
INSTITUTIONAL 3969 METCARE HEALTH PLAN COMMERCIAL
PROFESSIONAL 4282 METCARE HEALTH PLANS COMMERCIAL
INSTITUTIONAL 8972 METRO PLUS HEALTH PLAN COMMERCIAL
INSTITUTIONAL 13265 MetroPlus Health Plan COMMERCIAL
INSTITUTIONAL 10850 Metropolitan Health Plan COMMERCIAL
INSTITUTIONAL 1566 METROPOLITAN HEALTH PLAN (MHP) COMMERCIAL
PROFESSIONAL 2787 METROPOLITAN HEALTH PLAN (MHP) COMMERCIAL
INSTITUTIONAL C1011 Metropolitan Property and Casualty Insurance Company COMMERCIAL
INSTITUTIONAL J1238 Metropolitan Transit Athority COMMERCIAL
INSTITUTIONAL TH068 Metrowest HealthPlan COMMERCIAL
INSTITUTIONAL 23550 MFC & HealthPlus Peoria COMMERCIAL
PROFESSIONAL 74289 MHNET COMMERCIAL
PROFESSIONAL 1410 MINNESOTA CC SYSTEMS MN COMMERCIAL
PROFESSIONAL 5871 MISSION COMMUNITY IPA MEDICAL GROUP COMMERCIAL
INSTITUTIONAL 64068 Mississippi Health Partners MS COMMERCIAL
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EMEDIX Payer List
LOB outbound_payer_cd payer_name State Type
PROFESSIONAL 64084 Mississippi Physicians Care Network MS COMMERCIAL
INSTITUTIONAL 3933 MISSISSIPPI PUBLIC ENTITY MS COMMERCIAL
INSTITUTIONAL 37233 Mississippi Public Entity Employee Benefit Trust MS COMMERCIAL
INSTITUTIONAL 2951 MISSISSIPPI SELECT HEALTH CARE/SELECT ADMN SERVICE MS COMMERCIAL
PROFESSIONAL 3446 MISSOULA COUNTY MEDICAL BENEFITS PLAN COMMERCIAL
INSTITUTIONAL 37275 Missoula County Medical Benefits Plan COMMERCIAL
INSTITUTIONAL 5969 MISSOURI CARE MO COMMERCIAL
PROFESSIONAL 2707 MOUNTAIN MEDICAL AFFILIATES COMMERCIAL
INSTITUTIONAL 3990 MOUNTAIN STATE ADMINISTRATIVE SERVICES COMMERCIAL
PROFESSIONAL 3810 MOUNTAIN STATE ADMINISTRATIVE SERVICES (TUCSON, AZ AZ COMMERCIAL
INSTITUTIONAL 86040 Mountain States Administrative Services (Tucson AZ) AZ COMMERCIAL
PROFESSIONAL 3871 MPE SERVICES INC. COMMERCIAL
DENTAL 02027 Northeast Delta Dental (ME NH VT) COMMERCIAL
INSTITUTIONAL MSO77 San Diego County Coverage Initiative (CI) CA COMMERCIAL
INSTITUTIONAL MSO11 San Diego County Medical Services (CMS) CA COMMERCIAL
INSTITUTIONAL MSO33 San Diego County Ryan White Care Act CA COMMERCIAL
PROFESSIONAL 68035 San Joaquin Health Administrators COMMERCIAL
INSTITUTIONAL HSM01 San Judas Medical Group IPA COMMERCIAL
INSTITUTIONAL 33072 San Louis Obispo Select CA COMMERCIAL
PROFESSIONAL 4259 SEAVIEW COMMERCIAL
INSTITUTIONAL SVIPA Seaview IPA COMMERCIAL
INSTITUTIONAL J1379 Secura COMMERCIAL
INSTITUTIONAL 28530 Secure Health Plans of Georgia LLC GA COMMERCIAL
INSTITUTIONAL 2573 SECURE HEALTH PLANS of GEORGIA, LLC GA COMMERCIAL
PROFESSIONAL 2438 SECURE HORIZONS ‐ TUFTS HEALTH PLAN FOR SENIORS COMMERCIAL
ALL 95964 Secure Horizons Arizona ‐ Claims AZ COMMERCIAL
ALL 95962 Secure Horizons Colorado ‐ Claims CO COMMERCIAL
INSTITUTIONAL LIFE1 Secure Horizons Lifeprint Arizona AZ COMMERCIAL
PROFESSIONAL 1890 SELECT BENEFIT ADMINISTRATORS (DES MOINES, IA) IA COMMERCIAL
INSTITUTIONAL 2536 SELECT BENEFIT ADMINISTRATORS (DES MOINES, IA) IA COMMERCIAL
INSTITUTIONAL 3641 SETON HEALTH PLAN ‐ CHIP COMMERCIAL
PROFESSIONAL 3729 SETON HEALTH PLAN ‐ CHIP COMMERCIAL
INSTITUTIONAL 3662 SUPERIOR BENEFITS COMMERCIAL
DENTAL 31117 Superior Dental Care ‐ Preferred Plan COMMERCIAL
PROFESSIONAL 2701 SUPERIOR HEALTH PLAN ‐ TEXAS TX COMMERCIAL
INSTITUTIONAL 3522 SUPERIOR HEALTH PLAN ‐ TEXAS TX COMMERCIAL
INSTITUTIONAL 12115 VA Fee Basis Programs TRICARE
INSTITUTIONAL 12116 VA Fee Basis Programs TRICARE
PROFESSIONAL 4104 VETERANS AFFAIRS FINANCIAL SERVICES CENTER TRICARE
INSTITUTIONAL 6987 VETERANS AFFAIRS FINANCIAL SERVICES CENTER TRICARE
INSTITUTIONAL 63114 Viva Health Plan COMMERCIAL
©copyright 2013 CompuGroup Medical. All rights reserved. Page 69 of 69