Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
Lindsay Technical Consultants, Inc.
42496 Lindsay Drive
North Mankato, MN 56003
Tel 507-947-3070
Fax 507-947-3077
E-Mail: [email protected]
Medical Payor List - last official update 2/01/2009 (although continually updated) sorted
by Payor Name.
Please be patient: This page may take a moment to load due to the size of the list.
Note: For Payors issuing a Provider I.D. without requiring enrollment forms, call or email LTC with the assigned
Provider I.D. If you are unable to find the correct Payor/Carrier, please call LTC.
Downloads for additional enrollment forms are listed below or go to the download area
. Call or email LTC if
further help is needed.
If you need the Adobe Acrobat Reader in order to read the (.PDF) file
format, download the free version here first...
New
Payor
Payor
I.D.
Payor Name Enrollment Required
2/01/2009 UH107 1Intermountain Health Care
Contact payer at 801-442-5442 before sending claims to
verify provider numbers.
13162 1199 Local Benefit Fund
6/26/2003 13162 1199 National Benefit Fund
6/07/2007 20413 3P ADMIN
6/07/2007 74234 8th Distric Electrical
6/07/2007 93044 A & I BENEFIT PLAN ADMINISTRATORS
6/26/2003 30142 A C RETIREES VOL BENEFIT PLAN
68195 A.O. Smith Contact HealthSource for Provider I.D.
2/01/2009 75185 AAG-AMERICAN ADMINISTRAVIE GROUP
6/26/2003 37225 ABAS Inc.
6/28/2004 BEK40 Abatement Workers National Health and Welfare Fund (Only Non-PPO Claims)
65099 Abbott Labs
48185 ABC Health Plan of New York Contact ABC @ (631) 360-3102 for Provider I.D.
8/14/2003 E3510 ABMA (Alta Bates Medical Assoc) Medical Corp. (Hnet Sr. and Secure Horizons) Contact NAMM @ 800-956-8000 for Provider I.D.
2/01/2009 03443 Abrazo Advantage Health Plan
39140 AC Retirees' Voluntary Benefit Services
2/01/2009 AHS01 Access Administrators
6/07/2007 COACC Access Behavioral Care
6/26/2003 TNMD2 ACCESS MED (TENNCARE) Please contact LTC for more info.
64071 Acclaim
6/07/2007 21356 Acclaim Repricing
87815 Accordia
19001 Accordia Benefits Indiana
87815 Accordia National
6/07/2007 AHP01 Accountable Health - American Family of IA and WI claims only
6/26/2003 H0003 Accountable Health Plan - Wisconsin Only
H0003 Accountable Health Plan-Illite
H0003 Accountable Health Plans of Tennessee
6/26/2003 72467 ACS Benefit Services, Inc.
6/07/2007 36112 ACS Rewards Administration Center
2/01/2009 BCCBE ACM Enrollment required. Call 661-430-0205 for information.
6/26/2003 38254 Activa Benefit Services, LLC
94323 Adesso-Scottsdale PHO
95285 Admar Corporation
35175 Adminastar-Champus Only (Ct,De,Il,In, Ma,Me,Mi,Nh, Nj,Ny,Pa,Ri,Vt)
2/01/2009 22384 ADMINISTRATIVE CONCEPTS INC
6/28/2004 call Administrative Service Consultants To obtain the payer ID, please call (440) 262-1160.
2/01/2009 59141 Administrative Services, Inc.
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
4/7/2004 37278 AdminOne
58202 Advanced Data Solutions
6/07/2007 74234 Advanstaff, Inc.
61123 Advantage Care
9/28/2004 AHS01 Advantage Care Network
Download form via ENS
2/9/2005 35209 Advantage Health Solutions
H0353 Advantage Health Care
2/01/2009 77070 ADVANTAGE PREFERRED PLUS
25126 Advantra/Health Americ, Inc./Health Assurance Call Advantra for Provider I.D.
2/01/2009 25152 Advantra Freedom
2/01/2009 95340 Adventist Health System
13373 ADVICA-New York Hospital Community Health
13376 Advica/Northeast Georgia Health System, Inc.
4/7/2004 01260 AdvoCare - Premier/Tennesee Behavioral Health (TBH) Contact AdvoCare for Provider I.D.
6/26/2003 31039 ADVOCATE BETHANY HEALTH PARTNERS
6/26/2003 31040 ADVOCATE CHRIST HOSPITAL HEALTH PARTERS
6/26/2003 31041 ADVOCATE GOOD SAMARITAN HEALTH
6/26/2003 31042 ADVOCATE GOOD SHEPHERD HEALTH
6/26/2003 36320 Advocate Health Centers
6/26/2003 30848 ADVOCATE HEALTH HUMANA MEMBERS
65093 Advocate Health Partners
6/26/2003 30849 ADVOCATE HEALTH NON HUMANA MBRS
2/01/2009 36320 ADVOCATE HEALTH PARTNERS OPERATIONS
2/01/2009 3632B Advocate HMO Illinois and Unicare HMO
2/01/2009 3632A Advocate Humana Health Plans (HMO, Medicaid, Gold Plus)
6/26/2003 31054 ADVOCATE ILL MASONIC HEALTH PARTNERS
6/26/2003 31043 ADVOCATE LUTHERAN GENERAL
6/26/2003 31044 ADVOCATE SOUTH SUBURBAN HEALTH
6/26/2003 31045 ADVOCATE TRINITY HEALTH PARTNERS
2/01/2009 57604 Aetna Affordable Health Choices (SM) - SRC
2/01/2009 23225 Aetna Better Health - CT Medicaid
60054 Aetna Encounters (except California)
60054 Aetna Health Plans
60054 Aetna Life and Casualty Co PPO
60054 Aetna Life & Casualty Co.
60054 Aetna Rosters
2/01/2009 38692 AETNA TEXAS MEDICAID & CHIP
6/26/2003 AFCI1 AFC Industries
5/23/2006 13334 Affinity Health Plan
Download form via ENS
6/26/2003 AFFPP AFFINITY PPMSI Please contact LTC for more info.
4/7/2004 95426 Affordable Benefit Administrators
34444 AFL-CIO Food & Beverage Dealer's Trust Fund (Toledo, OH)
6/26/2003 13346 AFTRA Health Fund
6/07/2007 20048 Agate Resources, Inc. (LIPA)
8/14/2003 95241 AGIA Inc. Claims are printed and mailed to the payer.
80705 AH&L
6/26/2003 23251 AHP/Sentinel (Lancaster, PA)
2/01/2009 31138 AHPO (Cleveland, OH)
6/26/2003 AIATF AIA TOBACCO FUND
6/26/2003 30357 AK CHILDRENS SVCS GRP NUM P68
6/26/2003 IP080 AKM Medical Group
2/01/2009 SX045 ALABAMA HEALTH PARTNERS
06311 Alabama Medical Surgical Associates, LLC
91136 Alaska Children's Services, Inc. - Grp# P68
5/23/2006 92600 Alaska Electrical Health and Welfare
91136 Alaska Laborers Construction Industry Trust - Grp# F23
91136 Alaska Pipe Trades Local 375 - Grp# F24
91136 Alaska United Food & Comm Workers Health & Welfare Trust = Grp# F45
13550 Alicare
13550 Alicare (Amalgamated Life)
4/7/2004 58213 Alignis
37602 All Savers Insurance Co.
6/07/2007 81040 Allegiance Benefit Plan Management, Inc.
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
CX016 Allen Medical Claims Administrators (Po Box 978, Fort Valley, GA)
30324 Alliance Health Network
23251 Alliance Health Plan (Pennsylvania)
5/23/2006 88461 Alliance of WI
52149 Alliance PPO
6/26/2003 H0003 Alliance Select - Wisconsin Only
58234 Alliant Health Plans of Georgia
4/7/2004 94177 Allied Administrators (San Francisco, CA)
37308 Allied Benefit Systems
6/26/2003 30225 ALLIED HEALTH MAGELLAN
2/01/2009 SX157 ALLIED HEALTH - PODIATRY
69140 Allmerica
69140 Allmerica Financial (First Allmerica)
69140 Allmerica Financial Services
2/01/2009 10050 ALPS CompCare (OH BWC)
Download form via ENS
Call Alta Bates Medical Group Call Alta Bates MG for Payor I.D.
80705 ALTA Health & Life Insurance Company
87043 Alta Health Strategies (First Health)
H0002 Alternative Health Call Alternative Health for Provider I.D.
8/14/2003 E3510 Alta Senior Care (Hnet Sr and Secure Horizons) Contact NAMM @ 800-956-8000 for Provider I.D.
6/26/2003 37231 Alternative Technology Resources, Inc.
9/28/2004 25149 Altius Call Altius for Provider I.D. 801-933-3130
76061 AM Care Health PLans
2/01/2009 AMAIA AMA INSURANCE AGENCY, INC
13550 Amalgamated Life
2/01/2009 13343 Amalgamated Life - PA/Alicare
6/07/2007 COMPU Amalgamated Transit Union Division 1001 Health & Welfare Fund
2/01/2009 76061 AmCare Health Plans
2/01/2009 37252 AMCARE MEDICARE HEALTH PLAN TARRANT HEALTH SERVICES INC
6/26/2003 H0003 Amer Healthcare Plan Net (WI) - Wisconsin Only
38219 Ameraplan
6/26/2003 75137 AmeriBen Solutions, Inc.
2/01/2009 20029 America's Choice NMA
2/01/2009 21810 America's Health Choice
27514 Americaid Community Care - Dallas/Ft. Worth
10/2/2003 28809 Americaid Community Care - Florida Call Americaid for Provider I.D.
27515 Americaid Community Care - Houston
10/2/2003 28808 Americaid Community Care - Illinois Call Americaid for Provider I.D.
27517 Americaid Community Care - Maryland
27516 Americaid Community Care - NJ
6/26/2003 75240 American Administrative Group (AAG Benefit Plan Administrators)
2/01/2009 37283 American Administrative Group (formerly Gallagher Benefit)
87726 American Airlines
6/26/2003 37225 American Benefit Administrative Services, Inc.
6/28/2004 34187 American Benefits Management (North Canton, OH)
2/01/2009 59140 American Benefits Plan Administrators (Las Vegas, NV)
87726 American Can
2/01/2009 AMC11 AMERICAN CAPITOL INSURANCE CO
6/26/2003 30924 AMERICAN CHIRO NETWORK MN
2/01/2009 41161 American Chiropractic Network (PAN)
2/01/2009 41160 American Chiropractic Network IPA of NY (ACNIPA)
6/26/2003 ACN01 American Chiropractic Network Group
6/26/2003 ACN01 American Chiropractic Network, Inc.
6/26/2003 ACN01 American Chiropractic Network IPA of NY
37128 American Commercial Barge Lines
60305 American Community Mutual Insurance
6/26/2003 ACN01 American Complimentary Care Network, Inc.
13310 American Consulting Engineers
68195 American Electric Power Contact HealthSource for Provider I.D.
6/26/2003 IP080 American Family Health Providers
2/01/2009 TH095 AMERICAN FAMILY INSURANCE
2/01/2009 98205 American Founders Life Ins Co (NFL Plans only)
6/07/2007 62030 AMERICAN GENERAL
2/01/2009 AHG99 American Health Group
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
4/7/2004 01066 American Healthcare Alliance
H0003 American Healthcare Plan Network
60534 American Heritage Life
36369 American Imaging Management, Inc. Call 800-252-2021 for Provider I.D.
4/7/2004 81949 American Insurance Company of Texas
13311 American International Group, Inc.
72099 American Life Care
CX001 American Medical Security
6/28/2004 74048 American National Life
2/01/2009 59093 AMERICAN PIONEER BREVARD PHYSICIANS NETWORK
2/01/2009 20165 AMERICAN PIONEER SOUTH FLORIDA
44444 American Postal Workers Union Health Plan-APWU
6/28/2004 14190 American PPO
6/26/2003 42011 American Republic Insurance
2/01/2009 17965 American Sentinel Insurance Company
9/28/2004 00001 American Specialty Health
6/07/2007 37322 AMERICAN WORKER HEALTH PLUS
2/01/2009 87726 AmeriChoice of Florida, Illinois, Maryland and Nebraska
86047 AmeriChoice of New Jersey, Inc. (Medicaid NJ)
6/26/2003 86001 AmeriChoice of New Jersey Personal Care Plus(Medicare)
86048 AmeriChoice of New York, Inc. (Medicaid NY) & Child Health Plus
6/26/2003 86002 AmeriChoice of New York Personal Care Plus(Medicare)
86049
AmeriChoice of Pennsylvania, Inc. (Medicaid PA) & Children's Health Insurance
Program (KidsChoice)
6/26/2003 86003 AmeriChoice of Pennsylvania Personal Care Plus (Medicare)
2/01/2009 87726 AmeriChoice of Rhode Island
6/26/2003 28809 Amerigroup - Florida
4/7/2004 28804 Amerigroup - Ft. Worth - Dallas
2/01/2009 27514 AMERIGROUP - Georgia
4/7/2004 28805 Amerigroup - Houston
6/26/2003 27518 Amerigroup - Illinois
4/7/2004 28807 Amerigroup - Maryland
4/7/2004 28806 Amerigroup - New Jersey
2/01/2009 27519 Amerigroup - Ohio
6/26/2003 54763 AmeriHealth Administrators
Enrollment online via the Highmark web site: Web
Enrollment Form
6/28/2004 93688 AmeriHealth Delaware (non-HMO)
Enrollment online via the Highmark web site: Web
Enrollment Form
95044 AmeriHealth HMO New Jersey and Delaware
Enrollment online via the Highmark web site: Web
Enrollment Form
22248 Amerihealth Mercy Health Plan
60061 Amerihealth New Jersey (non-HMO)
Enrollment online via the Highmark web site: Web
Enrollment Form
2/01/2009 26375 Amerikids-Dallas/Ft. Worth
6/26/2003 76052 Amil / ARIA
87726 AMOCO
6/26/2003 IP080 AMVI
38255 Amway Corporation
6/28/2004 53085 Anchor Benefit Consulting
6/28/2004 86062 Ancillary Benefit Systems/ Arizona Foundation for Medical Care
SYMED Angeles IPA
6/26/2003 ALMSH Anheuser-busch Inc
5/23/2006 34192 Antares Management Solutions
H0008 Anthem BCBS of Kentucky Please contact LTC for more info.
BBOH1 Anthem BCBS Ohio Call Blue Shield of Ohio for Provider I.D.
19002 Anthem Benefit Administrators
80705 Anthem Health & Life INsurance Co. of New Jersey/AH&L/ALTA Hlth&Life
19002 Anthem Life Health Plans
2/01/2009 COBLS Anthem of Colorado
Download form via ENS
2/01/2009 NVBLS Anthem of Nevada
Download form via ENS
H0447 Anthem Senior Advantage
6/26/2003 H0308 Ao Smith
16140 APA Partners, Inc.
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
5/23/2006 CDTEC APC Health
6/26/2003 34196 Apex Benefit Services
6/07/2007 M3432 APIPA
2/01/2009 AHP34 Apogee
6/07/2007 54160 APS HEALTHCARE, INC.
44444 APWU
16120 Araz
6/26/2003 77045 Arcadian Management Services, Inc
6/07/2007 36356 ARGUS HEALTH SYSTEMS
9/28/2004 86062 Arizona Foundation for Medical Care
6/26/2003 30885 ARIZONA HEALTH CONCEPTS
6/26/2003 H0370 Arizona Metal Trades Please contact LTC for more info.
H0375 Arizona Physicians IPA APIPA
6/26/2003 H0370 Arizona Pipe Trades Please contact LTC for more info.
6/07/2007 74234
Arizona Pipe Trades Health and Welfare Trust Fund Local Union Nos. 469 & 741
Metal Trades Health Plan
6/26/2003 H0370 Arizona Public Services Please contact LTC for more info.
75278 Arkansas Best Corporation
ARFS1 Arkansas First Source Call Arkansas First Source for Provider I.D.
4/7/2004 95440 Arnett Health Plans
Contact Arnett Health Plan @ 765-448-7483 for Provider
I.D
2/01/2009 IP002 Arrowhead Physician Alliance (Labs Only)
6/26/2003 H0370 ASBAIT Please contact LTC for more info.
6/28/2004 BEM10 Asbestos Workers Local 25 (Only Non-PPO Claims)
87726 Ashland Oil
2/01/2009 38265 ASR Corporation
6/28/2004 ASRM1 ASRM, CORP.
2/01/2009 FAABC Associated Benefits Corp.
2/01/2009 IP008 Associated Hispanic Physicians (Labs Only)
5/23/2006 ATPA1 Associated Third Party Administration (ATPA)
36326 Associates For Healthcare
2/01/2009 39065 Assurant Employee Benefits (Formerly Fortis Insurance)
6/07/2007 37313 Assurant Health Self- Funded
2/01/2009 37323 Assurant MiniMed-Key Family
2/01/2009 88035 ASSURECARE OF MINNESOTA
6/28/2004 74240 Assured Benefits Administrators
2/01/2009 SX179 Asuris Northwest/MedAdvantage
Provider ID in Billing and Rendering required even when NPI
is submitted.
PR002 AT&T
95691 Athens Area Health Plan Select
22304 Atlanicare Administrators, Inc.
13853 Atlantis Health Plan
Call Frank Bove at Atlantis Health Plan @ (212) 747-8393
for Provider I.D.
6/26/2003 30886 ATLAS ADMINISTRATORS USA MCO
2/01/2009 90956 Atlas Life Ins Co (NFIC Plan only)
2/01/2009 10016 AultComp MCO (OH BWC)
Download form via ENS
30326 AUSHC Encounters
5/23/2006 38259 Automated Benefit Services
4/7/2004 37280 Automated Group Administration, Inc.
91136 Automotive Machinists Local 289 Health & Welfare Trust - Grp# F32
6/26/2003 IP080 Avalon IPA
46045 Averal Health Plans
6/07/2007 87098 AVESIS THIRD PARTY ADMINISTRATORS
6/26/2003 59274 AvMed, Inc.
6/26/2003 H0370 AZ Local Govt Employee Benefit Please contact LTC for more info.
65099 B.A.S.F.
6/28/2004 BEK20 BAC Local 32 Tile
BAAI1 BAII IA (Wellmark) Call Wellmark for Provider I.D.
6/28/2004 BE700 Bakers & Confectionary Workers (Only Non-PPO Claims)
5/23/2006 REG03 Bakersfield Family Medical Center
74227 Bankers United Life
9/28/2004 SX145 Banner Health Co.
2/01/2009 SX121 BANNER HEALTH CO, - ROCKY MOUNTAIN HMO GREELEY
2/01/2009 SX124 BANNER HEALTH CO. - ANTERO GREELEY
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
2/01/2009 SX116 BANNER HEALTH CO. - ANTERO HIGH PLAINS
2/01/2009 SX126 BANNER HEALTH CO. - ANTERO MOUNTAIN SHADOWS
2/01/2009 SX115 BANNER HEALTH CO. - CHOICE PLUS
2/01/2009 SX117 BANNER HEALTH CO. - HIGH PLAINS
2/01/2009 SX118 BANNER HEALTH CO. - HMO GREELEY
2/01/2009 SX127 BANNER HEALTH CO. - HMO MOUNTAIN SHADOWS
2/01/2009 SX123 BANNER HEALTH CO. - PACIFICARE GREELEY
2/01/2009 SX119 BANNER HEALTH CO. - PACIFICARE HIGH PLAINS
2/01/2009 SX128 BANNER HEALTH CO. - PACIFICARE MOUNTAIN SHADOWS
2/01/2009 SX120 BANNER HEALTH CO. - ROCKY MOUNTAIN HMO HIGH PLAINS
2/01/2009 SX129 BANNER HEALTH CO. - ROCKY MOUNTAIN HMO SHADOWS
2/01/2009 SX125 BANNER HEALTH CO. - SECURE HORIZONS GREELEY
2/01/2009 SX122 BANNER HEALTH CO. - SECURE HORIZONS HIGH PLAINS
2/01/2009 SX130 BANNER HEALTH CO. - SECURE HORIZONS MOUNTAIN SHADOWS
6/26/2003 H0370 Bar S Foods Please contact LTC for more info.
68195 Barnett Banks Contact HealthSource for Provider I.D.
6/26/2003 H0345 Basf
6/26/2003 H0370 Bashas Please contact LTC for more info.
6/26/2003 37248 Bass Administrators Inc.
6/26/2003 16112 Batavia City Schools' Tri-County Medical Plan
6/28/2004 49153 BCI Administrators, Inc.
2/01/2009 43324 BEACON HEALTH STATEGIES
6/26/2003 95377 Beech Street Corporation
7/20/2009 BHP01 Behavioral Heathcare Providers
PR002 Bell Atlantic
6/26/2003 30887 BENCOMP
37125 BeneFirst
2/01/2009 36149 Benefit Administrative Systems
2/01/2009 51037 Benefit Concepts
6/26/2003 25145 Benefit Coordinators Corporation (Pittsburgh, PA)
2/01/2009 56139 Benefit Management Services
37212 Benefit Management Systems, Inc. of Lousiana
Download form via ENS
13310 Benefit Plan Administrator of St. Louis, MO
6/26/2003 39081 Benefit Plan Administrators Co. (Eau Claire, WI)
9/28/2004 37286 Benefit Plan Administrators, Inc. (Fargo, ND)
37118 Benefit Plan Administrators, Inc. (Roanoke, VA)
6/26/2003 37222 Benefit Plan Management, Inc.
74223 Benefit Planners, Inc.
4/7/2004 02053 Benefit Resources
6/26/2003 34178 Benefit Services, Inc. (Akron, OH)
6/28/2004 38257 Benefit Source, Inc.
6/07/2007 37211 BENEFIT SYSTEMS, INC
36342 Benefit Systems & Services, Inc. (BSSI)
61425 Benefit Trust Life Insurance Co.
6/07/2007 42148 Benefits, Inc.
87265 Benesight
6/26/2003 37248 Benesys Inc.
6/26/2003 37248 Benesys-LHP Claims Unit
2/01/2009 69752 BeniCorp
6/28/2004 BNMK1 Benmark
2/01/2009 23243 Berkshire Health Partners
6/26/2003 30704 Best Health Care of Western PA
6/26/2003 95604 Best Life & Health Insurance Co.
62183 Better Health Plans, Inc.
2/01/2009 32006 Better Health Plans of South Carolina
6/26/2003 30002 BF Goodrich
2/01/2009 CX025 Big Lots Associates Benefit Plans
H0147 Blair Mill Administrators Please contact LTC for more info.
6/28/2004 BV001 Block Vision Inc.
Download form via ENS
6/28/2004 BVTX1 Block Vision Texas
Download form via ENS
2/01/2009 ARBLS Blue Advantage of Arkansas
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
Download form via ENS
2/01/2009 ECIBB BLUE BELL BENEFITS TRUST
H0316 Blue Care Family Plan CT
6/26/2003 BBMIC BLUE CARE NETWORK HMO (MI BCBS)
Enrollment online at:
http://editest.bcbsm.com/tpalogon.html
One form per provider number, whether for a group or
individual number.
Note: Unique receiver I.D. and submitter I.D. is C0HDA
(second digit is a zero).
2/01/2009 VABLS Blue Care PPO Requires VA Blue Shield EMC approval
6/26/2003 BLCRI BLUE CHIP Rhode Island Please contact LTC for more info.
BBLA1 Blue Cross and Blue Shield of Louisiana
2/01/2009 C3BLS Blue Cross Blue Shield BlueCare Family Plan (Connecticut)
To be used on all CT BlueCare claims with dates of service
on or after 7/01/06
Download form via ENS
6/26/2003 BBMD1 Blue Cross Blue Shield Carefirst - Maryland
1/17/2008 BBAL1 Blue Cross Blue Shield of Alabama
1/17/2008 BBAZ1 Blue Cross Blue Shield of Arizona
Download form via ENS
BBAR1 Blue Cross Blue Shield of Arkansas
BBARF Blue Cross Blue Shield of Arkansas (Federal Employees) Please contact LTC for more info.
Call Blue Cross Blue Shield of California (Encounters) Call BCBS of CA Encounters for Payor I.D.
BBCTE Blue Cross Blue Shield of Connecticut (Anthem)
Download form via ENS
9/28/2004 BBDE1 Blue Cross Blue Shield of Delaware
BBFL1 Blue Cross Blue Shield of Florida
1/17/2008 BBHIE Blue Cross Blue Shield of Hawaii
Download form via ENS
1/17/2008 BBID1 Blue Cross Blue Shield of Idaho
Download form via ENS
BBIN1 Blue Cross Blue Shield of Indiana (Anthem)
Download form via ENS
BBKS1 Blue Cross Blue Shield of Kansas
BBKY1 Blue Cross Blue Shield of Kentucky (Anthem) Contact BCBS of Kentucky to obtain a Provider I.D.
BBLA1 Blue Cross Blue Shield of Louisiana
BBME1 Blue Cross Blue Shield of Maine
1/17/2008 BBMDE Blue Cross Blue Shield of Maryland
Download form via ENS
1/17/2008 BBMAE Blue Cross Blue Shield of Massachusettes
Download form via ENS
BBMI1 Blue Cross Blue Shield of Michigan
Enrollment online at:
http://editest.bcbsm.com/tpalogon.html
One form per provider number, whether for a group or
individual number.
Note: Unique receiver I.D. and submitter I.D. is C0HDA
(second digit is a zero).
BBMIF Blue Cross Blue Shield of Michigan (FEP)
Enrollment online at:
http://editest.bcbsm.com/tpalogon.html
One form per provider number, whether for a group or
individual number.
Note: Unique receiver I.D. and submitter I.D. is C0HDA
(second digit is a zero).
BBMN1 Blue Cross Blue Shield of Minnesota
1/17/2008 BBMS1 Blue Cross Blue Shield of Mississippi
1/17/2008 BBMO1 Blue Cross Blue Shield of Missouri
Download form via ENS
BBMT1 Blue Cross Blue Shield of Montana
BBNE1 Blue Cross Blue Shield of Nebraska
6/07/2007 BBNV1 Blue Cross Blue Shield of Nevada
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
BBNHE Blue Cross Blue Shield of New Hampshire
Download form via ENS
BBNJ1 Blue Cross Blue Shield of New Jersey (Horizon)
84100 Blue Cross Blue Shield of New Mexico Please contact LTC for more info.
BBNYE Blue Cross Blue Shield of New York (Empire)
BBNYC Blue Cross Blue Shield of New York - Central New York
BBNYR Blue Cross Blue Shield of New York - Rochester, New York
BBNC1 Blue Cross Blue Shield of North Carolina
1/17/2008 BBOK1 Blue Cross Blue Shield of Oklahoma
Download form via ENS
BBOR1 Blue Cross Blue Shield of Oregon (Regence)
Download form via ENS
1/17/2008 BBRI1 Blue Cross Blue Shield of Rhode Island
Download form via ENS
BBSCE Blue Cross Blue Shield of South Carolina
Download form via ENS
BBSDW Blue Cross Blue Shield of South Dakota (Wellmark)
1/17/2008 BBUT1 Blue Cross Blue Shield of Utah
Download form via ENS
2/09/2005 BBVT1 Blue Cross Blue Shield of Vermont
BBVAE Blue Cross Blue Shield of Virginia
Download form via ENS
1/17/2008 BBWV1 Blue Cross Blue Shield of West Virginia
Download form via ENS
BBWI1 Blue Cross Blue Shield of Wisconsin
BBWAP Blue Cross of Alaska (Premera)
BCCA1 Blue Cross of California
7/23/2009 BCCAC Blue Cross of California Care - HMO
BBWAP Blue Cross of Washington (Premera)
6/07/2007 BBWAR Blue Cross of Washington (Regence)
H0348 Blue Cross of Washington (Health Plus) Please contact LTC for more info.
H0349 Blue Cross of Washington (Healthy Options) Please contact LTC for more info.
H0347 Blue Cross of Washington (NCAS Insurdata) Please contact LTC for more info.
BBWI1 Blue Cross of Wisconsin
10/2/2003 IP061 Blue Lake Rancheria Call or email
LTC.
BPMN1 Blue Plus Exams (Blue Cross Blue Shield of Minnesota)
BPMNS Blue Plus Supply (Blue Cross Blue Shield of Minnesota)
6/07/2007 54721 Blue Shield - PA - Healthone
2/01/2009 HM007 Blue Shield HMO - HMO
BBAZ1 Blue Shield of Arizona
Download form via ENS
BSCA1 Blue Shield of California
7/23/2009 BSCAF Blue Shield of California - FEP
2/01/2009 N2BLS Blue Shield of Central NY HMO/PPO
Download form via ENS
6/07/2007 BBCO1 Blue Shield of Colorado
BBGA1 Blue Shield of Georgia Contact BCBS of Georgia to obtain a Provider I.D.
9/28/2004 BBHI1 Blue Shield of Hawaii
BBIL1 Blue Shield of Illinois
BBIAW Blue Shield of Iowa (Wellmark)
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
BBKC1 Blue Shield of Kansas City
BBMD1 Blue Shield of Maryland Contact BCBS of Maryland to obtain a Provider I.D.
H0112 Blue Shield of Massachusetts
Download form via ENS
BBMS1 Blue Shield of Mississippi
BBMO1 Blue Shield of Missouri
Download form via ENS
BBOH1 Blue Shield of Ohio (Anthem)
BSOK1 Blue Shield of Oklahoma Call Blue Shield of Oklahoma for Provider I.D.
54771 Blue Shield of Pennsylvania (Highmark)
Enrollment online via the Highmark web site: Web
Enrollment Form
4/7/2004 54704 Blue Shield of Pennsylvania (Personal Choice, Independence)
Enrollment online via the Highmark web site: Web
Enrollment Form
BBMO1 Blue Shield of St. Louis (fax info only)
Download form via ENS
BBTN1 Blue Shield of Tennessee
BBTX1 Blue Shield of Texas Call TX BCBS for provider I.D.
BBUT1 Blue Shield of Utah
Download form via ENS
BBDCC Blue Shield of Washington D.C. (CareFirst)
2/9/2005 BBNYW Blue Shield of Western New York
BBWI1 Blue Shield of Wisconsin
BBWI1 Blue Shield of Wisconsin Comp Care
8/14/2003 BSWYP Blue Shield of Wyoming Please contact LTC for more info.
2/01/2009 37121 Bluebonnet Administrators
H0417 Bluegrass Family Health
6/26/2003 13337 BMC HealthNet Plan
6/07/2007 20018 BMGI - BENEFIT MANAGEMENT GROUP INC.
75135 BMI-Benefits Management Inc.
36609 Boilermakers National Health & Welfare Fund
74238 Boone-Chapman Benefit Administrators, Inc.
65099 Boral
6/26/2003 H0370 Borderland Construction Co Inc Please contact LTC for more info.
6/26/2003 13337 Boston Medical Center Health Plan Inc.
38324 Botsford Health PLan (Farmington Hills, MI)
4/7/2004 37273 BoydCare/Boyd Bros. Transportation Inc.
2/01/2009 37286 BPA /BENEFIT PLAN ADMINISTRATORS (NORTH DAKOTA)
48964 BPS, Inc.
2/01/2009 52192 BRAVO HEALTH (ELDER HEALTH MARYLAND HMO INC.)
65005 Breath CO/ICSL Pulmonary
6/26/2003 BPN01 BREVARD PHYSICIANS NETWORK
6/28/2004 BEJ20 Bricklayers Local 22 (Only Non-PPO Claims)
6/07/2007 38365 BRIDGE BENEFITS
5/23/2006 37285 Bridgestone Claims Services
2/01/2009 68054 Bridgeway Arizona
6/26/2003 51037 Brokerage Concepts, Inc.
6/28/2004 call Brokerage Service Inc. (BSI) To obtain the payer ID, please call (440) 262-1160.
2/01/2009 HP101 Brooklyn Health
59069 Brown & Brown Benefits
94316 Brown & Toland Medical Group
68195 Browning Ferris Industries Contact HealthSource for Provider I.D.
2/01/2009 BRISD BRYAN INDEPENDENT SCHOOL DISTRICT
36342 BSSI
32004 Buckeye Community Health Planb
65099 Budd Company
50240 Buenaventura Medical Group, Inc.
68195 Burlington Industires Contact HealthSource for Provider I.D.
68195 Burroughs Wellcome Contact HealthSource for Provider I.D.
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
5/23/2006 42150 Butler Benefit
6/26/2003 23708 C & O Employees Hospital Association
2/01/2009 73071 C L FRATES AND COMPANY - OSMA HEALTH
6/26/2003 H0370 CA Physicians Insurance Corp Please contact LTC for more info.
62413 CAC Claims Administration Corporation
87726
CAC-United Healthcare Plan of Florida (Now United Healthcare of Florida, Old
CAC/Ramsay/Coral Gables Plan Only)
5/23/2006 REG02 Caduceus Medical Group
6/26/2003 BC001 Cal-Optima - Medi-Cal (Blue Cross)
5/23/2006 CALOP Cal Optima Direct
6/26/2003 IP059 Calif. Care (Humboldt Del Norte)
2/01/2009 IP020 California Primary Care Medical Group (Labs Only)
6/26/2003 59334 Cambridge ISG
5/23/2006 CAMAA Cameron and Associates
6/26/2003 H0370 Camp Verde Schools Please contact LTC for more info.
68195 Campbell Soup Company Contact HealthSource for Provider I.D.
6/26/2003 37105 Cannon Cochran Management Services, Inc.
6/26/2003 IP080 Cap Management Systems
38245 Cape Health Plan
2/01/2009 23045 Capital Advantage Insurance Company (CAIC) PROFESSIONAL
BCBS ProviderID and Performing ProviderID required. Call
800-874-8433
23045 Capital Blue Cross
87726 Capital Community Health Plan
6/07/2007 95112 Capital Health Plan
6/07/2007 65067 Capital International Management Services
87726 Capital Records
68011 Capitol Administrators
8/14/2003 87726 Capitol Dist Physicians Health
6/26/2003 CRAM1 CARE AMERICA
6/26/2003 CRAM2 CARE AMERICA IMGLA
6/26/2003 HM037 Care Choices HMO
Download form via ENS
2/01/2009 38269 Carechoices Michigan - Mercy Healthplans
Enrollment required; please contact Noreen at (248) 489-
5281
2/01/2009 77082 Care Improvement Plus
11331 Care Management Group of Greater NY, Inc.
5/23/2006 00344 Care Management Resources
43172 Care Partners
2/01/2009 65031 Care Plus
2/01/2009 41222 CARE TO CARE
6/26/2003 14182 CareCore National
9/28/2004 14184 CareCore National - Healthnet
6/26/2003 14179 CareCore National, LLC (Aetna Radiology Claims)
6/26/2003 14180 CareCore National, LLC (Oxford Radiology Claims)
5/23/2006 14185 CareCore National HN NJ
52118 CareFirst Administrators-Maryland
6/26/2003 BBDCC CareFirst Blue Cross Blue Shield of DC / NCA
6/26/2003 BBMD1 CareFirst Blue Cross Blue Shield of MD
6/26/2003 SB691 CareFirst Delmarva Health Plan Call CareFirst Delmarva HP for Provider I.D.
5/23/2006 57116 CareFirst Health Plan AZ
25139 CareLink Advantra
25139 CareLink Health PLan
25140 CareLink Medicaid
5/23/2006 CM001 CareMore IPA
6/07/2007 25142 Carenet
H0027 CareNetwork WI Health Org
5/23/2006 39280 CareOne Health Plan
5/23/2006 93975 CareOregon Inc.
5/23/2006 95092 CarePlus Health
CKOH2 CareSource, Ohio Medicaid
8/14/2003 CSMIP CareSource MI
6/07/2007 31114 CareSource OH
2/9/2005 37311 CareSource of Indiana
35167 CareWise
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
6/26/2003 CRWRK CAREWORKS Please contact LTC for more info.
6/26/2003 62073 Cariten Healthcare
6/26/2003 62072 Cariten Senior Health
6/26/2003 37245 Carolina Benefit Administrators Inc.
57105 Carolina Care Plan
56195 Carolina Summit Healthcare, Inc.
6/26/2003 25125 Carpenter's Health and Welfare Trust Fund of St. Louis
6/07/2007 COMPU Carpenters' and Millwrights' Health Benefit Trust Fund
6/07/2007 COMPU Carpet, Linoleum and Resilient Tile Layers Health and Welfare Fund
93040 Cascade East Health Plans
93102 Cascade Health Partners
37060 Caterpillar
52132 CBA
6/26/2003 55438 CBCA Administrators
2/01/2009 56215 CBHA Carolina Behavioral Health Alliance
31158 CBIZ Benefits & Insurance Services (San Diego, CA)
41124 CBSA
6/26/2003 30452 CCEA CLARK COUNTY ASSOC
88019 CCEA Welfare Benefit Trust
2/01/2009 CCMC1 CCMC - Comprehensive Care Management Corp
33005 CCN Managed Care, Inc.
2/01/2009 BBMN1 CCS (Comprehensive Care Systems - MN BCBS)
2/01/2009 87065 CDO Technologies
2/01/2009 SX065 BBMN1
H0355 CDS
2/01/2009 TH046 CEDAR RAPIDS ELECTRICAL WORKERS
95166 Cedars-Sinai Medical Network Services (claims)
95167 Cedars-Sinai Medical Network Services (encounters)
5/23/2006 CELTC Celtic Insurance
6/26/2003 37250 Cemara Administrators Inc.
91136 Cement Masons & Plasterers Health & Welfare Trust - Grp# F16
6/07/2007 68047 Cenpatico Behavioral Health - Kansas
6/07/2007 68048 Cenpatico Behavioral Health of Arizona
6/07/2007 68050 CENPATICO GEORGIA
2/01/2009 68052 Cenpatico Indiana
6/26/2003 30608 CENTENE
6/07/2007 13357 CENTERCARE
6/26/2003 IP080 Centinela IPA
75243 Centra
75243 Centra Benefits of Texas (MS,TX,WA)
6/26/2003 75196 Centra Healthplan (Formerly Health Economics Corp)
H0155 Centra MS
31118 Central Benefits Life
31118 Central Benefits Mutual
31118 Central Benefits National
2/01/2009 IP037 Central Coast IPA (Labs Only)
75243 Central Healthplan (Formerly Centra Benefits of Texas (MS, TX, WA)
6/28/2004 BE420 Central Iowa Carpenters (Only Non-PPO Claims)
2/01/2009 IP010 Central Pennsylvania Physicians (Labs Only)
34097 Central Reserve Life
75177 Central & Southwest Services
36215 Central States
36215 Central States Health & Welfare Funds
6/26/2003 37214 Central States Joint Board Health & Welfare Trust Fund
36215 Central States SE & SW Area
8/14/2003 E3510 Central Valley Medical Group Contact NAMM @ 800-956-8000 for Provider I.D.
6/28/2004 48120 Century Health Solutions
04284 CGT Travelers
23171 CHA-Commonwealth Health Alliance
35175 Champus Adminastar Indiana
35175 Champus (See Adminastar)
8/14/2003 84146 CHAMPVA - HAC
69140 Chapparal Steel Company
2/01/2009 95748 Chartered Health Plan (DC Chartered Health Plan)
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
6/26/2003 16600 Chautauqua County Healthcare Plan (Mayville, NY)
2/01/2009 CHAT1 Chatwins Healthcare Administrators
6/26/2003 59223 Chesapeake Life Insurance Company
2/01/2009 34154 CHESTERFIELD RESOURCES INC
6/26/2003 30618 Chicago HMO
6/26/2003 H0345 Chicago Woodfield
6/26/2003 30444 Childhealth Plus CHP
8/14/2003 84146 Children of Women Vietnam Veternas - VA HAC
6/07/2007 94302 Chinese Community Health Plan
6/26/2003 ACN01 ChiroCare
6/26/2003 ACN01 Chiropratic Care of Minnesota, Inc.
6/26/2003 ACN01 Chiropratic Care of Wisconsin, Inc.
1/17/2008 UH131 Chiropractic Health Plan ALTIUS
1/17/2008 UH132 Chiropractic Health Plan BCBS
1/17/2008 UH133 Chiropractic Health Plan DMBA
1/17/2008 UH134 Chiropractic Health Plan EMIA
1/17/2008 UH135 Chiropractic Health Plan MEDICAID
1/17/2008 UH136 Chiropractic Health Plan PEHP
1/17/2008 UH137 Chiropractic Health Plan UUHP
1/17/2008 UH138 Chiropractic Health Plan WISE
5/23/2006 33065 CHOC - Children's Hospital Of Orange County Health Alliance
6/26/2003 76049 Choice One/UTMB CHIP Health Plan
CHPLS Choice Plus (Administered by KVI) Call Choice Plus for Provider I.D.
PR002 Choice Plus (TRW)
38232 ChoiceNet
38232 CHP Preferred Choices
5/23/2006 39112 CHP RPU FABOH
61101 Christi
61271 Christian Brothers Employee Benefits
61271 Christian Brothers Services
6/26/2003 SPOHN CHRISTUS SPOHN
62308 Cigna
CIGBH Cigna Behavioral Health
H0377 Cigna Community Choice
62308 Cigna (Connecticut General)
62310 Cigna Flex Care (New Mexico Only)
62308 Cigna Georgia
62308 Cigna Health Plan-HMO
62308 Cigna Healthcare
6/28/2004 86033 Cigna Healthcare for Seniors - Arizona Medicare
62308 Cigna Healthplan of Richm
62308 Cigna Ins.
62308 Cigna Ins. HMO
62308 Cigna Ins. Knoxville
62308 Cigna Ins. Richmond
2/01/2009 ADAM1 CIGNA PAYERPATH TEST
62308 Cigna-PPA
62308 Cigna-PPO
2/01/2009 10207 Citrus Health Care
6/07/2007 74234 City of Austin
6/26/2003 H0370 City of Mesa Please contact LTC for more info.
6/26/2003 H0370 City of Nogales Please contact LTC for more info.
6/26/2003 H0370 City of Page Please contact LTC for more info.
6/26/2003 H0370 City of Scottsdale Please contact LTC for more info.
2/01/2009 CLFR2 CL Frates
6/26/2003 39141 Claim Management Services
62413 Claims Administration Services
57080 Claims Ware, Inc. dba Manage Med
2/01/2009 TH006 CLARENDON KIDS CHIP PROGRAM
6/07/2007 33192 Clarendon's Healthy Kids - BENECORP - CADENT
9/28/2004 77201 Clearchoice Health Plan/COIHS
68195 Cleveland Clinic Contact HealthSource for Provider I.D.
34172 Cleveland Health Network
61271 Clopay
71063 CNA Health Partners
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
71063 CNA Health Partners, Little Rock (Formerly Coresource, Little Rock)
48153 CNA Health Partners Repricing - AR
36094 CNA Insurance Company
62413 CNA Mailhandlers
68195 CNF Transportation Inc. Contact HealthSource for Provider I.D.
16126 CNY Managed Care
6/07/2007 22382 Coalition for Care/Medtrex Payer HS Call Coalition for Care for Payor I.D.
6/07/2007 22381 Coalition for Care/Medtrex Payer WL Call Coalition for Care for Payor I.D.
6/07/2007 22380 Coalition for Care/Medtrex Payer TC Call Coalition for Care for Payor I.D.
6/07/2007 22377 Coalition for Care/Medtrx GH Call Coalition for Care for Payor I.D.
6/07/2007 22378 Coalition for Care/Medtrx IX Call Coalition for Care for Payor I.D.
6/07/2007 22379 Coalition for Care/Medtrx L8 Call Coalition for Care for Payor I.D.
6/07/2007 22375 Coalition for Care/Medtrx Payer EM Call Coalition for Care for Payor I.D.
6/07/2007 22376 Coalition for Care/Medtrx Payer FI Call Coalition for Care for Payor I.D.
6/07/2007 22374 Coalition for Care/Medtrx Payer HP Call Coalition for Care for Payor I.D.
6/07/2007 37310 Coast Hotels & Casino, Inc. / DBA Coast Benefits
6/26/2003 H0370 Cochise Health Ins Consortium Please contact LTC for more info.
2/01/2009 38335 Cofinity (formerly Sloans Lake)
87726 Colgate Palmolive
37123 Colonial Healthcare
5/23/2006 84129 Colorado Access
2/01/2009 COHMO Colorado Blue Advantage
6/07/2007 COMPU Colorado Laborers Health and Welfare Fund
2/01/2009 SX114 COLORADO MEDICAID ACCESS
25351 Columbia Cornell Care
91162 Columbia United Providers
6/26/2003 37271 Combined Benefits, Inc.
65099 Combustion Engineering
H0248 Comm Choice Claims Encounters
34181 Commerce Benefits Group
6/26/2003 37237 CommonWealth Administrative Group
2/01/2009 TH026 COMMONWEALTH ADMINISTRATORS
2/01/2009 14315 Commonwealth Care Alliance
65099 Commonwealth Edison Company
25179 Community Care Behavioral Health Organization
73143 Community Care Managed Health Care Plans of Oklahoma
33005 Community Care Network
6/28/2004 39126 Community Care Organization
6/07/2007 71079 COMMUNITY CARE PLUS
2/01/2009 61948 COMMUNITY CHOICE HEALTH PLAN OF WESTCHESTER
2/9/2005 38325 Community Choice of Michigan
6/07/2007 COMMF Community First Health Plan, Inc.
6/26/2003 CFT01 COMMUNITY FIRST TEXAS
6/28/2004 35193 Community Health Alliance (CHA)
6/26/2003 48145 Community Health Choice
75261 Community Health Electronic Claims (Chec)
6/26/2003 62149 Community Health Network of CT
90010 Community Health Plan
23742 Community Health Plan of Albany Call 518-783-1864 x4360 for Provider I.D.
90010 Community Health Plan - Milwaukee, WI Call (262)787-2705 for Provider I.D.
8/14/2003 CHPWA Community Health Plan - WA
2/01/2009 CMGWV Community Medical Group of the West Valley
39026 Community Preferred Health Plan (CA)
32481 Community Premier Plus for Neighborhood Health Providers
6/07/2007 34177 COMP - OHIO (AUSTINTOWN, OH)
6/26/2003 CH001 COMPANION HEALTHCARE Please contact LTC for more info.
5/23/2006 37297 CompBenefits Corporation
2/01/2009 34177 Compensation Programs of Ohio, Inc.
23296 Compfirst
2/01/2009 93101 Complementary HealthCare Plans
2/01/2009 SX004 COMPLETE HEALTH OF ALABAMA
2/01/2009 10005 CompManagement Health Systems, Inc. (OH BWC)
Download form via ENS
2/01/2009 59314 Comprehensive Behavioral Care
03036 Comprehensive Benefits Administrators, Inc.
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
H0356 Comprehensive Health Admin
61271 Comprehensive Trust
1/31/2011 37363 ComPsych
6/07/2007 74234 CompuSys Incorporated/Erisa Group (AZ, NM, TX, UT)
6/07/2007 COMPU Compusys of Colorado
80705 Confederation Admin. Services (DCA)
80705 Confederation Life Insurance Co.
06105 Connecticare, Inc
2/01/2009 78375 Connecticare - Medicare
6/07/2007 37307 CONNECTICUT CARPENTERS HEALTH
62308 Connecticut General (Cigna)
6/26/2003 30356 Connecticut National Life
6/07/2007 63208 Connecticut PRI
6/26/2003 30356 CONSECO MEDICAL INSURANCE CO
35196 Conseco Services, LLC
37135 Consociate Group
6/26/2003 75284 Consolidated Associates Railraod
68195 Consolidated Freightways Corporation Contact HealthSource for Provider I.D.
04284 Consolidated Group
6/26/2003 04274 Consolidated Group/HPS
04284 Consolidated Group/Travelers
4/7/2004 37295 Consumer Health Solutions
H0327 Constitution Healthcare
4/7/2004 71404 Continental General Insurance Co
35196 Continental Life & Accident Co
6/26/2003 30356 Continental National Life
13397 Continuum ABCMSO
6/07/2007 55544 Conversion Plan-APWU
2/01/2009 CCHP1 Cook Children's Health Plan
2/01/2009 CCHP9 Cook Children's Star Plan
2/01/2009 35149 Cook Group Health Plan
52132 Cooperative Benefit Administrators-CBA
2/01/2009 35199 COOPERATIVE MANAGED CARE SERVICES
58204 Coordinated Medical Specialists
6/26/2003 58231 Core Administrative Services
6/26/2003 30921 CORE MGMT RESOURCES GRP GA
4/7/2004 41045 CoreSource
2/9/2005 35182 CoreSource (IA, IL, MD, PA)
2/9/2005 35180 CoreSource (IN, NC)
Contact CoreSource for enrollment. Email:
75136 CoreSource (Little Rock)
2/9/2005 35183 CoreSource (OH)
4/7/2004 PH018 CoreStar
2/01/2009 41045 CoreStar (AZ, MN)
Only for address in Arizona and Minnesota. For assistance,
call 800-698-0106
6/28/2004 CBA11 CornerStone Benefit Administrators
41124 Corporate Benefit Services of America (CBSA)
56116 Corporate Benefits Service, Inc.
6/26/2003 37246 Corporate Systems Administration
43160 Correctional Medical Services
6/26/2003 48146 CorSolutions
4/7/2004 37288 Cottage Health/Hospital
62553 Country Life Ins. Co.
2/01/2009 VABLS COVA (Commonwealth of VA) Requires VA Blue Shield EMC approval
6/26/2003 58102 Covenant Administrators, Inc. (Atlanta, GA)
62155 Covenant Health
25144 Coventry - Kansas City Medicare (Advantra)
25130 Coventry Health Care of Delaware
25127 Coventry Health Care of Georgia, Inc.
25131 Coventry Health Care of Indiana, Inc.
25132 Coventry Health Care of Iowa, Inc.
25133 Coventry Health Care of Kansas, Inc. - Kansas City
25134 Coventry Health Care of Kansas, Inc. - Wichita
25135 Coventry Health Care of Louisiana, Inc.
25136 Coventry Health Care of Nebraska, Inc.
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
25129 Coventry Health Care of the Carolinas
2/01/2009 25150 COVENTRY OMNICARE
2/01/2009 25128 Coventry Southern Health Services
The following claims cannot be submitted electronically:
Resubmitted, Anesthesia, and Claims with Attachments
6/26/2003 COXHP COX HEALTH PLAN
2/01/2009 10014 CRA managed Care (OH BWC)
Download form via ENS
64068 Creative Medical Systems
80705 Crown Life
6/26/2003 37266 Croy-Hall Mgmt. Inc.
2/01/2009 59140 Culinary Health & Welfare Fund (Las Vegas, NV)
2/9/2005 39170 Custom Benefit Administrators
2/01/2009 82056 Custome Design Benefits, Inc.
PR002 Customcare
PR002 Customcare (Southwestern Bell-Exec)
6/28/2004 BE120 D & V Bricklayers (Only Non-PPO Claims)
6/28/2004 BE110 D & V Cement Masons (Only Non-PPO Claims)
6/28/2004 DAK01 DakotaCare
65099 Dana Corporation
2/01/2009 06172 DART CONTAINER CORPORATION
6/07/2007 95748 DC Chartered Health Plan, Inc. (Medicaid & Alliance)
9/28/2004 39113 Dean Health Plan
4/7/2004 64159 Definity Health
2/01/2009 87726 Definity Services
25137 Delaware Care
63081 Delaware Health Plan Consortium
9/28/2004 27009 Delaware Physicians Care, Inc.
6/26/2003 SB691 Delmarva Health Plan - Carefirst Call CareFirst Delmarva HP for Provider I.D.
6/26/2003 DHS01 Delta Health Systems
65099 Deluxe Corporation
H0003 Dentemax
6/26/2003 H0003 Dentemax (MI) - Wisconsin Only
H0003 Dentemax/DPI
6/26/2003 H0003 Dentemax/DPI (MI) - Wisconsin Only
6/28/2004 84134 Denver Health - Indigent
6/07/2007 84133 Denver Health Medicaid Choice
4/7/2004 84135 Denver Health Medical Plan
6/07/2007 84131 Denver Health Medical Plan, Inc. - Medicare Choice
58204 Dermatology Network Solutions
5/23/2006 DNS22 Dermatology Network Solutions, LLC BCBS Payer requires 11 digit member ID Number.
5/23/2006 DNS77 Dermatology Network Solutions, LLC Humana Payer requires 11 digit member ID Number.
5/23/2006 DNS44 Dermatology Network Solutions, LLC Vista Payer requires 11 digit member ID Number.
2/01/2009 SX105 DESERET MUTUAL
H0119 Deseret Mutual Dmba UT
6/26/2003 H0370 Desert De Oro Please contact LTC for more info.
2/01/2009 PPM01 Desert Family Practice Association
5/23/2006 DESRT Desert Medical Group
6/07/2007 36436 DESTINY HEALTH
6/07/2007 56240 Detroit Medical Center
6/28/2004 BE170 Detroit Millmen (Only Non-PPO Claims)
6/07/2007 43471 DEVON HEALTH
2/01/2009 25160 DGA - Diversified Group Administrators
4/7/2004 25131 Diamond Plan
6/26/2003 H0370 Dine Schools Employee Benefit Please contact LTC for more info.
6/26/2003 23706 Directors Guild of America - Producer Health Plan
06102 Diversified Administration
06102 Diversified Group
06102 Diversified Group Brokerage (Marlborough, CT)
68195 Dixie Yarns Contact HealthSource for Provider I.D.
DMRCA DMERC REGION A
DMRCB DMERC REGION B
DMRCC DMERC REGION C
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
DMRCD DMERC REGION D
85042 Dona Ana Medical IPA
2/01/2009 DNLY1 Donley & Company
65099 Dow Chemical
6/26/2003 DCHC1 DRISCOLL CHILDRENS HEALTH CHIP
2/01/2009 37600 DSCC - Division of Specialized Care for Children
68195 Duke Power Company Contact HealthSource for Provider I.D.
6/07/2007 35186 Dunn and Associates Benefits Administrators, Inc.
6/28/2004 34159 E-V Benefits Management, Inc
75232 E3 Health, Inc.
61101 Eagle Creek Medical Plaza
65009 eAppeal Solutions
2/01/2009 36434 Early Intervention Central Billing
94318 East Bay Medical Network
2/01/2009 CMSI1 EASTLAND MEDICAL GROUP
62308 Eaton Benefits - Ohio
39026 Eau Claire Health Protection Plan
39026 Eau Claire Providers Choice
2/01/2009 67466 EBA - Employee Benefits America
2/01/2009 CX025 EBMC
81039 EBMS (Employee Benefit Management Services, Inc.)
2/01/2009 34166 EBS of Ohio (Valid for PO BOX 2568, Mansfield, OH 44906.)
6/26/2003 MIDW1 ECOH or Employers Coalition
2/01/2009 75277 eComPPO
6/26/2003 EDUMU EDUCATORS MUTUAL UT
68195 Edward D. Jones and Company Contact HealthSource for Provider I.D.
H0357 EGS Employee Group Services
6/26/2003 30508 Egyptian Area School Benefits
6/26/2003 MIDW1 EHC or Employers Health Cooperative
73288 EHI (Employers Health Insurance)
73288 EHS Group Health Plan (Milwaukee, WI)
2/01/2009 EPF03 EL PASO FIRST - CHIP
52192 Elder Health Maryland/Pennsylvania HMO Inc.
6/28/2004 31625 ElderPlan, Inc.
75260 Electronic Transmission Corporation
2/01/2009 ECISF ELLIS CONSULTANTS, INC.
2/01/2009 NAELM Elmcare
6/26/2003 37253 Elmco
6/26/2003 H0370 Embry Riddle Aeronautical Please contact LTC for more info.
34167 Emerald Health Network
34167 Emerald Health Network, Inc. (All PPO Business)
34555 Emerald HMO
6/07/2007 59299 EMI-KP Ambulance Claims
PR002 Emorycare
73288 Emphesys
BBNYE Empire Blue Cross Blue Shield (NY)
MRNYE Empire Medicare (NY)
6/26/2003 IP079 Empire Physicians MG Call or email LTC.
6/26/2003 H0370 Empire Southwest Please contact LTC for more info.
34854 Employee Benefit Administrators
6/28/2004 call Employee Benefit Claims (EBC)- Mid-America, WI To obtain the payer ID, please call (440) 262-1160.
38241 Employee Benefit Concepts (Farmington Hills, MI)
2/01/2009 37257 EMPLOYEE BENEFIT CONSULTANTS (MILWAUKEE, WI)
4/7/2004 37215 Employee Benefit Corporation
4/7/2004 CX025 Employee Benefit Management Corporation
6/26/2003 37216 Employee Benefit Services
2/01/2009 41198 EMPLOYEE BENEFIT SERVICES OF LOUISIANA, INC (EBS)
6/07/2007 22262 Employee Benefits Administration and Management Corp
03036 Employee Benefits Plan Administration, Inc. (EBPA)
5/23/2006 41198 Employee Benefit Resources of LA, Inc.
6/07/2007 75184 Employee Claim ADJ Dallas, Texas
34853 Employee Group Services
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
35112 Employee Plans, LLC
54098 Employee Security Inc.
5/23/2006 74212 Employer Plan Services
6/07/2007 MIDSC Employers Coalition On Health (ECOH)
4/7/2004 75232 Employers Direct Health
6/28/2004 75236 Employers Direct Health - Employee Plan
6/28/2004 75235 Employers Direct Health - FI
6/28/2004 75233 Employers Direct Health - SF
2/01/2009 27008 Employers Health Cooperative (EHC)
73288 Employers Health Insurance
39026 Employers Insurance of Wausau - Aka Wausau
6/26/2003 37249 Employers Life Insurance Corp.
59298 Employers Mutual, Inc (FL)
6/26/2003 35206 Encircle PPO
87726 Encompass
35206 Encore Health Network
36364 ENH Medical Group IPA
91136 Enstar Natural Gas
91136 Enstar Natural Gas - Grp# P61
2/01/2009 EPNSH EPN - Seton Health Plan Exclusive Provider ID required. Call EPN.
62308 Equicor
62308 Equicor (Equitable HCA Corp)
62308 Equicor-PPO
75196 Equifax Healthcare Admin. Svc.(EHAS)(formerly Health Economics Corp)
62308 Equitable (Cigna)
6/07/2007 73126 Equitable Plan Services (Oklahoma City, OK)
23250 Erin Group Administrators
74234 Erisa Administrative Services
65099 Ernst & Young
6/07/2007 34108 ES Beveridge and Associates
2/01/2009 SX008 ETHIX MID WEST
H0334 Evercare
2/01/2009 07501 Evercare Star Plus
58233 Evergreen Health Plan
2/01/2009 59313 Evolutions Healthcare
68195 Excel Industries Inc. Contact HealthSource for Provider I.D.
6/26/2003 IP080 Exceptional Care Medical
71412 Exclusicare
H0358 Eye Associates Network
6/28/2004 BVES1 EYE SPECIALISTS
Download form via ENS
4/7/2004 37289 F.A. Richard & Associates, Inc. (FARA)
6/07/2007 95432 FACEY MEDICAL FOUNDATION
9/28/2004 37300 FACS Group (Federated Benefits/HR Services)
9/28/2004 SX072 Fallon Community Health Plan
Download form via ENS
2/01/2009 FCD01 Family Care Medicaid
2/01/2009 FCM01 Family Care Medicaid Mental Health
2/01/2009 FCR01 Family Care Medicare
6/26/2003 IP080 Family Choice Medical
6/26/2003 IP080 Family Health Alliance
30281 Family Health Cooperative
H0003 Family Health Network
6/26/2003 H0003 Family Health Network - Wisconsin Only
2/01/2009 31472 FAMILY HEALTH PARTNERS - HEALTHWAVE OF KANSAS
6/26/2003 43173 Family Health Partners/MC+ Missouri
6/07/2007 96865 Family Health Plan
30281 Family Health Plan Cooperative-Milwaukee, WI
FHP01 Family Health Plan of Ohio
6/26/2003 30444 Family Health Plus FHP
90010 Family Health Systems - WI - Community Health Plan Call (262)787-2705 for Provider I.D.
30281 Family Health Systems - WI - Family Health Plan Coop.
6/07/2007 36396 FAMILY MEDICAL NETWORK
6/26/2003 30888 FAMILY PRACTICE ASSOCIATES
6/26/2003 IP017 Family / Seniors Medical Group, Inc. (Labs Only) - IPA Call SMG for Provider I.D.
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
87726 Famous Barr
2/01/2009 37289 FARA Benefit Services, Inc.
68195 Farm Credit Council Services Contact HealthSource for Provider I.D.
6/07/2007 14140 Farm Family Albany, New York
6/07/2007 33033 FCE Benefit Administrators, Inc.
2/01/2009 C2BLS Federal Employee Program (Connecticut)
41041 Federated Mutual Insurance
H0003 FHC - Super Select
6/26/2003 H0003 FHC Super Select (FL) - Wisconsin Only
6/07/2007 COFHP FHP of Colorado - HMO claims only. Trading Partner Number required
H0003 FI Health Choice
H0003 FI Health Choice Select
6/26/2003 11315 Fidelis Care NY
2/01/2009 77054 Fidelis Secure Care
10/2/2003 FAMR1 First Administrators Call First Administrators for Provider I.D.
69140 First Allmerica Financial Life Insurance Co.
56196 First Carolina Care
14162 First Choice (CT)
91131 First Choice - Health Network
6/07/2007 75138 FIRST CHOICE OF MIDWEST
80705 First Great-West Life & Annuity
90060 First Guard Health Plan
80705 First GWL & A
87043 First Health
87043 First Health (Alta Health Strategies)
2/01/2009 73159 FIRST HEALTH NETWORK
87043 First Health Strategies
6/26/2003 30537 FIRST INTEGRATED HEALTH
06108 First Option Health Plan
Payer requires unique provider ID; please call (866) 334-
4638.
23241 First Priority
2/01/2009 87726 First Seniority Freedom
2/01/2009 59276 First Service Administrators
6/26/2003 ARFS1 FIRST SOURCE UF CW TRUST Please contact LTC for more info.
63080 First State Health Plan
2/01/2009 TH003 FIRSTCARE AND FIRSTCARE STAR MEDICAID
H0025 FirstCare HMO Call Firstcare HMO for Provider I.D.
2/01/2009 94999 FirstCare Star Medicaid
90060 Firstguard Health Plan
2/9/2005 90061 FirstGuard Missouri
2/01/2009 62061 Fiserv Health - Kansas
6/07/2007 11244 Fitzharris & Company, Inc.(Farmingdale, NY)
60054 Flexcare
6/28/2004 BEJ70 Flint Sheet Metal Workers Local 7, Zone 4 (Only Non-PPO Claims)
59276 Florida 1st
6/26/2003 H0003 Florida Health Choice (FL) - Wisconsin Only
6/26/2003 H0003 Florida Health Choice/Select (FL) - Wisconsin Only
6/07/2007 59321 FLORIDA HOSPITAL HEALTHCARE SYSTEMS
6/26/2003 30936 FLORIDA HOSPITAL HLTH SYSTEMS
48116 Florida Hospital Waterman
2/01/2009 65083 Florida Netpass
60054 Florida Power & Light
2/01/2009 APBPN FloridianCare
2/01/2009 20165 FloridianCare (SFL) American Pioneer Health Plan
48117 FMH Benefit Services, Inc.
65099 Ford Motor Company
6/28/2004 87066 Formax, Inc.
81017 Fortis Benefits - Self Funded Insurance
39065 Fortis Insurance Company
41124 Fortis Self Funded Administrative Services
2/01/2009 39065 FORTIS Western
2/01/2009 BOONG
FOUNDATION BENEFIT ADMINISTRATORS/CONTRACTOR EMPLOYEE BENEFITS
ADMIN
H0379 Foundation For Medical Care
94156 Foundation For Medical Care of Sonoma County
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
6/26/2003 FH001 Foundation Health Call or email LTC.
2/01/2009 FH002 Foundation Health - HMO of CA
6/26/2003 59257 Foundation Health Plan (Sunrise, FL)
64067 Fox Everett-Ingallis Ship Building
64069 Fox-Everett, Inc.
2/01/2009 FVMCH Fox Valley Medicine Site 199
2/01/2009 FVMC1 Fox Valley Medicine Site 451
6/26/2003 30358 FPA MEDICAL MANAGEMENT
5/5/2010 71768 Freedom Blue (Highmark)
4/7/2004 62324 Freedom Life Insurance Co.
6/26/2003 IP080 Freeman IPA
2/01/2009 TH118 Fresenius Medical Care
4/7/2004 FBC22 Fringe Benefits Coordinators
6/07/2007 34171 FrontPath Health Coalition
6/07/2007 PRGON Ft Collins IPA (Paragon)
75238 G.E. Group Administrators
67815 G.E. Group Life Assurance Company
2/01/2009 37283 GALLAGHER BENEFIT ADMINISTRATORS, INC/GBA
6/26/2003 30005 Galveston County Indigent Health Care
H0133 Garden State Health Plan GSHP
2/01/2009 10009 Gates McDonald Health Plus, Inc. (OH BWC)
Download form via ENS
25169 Gateway Health Plan
6/07/2007 60550 Gateway Health Plan - Medicare Assured
2/01/2009 76028 Gateway Health Plan of Ohio, Inc.
5/23/2006 GATEW Gateway IPA
5/23/2006 37283 GBA AAG
5/23/2006 67815 GEGLAC
44054 GEHA Government Employees Hospital Association
30594 Geisinger Health Plan
H0123 Gem UT
5/23/2006 MCS01 GemCare
2/01/2009 63665 Gencare Health (St. Louis)
68195 Gencorp Inc. Contact HealthSource for Provider I.D.
63665 Genelco (St. Louis)
63665 General American Life Insurance Co.
6/26/2003 IP062 General Hospital (Humboldt Del Norte)
PR002 General Mills
87726 General Motor
6/26/2003 30002 General Tire
6/26/2003 16112 Genesee County Medical Plan
6/26/2003 IP087 Genesis Healthcare (EMG) Call or email
LTC.
2/01/2009 67815
Genworth Life and Health Insurance Company (GLHIC) (Now Sun Life and Health
Insurance Company.)
H0182 George Washington Univiversity Health Plan Call G.W.U.H.P. for Provider I.D.
58207 Georgia Health Plus
01124 Georgia Power Co
61271 Georgia Power Medical Benefits Plan
61271 Georgia Power Medical Benifits Plan
2/01/2009 GABLS Georgia State Health Benefit Plan (Processed by GA BC/BS)
Download form via ENS
2/01/2009 23212 Gettysburg Health
6/07/2007 59041 GEVB - PIC (GE Voluntary Benefits Professional Insurance Company)
6/26/2003 91051 GH Basic Health Plan Call Grp. Hlth. Coop. for Provider I.D.
6/26/2003 91051 GH Individual and Family Plan Call Grp. Hlth. Coop. for Provider I.D.
6/26/2003 91051 GHC - Commercial Call Grp. Hlth. Coop. for Provider I.D.
6/26/2003 91051 GHC Medicare + Choice Call Grp. Hlth. Coop. for Provider I.D.
25531 GHI HMO Select
13551 GHI - New York Call GHI @ 212-615-4362 for Provider I.D.
58204 GI Innovative Management
65099 GIC Indemnity Plan
6/26/2003 H0370 Gilbert Public Schools Emp Grp Please contact LTC for more info.
07205 Gilsbar, Inc.
6/07/2007 COMPU Glassworkers and Glaziers Health and Welfare Fund Trust
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
91136 Glassworkers Health & Welfare Fund - Grp# F29
2/01/2009 AMM01 GLENDALE PHYSICIANS ALLIANCE
2/01/2009 07689 Global Care Inc
2/01/2009 75246 GM Southwest
6/07/2007 47083 GMS, Inc.
37602 Golden Rule Insurance Co.
37602 Golden Rule Insurance Ims
6/26/2003 30889 GOLDEN TRIANGLE PHYS ASSOC
6/26/2003 IP086 Good Samaritan Medical Practice Association (GSMPA) Call or email
LTC.
34025 Goodyear Tire & Rubber Company
44054 Government Employees Hospital Assn. (GEHA)
58204 Grady Healthcare Inc.
6/26/2003 GCS01 Granite City Steel
6/26/2003 37234 Grant Physicians Practice Association
95467 Great Lakes Health Plan
6/26/2003 80705 Great West Care
80705 Great West Life
2/01/2009 63665 Great West Life & Annuity (Claims for Kennett, Missouri ONLY)
2/01/2009 80705 Great-West Bellevue
2/01/2009 EC001 GREATER COVINA MEDICAL GROUP
6/26/2003 IP080 Greater L.A. Health
39026 Greater Lacrosse 65+
H0026 Greater Marshfield Health Plan
6/26/2003 IP080 Greater San Gabriel
39026 Greater WI Rapids Health Protection Plan
39026 Greater WI Rapids Providers Choice
39026 Green Bay Health Protection Plan
2/01/2009 78521 Greentree
68195 Ground Round Contact HealthSource for Provider I.D.
6/28/2004 GASA1 Group Admin Self-Funded Alternative
36338 Group Administrators LTD.
6/26/2003 31047 GROUP AND PENSION ADMIN TEXAS
6/26/2003 48143 Group and Pension Administrators
6/07/2007 72153 GROUP BENEFIT ADMINISTRATORS (HENDERSONVILLE, TN)
38223 Group Benefit Services, Inc.
6/26/2003 30565 GROUP HEALTH COOP ENCOUNTER
91121 Group Health Cooperative East
2/01/2009 95192 Group Health Cooperative of Eau Claire
91051 Group Health Cooperative of Puget Sound Call Grp. Hlth. Coop. for Provider I.D.
39168 Group Health Cooperative of South Central Wisconsin
91051 Group Health Cooperative (Wa) Call Grp. Hlth. Coop. for Provider I.D.
91051 Group Health Cooperative - West Call Grp. Hlth. Coop. for Provider I.D.
6/26/2003 30563 GROUP HEALTH COOPERATIVE WI
2/01/2009 13551 Group Health Incorporated (GHI) (New York)
61101 Group Health Insurance--DE
6/28/2004 38194 Group Health Managers
6/26/2003 30301 GROUP HEALTH NORTHWEST
6/26/2003 91051 Group Health Options, Incorporated Alliant Plus Call Grp. Hlth. Coop. for Provider I.D.
6/26/2003 91051 Group Health Options, Incorporated Alliant Select Call Grp. Hlth. Coop. for Provider I.D.
6/26/2003 91051 Group Health Options, Incorporated Options Call Grp. Hlth. Coop. for Provider I.D.
6/26/2003 91051 Group Health Options, Incorporated Options Prime Call Grp. Hlth. Coop. for Provider I.D.
6/26/2003 91051 Group Health Options, Incorporated Options Select Call Grp. Hlth. Coop. for Provider I.D.
00340 Group Health Plan, Inc. Call Grp. Hlth. Plan Inc. for Provider I.D.
6/07/2007 37276 Group Insurance Service Center, Inc.
6/07/2007 68046 Group Practice Affiliates
16126 Guardian Choice, the
64246 Guardian Life Insurance Company
8/14/2003 GSHPP Gulf South Health Plans
6/26/2003 30890 GULFQUEST
6/07/2007 39180 Gundersen Lutheran Health Plan, Inc.
6/26/2003 H0370 Gutierrez Palmenberg Inc Please contact LTC for more info.
80705 GWL
80705 GWL & A
61101 H.A.C. Inc.
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
37114 H.E.R.E.I. Welfare Pension Funds
1/14/2010 36405 Harmony Health Plan
4/7/2004 14163 Harmony Health Plan Of Illinois
36405 Harmony Health Plan Of Indiana
5/23/2006 HJMG1 Harriman Jones
75196 Harrington Benefit Service, Inc./Centra
95266 Harrington Benefit Services
95266 Harrington Benefit Services, Inc. (Formerly R.E. Harrington)
06131 Harrington Benefit Services, Inc. (Formerly Third Part Claims Mgmnt)
59142 Harrington Benefit Services, Inc. (Oklahoma)
95959 Harris Methodist Health Plan
Call Harris Methodist H.P. @ 800-845-6592 for Provider
I.D.
75202 Harris Methodist Health Plan (For HMO Medicaid Product)
6/26/2003 HMP01 Harris Methodist Pacificare
6/26/2003 H0345 Hartford (not Iti Hartford)
65099 Hartmarx
H0077 Harvard Community Health Call HCH for Provider I.D.
04271 Harvard Pilgrim Health Care
Providers must contact the payer at 617-745-1000 to
complete an EDI agreement and become enrolled before
submitting claims.
6/26/2003 30034 Harvey Industries
6/26/2003 30879 HAUTAUQUA COUNTY HEALTHCARE
2/01/2009 48330 Hawaii Management Alliance Association (HIMAA)
2/01/2009 99208 Hawaii Management Alliance Association (HMAA)
86065 Hawki Call Hawki for Provider I.D.
37111 HCH Administration (Illinois)
6/28/2004 37215 HCH Administration, Inc. (John P Pearl & Associates)
6/26/2003 37329 HCHA Albq-Self Funded
4/7/2004 82018 HCS - Health Claims Service (Boise, ID)
2/01/2009 HDMCO HDM BENEFIT SOLUTIONS
6/07/2007 90023 HDPC - Premier Healthcare
6/07/2007 20257 HDPC/Alliance Physicians
6/28/2004 23173 Health 1,2,3, Inc.
34185 Health Administration Service, Inc.
HLAD1 Health Advantage Call Health Advantage for Provider I.D.
2/01/2009 ARBLS Health Advantage of Arkansas
Download form via ENS
23172 Health Alliance Exclusive & Plus
2/01/2009 88461 HEALTH ALLIANCE
77950 Health Alliance Medical Plans
H0028 Health Alliance of Urbana IL Call Health Alliance for Provider I.D.
38224 Health Alliance Plan of Michigan
6/26/2003 HAP01 Health Allliance Plan (hap)
25126 Health America, Inc./Health Assurance/Advantra Call Health America for Provider I.D.
2/01/2009 25126 Health Assurance
4/7/2004 60054 Health Care Alliance (Sears)
2/01/2009 HCDPB Health Care District Palm Beach
6/28/2004 42102 Health Care Network of Wisconsin (HCN)
34193 Health Care Payer's Coalition (claims mailed to PO Box 741, Toledo)
34193 Health Care Payer's Coalition (Toledo, OH)
16107 Health Care Plan / Choicecare (Buffalo)
Download form via ENS
56142 Health Care Savings
59142 Health Choice
6/07/2007 62179 HEALTH CHOICE AZ
4/7/2004 01260 Health Choices (Pennsylvania) Contact Health Choices for Provider I.D.
4/7/2004 82018 Health Claims Service (HCS)
1/17/2008 85729 Health Comp
10/2/2003 37263 Health Connecticut
6/28/2004 62111 Health Cost Solutions
46112 Health Data Solutions
34158 Health Designs Plus (Hudson, OH)
75196 Health Economics Corp (See Equifax)
6/26/2003 16112 Health Economics Group, Inc.
75196 Health Economics Peia Rockwell
16120 Health EZ
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
4/7/2004 95019 Health First Health Plan
6/26/2003 HFRST HEALTH FIRST NETWORK
2/01/2009 75234 Health First-Tyler, TX
6/07/2007 30946 Health Future, LLC.
2/01/2009 59087 Health Help Networks, Inc.
H0029 Health Link
2/01/2009 TH049 HEALTH MANAGEMENT ADMINISTRATORS (HMA)
2/01/2009 86066
Health Management Associates (HMA, servicing Southeastern and Southwestern
Regions)
Provider ID Required. Call HMA.
2/01/2009 10006 Health Management Solutions (OH BWC)
Download form via ENS
2/01/2009 62295 Health Market Care Assured
95567 Health Net - California
95570 Health Net - California (Encounters)
95567 Health Net - California (Rosters)
6/26/2003 30224 Health Net CT
6/26/2003 HM001 Health Net (Encounters Only) Call or email
LTC.
6/26/2003 30400 HEALTH NET INCORPORATED
H0003 Health Net - Nashville
6/26/2003 30224 Health Net NJ
6/26/2003 30224 Health Net NY
6/26/2003 38309 Health Net of Arizona
95567 Health Net of California and Oregon
06108 Health Net of the Northeast, Inc.
Payer requires unique provider ID; please call (866) 334-
4638.
22340 Health Net - Oregon
6/26/2003 30224 Health Net PA
2/01/2009 SX185 HEALTH NET PEARL
H0003 Health Net Plus
6/26/2003 H0003 Health Net Plus (TN)
6/26/2003 H0003 Health Net Plus (TN) - Wisconsin Only
4/7/2004 20199 Health Network America
H0030 Health Network Oakbrook
H0030 Health Network PPO Oakbrook
04286 Health New England
58216 Health One Alliance
6/26/2003 HOCO1 HEALTH ONE
H0238 Health Options HMO
2/01/2009 FLHLT Health Options of Florida (Blue Shield HMO)
2/01/2009 FLENC Health Options of Florida (Blue Shield HMO) ENCOUNTERS ONLY
6/26/2003 HOIH1 HEALTH OPTIONS INC HFN
06137 Health Partners - Connecticut
62157 Health Partners - Jackson, TN
HLTHC Health Partners - Minnesota
6/26/2003 H0378 Health Partners North Please contact LTC for more info.
80142 Health Partners - PA
H0382 Health Partners South
6/26/2003 30372 HEALTH PLAN ADMINISTRATORS
37221 Health Plan Management
5/23/2006 52563 Health Plan of MI
2/01/2009 68035 Health Plan of San Joaquin
2/01/2009 HPSM1 Health Plan of San Mateo
94254 Health Plan of the Redwoods
59140 Health Plan Services
6/26/2003 HPSOK Health Plan Services Ok
6/26/2003 59256 Health Plan Southeast (Tallahassee, FL)
44273 Health Plans Inc.
95435 Health Pledge HMO
H0031 Health Plus of Michigan Call Health Plus for Provider I.D.
5/23/2006 HCP01 Health Plus PHSP
4/6/2011 11324 Health Plus PHSP New York
87043 Health Right Inc. If Connecticut (Dental)
41170 Health Risk Management
6/07/2007 37290 HEALTH SERVICES FOR CHILDREN WITH NEEDS
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
6/28/2004 HSM01 HEALTH SERVICES MANAGEMENT
Download form via ENS
34167 Health Services Preferred (Hsp) By Emerald Health
6/26/2003 30500 HEALTH SOLUTIONS
57102 Health Strategies
2/01/2009 27008 HEALTH SYSTEMS INTERNATIONAL - (ECOH)
61101 Health Value Mgmt.--DE (Humana)
34654 Health & Welfare Fund of the Plumbers & Pipefitters Local Union # 396, OH
2/01/2009 TH049 Healthcare Management Admin
2/01/2009 HMA01
Healthcare Management Administrators, Inc. (also known as HMA, servicing
Western Region)
5/23/2006 HCP01 Healthcare Partners Medical Group
H0003 HealthCare Preferred
6/26/2003 H0003 Healthcare Preferred (IA) - Wisconsin Only
6/28/2004 82468 Healthcare Resource Group (HRG)
6/07/2007 73147 Healthcare Solutions Group
6/07/2007 31147 HEALTHCARE TRANSACTION PROCESSORS
6/26/2003 HCUSA HEALTHCARE USA
6/26/2003 36335 Healthcare's Finest Network
62168 Healthchoice of Memphis
5/23/2006 85729 HealthComp Inc.
59608 HealthEase
6/26/2003 30444 Healthfirst 65 Plus
80141 HealthFirst, Inc. (NY) Contact HealthFirst for Provider I.D.
CB833 Healthfirst (Now Medical Mutual of Ohio) Call MM of Ohio for Provider I.D.
6/26/2003 30444 Healthfirst PHSP
75234 Healthfirst - Tyler, TX
23226 Healthguard of Lancaster
59087 Healthhelp Networks, Inc.(HHNI)
6/26/2003 H0015 Healthkeepers
H0399 Healthlink CA
96475 Healthlink HMO
6/26/2003 30508 HealthLink NCPPO
90001 Healthlink PPO Call Healthlink @ 314-989-6000 for Provider I.D.
2/01/2009 SX010 HEALTHMARK PLUS/HEALTHPOINT
2/01/2009 38309 Healthnet of AZ
6/07/2007 55204 Healthnow Division
H0249 Healthone Claims Encounters
95266 Healthplan Service Harrington (Columbus, OH)
59142 Healthplan Services
59142 Healthplan Services (Oklahoma)
59140 Healthplan Services (Tampa Only)
1/17/2008 11271 HealthPlex
2/01/2009 95009 HealthPlus of Lousiana
6/07/2007 38216 HealthPlus of Michigan
2/01/2009 68195 Healthpoint Corporation
31106 HealthPower HMO
06142 HealthRight Inc. (Medical)
71063 HealthSCOPE Benefits, Inc. (Formerly CNA Health Partners)
Call HealthSCOPE Benefits, Inc. (PCP only) Call Jonda Brown @ 800-972-3025 for Payor I.D.
48153 HealthSCOPE BENEFITS, Inc. (Repricing AR)
6/26/2003 HSPC1 HealthSmart Preferred Care, Inc.
37602 HealthSmart/Beech Street PPO
2/9/2005 62308 HealthSource, AR Contact HealthSource for Provider I.D.
71075 HealthSource, AR Medicare
H0217 Healthsource Arkansas Medicare
02041 HealthSource CMHC
2/9/2005 62308 HealthSource, GA Contact HealthSource for Provider I.D.
35167 Healthsource, IN
61127 HealthSource, KY
2/01/2009 01041 Healthsource Maine
Claims must contain Healthsource specific Vendor ID &
specific Rendering Provider ID
02041 HealthSource Massachusetts, Inc.
2/9/2005 62308 HealthSource, NC Contact HealthSource for Provider I.D.
2/9/2005 02038 HealthSource, NH Contact HealthSource for Provider I.D.
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
H0218 Healthsource NH Medicare
2/9/2005 62308 Healthsource, North Texas Contact HealthSource for Provider I.D.
16126 Healthsource, NY
31141 Healthsource, OH
2/9/2005 62308 Healthsource Provident Administrators, Inc. Contact HealthSource for Provider I.D.
2/9/2005 62308 Healthsource Provident (CIGNA) Contact HealthSource for Provider I.D.
2/9/2005 62308 Healthsource Provident Insurance Contact HealthSource for Provider I.D.
06119 HealthSource, SC (HealthSource Network Providers Only)
2/9/2005 62308 HealthSource, TN Contact HealthSource for Provider I.D.
Call HealthSource/Hudson Health Plan Call Sam Gutwilligat @ 914-372-2291 for Payor I.D.
63086 HealthSouth Medical Plan Administrators
6/26/2003 HT001 HealthSpring
36332 HealthStar, Inc
2/01/2009 31472 Healthwave of Kansas
2/01/2009 58213 Healthways WholeHealth Networks
69140 Healthy Choice
69140 Healthy Choice Plus
6/26/2003 91051 Healthy Options (DSHS) Call Grp. Hlth. Coop. for Provider I.D.
2/01/2009 95827 Healthy Palm Beaches, Inc.
6/07/2007 22148 HEAVY AND GENERAL LABORS FUND OF NEW JERSEY
2/01/2009 00243 Helix Family Choice
H0189 Hemato Oncology Care Hip S FL
Call HEP Administrators (PPO) Call HEP for Payor I.D.
Call HEP Adminsitrators, Inc. (Non-PPO) Call HEP for Payor I.D.
68195 Hercules Inc.
8/14/2003 30550 Hereiu Welfare Fund
59230 Heritage Consultants
95378 Heritage HMO Call Heritage HMO @ 309-765-0558 for Provider I.D.
2/01/2009 HER01 HERITAGE IPA
11328 Heritage New York Medical Group
6/26/2003 HPN01 HERITAGE PHYSICIANS NETWORK
36335 HFN, Inc.
59087 HHNI Aetna
59087 HHNI Beech Street
59087 HHNI Capp Care
59087 HHNI Foundation
59087 HHNI Humana
59087 HHNI Intracorp
59087 HHNI Managed Care of America
59087 HHNI Multiplan
59087 HHNI One Health Plan of FL
59087 HHNI St. Augustine Healthcare
59087 HHNI Tricare
59087 HHNI USA
2/01/2009 HERZ0 Hi Desert Medical
87726 Hi-Tech Industires
5/23/2006 HDMDG High Desert Medical Group
6/07/2007 33069 High Desert Primary Care
2/01/2009 91164 Highline Medical Services MOLINA
2/01/2009 91161 Highline Medical Services PSHP
2/01/2009 35145 Highmark - Key Family
22223 Highmark BCBS Please contact LTC for more info.
6/07/2007 37323 HIGHMARK COMMERCIAL
6/26/2003 HIL01 Hill Physicians Medical Group
Download enrollment form and call HPMG @ 800-445-
5747 for Provider I.D.
6/28/2004 59347 Hillcrest Benefit Administrators
8/14/2003 30545 Hinsdale Physicians Health
H0407 Hip Health Plan of NJ
55247 HIP-Health Insurance Plan of Greater New York
6/26/2003 HPB01 HIPAA PROFESSIONAL BLUE
6/26/2003 HPC01 HIPAA PROFESSIONAL COMMERCIAL
6/26/2003 HPM02 HIPAA PROFESSIONAL MEDICAID
6/26/2003 HPM01 HIPAA PROFESSIONAL MEDICARE
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
86065 HMA, Inc. (Arizona)
6/07/2007 86066 HMA HAWAII
6/26/2003 30499 HMA IOWA
2/01/2009 HM033 HMO Blue - MediCaid
H0268 HMO Central NY
6/26/2003 CB833 HMO Health Ohio
2/01/2009 COHMO HMO of Colorado (also known as HMOC)
Prior appproval by HMOC required prior to sending claims
electronically
61101 HMPK, Inc.
6/26/2003 HMSAH HMSA HAWAII COMMERCIAL
6/26/2003 IP080 Hollywood Presbyterian
34150 Home Town Health Network
2/01/2009 VAICE Homeland Security (ATTN: Deportation)
H0003 Homestead CHP/S Miami Health
6/26/2003 H0003 Homestead CHP/S - Wisconsin Only
2/01/2009 88023 Hometown Health Plan Nevada
2/01/2009 30757 Hometown Health Plan of Ohio
H0131 Hoosier Healthwise Medicaid of Indiana Please contact LTC for more info.
2/01/2009 HMLIC Horace Mann Life Insurance
22099 Horizon Blue Cross Blue Shield of New Jersey Please contact LTC for more info.
6/26/2003 22304 Horizon HealthCare Admin (HHA)
22326 Horizon Mercy/NJ Health
6/07/2007 37274 Hospital Benefits, Inc.
91136 Hotel Employees & Restaurant Employees Health Trust - Grp# F19
61101 HPlan, Inc.
94254 HPR
94254 HPR (Health Plan of the Redwoods)
58227 HPS Paradigm, Inc.
41170 HRM
41170 HRM Claim Management
55905 HSI Health Plan (CO)
6/26/2003 H0370 Hualapai Nation Please contact LTC for more info.
6/07/2007 13335 Hudson Health Plan
61101 Humana
61101 Humana Care Plan
6/26/2003 61101 Humana Emphesys
73288 Humana - Employers Health Insurance
61102 Humana Encounters
61101 Humana Group Health Plan (Formerly GHA of Washington DC)
61101 Humana Health Chicago Ins. Co.
61101 Humana Health Plan
61101 Humana Insurance Agency
61101 Humana Insurance Company
61101 Humana Medical Plan - CA
61101 Humana Medical Plan - KY
CH002 Humana Military-Tricare Regions 3 and 4 Call Humana Military for Provider I.D.
6/26/2003 65018 Humana Puerto Rico
2/01/2009 61160 HUMANA VETERANS HEALTHCARE SERVICES
61101 Humana Wisconsin Health Org. (Formerly Carenetwork/Wisconsin Hlth Org)
61103 Humana Workers Compensation of Ohio
6/07/2007 94154 Humboldt-Del Norte Foundation for Medical Care
61101 Humco, Inc.
61101 Humrealty, Inc.
6/26/2003 37260 Hunt Insurance Group
6/26/2003 IP080 Huntington Park Medical Group
6/26/2003 IP080 Huntington Park Mission
6/26/2003 30002 Hussman Refrigeration
41600 I'Mcare
4/7/2004 22175 I. E. Shaffer (West Trenton, NJ)
6/26/2003 38234 IBA Self Funded Group
54704 IBC Personal Choice (Independence BCBS of PA)
Enrollment online via the Highmark web site: Web
Enrollment Form
6/28/2004 BE250 IBEW Local 17 (Only Non-PPO Claims)
6/07/2007 74234 IBEW Local 640 & Arizona Chapter NECA Health & Welfare Trust
6/07/2007 74234 IBEW Western Utilities or Local 57
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
41124 IBI
4/7/2004 60054 IBM Medical Plans
2/01/2009 11695 iCARE (Independent Care Health Plan)
2/01/2009 37296 ICM
6/28/2004 75185 ICON Benefits Administrators
2/01/2009 TRUEB Idaho True Blue
Download form via ENS
68195 IGA Group Employee Benefit
H0118 IHC UT Call IHC UT for Provider I.D.
2/01/2009 35204 IHN
6/07/2007 23253 IHS GATEWAY PAYER - VALLEY PREFERRED/SPECTRUM ADMIN
4/7/2004 36600 Illinois Central Hospital Association (Tinley Park, IL)
6/07/2007 86069 Illinois Health Solutions
2/01/2009 41600 IMCARE
6/26/2003 IP089 Imperial Valley Medical Group (IMPV) Call or email
LTC.
6/07/2007 37319 IMSCO HEALTH SYSTEMS
6/07/2007 86070 IMX Easy
H0034 In Comp Health Ins Assoc Ichia
6/28/2004 40585 INDECS Corporation
2/01/2009 MHM01 Independence Medical Group
6/28/2004 SX073 INDEPENDENT HEALTH
35204 Indiana Health Network
35161 Indiana Pro Health Network
30328 Indiana Prohealth
6/28/2004 35107 Indiana Teamsters Health Benefits Fund (Indianapolis, IN)
31053 Individual Health Insurance Companies
6/07/2007 COMPU Industrial Machine Specialties
52196 Informed, LLC
2/01/2009 31112 InHealth, Inc.
6/07/2007 52212 Injured Workers Insurance Fund
2/01/2009 IEHP1 Inland Empire Health Plan
6/26/2003 30781 Inland Steel
04320 Innovative Healthware Solutions
6/26/2003 30396 INPRONET
2/01/2009 VAICE INS Health Services
4/7/2004 60054 Institutes of Quality
6/28/2004 BEM40 Insulators Local 45 (Only Non-PPO Claims)
4/7/2004 37279 Insurance Administrator of America, Inc. (IAA)
63082 Insurance Claims Services, Inc, (Birmingham, AL)
13315 Insurance Design Administrators
4/7/2004 88006 Insurance Management Services (Elko, NV)
6/26/2003 30891 INSURANCE SERVICE OF LUBBOCK
87056 Insurdata
6/07/2007 IAC01 Insurer's Administration Corporation
2/01/2009 51020 INTEGRA ADMINISTRATIVE GROUP (SEAFORD, DELAWARE)
31127 Integra Group
31129 Integra Group-CHA
2/01/2009 74314 INTEGRANET
37124 Integrated Benefit Services, IL (Now Kepple & Co.)
34167 Integrated Care Network (Icn) By Emerald Health
2/01/2009 10001 Integrated Comp (OH BWC)
Download form via ENS
2/01/2009 68053 Integrated Mental Health Services
37227 Inter Care Health Plans Inc.
2/01/2009 37241 INTER UNION OF OPER ENG LOCAL 4 HEALTH & WELFARE FUND
54763 Inter-County Health Plan
Enrollment online via the Highmark web site: Web
Enrollment Form
6/26/2003 30397 INTERACTIVE DIAGNOSTIC SERVICE
6/26/2003 30656 INTERGROUP PA
6/28/2004 60280 Interface EAP (IEAP)
23287 Intergroup Services Corporation
6/07/2007 74234 Intermountain Ironworkers Trust Fund
6/26/2003 36609 International Brotherhood of Boilermakers
6/26/2003 H0370 International Brotherhood of Elec Work Please contact LTC for more info.
2/01/2009 IMGIN INTERNATIONAL MEDICAL GROUP, INC
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
6/26/2003 37241 International Union of Operating Engineers, Local 4 Health & Welfare Fund
6/26/2003 37269 International Union of Operation Engineers ~ Local 15, 15A, 15C & 15D
6/07/2007 84137 InterWest Health (Acceptius Gateway payer)
6/07/2007 20435 INTGRITAS BENEFIT GROUP
41124 Iowa Benefits Inc.
2/01/2009 TH043 IOWA LABORERS
2/01/2009 TH042 IOWA OPERATING ENGINEERS
4/7/2004 01260 Iowa Plan Contact Iowa Plan for Provider I.D.
6/26/2003 H0003 Iowa, Envoy Platinum - Wisconsin Only
86065 Iowa Health Solutions Call Iowa HS for Provider I.D.
2/01/2009 SX172 IU Medical Group Primary Care
61271 J.F. Molloy and Associates, Inc.
10/2/2003 37272 J Smith Lanier & Co. Administrators (JSL Admin.)
2/01/2009 05014 Jackson Memorial Health Plan
60054 JC Penny
JEFF1 Jefferson Pilot
60054 Jefferson Smurfit
6/26/2003 PHCFL Jesuithealthtrust
2/01/2009 JISSP JI Specialty Services, Inc.
6/26/2003 JMHFL JMH HEALTH PLAN FLORIDA
2/01/2009 09822 JMHP Medicaid
41099 John Alden Insurance Company
95378 John Deere Call John Deere @ 309-765-0558 for Provider I.D.
65099 John Hancock Health Security Plan
65099 John Hancock Mutual Life Insurance Co.
65099 John Hancock Preferred Health Plan
65099 John Hancock Unicare
5/23/2006 52189 John Hopkins Healthcare
2/01/2009 38310 John Morrell Company - AHPBA
6/26/2003 JMH01 John Muir Health Network Call JMHN for Provider I.D.
2/01/2009 68036 John Muir Mt. Diablo Health System
2/01/2009 37215 JOHN P PEARL & ASSOCIATES
43178 Joplin Claims
34136 JP Farley Corporation
2/01/2009 MWP01 JPS PREFERRED CARE
2/01/2009 37272 JSL Administrators
5/23/2006 91617 Kaiser Foundation Health Plan of CO
21313 Kaiser Foundation Health Plan of Georgia
52095 Kaiser Foundation Health Plan of MD
6/07/2007 94135 Kaiser Foundation Health Plan of Northern CA Region
Call Cheryl G. Robinson @ 866-285-0362
or e-mail her at [email protected] for Provider I.D.
94134 Kaiser Foundation Health Plan of Southern CA Region
Call Tina C. Cheung at (626) 405-6404 or e-mail
[email protected] for Provider I.D.
Call Kaiser Foundation Health Plan of the Mid Atlantic States, Inc. Call Kenya Neal @ 800-368-5784 ext 7292 for Payor I.D.
6/26/2003 52095 Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.
5/23/2006 34092 Kaiser Health Plan of OH
5/23/2006 93079 Kaiser NW
6/07/2007 COKSR Kaiser Permanente (Colorado plans only)
6/26/2003 HM036 Kaiser Permanente (Encounter data only) Call or email
LTC.
6/26/2003 HM044 Kaiser Permanente (Encounters-Colorado only) Call Betsy Baxa @ 303-743-5828 for Provider I.D.
6/26/2003 KS003 Kaiser Permanente (Northen California Only) Call or email
LTC.
65907 Kaiser Permanente of Georgia
6/26/2003 KS001 Kaiser Permanente (Southern California Only)
23742 Kaiser Permanente-Northeast Division Call 518-783-1864 x4360 for Provider I.D.
2/01/2009 94320 Kaiser PPO
57038 Kanawha Health Care Solutions, Inc.
57038 Kanawha Insurance Co.
44030 Kansas City Life Insurance Co.
2/01/2009 KAP01 Kapiolani Health Commercial
2/01/2009 95279 Keenan Associates (CA)
65099 Kelloggs
8/14/2003 KSC1P Kelsey Seybold Clinic
73100 Kempton Company
73100 Kempton Group Administrators
63077 Kentucky Health Select
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
61101 Kentucky Kare
6/28/2004 BER30 Kentucky Laborers (Only Non-PPO Claims)
37124 Kepple & Co. (Formerly Integrated Benefit Services, IL)
6/07/2007 77039 Kern Health Systems
37217 Key Benefit Administrators
H0036 Key Health Ins
39026 Key Health Plan (CA)
6/26/2003 IP082 Key Medical Group Call Brandi Guinn @ 559-735-3892 x233 for Provider I.D.
6/07/2007 37321 KEY SELECT
2/01/2009 VABLS Keycare PPO (Requires VA Blue Shield EMC approval)
95199 Keystone Hlth Plan Cent Clms
Enrollment online via the Highmark web site: Web
Enrollment Form
H0254 Keystone Hlth Plan Cent Encoun
H0252 Keystone Hlth Plan Cent Mcaid
H0251 Keystone Hlth Plan Cent Medb
95056 Keystone Hlth Plan East Clms
Enrollment online via the Highmark web site: Web
Enrollment Form
H0257 Keystone Hlth Plan East Encoun
H0253 Keystone Hlth Plan HMO Clms
6/26/2003 H0253 Keystone Hlth Plan West Clms
23284 Keystone Mercy Health Plan
H0256 KHP Central Mcaid Encounters
H0255 KHP Central Mcare Encounters
6/26/2003 73288 Kindred Health Care
6/26/2003 34145 KLAIS & Company
2/01/2009 KAMG1 Korean American Medical Group
2/01/2009 IP021 Korean American Medical Group (Labs Only)
6/26/2003 KPS01 KPS
6/26/2003 HM039 LA Care - Encounter data only Call LA Care for Provider I.D.
2/01/2009 LACAR LA CARE HEALTH PLAN
6/26/2003 LACMH LA COUNTY MENTAL HEALTH
2/01/2009 WC001 Labor and Industry
6/26/2003 ALMSH Laclede Steel
39026 Lacrosse Care Plus
2/01/2009 71037 Lafayette Consolidated Government
6/26/2003 30495 LAKE FOREST MANAGED CARE ASSOC
6/26/2003 H0370 Lake Havasu City Please contact LTC for more info.
6/26/2003 H0370 Lake Havasu School Employee Please contact LTC for more info.
95415 Lakeside Health Services
6/26/2003 95416 Lakeside IPA
80705 Lakeside Medical Group Inc
6/26/2003 LNDMK LANDMARK INSURANCE
6/26/2003 H0308 Lanier Worldwide
6/26/2003 H0370 LaPaz Regional Hospital Please contact LTC for more info.
6/28/2004 BE240 Laundry Workers
5/23/2006 IP103 Lavida Medical Group
2/01/2009 36333 Lawndale Christian Health Center
2/01/2009 52196 LBA HealthPlans
75279 Leggett and Platt
6/07/2007 37316 Leon Medical Center Health Plan
6/26/2003 37248 LHP Claims Unit
11123 Liberty Mutual Insurance Co.
4/7/2004 37281 Liberty Union Life Assurance Co.
2/01/2009 98205 Life & Health Ins Co of America (NFL Plan only)
94245 Life Guard
6/26/2003 LICBN LIFE INS CO BOSTON AND NY
2/01/2009 LIICA Life Investors Ins Co of America
(Specialized claims only. Call 866-745-3545 with claim
routing questions.)
6/07/2007 41136 LIFE TRAC
6/26/2003 LFGRD Lifeguard
6/26/2003 30838 Lifewise OREGON
6/07/2007 37294 LIFEWISE/WASHINGTON EMPLOYERS TRUST
93093 LifeWise-A Premeral Health PLan
2/01/2009 91155 Lifewise Health Plan of Arizona A Premier Health Plan
Download form via ENS
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
73288 Lincoln National (Emphesys, Green Bay and Madison, WI Only)
73288 Lincoln National of Wisconsin (In Madison or Green Bay)
61101 Lincoln National - Phoenix, AZ (Humana)
6/26/2003 75283 Linn County
5/23/2006 LIPA1 LIPA AGATE Resources
35107 Local 135 Health Benefits FUnd (Indianapolis, IN)
2/01/2009 VABLS Local Choice (Requires VA Blue Shield EMC approval)
4/7/2004 37267 Loma Linda University Health
6/07/2007 33036 Loma Linda University Healthcare - ManagedCare Claims
37226 London Health Administrators
65099 Lone Star, MO
PR002 Los Alamos Total Care (LATC)
68195 Los Angeles County Employees Retire
62310 Lovelace Health Plan
2/9/2005 SX159 Lovelace Salud Medicaid
6/28/2004 90328 Lovelace Sandia Health Plan
62310 Lovelace Senior Options (LSO)
62310 Lovelace Senior Plan (LSP)
68195 Lowe's Companies, Inc.
65099 LTV Corporation
5/23/2006 54195 Lumenos Inc.
6/26/2003 MM001 M-CARE Call M-Care for Provider I.D.
6/07/2007 37292 Machinist District 9 Welfare - UMMH
2/01/2009 36334 MacNeal Health Providers - CHS (Contact 708-783-7100 prior to first submission.)
2/01/2009 IP060 Mad River Community (Humboldt Del Norte)
22445 MAG Mutual Healthcare Solutions
4/7/2004 01260 Magellan Behavioral Health Contact Magellan BH for Provider I.D.
2/9/2005 MBHCR Magellan Behavioral Health - Case Rate
2/01/2009 AXN01 Magellan Specialty Health - Cigna NY general surgery
5/23/2006 11303 MagnaCare
34103 Mahoning and Trumbull County Building Trades Insurance Fund, Ohio
62413 Mail Handlers Benefit Plan
62413 Mailhandlers/CAC
6/07/2007 22195 Maksin Management Corporation
52148 MAMSI Life and Health Insurance Co, (MLH) Call MAMSI for Provider I.D.
6/26/2003 MA001
MAMSI Life & Health Ins. Co. (MLH) (HCFA 1500 only. No DME, Home Health,
SNF/SUB Acute, Ambulance, ASC or Hospital Providers)
61101 Managed Care Indemnity, Inc.
35162 Managed Care Services, LLC
2/01/2009 MCS02 Managed Care Systems (Delango Regional Medical)
5/23/2006 22771 Managed Health Network
39186 Managed Health Services Indiana/Maxicare
39187 Managed Health Services Wisconsin
H0239 Managed Imaging
6/26/2003 93900 Managed Physical Network
61101 Managed Prescription Services
41555 Manatee Service Center (Bradenton, FL)
35196 Manhattan National Life Insurance
75258 Mapco, Inc.
6/26/2003 IP097 Marin IPA Call Marin IPA for Provider I.D.
PR002 Marriott
39045 Marshfield Health Plan
6/07/2007 22347 Maryland Health Insurance Plan Baltimore, Maryland
6/26/2003 01260 Maryland Health Partners Contact Maryland HP for Provider I.D.
6/26/2003 00247 Maryland Physicians Care Call MPC for Provider I.D.
2/01/2009 22348 Maryland Physicians Care Baltimore, Maryland
2/01/2009 77062 Maryland PMHS
Download form via ENS
37121 Mashantucket Pequot Tribal Nation
65935 Mass Mutual (Now Unicare Life & Health)
65935 Massachusetts Mutual
4/7/2004 MMPHB Masters Mates and Pilots
02030 Matthew Thornton Health Plan
6/07/2007 41154 Mayo Management Services, Inc.
2/01/2009 37298 MBA of MD, Inc.
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
2/01/2009 87065 MBA of Wyoming
2/01/2009 EC004 MBHS - MARYMOUNT BEHAVIORAL HEALTH SERVICES
6/26/2003 56205 MBS (MedCost Benefit Services)
38264 MCare
6/07/2007 CSMED Mcare of Colorado Springs
2/01/2009 MCCBV MCC Behavioral Care
59331 McCreary Corporation
For plan and claim requirements, please contact the
Employers Mutual, Inc. (Stuart, FL) Customer Service
Department at (772) 287-7650, ext. 4052.
6/26/2003 ALMSH McDonnel Douglas
6/26/2003 36328 McHenry Medical Associates (IL)
2/01/2009 MHM02 MCKINLEY MEDICAL GROUP
6/26/2003 38338 McLaren Health Plan
H0265 MCS Medicaid of Michigan Please contact LTC for more info.
H0246 Mcs Medicaid of New Mexico
52148 MD-Individual Practice Association, Inc. (M.D. IPA) Call MAMSI for Provider I.D.
11338 MDNY Healthcare
2/01/2009 20475 MDWise Hoosier Alliance
68195 Mead Corporation
6/26/2003 H0370 Meatcutters & Employers Joint Please contact LTC for more info.
58204 Med Admin Solutions
6/26/2003 30103 MED AMERICA HEALTH
58216 Med Plan
6/26/2003 30002 Med Select Management
74323 MedBen (Newark, OH)
61101 Medbenefixx, Inc.
6/28/2004 59231 MedCom (e-MedCom)
60054 Medconnection (Marriott)
56205 MedCost Benefit Services
56162 MedCost, Inc.
95321 Medfocus
94146 Medi-Cal Medicaid of California Please contact LTC for more info.
6/26/2003 HLAD1 Medi-Pak HMO Call Medi-Pak HMO for Provider I.D.
6/26/2003 MEDIC Medica Choice (Allina) Call Medica for Provider I.D.
MEDIC Medica Commercial Call Medica for Provider I.D.
6/26/2003 MEDIS Medica Commercial - Supply Call Medica for Provider I.D.
87726 Medica ERA Call Medica for Provider I.D.
5/23/2006 MDAL1 Medicaid of Alabama
8/14/2003 MDAK1 Medicaid of Alaska
Download form via ENS
5/23/2006 MDAR1 Medicaid of Arkansas
8/14/2003 MDAZ1 Medicaid of Arizona
Download form via ENS
1/17/2008 MDCA1 Medicaid of California
Download form via ENS
MDCO1 Medicaid of Colorado
Download form via ENS
MDCT1 Medicaid of Connecticut
Download form via ENS
1/17/2008 MDDC1 Medicaid of DC
Download form via ENS
1/17/2008 MDDE1 Medicaid of Delaware
Download form via ENS
MDFL1 Medicaid of Florida
Download form via ENS
MDGA1 Medicaid of Georgia
Download form via ENS
1/17/2008 MDHIE Medicaid of Hawaii
Download form via ENS
1/17/2008 MDID1 Medicaid of Idaho
Download form via ENS
MDIL1 Medicaid of Illinois
Download form via ENS
MDIN1 Medicaid of Indiana
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
MDIA1 Medicaid of Iowa
MDKS1 Medicaid of Kansas
Download form via ENS
MDKY1 Medicaid of Kentucky
Download form via ENS
MDLA1 Medicaid of Louisiana
H0373 Medicaid of Louisiana Ambulance Please contact LTC for more info.
2/01/2009 LAREH Medicaid of Lousiana Rehab (for Rehabilitation claims)
Download form via ENS
MDME1 Medicaid of Maine
MDMD1 Medicaid of Maryland
Download form via ENS
MDMA1 Medicaid of Massachusetts
Download form via ENS
5/23/2006 MDMI1 Medicaid of Michigan
MNMD1 Medicaid of Minnesota (Minnesota Medical Assistance-Medical)
MDMS1 Medicaid of Mississippi
Download form via ENS
MDMO1 Medicaid of Missouri
Download form via ENS
MTMD1 Medicaid of Montana
MDNEE Medicaid of Nebraska
Download form via ENS
5/23/2006 MDNV1 Medicaid of Nevada
5/23/2006 MDNH1 Medicaid of New Hampshire
MDNJ1 Medicaid of New Jersey
Download form via ENS
MNNM1 Medicaid of New Mexico
Download form via ENS
MDNY1 Medicaid of New York
MDNC1 Medicaid of North Carolina
Download form via ENS
1/17/2008 MDND1 Medicaid of North Dakota
Download form via ENS
OHMD1 Medicaid of Ohio
MDOK1 Medicaid of Oklahoma
12/30/2003 MDOR1 Medicaid of Oregon
MDPA1 Medicaid of Pennsylvania
Download form via ENS
8/14/2003 MDRI1 Medicaid of Rhode Island
Download form via ENS
MDSC1 Medicaid of South Carolina
Download form via ENS
8/14/2003 MDSD1 Medicaid of South Dakota
MDTN1 Medicaid of Tennessee (Processed by BCBS of TN, use TN forms)
Download form via ENS
8/14/2003 32006 Medicaid of TN EDS Federal Please contact LTC for more info.
MDTXE Medicaid of Texas
Download form via ENS
MDUT1 Medicaid of Utah
Download form via ENS
8/14/2003 MDVT1 Medicaid of Vermont
MDVA1 Medicaid of Virginia
Download form via ENS
MDWA1 Medicaid of Washington
Download form via ENS
MDDC1 Medicaid of Washington DC
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
Download form via ENS
1/17/2008 MDWV1 Medicaid of West Virginia
Download form via ENS
MDWI1 Medicaid of Wisconsin
1/17/2008 MDWY1 Medicaid of Wyoming
Download form via ENS
H0454 Medical Benefits Administrators
6/26/2003 74323 Medical Benefits Administrators, Inc. (Newark, OH)
74323 Medical Benefits Companies (Newark, OH)
74323 Medical Benefits Mutual
04258 Medical Claims Service, Inc
6/07/2007 75229 Medical Control, Inc.
2/9/2005 52181 Medical Development International
CB833 Medical Mutual of Ohio Call MM of Ohio for Provider I.D.
6/07/2007 CSMED Medical Network of Colorado Springs
33029 Medical Pathways
Contact North American Medical Management (NAMM) -
Southern California at 800-956-8000 for Provider I.D.
13377 Medical Pathways (Dallas)
13375 Medical Pathways (MSM)
13378 Medical Pathways (Texas)
61101 Medical Plan of Kansas City-Missouri
6/07/2007 62177 Medical Reimbursements of America, LLC (Franklin, TN)
58203 Medical Resource Network (MRN, Inc)
13375 Medical Select Management
2/01/2009 AMM02 Medical Services for Indigents
6/26/2003 30510 MEDICAL SURGICAL ASSOC OF AL
38224 Medical Value Plan - Ohio (MVP)
2/01/2009 SCBLS Medicare Blue Advantage of South Carolina
Download form via ENS
95436 Medicare Extra
MRAL1 Medicare of Alabama
Download form via ENS
6/07/2007 MRAK1 Medicare of Alaska
Download form via ENS
6/07/2007 MRAZ1 Medicare of Arizona
MRAR1 Medicare of Arkansas
MRCAN Medicare of California (Northern)
MRCAS Medicare of California (Southern)
6/07/2007 MRCO1 Medicare of Colorado
MRCT1 Medicare of Connecticut
MRDE1 Medicare of Delware
MRFLE Medicare of Florida
Download form via ENS
MRGA1 Medicare of Georgia
6/07/2007 MRHIE Medicare of Hawaii
9/28/2004 MRID1 Medicare of Idaho
ILMR1 Medicare of Illinois
MRIN1 Medicare of Indiana
MRIA1 Medicare of Iowa
MRKS1 Medicare of Kansas
MRKC1 Medicare of Kansas City (NW Missouri)
MRKY1 Medicare of Kentucky
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
MRLA1 Medicare of Louisiana
MRME1 Medicare of Maine
MRMD1 Medicare of Maryland
MRMA1 Medicare of Massachucetts
MIMR1 Medicare of Michigan
MRMN1 Medicare of Minnesota
MRMS1 Medicare of Mississippi Call LTC.
MRMO1 Medicare of Missouri
MRMT1 Medicare of Montana
MRNE1 Medicare of Nebraska
5/23/2006 MRNVN Medicare of Nevada
MRNH1 Medicare of New Hampshire
MRNJ1 Medicare of New Jersey
H0209 Medicare of New Jersey Era Please contact LTC for more info.
MRNM1 Medicare of New Mexico
MRNYE Medicare of New York (Empire)
MRNYQ Medicare of New York (GHI Queens)
Download form via ENS
MRNYU Medicare of New York - Upstate (Western)
MRNC1 Medicare of North Carolina
MRND1 Medicare of North Dakota
OHMR1 Medicare of Ohio
MROK1 Medicare of Oklahoma
6/07/2007 MROR1 Medicare of Oregon
MRPA1 Medicare of Pennsylvania
H0208 Medicare of Pennsylvania (ERA) Please contact LTC for more info.
MRRI1 Medicare of Rhode Island
MRSC1 Medicare of South Carolina
8/14/2003 MRSDN Medicare of South Dakota
MRTN1 Medicare of Tennessee
MRTX1 Medicare of Texas
MRUTN Medicare of Utah
MRVT1 Medicare of Vermont
MRVA1 Medicare of Virginia
MRWAN Medicare of Washington
MRDC1 Medicare of Washington DC Area
WVMR1 Medicare of West Virginia
WIMR1 Medicare of Wisconsin
8/14/2003 MRWY1 Medicare of Wyoming
2/01/2009 VABLS Medicare Supplemental (Requires VA Blue Shield EMC approval)
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
6/26/2003 IP080 Medicina Familiar Medical Group
2/01/2009 95655 MEDIGOLD
94254 Mediprime
6/28/2004 37304 Mediversal
6/26/2003 30472 MEDSOLUTIONS GEORGIA
62160 MedSolutions, Inc.
82160 Medspan, Inc.
6/26/2003 MEDST MEDSTAR Please contact LTC for more info.
6/26/2003 00243 MedStar Physician Partners
59221 Mega Life & Health Insurance Company
2/01/2009 62181 MEMORIAL CLINICAL ASSOCIATES
5/23/2006 MHHNP Memorial Hermann
36193 Memphis Managed Care
2/01/2009 IP080 Mendicina Familiar Medical Group
2/01/2009 MHNET Mental Health Network (Only claims for PO Box 209010 Austin TX 78720)
6/26/2003 30002 Merc
6/26/2003 ALMSH Mercantile Claims
2/01/2009 M3433 MERCY CARE of AZ
H0376 Mercy Care Plan
2/01/2009 86052 Mercy Care Plan Phoenix, Arizona
2/01/2009 SX100 MERCY HEALTH CARE
2/01/2009 71079 Mercy Care Plus
00360 Mercy Health Plan, Inc. (Missouri) Call Mercy HP for Provider I.D.
2/01/2009 22326 Mercy Health Plan of New Jersey
(Provider ID Required in Box33a - Contact (800) 682-9091
to obtain ID)
43166 Mercy Health Plans
6/26/2003 30422 MERCY HEALTH PLANS CARECHOICE MI Please contact LTC for more info.
8/14/2003 33029 Mercy Physicians Medical Group
Contact North American Medical Management (NAMM) -
Southern California at 800-956-8000 for Provider I.D.
2/9/2005 39114 MercyCare
H0145 Mercycare Medicaid of WI
77042 Meridian Health Care Management
2/01/2009 SX046 MERIT OF ALABAMA
6/07/2007 64158 Meritain Health / Agency Services
6/26/2003 85035 Mesa Mental Health
87726 Met Elect
6/07/2007 65113 Metcare Health Plans, Inc.
95420 Methodist Care
6/07/2007 23550 Methodist First Choice
H0003 Methodist SW Provider Organization
6/26/2003 H0003 Methodist SW Prv Org - Wisconsin Only
95420 MethodistCare, Inc.
87726 Metlife Group Administrator
87726 Metlife Healthcare Network-PPO/Hmo
87726 Metrahealth (Add 00000 to ID)
87726 Metrahealth Admin For Met Life
87726 Metrahealth Admin For Traveler
87726 Metrahealth Elect
87726 Metrahealth Healthcare Network-PPO/Hmo
87726 Metrahealth Or Metropolitan Life Ins. Co.
87726 Metrahealth Or Travelers
6/28/2004 82135 METRO ALLIANCE
6/26/2003 13265 Metro Plus Health Plan
6/28/2004 10850 Metropolitan Health Plan
87726 Metropolitan Life Insurance Co.
6/26/2003 30108 MHBP
61101 Michael Reese HMO
37127 Michael Reese Physicians Group
68195 Michelin Tire Corporation
BBMIC Michigan Blue Care HMO (BCN of Michigan) Please contact LTC for more info.
6/28/2004 BEK10 Michigan Glass and Glazing (Only Non-PPO Claims)
2/01/2009 MIMPB Michigan Medicare PlusBlue
Download form via ENS
4/7/2004 37281 Mid-America Associates
2/01/2009 43132 MID-AMERICA HEALTH
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
6/28/2004 63079 Mid-Atlantic Health Plan
51035 Mid-Atlantic Health System
52149 Mid-Atlantic Psychiatric Services, Inc. (MAPSI)
31140 Mid-Valley Carenet, Inc.
74227 Mid-West United Life
2/01/2009 IP004 Midcoast Care (Marian IPA) (Labs Only)
2/01/2009 23550 Midland Management/MFC
2/01/2009 90956 Midland National Life Ins Co (NFIC Plan only)
6/26/2003 47081 Midlands Benefits Administrators
47080 Midlands Choice, Inc.
47080 Midlands Health Partners
2/01/2009 62168 MidSouth Administrative Group
6/07/2007 76079 Midwest Health Partners
5/23/2006 MHP77 Midwest Health Plan
6/26/2003 59224 Midwest National Life Insurance Co. of Tennessee
6/26/2003 MIDW1 Midwest Preferred
MIDW1 Midwest Security Administration (MSA)
74227 Midwest United Life
6/26/2003 MPMG1 Mills Peninsula Medical Group Call MPMG for Provider I.D.
6/28/2004 BE180 Millwrights Local 1102 (Only Non-PPO Claims)
PR002 Minneapolis Prudential Business
1/6/2011 MNMD1 Minnesota Health Care Program (MHCP)
2/01/2009 5018 MIPS
5/23/2006 PPM01 Mission Medical Group
H0360 Mission Medical Group Encounte
2/01/2009 IP014 Mission Valley IPA Medical Group/Lompoc (Labs Only)
6/26/2003 37233 Mississippi Public Employee Benefit Trust
6/26/2003 64088 Mississippi Select Health Care
75203 Mississippi Select Healthcare
10/2/2003 37275 Missoula County Medical Benefits Plan
9/28/2004 43179 Missouri Care/MC
8/14/2003 MPC1P Missouri Physicians Care Please contact LTC for more info.
6/28/2004 BEL10 MLBMA Employee Benefit Trust (Only Non-PPO Claims)
6/26/2003 37265 MLink
62178 MMS, LLC
68195 Mobile Chemical
87726 Mobile Oil
67784 Modern American Life Ins. Co.
6/07/2007 38334 MOLINA HEALTH CARE MICHIGAN
9/28/2004 38333 Molina Healthcare of CA
5/23/2006 00076 Molina Healthcare of Indiana
2/01/2009 09824 Molina Healthcare of New Mexico
6/07/2007 20149 Molina Healthcare of Ohio
2/01/2009 20554 Molina Healthcare of Texas
2/01/2009 SX109 Molina Healthcare Utah
38336 Molina Healthcare of WA
72135 Momentum Health Services
6/26/2003 IP095 Monarch Healthcare IPA Call Monarch Healthcare for Provider I.D.
6/28/2004 MONEX Monex Health Care
87726 Monsanto
13174 Montefiore Contract Management Organization
6/26/2003 30618 Montgomery Wards
2/01/2009 MMLIC Monumental Life Ins Co.
(Specialized claims only. Call 501-277-1284 for
information.)
4/7/2004 67466 Mony Financial Services (Pacific Mutual)
2/01/2009 EC002 MORGAN AND FRANZ
2/01/2009 35092 MORRIS ASSOCIATES
6/26/2003 IP083 Mosaic IPA Medical Group Call Brandi Guinn @ 559-735-3892 x233 for Provider I.D.
6/26/2003 Call Motion Picture Industry Health Plan
Call Judy Taylor at Motion Picture 818-769-0007 x304 for
Payor I.D.
68195 Motor Appliance Corporation
6/28/2004 BE280 Motor City Machinists (Only Non-PPO Claims)
6/26/2003 36111 Motorola
5/23/2006 COMMA Mountain Medical (MMA)
6/26/2003 MTNST Mountain States Administrative Services (Tucson, AZ)
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
6/26/2003 37233 MPE Employee Benefit Services
6/26/2003 37233 MPEEBT
6/26/2003 95444 MPLAN, Inc./HealthCare Group, LLC
6/07/2007 35177 MPlan (Medicaid)
6/28/2004 BE140 MRCC Employee Benefits Fund (Only Non-PPO Claims)
6/26/2003 H0155 MS Chip
6/26/2003 H0155 MS State Employees/Teachers
6/07/2007 39634 MULTIPLAN FOR AMERICAN FAMILY
6/26/2003 MPW01 Multiplan Wisconsin Preferred Provider Network
69140 Mutual Alliance Plan (Map)
8/14/2003 37256 Mutual Assurance Administrators
6/26/2003 PH020 Mutual Benefit Life (Western Life-Fortis)
6/26/2003 PH020 Mutual Benefit (Western Life-Fortis)
70491 Mutual Group (The) (US)
5/23/2006 MUA01 Mutual of America
71412 Mutual of Omaha Insurance Co.
71412 Mutually Preferred
71412 Mutually Preferred PPO
14165 MVP Health Plan of NY
Providers should contact MVP at 800-684-9286 before
submitting claims.
91136 N.W. Ironworkers Health & Security Grust Fund - Grp# F15
91136 N.W. Roofers & Employers Health & Security Trust Fund - Grp# F26
91136 N.W. Textile Processors - Grp# F14
6/28/2004 65085 NAA (North America Administrators, L.P. - Nashville, TN)
6/26/2003 NNTUZ Nabisco
6/26/2003 34159 NABN
53011 NALC Non Participating PPO
53011 NALC Participating PPO
53011 NALC/Affordable
6/26/2003 30779 NAMM NORTHERN CALIFORNIA
6/26/2003 30663 NAMM OF ILLINOIS
2/01/2009 NHCA1 Naperville Health Care Associates
6/26/2003 H0003 National Assoc Preferred Prv TX - Wisconsin Only
53011 National Association of Letter Carriers (NALC)
H0003 National Association of Prefer
6/26/2003 56175 National Benefit Administrators - New Jersey
6/26/2003 56176 National Benefit Administrators - North Carolina
2/01/2009 NCABS National Capital Area
Download form via ENS
6/26/2003 90001 National Capital Preferred Provider Organization (NCPPO) Call Healthlink @ 314-989-6000 for Provider I.D.
58204 National Chiropractic Network
6/26/2003 37126 National Claim Administration, Inc.
6/26/2003 H0370 National Electrical Contractors Please contact LTC for more info.
4/7/2004 90956 National Financial Insurance Co.
4/7/2004 98205 National Foundation Life Insurance Co.
35196 National Group Life Insurance Co.
6/28/2004 75275 National Health Insurance Company
4/7/2004 37232 National Healthcare Exchange Services
2/01/2009 NIA11 National Imaging Associates
68195 National Medical Enterprises
52132 National Rural Electric Coop (NRECA)
71412 National Rural Letter Carrier Assoc.(Policy # GMG1846)
71412 National Rural Letter Carrier Association
6/28/2004 NTA11 National Teachers Association (NTA)
6/07/2007 52103 NATIONAL TELECOMMUNICATIONS COOPERATIVE ASSOCIATION (NTCA)
6/07/2007 52104 National Telecommunications Cooperative Association (NTCA - Staff)
37120 National Travelers Life Company
31417 Nationwide Group
31417 Nationwide Health Plans
31417 Nationwide Individual Life and HEalth
31417 Nationwide Insurance
31417 Nationwide Life and Health
31417 Nationwide Mutual Insurance Co
6/26/2003 H0370 Navajo County Government Please contact LTC for more info.
6/26/2003 H0370 Navajo County Schools Employee Please contact LTC for more info.
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
6/26/2003 H0370 Navapache Regional Medical Cen Please contact LTC for more info.
60054 Navistar
75191 NCAS-Charlotte
75190 NCAS-Fairfax, VA
4/7/2004 52118 NCAS - Owings Mills, MD (Formerly known as Willse'.)
39026 NCHPP 65+
2/01/2009 90001 NCPPO
2/01/2009 PV150 NCTA - PlanVista Corporation
2/01/2009 19988 NEA Group Insurance Program
74227 NEIC
5/23/2006 96107 Neighborhood Health Partner of FL
6/28/2004 95123 Neighborhood Health Partnership Please contact NHP for Provider I.D.
04293 Neighborhood Health Plan (Boston, MA)
2/01/2009 05047 Neighborhood Health Plan of Rhode Island
(Contact NHPRI 401-459-6030 to verify provider and
vendor number.)
11325 Neighborhood Health Providers
6/26/2003 37255 Nesika Health Group
4/7/2004 66055 Netcare Life and Health Insurance (Hagatna, Guam)
Call Network Health Call 617-806-8129 for Payor I.D.
6/26/2003 30751 NETWORK HEALTH OF MASS
39144 Network Health Plan of Wisconsin, Inc.
6/26/2003 H0003 Network Health PPO - Wisconsin Only
86065 Nevada Care Call Nevada Care for Provider I.D.
86065 Nevada Care Kids Call Nevada Care for Provider I.D.
86065 Nevada Health Solutions Call Nevada Health Solutions for Provider I.D.
96218 New Alliance Health Plan
66893 New England Financial
6/26/2003 30685 NEW ENGLAND HEALTH
66893 New England,The
6/26/2003 75281 New Era Life
6/26/2003 NNTUZ New Jersey State Health
2/9/2005 65056 New Market Dimensions
6/07/2007 74234 New Mexico District Council of Carpenters
6/07/2007 74234 New Mexico Painters and Allied Trades Local No 823
6/07/2007 74234 New Mexico-West Texas Multi-Craft (lso known as New Mexico Laborers)
6/07/2007 84141 NEW WEST HEALTH PLAN
8/14/2003 38332 New World Claims Services
H0058 New York Hospitals Care Networ
66915 New York Life (Now NYLCare)
2/01/2009 NYL11 New York Life - Long Term Care
14179 New York Medical Imaging - MVP
14178 New York Medical Imaging - Wellcare
6/26/2003 11334 New York Network Management
6/26/2003 48186 New York Presbyterian Community Health Plan
6/28/2004 24819 New York Presbyterian System Select Health
87726 New York State Employees (Empire)
38225 NGS American
4/7/2004 62124 NHC Health Benefit Plan
Contact NHC Health Benefit Plan at 615-278-1230 for
Provider I.D.
11325 NHP/SHP (Neighborhood Health Providers and Suffolk Health PLan)
81264 Nippon Life Insurance Co.
6/28/2004 22603 NJ CARPENTERS HEALTH FUND
8/14/2003 33029 Noble AMA
Contact North American Medical Management (NAMM) -
Southern California at 800-956-8000 for Provider I.D.
6/26/2003 IP080 Noble Community
2/01/2009 HMS01 NOBLE MID ORANGE - HEALTHSMART
64157 North American Administrators, Inc.
H0212 North American Benefits
34159 North American Benefits Network
6/07/2007 36398 NORTH AMERICAN MEDICAL MANAGEMENT - IL
4/7/2004 E3510 North American Medical Management (NAMM) - Northern California Contact NAMM @ 800-956-8000 for Provider I.D.
4/7/2004 IP079 North American Medical Management - So. California
4/7/2004 64157 North American Preferred
5/23/2006 37314 North Broward Hospital District
6/26/2003 NTX11 North Texas Healthcare
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
35212 North Texas Healthcare Network
6/26/2003 30430 NORTHEAST GEORGIA HEALTH
94156 Northern California Foundation PPO
2/9/2005 38238 Northern California Sheet Metal Workers Health Care Plan (including Local 104)
5/23/2006 36347 Northern Illinois Health Plan
6/26/2003 88027 Northern Nevada Trust Fund
2/01/2009 NMG01 NORTHRIDGE MEDICAL GROUP
2/01/2009 NSA01 NorthStar Advantage
6/26/2003 91068 Northwest Administrators Inc.
2/01/2009 62119 NORTHWEST DIAGNOSTIC CLINIC/SELECTCARE OF TX (NWDC)
4/7/2004 PH018 Northwest Life
36346 Northwest Suburban PA (Illinois)
NWMB1 Northwest Washington Medical Bureau Call NWMB for Provider I.D.
4/7/2004 PH018 Northwestern National Life (Reliastar Emp Ben)
16644 Nova Health Administrators, Inc. (Grand Island, NY)
6/26/2003 71080 Novasys Health Network
35197 NPPN/Conseco
2/9/2005 PV150 NTCA - PlanVista Corporation
2/01/2009 37120 NTL
6/26/2003 30357 Nw Ironworkers Health
4/7/2004 PH018 NW Natl-#3413 Medical Dept
6/28/2004 BE130 NW Ohio Toledo Plumbers (Only Non-PPO Claims)
6/26/2003 30357 Nw Textile Processors
4/7/2004 PH018 NWNL Group
2/01/2009 24819 NY PRESBYTERIAN SYSTEM SELECT HEALTH
9/28/2004 37299 Nyhart
91135 NYLCare Ethix Northwest
66915 NYLCare (Formerly New York Life)
66915 NYLCare Health Plan (Formerly New York Life)
66916 NYLCare Health Plan (HMO Only)
91166 NYLCare Health Plans Northwest
66916 NYLCare HMO Encounters
6/26/2003 30319 NYMI AETNA
14179 NYMI MVP
14180 NYMI Oxford
2/01/2009 NAOAK Oak West Primary Physician Association
95356 Oaktree Health Plan
2/01/2009 IP016 Oakview Medical Group, Inc. (Labs Only) IPA
2/01/2009 10070 Occupational Health Management, Inc. (OH BWC)
Download form via ENS
H0060 Ocean State PHP Commercial
H0061 Ocean State PHP Fall River MA
H0062 Ocean State PHP Mcare Mcaid
72127 Ochsner Health Plan
6/26/2003 OCH01 OCHSNER Health Plans Call or email
LTC.
6/07/2007 13350 ODS Health Plan
6/26/2003 72087 Office of Group Benefits- Louisiana
13310 Office of the Administrator, Washington, DC
2/01/2009 31147 OH Worker's COMP
2/01/2009 34189 Ohio Health Plan
(Group # required. PayerID valid only for claims with billing
submission address of PO BOX 93538 or 6068, Cleveland
OH)
5/23/2006 OHCCC Ohio ChoiceCare
Download form via ENS
34189 Ohio Health Choice
H0003 Ohio Health Choice Plan
6/26/2003 H0003 Ohio Health Choice Plan (OH) - Wisconsin Only
65099 Ohio University
91150 Olympic Health Management
6/26/2003 IP061 OMNI Healthcare (Humboldt Del Norte) Call or email
LTC.
9/28/2004 25150 Omnicare, A Coventry Health Plan
6/26/2003 38252 Omnicare Health Plan of Michigan
6/26/2003 IP088 Omnicare Medical Group (OMNI) Call or email
LTC.
2/01/2009 22321 One Call Medical
80705 One Health Plan, Inc. (Vermont)
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
80705 One Health Plan of Alaska, Inc.
80705 One Health Plan of Arizona, Inc.
95379 One Health Plan of California
95412 One Health Plan of Colorado
80705 One Health Plan of District of Columbia, Inc.
80705 One Health Plan of Florida, Inc.
96559 One Health Plan of Georgia
95388 One Health Plan of Illinois, Inc.
80705 One Health Plan of Indiana, Inc.
80705 One Health Plan of Kansas/Missouri, Inc.
2/9/2005 80705 One Health Plan of Kentucky
80705 One Health Plan of Maine, Inc.
80705 One Health Plan of Massachusetts, Inc.
80705 One Health Plan of Michigan, Inc.
80705 One Health Plan of Minnesota, Inc.
80705 One Health Plan of Nevada, Inc.
80705 One Health Plan of New Hampshire, Inc.
80705 One Health Plan of New Jersey, Inc.
80705 One Health Plan of New York, Inc.
80705 One Health Plan of North Carolina, Inc.
80705 One Health Plan of Ohio, Inc.
80705 One Health Plan of Oregon, Inc.
80705 One Health Plan of Pennsylvania, Inc.
80705 One Health Plan of South Carolina, Inc.
80705 One Health Plan of Tennessee, Inc.
51459 One Health Plan of Texas
80705 One Health Plan of Virginia, Inc.
80705 One Health Plan of Washington, Inc.
80705 One Health Plan of Wisconsin, Inc.
80705 One Health Plan of Wyoming, Inc.
2/01/2009 52149 OneNet PPO, LLC. (Formerly known as Alliance PPO, Inc.)
6/28/2004 BE760 Operating Engineers Local 181 (Only Non-PPO Claims)
6/28/2004 BE100 Operating Engineers Local 324 (Only Non-PPO Claims)
6/26/2003 30844 OPERATING ENGINEERS LOCAL 4
6/28/2004 BE830 Operating Engineers Local 513 (Only Non-PPO Claims)
91136 Operating Engineers Locals 302 & 612 Health & Security Fund Grp# F12
6/07/2007 74234 Operating Engineers Local No 53
06163 Opticare Eye Health Network
6/26/2003 54154 Optima Health Plan
6/26/2003 54154 Optima Insurance Company
52148 Optimum Choice, Inc. (OCI) Call MAMSI for Provider I.D.
52151 Optimum Choice of Pennsylvania
52152 Optimum Choice of the Carolina's
37125 Option Services Group
5/23/2006 OCFMC Orange County Foundation
6/26/2003 87043 ORNDA Health D296Corp (First Health)+D312
5/23/2006 13383 Orthonet Aetna
6/07/2007 25681 ORTHONET - HEALTH NET
6/07/2007 13382 ORTHONET - UNIFORMED SERVICES FAMILY HEALTH PLAN
13381 Orthonet Corporation
5/23/2006 58204 Orthpedix Network, Inc.
5/23/2006 ORT33 Orthopedix Network, Inc. Humana Payer requires 11 digit member ID Number.
5/23/2006 ORT88 Orthopedix Network of South Florida, LLC Payer requires 11 digit member ID Number.
6/26/2003 30783 OSCHNER HEALTHPLANS
6/07/2007 OSFMC OSF Care Advantage
6/26/2003 OSFHP OSF HEALTH PLANS
2/01/2009 12259 Optimum Healthcare
39026 Oshkosh Area Health Protection Plan
68195 Oshkosh B'Gosh, Inc.
36365 Our Lady of the Resurrection Phuysician Assocation (Rockford, IL)
6/26/2003 30002 Owens Corning
6/26/2003 HM032 Oxford (Encounter Data Only)
06111 Oxford Health Plan Call Oxford HP for Provider I.D.
06111 Oxford Life Connecticut Call Oxford Life for Provider I.D.
5/23/2006 87068 P5 Health Plan Solution of Utah
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
2/01/2009 37127 OSG-Michael Reese
2/01/2009 95962 PACIFIC CARE
67466 Pacific Life & Annuity Company
2/9/2005 IP101 Pacific Lumber Company - PALCO (Humboldt Del Norte)
67466 Pacific Mutual Life Insurance Co.
65099 Pacific Telecom
2/01/2009 PCFCI PACIFICA IPA
6/26/2003 33053 Pacificare Behavioral Health
6/26/2003 HM012 PacifiCare (encounters) Call PacifiCare for Provider I.D.
Call PacifiCare of Arizona Call Tishia Mendoza @ 602-244-8200 x4313 for Payor I.D.
H0380 Pacificare of AZ Formerly FHP
95959 PacifiCare of California
95958 PacifiCare of California (Encounters) Please call Gina Gasilan at (714) 226-8609 for provider I.D.
6/26/2003 Call PacifiCare of Colorado Call PacifiCare for Payor I.D.
95959 PacifiCare of Oklahoma
95958 PacifiCare of Oklahoma (Encounters)
Please call Barbara Pisano at (714)226-6573 for provider
I.D.
Call PacifiCare of Oregon Call PacifiCare for Payor I.D.
95958 PacifiCare of Oregon (Encounters) Please call Gina Gasilan at (714) 226-8609 for provider I.D.
6/26/2003 77042 PacifiCare of Oregon/Meridian Health Care Management
95959 PacifiCare of Texas
95958 PacifiCare of Texas (Encounters)
Please call Barbara Pisano at (714) 226-6573 for provider
I.D.
6/26/2003 95959 PacifiCare of Washington
95958 PacifiCare of Washington (Encounters) Please call Gina Gasilan at (714) 226-8609 for provider I.D.
6/26/2003 77042 PacifiCare of Washington/Meridian Health Care Management
6/26/2003 95999 PacifiCare PPO
93029 PacificSource Health Plans
6/26/2003 PAIUT PAI UTAH
6/07/2007 58174 Paragon Benefits, Inc.
PARA1 Paramount Call Paramount for Provider I.D.
58204 Parity Healthcare LLC
6/26/2003 H0370 Parker Unified School District Please contact LTC for more info.
66917 Parkland Community Health Plan
6/26/2003 30336 PARKLAND HEALTHFIRST
2/01/2009 56152 PARTNERS
H0003 Partners in Practice
6/26/2003 H0003 Partners in Practice (TX) - Wisconsin Only
Call Partners National Health Plans of North Carilina, Inc. Call Robert Dunning @ 336-760-4822 for Payor I.D.
5/23/2006 PHP02 Partnership Health of CA
2/01/2009 M3FL7 Partner Care
6/26/2003 IP080 Pasadena Primary Care Physicians
5/23/2006 SX154 Passport Advantage
61129 Passport Health Plan
5/23/2006 10525 Patient Advocates
2/01/2009 TH017 PATIENT PHYSICIAN NETWORK
37210 Pay Net, Inc.
65018 PCA Health Plan of Florida
6/26/2003 95885 PCA Health Plans of Texas (Humana)
65000 PCMC/ICSL Allergy
65007 PCMC/ICSL Chiropractic
65001 PCMC/ICSL Dermatology
65003 PCMC/ICSL Gastroenterology
65004 PCMC/ICSL Physical Therapy
65002 PCMC/ICSL Podiatry
2/01/2009 PHP02 Partnership Health Plan
6/26/2003 PEHPU PEHP UT
6/07/2007 68049 PEACH STATE HEALTH PLAN
75196 Peia Iowa
2/01/2009 20472 Pediatric Associates of Broward
2/01/2009 VABLS Peninsula Healthcare (Requires VA Blue Shield EMC approval)
2/01/2009 PKCCL Pennsylvania Keystone Health Plan Central (Claims only)
Download form via ENS
2/01/2009 PKCEN Pennsylvania Keystone Health Plan Central (Encounters only)
Download form via ENS
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
2/01/2009 PCBLS Pennsylvania Keystone Health Plan East (claims only)
Download form via ENS
2/01/2009 PEBLS Pennsylvania Keystone Health Plan East (encounters only)
Download form via ENS
PENS1 Pension & Group Svcs
5/23/2006 72126 People's Health Network
6/26/2003 30002 Pepsi
34173 Personal Physician Care
6/28/2004 25146 PERSONALCARE
4/7/2004 60054 PG&E (Pacific Gas & Electric)
63088 PHA Admin Serv
4/7/2004 95183 PHA Insurance Services (Orlando, FL)
80705 PHCS Greatwest
6/26/2003 30348 PHEONIX GROUP SERVICES MASS
67784 Philadelphia American Life Ins. Co.
67814 Phoenix American Life (PAL)
06143 Phoenix Group Services, Inc.
75238 Phoenix Group Services (Texas)
H0381 Phoenix Health Plan AZ
62153 Phoenix Healthcare
62153 Phoenix Healthcare of TN
67814 Phoenix Home Life
67814 Phoenix Mutual
5/23/2006 00036 PHP of Kansas City
H0064 PHP of Mid Mich Lansing Please contact LTC for more info.
37330 PHP of Mid-Michigan
H0067 PHP of Ohio Benefit Systems Please contact LTC for more info.
H0068 PHP of Ohio Clinicare Please contact LTC for more info.
87726 PHP of South Carolina
87726 PHP of South Michigan
H0038 PHP of South Michigan Jackson Please contact LTC for more info.
87726 PHP of Southwest Michigan
UH003 PHP of St Louis Please contact LTC for more info.
H0069 PHP of St Louis Carus Please contact LTC for more info.
H0070 PHP of Swest Mich Capitated Please contact LTC for more info.
H0071 PHP of Swest Mich Fee For Srvc Please contact LTC for more info.
H0072 PHP of Swest Mich Senior Care Please contact LTC for more info.
H0073 PHP of West Mich Muskegon Please contact LTC for more info.
87726 PHP of West Michigan
62155 PHP TennCare
5/23/2006 PHYCR Phycor (Ft Collins office only)
6/26/2003 IP094 Physician Associates of Greater San Gabriel Valley Call or email
LTC.
58204 Physician Associates of Louisiana
2/01/2009 23130 Pennsylvania Life Insurance
2/01/2009 PHCS1 Physicians Health Choice - Claims (Administered by Wellmed)
5/23/2006 PHPMC Physician Health Partners
2/01/2009 38265 PHYSICIANS CARE
57098 Physicians Care Network
36345 Physicians Care Network (Rockford only)
65018 Physicians Corp of Florida PCA
65018 Physicians Corporation of America (Florida Plan Only)
6/28/2004 75297 Physicians Direct
37136 Physicians Health Association of Illinois
6/07/2007 20398 Physicians Health Collaborative
87726 Physicians Health Plan, Inc. (South Carolina)
4/7/2004 12399 Physicians Health Plan of Northern Indiana
06108 Physicians Health Services
Payer requires unique provider ID; please call (866) 334-
4638.
65031 Physicians Healthcare Plans Inc
2/01/2009 PMGSJ Physicians Medical Group of San Jose
5/23/2006 47027 Physicians Mutual Insurance Co.
39156 Physicians Plus Insurance Corporation
77008 Physicians Services, Inc.
9/23/2009 TH131 Physicians United Health Plan
56151 Piedmont Administrators
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
H0077 Pilgrim Insurance Call Pilgrim Ins. for Provider I.D.
2/01/2009 PHCEN Physicians Health Choice - Encounters (Administered by Wellmed)
2/01/2009 09861 PIMA Health
6/26/2003 H0370 Pinal County Employee Benefit Please contact LTC for more info.
2/01/2009 PMA86 Pima Health System
Download form via ENS
24735 Pinnacle Claims Management, Inc.
6/26/2003 H0370 Pinnacle West Please contact LTC for more info.
6/07/2007 CCIA1 Pinnacol Assurance
35196 Pioneer Life Insurance Co.
8/14/2003 33029 Pioneer Medical Group/Pioneer Physicians Network
Contact North American Medical Management (NAMM) -
Southern California at 800-956-8000 for Provider I.D.
6/07/2007 COMPU Pipe Industry Health & Welfare Fund of Colorado
2/01/2009 PGLTC Pinal Gila Long Term Care
2/01/2009 59700 Pipefitters Local 597
73074 Pipeline Industry Benefit FUnd (Tulsa, OK)
37224 Pittman & Associates
2/9/2005 64160 Pivotal Plan
H0003 Plaines
H0003 Plaines Advisor
6/26/2003 H0003 Plaines Advisor (FL) - Wisconsin Only
6/26/2003 H0003 Plaines Advisor (WI) - Wisconsin Only
6/26/2003 H0003 Plaines (IA) - Wisconsin Only
6/26/2003 H0003 Plaines Networks - Envoy - Wisconsin Only
H0003 Planes Networks
4/7/2004 37287 Planned Administrators, Inc. (PAI)
65099 Playboy Enterprises
6/28/2004 BEK60 Plumbers & Pipefitters Local 333 (Only Non-PPO Claims)
67466 PM Group (PMG)
6/07/2007 PMGSJ PMG of San Jose
2/01/2009 PDFST Podiatry First
5/23/2006 POD11 Podiatry Network Solutions, LLC Payer requires 11 digit member ID Number.
5/23/2006 POD12 Podiatry Network Solutions of South Florida, LLC Payer requires 11 digit member ID Number.
58204 PodiCare Managed Care
9/28/2004 32680 Poly America Medical and Dental Benefits
16111 POMOCO
2/01/2009 36332 PPONext
73159 PPO Oklahoma
72148 PPO Plus LLC
46113 PPOI
6/26/2003 PPOM1 PPOM
38335 PPOM, LLC
6/26/2003 72148 PPOPlus LLC
04334 Practicare, Inc.
6/26/2003 IP080 Prairie Medical Group
6/28/2004 36373 Prairie States Enterprises, Inc.
2/01/2009 EPF10 Preferred Administrator (Contact Provider Relations @ (915)532-2778, x1068)
6/28/2004 53476 Preferred Benefit Administrators
6/07/2007 PCARE Preferred Care
2/01/2009 59291 Preferred Care FL
2/01/2009 56178 PREFERRED CARE NC
2/01/2009 SX089 Preferred Care NY
Download form via ENS
4/7/2004 65088 Preferred Care Partners
6/26/2003 H0003 Preferred Community Choice (OK) - Wisconsin Only
73145 Preferred Community Choice PPO
6/26/2003 30440 PREFERRED COMMUNITY HEALTH
PR002 Preferred Dental Organization
35173 Preferred Health Network (PHN)
6/07/2007 61106 PREFERRED HEALTH PLAN (LOUISVILLE, KY)
6/07/2007 31478 PREFERRED HEALTH PROFESSIONALS
60110 Preferred Health Systems Insurance Company
5/23/2006 PFIPA Preferred IPA of CA
4/7/2004 36401 Preferred Network Access, Inc.
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
41147 Preferred One
14162 Preferred One (CT), a division of First Choice
60110 Preferred Plus of Kansas
43169 Premier Benefits, Inc.
5/23/2006 PREYE Premier Eye Care
37119 Premier Health Network
43166 Premier Health Plans
6/07/2007 90440 PREMIER HEALTH SYSTEMS, INC
75196 Premier Medical Alliance
93114 PremierCare Health Systems
93114 PremierCare of North West Arkansas
6/26/2003 H0385 PRESBYTERIAN Please contact LTC for more info.
6/26/2003 30805 PRESBYTERIAN COMMUNITY HEALTH
2/01/2009 PREHP Presbyterian Health Plan (Commercial)
(Provider ID is required. Contact (888) 923-5757, #6 then
#2 to obtain ID. New Mexico Providers only.)
2/01/2009 PRESA Presbyterian Salud
(Please add provider number in 2010AA REF02 or 2310B
REF02 Number is 11 digits or less. Contact 888-923-5757,
#6,#2 to obtain ID.)
6/26/2003 H0370 Prescott Unified School Distri Please contact LTC for more info.
61101 Prescription Benefits, Inc.
2/01/2009 45056 Prestige Health Choice
39185 Prevea Health Insurance Plan
5/23/2006 09861 Prima Health Systems
6/26/2003 IP096 PrimaHealth IPA Call PrimaHealth for Provider I.D.
60054 Primary Choice
73288 Primary Delivery Systems
6/26/2003 30892 PRIMARY MEDICAL CARE
2/01/2009 82048 Primary Health Network
2/01/2009 PRIME Primary Health Plan
56144 Primary Physician Care, Inc.
61101 Prime Benefits Systems, Inc.--MO
1/17/2008 DX106 PRIME Benefits SYstems, Inc. (PO Box 2239, Cedar Rapids, IA)
63088 Prime Health
61101 Prime Health Kansas City Inc.--MO
61101 Prime Health Mgmt. Services--MO
63088 Prime Health of Alalbama
61101 Prime Health of Kansas, Inc.--MO
04320 Prime Source Health Network
56190 Prime Vision Health Plan
6/07/2007 61604 PRIME WEST HEALTH PLAN
6/26/2003 UH015 PrimeCare Health Plan Call PrimeCare for Provider I.D.
6/26/2003 IP079 PrimeCare Medical Network - Chino Call or email
LTC.
6/26/2003 IP079 PrimeCare Medical Network - Corona Call or email
LTC.
6/26/2003 IP079 PrimeCare Medical Network - Hemet Call or email
LTC.
6/26/2003 IP079 PrimeCare Medical Network - Inland Valley Call or email
LTC.
6/26/2003 IP079 PrimeCare Medical Network - Moreno Call or email
LTC.
6/26/2003 IP079 PrimeCare Medical Network - Redlands Call or email
LTC.
6/26/2003 IP079 PrimeCare Medical Network - Riverside Call or email
LTC.
6/26/2003 IP079 PrimeCare Medical Network - Sun City Call or email
LTC.
6/26/2003 IP079 PrimeCare Medical Network - Temecula Call or email
LTC.
PRIM1 Primecare Wisconsin Call Primecare for Provider I.D.
6/26/2003 30427 PRIMEVISION HEALTH
61271 Principal Financial Group
61271 Principal Health Care
25130 Principal Health Care of Delaware, Inc.(DE HMO&Health Assur PPO only
6/26/2003 PHCFL Principal Health Care Of Florida
25127 Principal Health Care of Georgia, Inc. (GA HMO providers only)
61271 Principal Health Care of Indiana, Inc.
61271 Principal Health Care of Iowa, Inc.
61271 Principal Health Care of Kansas, Inc.-Kansas City/Wichita
61271 Principal Health Care of Louisiana, Inc.
61271 Principal Health Care of Nebraska, Inc.
6/26/2003 PHCFL Principal Health Care Of St. Louis
25129 Principal Health Care of the Carolinas, Inc.
8/14/2003 30363 Principle Health Care Solutions
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
6/26/2003 PHCFL Principal Healthcare
61271 Principal Life Insurance Co.
61271 Principal Mutual Life Insurance Co.
87056 Printing Industries Association of Southern California / PIASC
87056 Printing Industries of Northern California / PINC
6/07/2007 38217 PRIORITY HEALTH
9/28/2004 37303 Prism - First Health
4/7/2004 37268 Prism Health Networks
2/01/2009 37315 Prism Univera
6/07/2007 38329 Pro Care Health Plan, Inc. (Detroit, MI)
31132 Pro Health Compcare
H0362 Procare Medical Group Encounte
6/26/2003 30837 PROCLAIM
68241 Proctor & Gamble
2/01/2009 PEBSI Producer's Exchange
36331 Professional Benefit Administrators, Inc. (Oak Brook, IL)
6/28/2004 59296 Professional Benefits Administrators
2/01/2009 34176 PROFESSIONAL BENEFITS ADMINISTRATORS (CUYAHOGA FALLS, OH)
6/26/2003 41163 Professional Claim Administrators
6/26/2003 37242 Professional Claims Management (PCM)
2/01/2009 SX161 Professional Instill Health BCBS
(Non-par payer requires 1B qualifier with providerID.)
Download form via ENS
2/01/2009 59041 Professional Insurance Company (PIC) (Formerly GE Voluntary Benefits PIC)
PMGST Professional Mgmt Grp Sentara Call Prof. Mgmt. Grp. Sentara for Provider I.D.
2/01/2009 34134 Professional Risk Management, Inc.
2/01/2009 IPO57 PROMED HEALTHCARE ADMINISTRATORS
2/01/2009 IP058 ProMed Healthcare San Antonio
6/26/2003 PROMD PROMED POMONA Please contact LTC for more info.
58226 Promina
5/23/2006 PROSP Prospect Medical Group
6/26/2003 30856 PROTECTIVE LIFE
6/26/2003 PHP01 Providence Choice Option
6/26/2003 PHP01 Providence Good Health Plan
6/26/2003 PHP01 Providence Health Plan
6/26/2003 PHP01 Providence Health Plan HMO
6/26/2003 PHP01 Providence Medicaid
6/26/2003 PHP01 Providence Medicaid Option
6/26/2003 PHP01 Providence Medicare Extra
2/01/2009 SX131 PROVIDENCE OF OREGON CHOICE OPTION
2/01/2009 SX132 PROVIDENCE OF OREGON GOOD HEALTH PLAN
2/01/2009 SX133 PROVIDENCE OF OREGON HEALTH PLAN
2/01/2009 SX134 PROVIDENCE OF OREGON HEALTH PLAN HMO
2/01/2009 SX135 PROVIDENCE OF OREGON MEDICAID
2/01/2009 SX136 PROVIDENCE OF OREGON MEDICAID OPTION
2/01/2009 SX137 PROVIDENCE OF OREGON MEDICARE OPTION
2/01/2009 SX138 PROVIDENCE OF OREGON OPTION
2/01/2009 SX139 PROVIDENCE OF OREGON TRADITIONAL OPTION
6/26/2003 PHP01 Providence Option
91131 Providence Preferred of Washington (Sisters of Providence Health Plans)
6/26/2003 PHP01 Providence Traditional Option
6/26/2003 H0308 Provident Healthcare Plans
68195 Provident Life & Casualty Insurance Company
68195 Provident Preferred Network
51032 Provider Networks of America (Pro-Net)
5/23/2006 PF101 Providers First PPO
PR002 PruCare
6/26/2003 HM015 PruCare - HMO Call PruCare for Provider I.D.
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
PR002 PruCare (of California, HMO, Plus, Wrap, Prucare1, Prucare 2000)
PR002 PruCare Plus
6/26/2003 HM015 PruCare Senior - HMO Call PruCare for Provider I.D.
PR002 PruChoice
PR002 Prudential
PR002 Prudential Dental Organization (PDO)
68245 Prudential (Encounters)
PR002 Prudential For Health
PR002 Prudential Health Care System (PHCS)
PR002
Prudential (Health Insur., Managed Healthcare, Indemnity, Traditional, Plus, Point of
Service, In-Network, Out-Of-Network, Select, Plus Select, Psychiatric Mgmt.,
Resources Mgmt.)
PR002 Prudential Healthcare Health Maintenance Organization
PR002 Prudential Healthcare HMO For Small Business
PR002
Prudential Healthcare (HMO, Regional NWK, HMO Regional NWK, Associate
NWK,Hmo Associate NWK, Metro NWK, HMO Metro NWK, Affiliates NWK, HMO
Affiliates NWK, POS, PPO, SeniorCare, Community Plan)
PR002 Prudential Healthcare & Life Ins. Co of America
PR002 Prudential Healthcare (Metro NWK, Affiliates NWK, HMO Affiliates NWK, POS)
PR002 Prudential Healthcare Network
PR002 Prudential Healthcare of America Inc.
PR002 Prudential Healthcare POS For Small Business
PR002 Prudential Healthcare PPO For Small Business
PR002 Prudential Healthcare System (PHCS)
PR002 Prudential (Plus, Point of Service, In-Network, Out-Of-Network, Select)
PR002 Prudential (Psychiatric Mgmt., Resouces Mgmt.)
PR002 PruNet
PR002 PruNetwork (PruNetwork PPO)
PR002 PruPlus
PR002 PruPsych
2/01/2009 M9822 PSN - Florida Medicaid (JMH)
2/01/2009 51052 Psychcare, LLC
2/01/2009 PRBLS Puerto Rico Triple S (BCBS)
Download form via ENS
91136 Puget Sound Benefits Trust - Grp# F25
91136 Puget Sound Electrical Workers Trust - Grp# 33
H0186 Pulmonary Network Inc Hip S FL
6/07/2007 91954 Pyramid Benefit
5/23/2006 39197 Quadmed
PR002 Quaker Oats
35174 Qual Choice of Arkansas
35172 Qual Choice of North Carolina
35171 Qual Choice of Virginia
H0398 Qual Med of Colorado Ins
22300 Qual-Med, Albuquerque (AL)
22320 Qual-Med, Colorado (CO)
22330 Qual-Med, Colorado EPO
30196 Qual-Med, Portland (Po)
22350 Qual-Med, Seattle (Se)
22310 Qual-Med, Spokane (Sp)
23342 QualCare, Inc.
6/26/2003 30303 Qualcare New York
6/26/2003 30417 QUALCHOICE
2/01/2009 41737 QualChoice Health Plan
6/26/2003 QCHOH QUALCHOICE OF OHIO
61101 Qualicare Florida
61101 Qualicare Medicaid
37129 Quincy Health Care Management Inc.
9/28/2004 57117 QVI Risk Solutions, Inc.
95266 R.E. Harrington, Inc.
MRRR2 Railroad Medicare (Palmetto Government Benefit Administrators)
61101 Randmark, Inc.
2/01/2009 37306 Rapid City Regional Hospital
5/23/2006 91176 RBMS LLC
6/26/2003 RBSNC REALMED BLUE SHIELD NC
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
2/01/2009 SYMED Redlands IPA (Synermed)
94234 Redwood Health Services
5/23/2006 REG01 Regal Medical Group
H0372 Regence Blue Shield of Washington State Please contact LTC for more info.
6/28/2004 38221 Regency Employee Benefits
2/9/2005 47076 Regional Care, Inc.
57103 Regional Healthplus
5/23/2006 REH55 Rehab Network, LLC Humana Payer requires 11 digit member ID Number.
PH018 Reliastar
PH018 Reliastar NWNL
61271 Religious Cimprehensive Trust
95203 Renaissance ACHS Summit Medicaid
2/01/2009 20481 Resolve Health Plan Administrators
(Authorization number required: begins with the number 5
and is 13 characters in length.)
8/14/2003 37277 Resurrection Health Care Health Preferred
10/2/2003 37270 Reynolds & Reynolds
68195 Ringier America, Inc.
6/07/2007 16117 RMSCO, INC.
5/23/2006 AMS11 Robert F Kennedy Medical Center
8/14/2003 33029 Robert Kennedy IPA
Contact North American Medical Management (NAMM) -
Southern California at 800-956-8000 for Provider I.D.
75196 Rockwell Internatational Iowa
75196 Rockwell International
5/23/2006 RMHMO Rocky Mountain HMO
2/01/2009 SX141 ROCKY MOUNTAIN HEALTH PLAN - GRAND JUNCTION
37602 Rooney Life Inc.
65099 Rorer-Pulnec
71412 Rural Letter Carriers
2/01/2009 36339 RUSH HEALTH ASSOCIATION
36389 Rush Prudential Health Plans (HMO Only)
60054 Rush Prudential (PPO and POS only)
31441 S&S Healthcare Strategies
2/01/2009 SFG99 SafeGuard
35164 Sagamore Health Network (IN)
2/01/2009 37137 SAGE TECHNOLOGIES - PBS
6/28/2004 BE160 Saginaw Plumbers Local 85 (Only Non-PPO Claims)
8/14/2003 32012 Saint Francis Health Preferred
5/23/2006 PDT01 Saint Francis IPA
H0367 Saint Francis SPR Pacificcare
H0368 Saint Francis SPR Self Pay
H0365 Saint Francis WCI Blue Link
H0366 Saint Francis WCI Community CA
H0363 Saint Francis WCI Pacificcare
H0364 Saint Francis WCI Prudential
2/01/2009 88029 Saint Marys Health Plan
6/26/2003 H0370 Salt River Project Please contact LTC for more info.
2/01/2009 37259 SAMBA
6/26/2003 37236 San Francisco Electrical Workers Health & Welfare
5/23/2006 PA513 San Gabriel Valley IPA
8/14/2003 33029 San Luis Obispo (SLO) Select IPA
Contact North American Medical Management (NAMM) -
Southern California at 800-956-8000 for Provider I.D.
74283 Sandia Medical IPA
60054 Sandia Triple Option Plan (Sandia Top)
4/7/2004 37288 Santa Barbara Cottage Hospital
6/26/2003 SCCOI SANTA CLARA COUNTY IPA Please contact LTC for more info.
2/01/2009 IP027 Santa Marta Medical Group (Labs Only) IPA
5/23/2006 77038 Sante Health Systems
2/01/2009 SX019 SANUS - TEXAS
6/26/2003 ALMSH Sanus PPO - St Louis
65099 Sara Lee Corporation
2/01/2009 SC922 SC BCBS Companion Health
Download form via ENS
2/01/2009 SC886 SC BCBS Planned Administrators
Download form via ENS
2/01/2009 SC400 SC BCBS State Employee Health Plan
Download form via ENS
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
2/01/2009 SC402 SC FEP Blue Cross
Download form via ENS
2/01/2009 73172 SCAN HEALTH PLAN - ARIZONA
2/01/2009 72261 SCAN HEALTH PLAN - CALIFORNIA
2/01/2009 20460 SCAN HEALTH PLAN- LONG TERM CARE
2/01/2009 SCHZ0 Schaller Anderson Network of Arizona
6/07/2007 16146 SCHC Total Care Inc. (Acceptius Gateway payer)
6/26/2003 ALMSH Schnucks
6/26/2003 30893 SCOTT AND WHITE
8/14/2003 SDPHO Scottsdale PHO Please contact LTC for more info.
4/7/2004 SCHPC Scripps Clinic Health Plan Services - Capitated encounters
4/7/2004 SCHPS Scripps Clinic Health Plan Services - Fee for service claims
2/01/2009 SHP01 Scripps Employee Health Plan
13310 Seabury and Smith
13310
Seabury & Smith (Benefit Plan Admin. of St. Louis, MO & Office of the Admin.,
Wash., DC)
87726 Sears
42142 Secure Care of Iowa
6/26/2003 28530 Secure Health Plans of Georgia, LLC
6/26/2003 95959 Secure Horizon CA - Pacificare
6/26/2003 30576 Secure Horizons MASS
6/07/2007 COFHP Secure Horizons of CO
6/26/2003 30784 Secure Horizons Senior Care CA
6/26/2003 30626 SECURECARE
54771 Security Blue Medicare HMO PA (Highmark)
Enrollment online via the Highmark web site: Web
Enrollment Form
6/26/2003 H0168 Security Blue Shield - TN Please contact LTC for more info.
39045 Security Health Plan
H0152 Security Hlth Plan Medicaid of WI
8/14/2003 30733 Security Health Plan Ohio
6/26/2003 64088 Select Administrative Services (SAS)
CX018 Select Benefit Administrators
6/26/2003 42137 Select Benefit Administrators (Des Moines, Iowa)
6/28/2004 37282 Select Benefit Administrators of America
6/26/2003 22223 Select Blue PA Please contact LTC for more info.
H0083 Select Care Minnesota
60054 Select Choice
6/26/2003 ALMSH Select Grain
2/01/2009 SX107 SELECT HEALTH CARE
23285 Select Health of South Carolina
13377 Select/Pacificare
00014 SelectCare
PR002 SelectCare - Coca Cola
38253 SelectCare of Michigan (standard and ERA claims)
2/01/2009 SCOK1 SelectCare of OK - Tribute
2/01/2009 76045 SelectCare of Texas (HPN) Heritage Physicians Network
(Provider ID Required - Contact (713) 843-6780 to obtain
ID.)
2/01/2009 GTPA1 SelectCare of TX (Beaumont)
2/01/2009 HPN11 SelectCare of TX (Houston)
(Provider ID Required - Contact (713) 843-6780 to obtain
ID.)
2/01/2009 KLSY1 SelectCare of TX (Kelsey-Seybold)
(Provider ID Required - Contact (713) 843-6780 to obtain
ID.)
34131 Self Funded Plans of Cleveland
34131 Self Funded Plans of Geneva IL
34131 Self Funded Plans of Pittsburg
4/7/2004 59111 Self Insurance Benefit Administrators
36404 Self Insured Plans
H0084 Self Insured Services Co
34131 Self-Funded Plans (Il, Pa, OH)
2/01/2009 TH018 SEMNET
2/01/2009 60054 Senior Choice (Aetna HP-NY/NJ)
2/01/2009 83035 Senior Whole Health
60054 SeniorCare
6/26/2003 54154 Sentara Family Care
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
54154 Sentara Health Management
6/26/2003 23249 Sentinel Management Services
6/07/2007 39033 SENTRY INSURANCE A MUTUAL COMPANY
6/26/2003 IP080 Seoul Medical Group
6/07/2007 38610 SET SEG
6/26/2003 76056 Seton CHIP
2/01/2009 SHEBP Seton Employee Plan
2/01/2009 TH036 SETON HEALTH PLAN
2/01/2009 TH037 SETON HEALTH PLAN STAR MEDICAID
2/01/2009 SHMAP Seton Map Program - Mediview (Provider ID required)
H0085 Share Hlthplan of IL Capitated
H0086 Share Hlthplan of Illinois
6/26/2003 75280 Shasta Administrative Services
6/26/2003 87815 Shaw Industries (Acordia)
2/01/2009 10002 Sheakley UniComp (OH BWC)
Download form via ENS
69140 Sheet Metal Workers
2/01/2009 TH047 SHEET METAL WORKERS LOCAL 263
34675 Sheet Metal Workers Local 33 Youngstown
6/28/2004 BEJ40 Sheet Metal Workers Local 7, Zone 1 (Only Non-PPO Claims)
6/28/2004 BEJ60 Sheet Metal Workers Local 7, Zone 3 (Only Non-PPO Claims)
6/28/2004 BEK70 Sheet Metal Workers Local 80 (Only Non-PPO Claims)
6/07/2007 41143 Sheffield, Olson, & McQueen, Inc
68195 Sherwin Williams
6/26/2003 HM024 Shield 65+ (formerly Care America) Call Shield 65+ for Provider I.D.
4/7/2004 76342 Sierra Health Services
4/7/2004 76343 Sierra Health Services (Encounters)
6/26/2003 30664 SIGNATURE CARE
8/14/2003 35206 Signature Care Health Network
62159 Signature Health Alliance
4/7/2004 84076 Sinclair Health Plan
SISC1 Sisco (Self Insured Services Company)
6/26/2003 31016 Sisters Of Providence Hlth Pln
5/23/2006 SLOAN Sloan's Lake Managed Care
72112 SMA
72112 SMA 65
72112 SMA Health Plan
72112 SMA HMO
72112 SMA PPO
72112 Smartplan
72112 Smartplan 65
94249 SMIPA/SFIPA
2/01/2009 SMITH Smith Administrators
E3510 Sonoma County Primary Care IPA Contact NAMM @ 800-956-8000 for Provider I.D.
94156 Sonoma Foundation
H0003 Sonoran Desert Health Care
6/26/2003 H0003 Sonoran Desert Health - Wisconsin Only
H0003 Sooner Health Network
6/26/2003 H0003 Sooner Health Network - Wisconsin Only
6/26/2003 E0880 SoonerCare
91131 Sound Health (Sisters of Providence)
2/01/2009 23266 SOUTH CENTRAL PREFERRED - PPO YORK, PA
6/26/2003 SFLCC SOUTH FLORIDA COMMUNITY CARE
5/23/2006 SX142 South Indiana Health Options HMO
Download form via ENS
2/01/2009 SX144 SOUTH INDIANA HEALTH OPTIONS - TPA
2/01/2009 35227 SOUTH POINT HOTEL AND CASINO
4/7/2004 25147 SouthCare/Healthcare Preferred
86065 Southeast Iowa Health Plan Call S.E. Iowa HP for Provider I.D.
72112 Southeast Medical Alliance
6/07/2007 37318 SOUTHERN BENEFIT SERVICES
6/28/2004 56131 Southern Group Administrators
25128 Southern Health Services, Inc.
25128 Southern Health Systems
6/26/2003 37220 Southern National Life
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
6/26/2003 30906 SOUTHERN NATIONAL LIFE BENEFIT
6/26/2003 30912 SOUTHERN NATIONAL LIFE BMS
5/23/2006 SWADM Southwest Administrators
68195 Southwest Airlines
36215 Southwest Areas Health Welfare
6/26/2003 H0370 Southwest Catholic Health Netw Please contact LTC for more info.
60054 Southwest Health Plans
2/01/2009 SX021 Southwest Physicians Associates
6/26/2003 37266 Southwest Service Life
6/26/2003 30919 SOUTHWEST SERVICE LIFE TX
PR002 Southwestern Bell
PR002 Southwestern Bell Executive-Custom Care
PR002 Southwestern Bell Executive-Southwestern Bell
67784 Southwestern Life
6/26/2003 H0370 Southwestern Teamsters Please contact LTC for more info.
4/7/2004 37259 Special Agents Mutual Benefit Assoc. (SAMBA)
52190 Special Risk International
6/26/2003 30613 SPECIAL RISK INTL SRI
6/26/2003 30605 SPECTRUM HEALTH
8/14/2003 84146 Spina Bifida - VA HAC
2/01/2009 52190 SRI/URN Managed Transplant Program
95286 SSM Exclusive Choice
22240 St. Barnabas System Health Plan
6/26/2003 37264 St. John's Claim Administration
68033 St. Joseph Health Foundation of Northern California
43359 St. Joseph Health System
4/7/2004 STJOH St. Joseph Heritage
43325 St. Jude Medical Center
37116 St. Therese Physician Association
2/9/2005 59225 Star HRG
75202 Star Medicaid
61425 Starmark
6/26/2003 H0370 State Comp Fund Please contact LTC for more info.
72087 State Employees Group Benefits
6/26/2003 H0143 State Employees Health Ins Ga Please contact LTC for more info.
31053 State Farm Group Medical & Individual Health Insurance Companies
4/20/2010 31059 State Farm Casualty and Property Claims
31053 State Farm Insurance Co
2/01/2009 GABLS State Merit GA
69140 State Mutual Life Assurance Company of America
6/26/2003 75087 States General Life Insurance
14163 Staywell Health Plan
91151 Sterling
91151 Sterling Option 1
5/23/2006 06089 Stirling and Stir
4/7/2004 31121 Stoner and Associates
2/01/2009 15752 Stones River Regional IPA - Windsor
6/28/2004 58128 Stowe Associates
74227 Student Insurance Division
74227 Students Insurance - Boston Mutual Life Insurance Co.
74227 Students Insurance - MEGA Life & Health Insurance Co.
74227 Students Insurance - Mid-West National Life Insurance Co Tennessee
74227 Students Insurance - Reliance Insurance Co.
4/7/2004 88331 Suffolk Health Plan of New York
95202 Summa Care Health Plan
95202 Summacare HMO
5/23/2006 86071 Summerline Life and Health
4/7/2004 37301 Summit America Insurance Services, Inc.
2/01/2009 SX186 Sun Health Corporation
2/01/2009 67815 Sun Life and Health Insurance Company (Formerly known as GLHIC)
6/26/2003 H0370 Sun Mechanical Contracting Ins. Please contact LTC for more info.
PR002 Sun Trust Bank, Inc.
2/01/2009 90956 SunAmerica Life Ins Co (NFIC Plan only)
95228 Sunstar
46116 Superion
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
23218 Superior Benefits/Administrators (Santa Ana, CA)
39188 Superior Health Plan Texas
6/26/2003 Call Superior Health Plan TX
Call Debbi Sandberg @ 800-225-2573 x25306 for Payor
I.D.
2/01/2009 TH024 SUPERIOR HEALTH PLANS
6/26/2003 CB833 Supermed
6/26/2003 CB833 Supermed Hmo
6/26/2003 CB833 Supermed Plus
6/26/2003 CB833 Supermed Select Options
6/26/2003 CB833 Supermed Select Pos
6/26/2003 CB833 Supermed Works
6/26/2003 HM056 Sutter Connect- ABMG Call Sutter @ 800-611-5191 for Provider I.D.
6/26/2003 HM059 Sutter Connect- SIP, SMG, SWMG Call Sutter @ 800-611-5191 for Provider I.D.
6/26/2003 HM058 Sutter Connect- Sutter Gould Medical Foundation Call Sutter @ 800-611-5191 for Provider I.D.
6/26/2003 IP090 Sutter Connect - Sutter Medical Group of the Redlands (SMGR) Call Sutter @ 800-611-5191 for Provider I.D.
6/26/2003 HM057 Sutter Connect- Sutter Medical Group of the Redwoods (SMGR) Call Sutter @ 800-611-5191 for Provider I.D.
4/7/2004 TALMG Talbert Medical Group
Download form via ENS
6/07/2007 88067 TALL TREE ADMINISTRATORS
37228 Tarrant Health Services
6/07/2007 COMPU Tattered Cover, Inc.
6/07/2007 39157 TBG Administrative Services Wausau, Wisconsin
8/14/2003 88019 Teachers Health Trust
6/07/2007 75139 TEAM CHOICE GOLD
75133 Team Choice PPO
75134 Team Choice UMC
2/01/2009 10038 Team Health Care Partnership, Inc. (OH BWC)
Download form via ENS
2/01/2009 75139 Team Health Gold
36215 Teamcare
6/26/2003 91068 Teamster Construction Industry Welfare Trust
6/26/2003 36612 Teamsters Local Union #301
6/07/2007 74234 Tech-Steel, Inc.
65099 Teleflex
6/26/2003 TNMD1 TENNCARE Please contact LTC for more info.
4/7/2004 37293 Tennessee Benefit Administrators, LLC
62178 Tennessee Health Care
6/28/2004 74249 Texas Association of School Boards
76048 Texas Children's Health Plan
2/01/2009 75228 Texas Children's Health Plan (Medicaid)
2/01/2009 TXCSM Texas Childrens Star Medicaid
Enrollment verification calls should be directed to 800-990-
TCHP (8247)
Download form via ENS
2/01/2009 TX1ST Texas First Health Plans
69140 Texas Health Enterprises, Inc.
5/23/2006 RENGQ Texas Health Spring
6/26/2003 30894 TEXAS MEDICAL ASSN INSURANCE
74214 Texas Municipal League Group
4/7/2004 TUTCH Texas True Choice
16120 The Araz Group
2/01/2009 BOONG The Boon Group
6/07/2007 37262 The Brodart Company,Williamsport, Pennsylvania
46115 The Calends Group
6/26/2003 59223 The Chesapeake Life Insurance Co.
6/07/2007 CRI01 The Chesterfield Companies
2/01/2009 COA01 The City of Amarillo
5/23/2006 75600 The City of Odessa
2/01/2009 87726 The Empire Plan
28777 The EPOCH Group
6/07/2007 37305 The Ford Meter Box Company, Wabush, Indiana
16126 The Guardian Choice
5/23/2006 20356 The Health Exchange
2/01/2009 34150 The Health Plan
35206 The Healthcare Group
6/26/2003 58200 The Integrity Benefit Network, Inc. (Marietta, GA)
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
Call The Lewer Agency Call 800-598-2343 ext 105 for Payor I.D.
2/01/2009 23223 The Loomis Company
(Call Provider Relations at 610-374-4040 ext. 2438 for
procedures prior to submitting electronically.)
6/26/2003 59221 The Mega Life & Health Ins. Co.
2/01/2009 62295 THE MEGA LIFE (HEALTH MARKETS CARE ASSURED)
87726 The Metrahealth Insurance Company
70491 The Mutual Group (US)
6/26/2003 30003 The New England (TNE)
72112 The OATH
4/7/2004 63092 The OATH - Health Partners of Alabama Contact HPA for Provider I.D.
72112 The OATH of Louisiana
6/26/2003 NNTUZ The Pantry Inc
2/01/2009 13522 THE PERFECT HEALTH INSURANCE COMPANY
67814 The Phoenix
91828 The Preferred Healthcare System, Inc.
2/01/2009 15749 The Physicians Alliance Corp/SRRIPA
PR002 The Prudential
68195 The Sherwin Williams Company
68195 The Terminix International Company
87726 The TPA
39026 The Trane Health Protection Plan
87726 The Travelers
6/26/2003 13142 The Union Labor Life Insurance Company
38200 The Wellness Plan
6/26/2003 37225 Third Party Administrators, Inc.
06131 Third Party Claims Management
2/01/2009 SC315 Thomas Cooper
Download form via ENS
25175 Three Rivers Health Plans, Inc.
6/07/2007 COTHE Theraphysics (Colorado Only)
5/23/2006 THERA Theraphysics (except Colorado)
2/01/2009 TH038 TIME
6/26/2003 PH017 Time Ins. Co.
39065 Time Insurance (A Fortis Company)
6/26/2003 30736 TLC Family Care Healthplan
70491 TMG Life Insurance Company
6/26/2003 74214 TML Intergovernmental Employee Benefits Pool
2/01/2009 WITH1 Today's Health
6/07/2007 48055 TODAYS OPTION (AMERICAN PROGRESSIVE AND PYRAMID LIFE)
65099 Todd Shipyards
6/28/2004 TTT11 Tongass Timber Trust
61425 Tooling & Manufacturing Assoc.
5/23/2006 THIPA Torrance Hospital IPA
2/01/2009 TCARE Total Care of NY
2/01/2009 68055 TOTAL CAROLINA CARE
2/01/2009 10019 Total Health Management, Ltd. (OH BWC)
Download form via ENS
16126 Total Care Choice
H0342 Total Care Management
6/07/2007 31182 Total Community Care
34153 Total Health Care
5/23/2006 38201 Total Healthcare Inc.
6/26/2003 TOUCH TOUCHPOINT Please contact LTC for more info.
9/28/2004 13402 Touchstone Health Partnership, Inc. (Health Net Smart Choice)
6/07/2007 97910 Touchpoint Healthplan HMO - Appleton, WI
2/01/2009 23856 Touchstone Health PSO
69493 Tower Life Insurance Co.
6/26/2003 37320 TR Paul Inc.
6/26/2003 CB833 Traditional
65099 Trailer Trains
39026 Trane Health Protection Plan
6/26/2003 59222 Transamerica
4/7/2004 37284 TransChoice-Key Benefit Administrators
6/07/2007 74234 Transwestern General Agency
2/01/2009 TRAN1 Transwestern Insurance Administrators, Inc.
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
87726 Travelers
87726 Travelers Health Network (HMO & Care Option)
87726 Travelers Plan Administrators
04284 Travelers/CGT
87726 Travelers/CGT - PPO
6/07/2007 36397 Trellis Health Partners
2/01/2009 34075 Tri County Building Trades Health Fund, OH
6/26/2003 30559 TRI COUNTY HEALTH FUND OH
6/26/2003 59222 TRIAD Healthcare, Inc. (Plainville, CT)
11/19/2010 TRICL Tricare For Life (WPS)
2/9/2005 TRICN Tricare North and South Regions
2/9/2005 TRICW Tricare West Region
10/2/2003 IP060 Trinidad Rancheria
H0003 Tristate Healthcare Partners
6/26/2003 H0003 Tristate - Wisconsin Only
2/01/2009 54210 True Choice USA
65099 Trump Castle
6/26/2003 30535 Trust Care Preferred Health
4/7/2004 91078 Trusteed Plans Service Corporation
61425 Trustmark (Benefit Trust Life Ins. Co.)
61425 Trustmark Insurance Company
6/26/2003 30859 TTPA CHIP
6/26/2003 30857 TTPA COMMERCIAL
6/26/2003 H0370 Tucson Electric Power Company Please contact LTC for more info.
4/7/2004 04298 Tufts Associated Health Call Susan Hoffman @ 617-972-9400 for Payor I.D.
6/26/2003 75206 TXEN Altpros
68195 Tyson Foods
6/26/2003 H0370 U-Haul Please contact LTC for more info.
2/01/2009 SX192 UAHC Health Plan of Tennessee
Download form via ENS
16412 UBH RIOS
6/26/2003 87726 UBH - United Behavioral Health (Health Plan - HMO)
4/7/2004 60054 UC Care (University of CA)
1/17/2008 19991 UCare of Minnesota
5/23/2006 33056 UCMN - United Care Medical Network
65006 UCSF/ICSL Urology
2/01/2009 UFC97 UFCW Local 400-5205
2/01/2009 95378 UHC River Valley (formerly known as John Deere Healthcare (Please call 866-509-1593 for enrollment and provider ID)
6/26/2003 30618 UHC SPID
6/26/2003 22329 UHP of New Jersey (Centene)
6/26/2003 22329 UICI - Administrators
75245 UICI-Administrators (State of Nevada)
2/01/2009 04352 Ultra Benefits, Inc. Worcester, Massachusetts
2/01/2009 79480 UMR-Midwest Securities
52180 UMWA Health & Retirement Funds
80314 Unicare
47195 Unicare Individual - Small Group
65935 Unicare Life & Health (Formerly Mass Mutual)
80314 Unicare Major Accounts
47195 Unicare of Texas
65099 Unicare Special Accounts (Old John Hancock)
2/01/2009 35198 Unified Group Services
62170 Unified Health Services
75243 Uniform Medical Plan
6/26/2003 30798 UNIFORMED SVCS FAMILY HEALTH
2/01/2009 62183 UNISON HEALTH PLAN/BETTER HEALTH PLANS
6/26/2003 87042 Union Pacific Railroad Employees
2/01/2009 25175 Unison Health Plan / Three Rivers Provider Network
60054 Unisys
5/23/2006 UABT1 United AG Benefit Trust
87726 United Behavioral Health (former MetraHealth - UNET)
87726 United Behavioral Health (Health Plan - HMO)
6/26/2003 59069 United Benefits
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
H0335 United Health and Life
87726 United Healthcare Insurance Company
87726 United Healthcare - Metrahealth/Metropolitan
87726 United Healthcare of Arizona
6/26/2003 87726 United Healthcare of Arkansas
87726 United Healthcare of Colorado
87726 United Healthcare of Florida
87726 United Healthcare of Florida (Old Cac/Ramsay/Coral Gables Plan Only)
87726 United Healthcare of Georgia
6/26/2003 87726 United Healthcare of Illinois
87726 United Healthcare of Kentucky
6/26/2003 87726 United Healthcare of Louisiana
87726 United Healthcare of Mid Atlan
6/26/2003 87726 United Healthcare of Mississippi
6/26/2003 87726 United Healthcare of New England
87726 United Healthcare of New York
87726 United Healthcare of North CA
6/26/2003 87726 United Healthcare of North Carolina, Inc.
6/26/2003 87726 United Healthcare of Ohio
87726 United Healthcare of South CA
6/26/2003 87726 United Healthcare of Tennessee
87726 United Healthcare of Texas
6/26/2003 87726 United Healthcare of the Midlands - HMO (Choice, Select)
6/26/2003 87726 United Healthcare of the Midlands - PPO(Choice Plus,Select Plus,Self Funded)
6/26/2003 87726 United Healthcare of the Midwest - Choice, Choice Plus, Select, Select Plus
6/26/2003 87726 United Healthcare of the Midwest - Medicare Complete
87726 United Healthcare of the South
87726 United Healthcare of Utah
87726 United Healthcare of Virginia
00003 United Healthcare of Wisconsin, Inc.
6/26/2003 87726 United Healthcare Plans of Puerto Rico
87726 United Healthcare - Travelers
87726 United Healthcare Upstate NY
6/07/2007 84132 United Medical Alliance (UMA)
31107 United Medical Resources
71412 United of Omaha
60054 United Parcel Service
84132 United Physicians of Norther Colorado
5/23/2006 41194 United Resources Network
74095 United States Automobile Assoc.
6/26/2003 30746 UNITED STATES LIFE INS CO
H0003 Unity/Precision Health Plans
6/26/2003 H0003 Unity/Precision Health Plans - Wisconsin Only
2/01/2009 66705 Unity Health Insurance
(Before submitting claims, please call Joe Boerboom at 608-
643-1531 for EDI Signup.)
16108 Univera Health - Southern Tier
2/01/2009 SX084 Univera Health Plan
16107 Univera Healthcare
Download form via ENS
6/07/2007 16105 UNIVERA HEALTHCARE - CNY
6/26/2003 UNPHP UNIVERA PHP Please contact LTC for more info.
6/26/2003 UNSSE UNIVERA SSA EASTERN NY
6/26/2003 UNSSW UNIVERA SSA WESTERN NY PPO
4/7/2004 33001 Universal Care - California
Download form via ENS
33002 Universal Care - Tennessee
6/07/2007 50528 UNIVERSAL HEALTH CARE, INC.
38298 Universal Standard Healthcare, Inc.
2/01/2009 09830 University Family Care
2/01/2009 07503 University Family Care - Healthcare Group
Download form via ENS
2/01/2009 09908 University Family Care - Maricopa Health Plan
58248 University Health PLan
58247 University Health Plan (Medicaid)
6/26/2003 59000 University Health Plan of NJ
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
58246 University Health Plans of Georgia
2/01/2009 13393 University MSO
65099 University of Chicago
65099 University of Cincinatti
2/01/2009 SX155 University of Utah Health Plans
2/01/2009 77044 US Department of Labor
Download form via ENS
91136 University of Washington Students & Graduate Appts. - Grp# P67
6/26/2003 NNTUZ Unocal
23281 UPMC Health Plan
6/26/2003 30478 UPNC UNITED PHYSICIAN COLORADO
38337 Upper Peninsula Health Plan
60054 UPS-United Parcel Service
USAA1 US Able Administrator Call US Able Administrator for Provider I.D.
6/26/2003 USAA1 US ABLE FIRST PYRAMID LIFE Please contact LTC for more info.
6/07/2007 93092 US Benefits - Portland, Oregon
2/01/2009 TH103 US Family Health Plan (USFHP)
2/01/2009 VABLS VA State Employer Funds (Requires VA Blue Shield EMC approval)
4/7/2004 60054 US Healthcare
68195 US Steel
6/28/2004 30886 USA MCO
74095 USAA (United States Automobile Association)
6/26/2003 13407 USFHP - St. Vincent Catholic Medical Centers of New York
6/07/2007 74234 Utah Carpenters
6/07/2007 74234 Utah Laborers
6/07/2007 74234 Utah Pipe Trades
36369 Utilimed Call 800-252-2021 for Provider I.D.
76049 UTMB Healthcare Systems
6/26/2003 H0370 V.A.W. of America Please contact LTC for more info.
8/14/2003 12115 VA Fee Basis Programs Claims are printed and mailed to the payer.
5/23/2006 VPN01 VA Premier
2/01/2009 VHA11 Valley Health Administrators
6/26/2003 30895 VALLEY BAPTIST HEALTH PLAN
2/01/2009 00814 Value Options Arizona Medicaid
Download form via ENS
2/01/2009 VCIPA Valley Care IPA
VALL1 Valley HMO
6/26/2003 IP044 Valley of the Moon Call or email
LTC.
77004 Valley Physicians, Inc.
5/23/2006 EC005 Value Options
2/01/2009 00816 Value Options Massachusetts Behavioral Health Partnership
Download form via ENS
2/01/2009 00819 Value Options New Mexico Medicaid
Download form via ENS
2/01/2009 00817 Value Options Pennsylvania Medicaid
Download form via ENS
2/01/2009 00818 Value Options Texas Northstar
Download form via ENS
2/01/2009 75256 Verity National Group
6/26/2003 HMP01 Valuecare
6/26/2003 H0122 ValueCare UT Please contact LTC for more info.
23173 Vanderbilt Health Plan (VHP) Community Care
72128 Vantage Health Plan, Inc.
60054 Varian Health Care Plan
73288 Vencor
2/01/2009 24818 Vida Care
6/26/2003 54182 VICARE Administrative Services
6/26/2003 30792 VICARE NATIONAL BENEFIT PLANS
2/01/2009 59257 Vista Healthplan of South Florida (Formerly known as Foundation Health of Florida)
6/28/2004 BVVP1 VIPA
6/07/2007 54176 VIRGINIA PREMIER HEALTH PLAN
9/28/2004 37297 Vision Care Incorporated
86079 Vista Del Sol Health Care
6/26/2003 55248 Vista Health Plan
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
6/26/2003 30445 VITA CARE MAG
2/01/2009 HCDPB Vita Health
VNAET Vivra - Aetna
6/26/2003 30435 VIVRA ANTERO
VNPRI Vivra Asthma Allerg Princ S FL
VNHIP Vivra Asthma Allergy Hip S FL
VNBGA Vivra - Blue Choice Georgia (Blue Choice)
6/26/2003 30534 VIVRA BLUE CHOICE OF CO
VNCAC Vivra - Cac Ramsey Plans (Cuban American Clinics)
VNPRI Vivra Cardiolog Principal S FL
VNUNI Vivra Cardiolog UHC STH FL
VNCIG Vivra - Cigna Plans
VNHIP Vivra Ent Hip South FL
VNPRI Vivra Ent Principal South FL
VNFHP Vivra - Family Health Plan
VNFPL Vivra - Family Plus Plans
VNFHC Vivra - Florida Health Choice Plans
VNCFL Vivra Foundation Care FL
VNCFL Vivra - Foundation Health Plans (Care Florida)
VNHOP Vivra - Health Options - Blue Cross Florida Plans
VNHEL Vivra - Helixcare Plans
VNHIP Vivra - Hip Plans (Sunrise Health Plan)
VNHUM Vivra Humana
VNHUM Vivra - Humana Plus
VNMCA Vivra - Managaed Care of America Plans (PPO)
VNMER Vivra - Meridian Plans
VNMET Vivra - Metrahealth Plans
VNNHP Vivra - Neighborhood Health Partnership Plans
VNCIG Vivra Neurology digna South FL
VNHIP Vivra Neurology Hip South FL
VNHOP Vivra Neurology Hlth Opt S FL
VNMET Vivra Neurology Metrahlt S FL
VNPRI Vivra Neurology Principal S FL
VNUNI Vivra Neurology UHC South FL
VNNYL Vivra - NYLCare Plans (Health Plus)
VNPRI Vivra Ob Gyn Principal STH FL
VNUNI Vivra Ob Gyn UHC STH FL
VNONE Vivra - One Source Plans
VNPRI Vivra Orthoped Principal S FL
VNPRU Vivra Orthopedics Prucare S FL
6/26/2003 30438 VIVRA PACIFIC CARE
6/26/2003 30437 VIVRA PHP
VNPRI Vivra Phys Ther Principal S FL
VNHIP Vivra Phys Therapy Hip STH FL
VNUNI Vivra Phys Therapy UHC STH FL
VNPCA Vivra - Physicians Corporation of America Plans
VNPRI Vivra - Principal Plans
VNPRU Vivra - Prudential Plans
6/26/2003 30436 VIVRA ROCKY MOUNTAINS
VNTHC Vivra - Total Health Choice Plans
VNTRI Vivra - Trigon - Healthkeepers Plans
VNUNI Vivra - United Plans
VNPRI Vivra Urology Principal STH FL
VNPRU Vivra Urology Prucare STH FL
VNANT VIVRA-Antero
VNBCO VIVRA-Blue Choice of Colorado
VNPAC VIVRA-Pacificare
VNPHP VIVRA-PHP
VNRMN VIVRA-Rocky Mountain
2/01/2009 59266 Volusia Health Network
65099 Volvo
2/01/2009 23173 VPH Community Care
22264 Vytra Healthcare Call Vytra for Provider I.D.
6/26/2003 62111 W.C. Beeler & Company
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
SX063 WA State Labor and Industry
2/01/2009 85256 Wabash Memorial Hospital Association
75257 Wal-Mart
6/26/2003 H0370 Washington Elementary School Please contact LTC for more info.
2/01/2009 37294 WASHINGTON EMPLOYERS TRUST
35196 Washington National Insurance Co.
SX063 Washington State L & I
6/26/2003 91068 Washington Teamster Welfare Trust
6/07/2007 38356 Washtenaw Community Health Organization
6/07/2007 73155 Waterstone Benefit Administrators
6/26/2003 58082 Watkins Associated Industries, Inc.
39026 Wausau ICM
39026 Wausau Insurance Companies - Employers Insurance of Wausau
39026 Wausau Preferred Health Plans
6/26/2003 30914 WC BEELER AND COMPANY
39151 WEA Insurance Group
6/26/2003 16112 Webster Plastics Inc. Doctors' Health Plan
75261 webTPA/Community Heatlh Electronic
14164 Wellcare
2/01/2009 59354 Wellcare Health Plan, Inc. (Encounters only)
14163 Wellcare HMO, Inc.
14164 Wellcare Management Group (HMO)
6/26/2003 WMCH1 WELLCARE MEDICARE CHOICE HFN
14164 Wellcare of CT
14164 Wellcare of New York (Hospital Outpatient Only)
14164 Wellcare of NY
1/17/2008 77072 Wellcare Private Fee for Services
65099 Wellesley Corporation
6/26/2003 30896 WELLMED CLAIMS
6/26/2003 30897 WELLMED ENCOUNTERS
25129 Wellpath of Carolina Inc.
47198 Wellpoint Dental
6/07/2007 22925 WELS Benefit Plan Office
91136 West Coast Stationary Engrs Health & Security Trust Fund - Grp# F13
75196 West Virginia State Employees
2/01/2009 77025 West Virginia Worker's Compensation Program
Download form via ENS
6/26/2003 PH020 Western
2/01/2009 IP026 Western Arizona Regional Physicians (Labs Only)
2/01/2009 93128 Western Benefits, Inc. (Also known as Western Grocers)
6/26/2003 PH020 Western Care
24735 Western Grower's Assurance Trust
H0450 Western Grower's Insurance Comp
6/26/2003 H0370 Western Growers Association Please contact LTC for more info.
6/07/2007 37306 Western Health Inc
6/26/2003 PH020 Western Life Ins Benefit Plan (Fortis)
6/26/2003 37247 Western Mutual Insurance
H0095 Western Ohio Healthcare Corp
6/07/2007 31048 WESTERN SOUTHERN FINANCIAL GROUP (CINCINNATI, OH)
6/26/2003 91068 Western Teamster Welfare Trust
2/01/2009 IP023 Westgrove Medical Group (Labs Only) - IPA
2/01/2009 90560 WestLake Financial Group, Inc.
38232 Weyco Inc.
65099 Whirlpool
2/01/2009 93050 WILLIAM C EARHART
4/7/2004 98010 William J. Sutton & Company, LTD. (Toronto, Canada)
62061 Willis Administrative Services Corporation
62061 Willis Corroon
6/07/2007 11696 Windsor Home Network
2/01/2009 62153 Windsor Medicare Extra
5/23/2006 WNHLT WinHealth
4/7/2004 39200 Wisconsin Auto and Truck Dealers
39151 Wisconsin Education Association
Medical Payor List
file:///B|/LINDTECH/LINDTECH/medical.htm[8/8/2011 4:05:29 PM]
73288 Wisconsin Employers Group
61101 Witherspoon Parking Garage
2/01/2009 81949 Woodman Accident and Life Co (AICT Plans only)
2/01/2009 SX067 WORKERS COMP OF WEST VIRGINIA
6/07/2007 20333 Worksite Benefit Services, LLC
75276 World Insurance Company
6/07/2007 WPSC1 WPS Commercial
6/26/2003 30002 Wr Grace Corp
BBOH1 Wright Health Associates Call Blue Shield of Ohio for Provider I.D.
23710 Writers Guild-Industry Health Plan
H0305 WV Consultec Workmens Comp
62153 Xantus Healthplan of Tennessee
62153 Xantus Healthplan of TN
06121 Yale New Haven Health - Mso Inc.
95376 Yale Preferred Health/Healthchoice of Connecticut
6/26/2003 H0370 Yavapai Combined Trust Health Please contact LTC for more info.
30007 Yellow Freight
65099 York International
5/23/2006 75285 Young Life
34083 Youngstown Area Electrical Welfare Fund, Ohio
6/26/2003 H0370 Yuma Regional Medical Center Please contact LTC for more info.
65099 Zapata Corporation
6/26/2003 ZEROX Zerox
