Payer Connection - Electronic Claims Payer List

Payer Connection - Electronic Claims Payer List
As of 5/26/2016
Address - Some Payers have multiple locations but claims go to the same electronic location
*Indicates claim is routed by paper. Several payers that DO receive claims electronically have been placed on this list for having poor services available.
Name
A I BENEFIT PLAN ADMIN
AARP Medicare Supplement/Fixed Indemity by UHC
AARP MedicareComplete from SecureHorizons
ABA AFFORDABLE BENEFITS ADMIN
ABC ASSOCIATED BENIFITS CORP
ACS Consulting Services
ADMINISTRATIVE CONCEPTS INC
Administrative Services, Inc.
ADMINISTRATORS WEST*
ADVANCED BENEFIT ADMINISTRATOR*
ADVANTRA FREEDOM
ADVENTIST HEALTH SYSTEM WEST
Aetna Affordable Health Choices (SM) - SRC
AETNA INSURANCE COMPANY
Affinity Medical Group
AFTRA HEALTH FUND
AHA/FIRST HEALTH
Alameda Alliance for Health
Alaska Electrical Health & Welfare Fund
ALASKA LABORERS
ALLEGIANCE BENEFIT PLAN
Alliance PPO Inc - OneNet PPO
ALLIED ADMINISTRATORS
ALLIED BENEFITS SYSTEMS
AlohaCare Advantage*
Alohacare Quest*
Alta Bates Medical Group ABMG
AMA INSURANCE AGENCY
AMERIBEN SOLUTIONS INC
America's Choice
AMERICAN FAMILY INSURANCE
American Heritage
AMERICAN MEDICAL SECURITY
AMERICAN REPUBLIC INS
AMERICAN SPECIALTY HEALTH
American Specialty Health
Americhoice NJ Medicaid & Family Care
AMERIGROUP NJ
AMERIGROUP VA
AMERIHEALTH ADMINISTRATORS
AMERIHEALTH HMO NEW JERSEY AND DELAWARE
AMERIHEALTH MERCY HEALTH PLAN
Anthem Blue Cross
ANTHEM HEALTH AND LIFE
APWU AMERICAN POSTAL WORKERS UNION
Arizona Physicians IPA (APIPA) (UHC APIPA)
ARM LTD NORTHWEST*
Arnett Health Plan - former payer id 95440
ASRM CORP
ASSOCIATED ADMINISTRATORS
ASSOCIATES FOR HEALTHCARE
Assurant Employee Benefits - Formerly Fortis
ASSURANT HEALTH - AETNA SIGNATURE ADMIN
ASSURECARE INC
ASURIS NORTHWEST HEALTH
Athens Area Health Plan Select
ATPA
ATRIO Health Plan / Marion Polk Community Advantag
AUSTIN REGIONAL CLINIC EMPLOYEE BENEFIT
AvMed
BANKERS LIFE*
Banner Health
BEECH STREET CORPORATION
BENEFIRST*
BENEFIT ADMINISTRATOR SYS
BENEFIT AND RISK MANAGEMENT SVS FC
Payer ID ERA Secondary
Address
AIBPA
N
Y
1220 SW MORRISON ST 300
36273
Y
Y
PO BOX 30976
AARP
N
Y
PO BOX 31362
95426
N
Y
PO BOX 10787
FAABC
N
Y
PO BOX 71039
72467
N
Y
22384
Y
Y
994 OLD EAGLE RD SUITE 1005
59141
N
Y
AWEST
N
N
612 NE SAVANNAH DR
ADVBA
N
N
6420 SW MACADAM AVE STE 380
25133
N
Y
95340
N
Y
PO BOX 619031
57604
N
Y
60054
Y
Y
All Address
46594
N
Y
13346
N
Y
261 Madison Ave
01066
N
Y
95327
N
Y
92600
N
Y
91136
N
Y
P O Box 34567
81040
Y
Y
1000 GREAT WEST DR
52149
N
Y
94177
N
Y
PO BOX 2500
37308
Y
Y
PO BOX 909786-60690
ALOHA
N
N
1357 Kapiolani Blvd Ste 1250
ALQST
N
N
1357 Kapiolani Blvd Ste 1250
A0701
N
Y
AMAIA
N
Y
200 NORTH LASALLE ST SUITE 4
75137
Y
Y
P O BOX 7186
20029
N
Y
AMF11
N
Y
6000 AMERICAN PARKWAY
77083
N
Y
81400
Y
Y
PO BOX 19032
42011
N
Y
PO BOX 2975
ASH01
N
Y
P O BOX 509001
ASH01
N
Y
86047
N
Y
28806
N
Y
28804
N
Y
P.O. Box 62509
54763
N
Y
720 Blair Mill Road
23037
N
Y
22248
N
Y
720 BLAIR MILL RD
00060
N
Y
PO Box 533
80705A
N
Y
44444
N
Y
03432
N
Y
ARMNW
N
N
10200 SW Nimbus Ste G5
87726
Y
Y
P O Box 6108
ASRM1
N
Y
AAIOR
N
Y
PO BOX 1271
36326
N
Y
PO BOX 981
ASSUR
N
Y
PO BOX 624
58730
N
Y
PO BOX 91604
88035
N
Y
93221
N
Y
PO BOX 30271
95691
N
Y
PO BOX 370
ATPA1
N
Y
7600 SW Mohawk St
ATRIO
N
Y
CMSEB
N
Y
59274
N
Y
PO BOX 569000
BNKLI
N
N
PO BOX 1935
SX145
N
Y
95377
N
Y
P O BOX 57015
37125
N
N
1020 Plain St
36149
N
Y
17475 JOVANNA DRIVE 1B
99320
N
Y
PO BOX 2140
City
PORTLAND
Salt Lake City
SALT LAKE CITY
BURBANK
DES MOSINES
State
OR
UT
UT
CA
IA
Zip
97205
84130
84131
91510
50325
WAYNE
PA
19087
BEND
PORTLAND
OR
OR
97701
97201
ROSEVILLE
CA
95661
New York
NY
10016
Seattle
KENNETT
WA
MO
98124
63857
SAN FRANCISO
CHICAGO
Honolulu
Honolulu
CA
IL
HI
HI
94126
60690
96814
96814
CHICAGO
BOISE
IL
ID
60601
83707
MADISON
WI
53783
GREEN BAY
CLINTON
P O BOX 509001
WI
IA
CA
54307
52733
92150
Virginia Beach
Horsham
VA
PA
234662509
19044
HORSHAM
North Haven
PA
CT
19044
06473
PORTLAND
Lafayette
OR
IN
97223
47903
PORTLAND
BROOKFIELD
MILWAUKEE
LUBBOCK
OR
WI
WI
TX
97207
53008
53201
79490
SALT LAKE CITY
LOUISEVILLE
Tualatin
UT
KY
OR
84130
40233
97062
MIAMI
CHICAGO
FL
IL
33256
60654
IRVINE
Marshfield
HOMEWOOD
FOLSOM
CA
MA
IL
CA
92619
02050
60430
95763
BENEFIT CONCEPTS
BENEFIT COORDINATORS CORPORATION
BENEFIT MGMT SERVICES
Benefit Plan Administrators Inc. (BPA) - Nevada
BENEFIT PLANNERS, INC.
BENESIGHT
BIG LOTS ASSOCIATES BENEFIT PLANS
BLUE CARE NETWORK HMO - BCBS MI
BLUE CROSS BLUE SHIELD AZ
BLUE CROSS BLUE SHIELD MI
BLUE CROSS BLUE SHIELD MI Medicare Plus
Blue Cross Blue Shield MT
BLUE CROSS BLUE SHIELD RI
BLUE CROSS CA - Anthem
BLUE CROSS ID
BLUE SHIELD CA
BLUE SHIELD NY (EMPIRE)
BLUECROSS BLUESHIELD IL (HCSC)
BLUEGRASS FAMILY HEALTH
BOILERMAKERS HEALTH AND WELFARE
BOON-CHAPMAN BENEFIT ADMINISTRATORS
BOSTON MEDICAL CENTER HEALTH PLAN
Bridgespan Health
Bridgeway Health Solutions
BRIGHTWOOD INS - KIP COMPANY
Brown & Toland Medical Group
CAMBRIDGE ISG
CAPITOL ADMINISTRATORS
Care 1st Health Plan of Arizona
Care 1st Health Plan of CA
CARE OREGON
CARE OREGON ADVANTAGE
CAREFIRST ADMINISTRATORS MA
CareFirst BCBS
CARESOURCE HEALTH PLAN OF OREGON
CARESOURCE OF INDIANA*
CARPENTERS HEALTH & WELFARE
CASCADE HEALTH SERVICE
CBCA ADMINISTRATORS*
CBSA
CCN, MANAGED CARE INC
CDS GROUP HEALTH
CELTIC INSURANCE
CEMENT MASONS PLASTERERS HEALTH
CENTRAL RESERVE LIFE
CHAMP VA - HAC
CHESTERFIELD RESOURCES
Children's First Healthcare Network
CHOICE BENEFIT ADMIN
CHRISTIAN BROTHERS SERVICES
Christian Care - Medishare
CIGNA
CIGNA BEHAVIORAL HEALTH
CIGNA MEDICARE ACCESS
CLAIM MANAGEMENT SERVICES INC*
CLAIMS CENTRAL
CLEAR CHOICE COIHS
CNA - PHCS
CO FINITY PPO NETWORK
COASTAL ADMINISTRATIVE SERVICES
COLONIAL HEALTHCARE
Columbia Pacific CCO
COLUMBIA UNITED PROVIDERS CUP
COMMERCE BENEFITS GROUP
COMMONWEALTH ADMINISTRATIVE GROUP
COMMUNITY HEALTH PLAN OF WASHINGTON
COMPLIMENTARY HEALTHCARE PLANS KAISER
Comprehensive Benefits
CONNECTICARE INC
CONNECTICUT GENERAL
CONNECTICUT GENERAL - MEDICAL ONLY
CONSOLIDATED GROUP/HPS
51037
25145
37220
88027
39026
87265
CX025
HM710
53589
00710
P0710
BCSMT
00870
47198
00610
94036
NYBLS
00621
61124
36609
74238
13337
BRIDG
68054
BRIGHT
94316
59334
68011
57116
57115
93975
93975M
52118
SB580
MRCHP
37311
25133
CHLTH
55438
41124
73159
88022
CELTC
91136
34097
84146
34154
94321
75278
38308
59355
62308
02331
86033
39141
95340
77201
71063
38335
77052
37123
CPCCO
91162
34181
37237
CHPWA
93101
03036
06105
CONNG
CONGE
04274
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
PO BOX C50
111 Ryan Court Suite 300
PO BOX 98044
WARMINSTER
Pittsburg
BATON ROUGE
PA
PA
LA
18974
15205
70898
PO BOX 690450
PO BOX 375
P O Box 9071
PO BOX 68767
SAN ANTONIO
PUEBLO
Dublin
GRAND RAPIDS
TX
CO
OH
MI
78269
81002
43017
49516
PO BOX 44407
PO BOX 440
DETROIT
Southfield
MI
MI
48244
48034
500 Exchange St
PO BOX 60007
PO BOX 7408
PROVIDENCE
Los Angeles
BOISE
Chico
RI
CA
ID
CA
02903
90060
83707
PO BOX 805107
Po Box 21921
CHICAGO
LEXINGTON
IL
KY
60680
40522
PO BOX 9201
AUSTIN
TX
78766
PO BOX 1400
PO Box 640469
920 SW 6TH AVENUE
PORTLAND
San Francisco
PORTLAND
OR
CA
OR
97207
94164
97204
PO BOX 403
PO BOX 40328
PO BOX 1196
PO BOX 14116
740 SE 7TH ST
PO BOX 2920
PO Box 42031
PO BOX 85008
PORTLAND
PORTLAND
OWINGS MILLS
Lexington
GRANTS PASS
CLINTON
HAZELWOOD
BELLEVUE
OR
OR
MD
KY
OR
IA
MO
WA
97204
97204
21117
40512
97526
52733
63042
98015
PO BOX 27267
PO BOX 235
PO BOX 50190
PO BOX 26440
PO BOX 34203
PO BOX 946
PO BOX 65024
MINNEAPOLIS
SAN DIEGO
SPARKS
LITTLE ROCK
SEATTLE
CLEVELAND
DENVER
MN
CA
NV
AR
WA
OH
CO
55427
92193
PO BOX 10048
1205 WINDHAM PKWY
FT SMITH
ROMEOVILLE
AR
IL
72917
60446
PO BOX 696018
PO BOX 10888
PO BOX 619031
PO BOX 5729
PO BOX 305065
SAN ANTONIO
GREEN BAY
ROSEVILLE
BEND
NASHVILLE
TX
WI
CA
OR
TN
78269
54307
95661
97708
37230
399 Market Street
315 SW Fifth Avenue, Suite 900
19120 SE 34th #201
PO BOX 900
PO BOX 9016
720 OLIVE WAY #300
Philadelphia
Portland
Vancouver
ELYRIS
ANDOVER
SEATTLE
PA
OR
WA
OH
MA
WA
19181
97204
98683
44036
01810
98101
Po Box 8955
PO BOX 546
P O BOX 29000
PO BOX 9003
Melville
FARMINGTON
ATLANTA
JERICHO
NY
CT
GA
NY
11747
06034
30359
11753
72221
98324
44101
80206
Consolidated Health Plans
CONTINENTAL AMERICAN INSURANCE
CONTINENTAL GENERAL INSURANCE CO
Cook Group Health Plan
COOPERATIVE BENEFIT ADMIN INC
COORDINATED BENEFIT PLAN
COORDINATED CARE
CORE MANAGEMENT RESOURCES
CORESOURCE LITTLE ROCK
CORESOURCE OF AZ & MN
CORESOURCE OF FLORIDA*
CORESOURCE OF MD PA IL
CORESOURCE OF NORTH CAROLINA
CORESTAR
Corizon - Correctional Medical Services
CORPORATE BENEFITS SERVICE
Correctional Health Partners
COUNTRY LIFE INSURANCE
COVENANT ADMINISTRATORS, INC
COVENTRY HEALTH CARE
Cox Health Plan
CYPRESS BENEFIT ADMINISTRATORS
DAKOTACARE ADMIN SVC INC
DEAN HEALTH PLAN*
DEFINITY SERVICES
DELTA HEALTH SYSTEM
DESERET MUTUAL*
DESTINY HEALTH PLAN
DIRECTORS GUILD OF AMERICA
DIVERSIFIED ADMINISTRATION CORP
DMERC REGION D
Eastern Oregon CCO
EBMC
EDS HEALTH CHOICE
Employee Benefit Administration & Management
EMPLOYEE BENEFIT CONCEPTS INC
EMPLOYEE BENEFIT CONSULTANT & ADMIN
EMPLOYEE BENEFIT MANAGEMENT EBMS
EMPLOYEE BENEFIT SERVICES
Employee Painters Trust*
EMPLOYERS DIRECT HEALTH (FULLY)
EMPLOYERS HEALTH TRUST
EMPLOYERS INS OF WAUSAU
EMPLOYERS LIFE INSURANCE CORP.
Envolve Benefit Options
EPREHS HEALTH
EQUICOR
EQUIFAX HEALTHCARE ADMIN (EHAS)
EQUITABLE PLAN SERVICES
ERIN GROUP ADMINISTRATORS
Euro Center USA
FAMILY CARE INC - CCO/PHTECH
FAMILY CARE INC - MEDICAID
FAMILY CARE INC - MEDICARE
FAMILY CARE INC - MHO - MENTAL HEALTH
FEDERATED MUTUAL
FIRST CHOICE (CT)
FIRST CHOICE HEALTH CNN
FIRST CHOICE HEALTH NETWORK
FIRST HEALTH
FIRST HEALTH BENEFIT CONCEPTS
FIRST SERVICE ADMINISTRATOR'S LAKELAND FL
FISERV HEALTH - KANSAS/TENNESSEE
FISERV HEALTH - WAUSAU
FMH BENEFIT SERVICES INC
FORTIS BENEFITS INS COMPANY
FOUNDATION BENEFITS ADMIN
FOX EVERETT INC
GALLAGHER BENEFIT ADMINISTRATORS
GEHA ASA (Aetna Signature Administrators)
GEHA MO
GENERAL AMERICAN LIFE INS GENAM
87843
35315
71404
35149
52132
14829
68069
58231
75136
41045
COREP
35182
35180
41045
43160
56116
PHPMC
62553
58102
25133
00019
88056
DAK01
ORDEA
87726
DHS01
UH105
36436
23706
06102
19003
EOCCO
31074
22521
95288
38241
34145
81039
37216
EMPPT
75235
EMPHT
39026
37249
56190
87042
EQUIC
75196
73126
23250
65101
PHD01
FCD01
PHR01
FCM01
41041
14162
91131
91131
75137
25133
59276
62061
FISWAU
48117
70408
BOONG
64069
37283
06603
44054
63665
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
Y
N
N
Y
N
N
N
Y
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
2077 Roosevelt Avenue
PO BOX 2086
PO BOX 24505
Springfield
FT MILL
TUCSON
MA
SC
AZ
01104
29716
85734
PO BOX 145
PO BOX 20594
PO BOX 4030
LEXINGTON
TAMPA
FARMINGTON
KY
FL
MO
14586
33622
63640
PO BOX 8215
7830 E BROADWAY
PO BOX 5190
LITTLE ROCK
TUCSON
TAMPA
AR
AZ
FL
72221
85710
33675
6100 FAIRVIEW RD SUITE 1000
PO BOX 1195
CHARLOTTE
MINNEAPOLIS
NC
MN
28210
55440
PO BOX 12953
CHARLOTTE
NC
28220
PO BOX 105
PO BOX 8400
PO BOX 5750
5560 W GRANDE MARKET DR
PO BOX 7406
PO BOX 56099
PO BOX 9525
PO BOX 311
ATLANTA
LONDON
SPRINGFIELD
APPLETON
SIOUX FALLS
MADISON
AMHERST
STOCKTON
GA
KY
MO
WI
SD
WI
NY
CA
30348
40742
65801
54913
57117
53705
14226
95201
PO BOX 4628
PO BOX 48127
PO BOX 299
PO Box 6727
OAK BROOK
LOS ANGELES
MARLBOROUGH
Fargo
IL
CA
CT
ND
60522
90048
06447
58108
4789 RINGS RD
PO BOX 24870
DUBLIN
OKLAHOMA CITY
OH
OK
43017
73124
1867 W MARKET STREET
PO BOX 21367
AKRON
BILLINGS
OH
MT
44313
59104
104 S Freya Ste 220
SPOKANE
WA
99202
PO BOX 1188
PO BOX 801
P O Box 5787
PORTLAND
WAUSAU
Spartanburg
OR
WI
SC
54402
29304
795 NORTH 400 WEST
P O Box 182015
SALT LAKE CITY
COLUMBUS
UT
OH
84103
43218
PO BOX 7777
LANCASTER
PA
17604
PO BOX 5930
2121 SW BROADWAY STE #300
SALEM
PORTLAND
OR
OR
97304
97201
PO BOX 328
OWATONNA
MN
55060
POBox 3000
PO BOX 12659
PO BOX 11748
Scottsdale
SEATTLE
TUSCON
AZ
WA
AZ
85271
98111
85734
PO BOX 520
PO BOX 30541
P O BOX 25946
PO BOX 624
6300 BRIDGEPOINT PARKWAY
PO BOX 6012
PO BOX 5227
PUEBLO
SALT LAKE CITY
OVERLAND PARK
MILWAUKEE
AUSTIN
RIDGELAND
LISLE
CO
UT
KS
WI
TX
MS
IL
81002
84123
66221
53204
78730
39158
60532
PO BOX 466
INDEPENDENCE
MO
64051
GHI - GROUP HEALTH INC
GHP (GROUP HEALTH PLAN)
GIC INDEMNITY PLAN
GILSBAR
GLOBAL CARE
Global Excel Management
GOLDEN RULE INSURANCE CO
GOVERNMENT EMPLOYEES HOSP ASSOC
GREAT WEST LIFE
GROUP - PENSION ADMINISTRATORS
GROUP ADMINISTRATORS
Group Health Cooperative of South Central WI
GROUP HEALTH COOPERATIVE WEST
Group Health Inc
GROUP HEALTH MANAGERS
GROUP HEALTH NW
GROUP INSURANCE SERVICE CTR
HARRINGTON BENEFIT SVCS
HARRINGTON HEALTH BPO
HARVARD PILGRIM HEALTH CARE
HAWAII MANAGEMENT ALLIANCE ASSOCIATION HMAA
HAWAII MEDICAL SERVICE ASSOCIATION
HCC MIS*
HCH ADMINISTRATION INC
Health Alliance Medical Plans of Illinois
Health Alliance Plan of Michigan
Health Choice Arizona
Health Choice Generations
HEALTH COMP
HEALTH COST SOLUTIONS
HEALTH DESIGNS PLUS
HEALTH EXCHANGE
Health First
HEALTH FIRST TPA
HEALTH FUTURE*
Health Management Assoc
HEALTH NET - AZ
HEALTH NET CA - OR
Health Net Options Plus
HEALTH NET PEARL
HEALTH NETWORK AMERICA*
HEALTH NOW*
HEALTH PARTNERS TENN
Health Payment Systems Inc
HEALTH PLAN PARTNERS PA
HEALTH PLANS INC
HEALTH PLUS OF MICHIGAN
Health Republic Insurance
HEALTH SPRINGS MEDICARE
HEALTHCARE RESOURCES NW
HEALTHFIRST, INC
HEALTHLINK HMO
HEALTHLINK PPO
HEALTHNET OF THE NORTHEAST
HEALTHPARTNERS
HEALTHPARTNERS
HEALTHPLAN SERVICES - TAMPA
HEALTHSCOPE BENEFITS INC
HealthShare Clackamas County CCO/PHTECH
HealthShare Multnomah County Mental Health CCO
HealthShare Washington County CCO/PHTECH
Healthsmart Benefit Solutions (Wells Fargo TPA)
HEALTHSMART HSPC*
HEALTHWAYS WHOLEHEALTH NETWORKS
Healthy CT
HERE WELFARE PENSION FUNDS
Highmark Blue Cross Blue Shield PA
HILL PHYSICIANS MEDICAL GROUP
HMA - HEALTHCARE MANAGEMENT ADM
HMA, INC
HOME SERVICES NETWORK PR*
HOMETOWN HEALTH NETWORK
13551
25133
65099
07205
07689
GEM01
37602
44054
80705
48143
36338
39167
91051
13551
38194
91121
37276
95266
59143
04271
48330
HMSA2
HCCMI
37111
77950
38224
62179
62180
85729
62111
34158
20356
95019
75234
30946
86066
AZHNT
95567
HNOPT
SX185
20199
55204
62157
20270
80142
44273
38216
CHP01
63092
56731
80141
96475
90001
06108
94267
94267
59140
71063
CCMMH
VMMH1
WCHHS
87815
HSPC1
58213
77180
23172
54771
HIL01
HMA01
86066
HOMEP
34150
N
N
N
N
Y
N
Y
Y
Y
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
N
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
N
Y
PO BOX 2832
PO BOX 3000
PO BOX 406
PO BOX 2947
PO BOX 247
PO BOX 9
7440 Woodland Drive
NEW YORK CITY
NEW YORK
SCHAUMBURG
COVINGTON
ALPHARETTA
Beebe Plain
Indianapolis
NY
NY
IL
LA
GA
VT
IN
10116
10116
60168
70434
30009
05823
46278
1000 GREAT WEST DRIVE
PO BOX 830248
1880 NORTH ROSELLE ROAD
PO Box 44971
PO Box 34585
PO BOX 2832
KENNETT
RICHARDSON
SCHAUMBURG
MADISON
Seattle
NEW YORK
MO
TX
IL
WI
WA
NY
63857-3749
75083
60195
53744
98124
10116
PO BOX 200
PO BOX 9120
PO BOX 720
PO BOX 30537
P O BOX 699183
SPOKANE
MARSHFIELD
PUEBLO
SALT LAKE CITY
QUINCY
WA
MA
CO
UT
MA
99210
02050
81002
84130
02269
PO BOX 2005
PO BOX 1986
Farmington Hills
PERORIA
MI
IL
48333-2005
PO Box 5065
Findlay
OH
45839
Po Box 565001
Rockledge
FL
32956
825 E MAIN STREET #D
PO BOX 135005
MEDFORD
Honolulu
OR
HI
97504
96801
Po Box 65 West
PO Box 80
Long Branch
Buffalo
NJ
NY
07764
14240
PO BOX 510620
Milwaukee
WI
53203
BOX 5199
PO BOX 1700
WESTBOROUGH
FLINT
MA
MI
01581
48501
PO BOX 981904
EL PASO
TX
79998
PO BOX 130217
PO Box 411580
PO BOX 419104
TYLER
St Louis
ST LOUIS
TX
MO
MO
75713
63141
63141
P.O. Box 1289
Minneapolis
MN
55440
PO BOX 30466
PO BOX 3687
TAMPA
LITTLE ROCK
FL
AR
33630
72203
P O Box 2621
PO BOX 53010
Charleston
LUBBOCK
WV
TX
25329
79453
PO BOX 33728
Indianapolis
IN
46203
PO BOX 8001
PO BOX 85016
1600 W Broadway Rd
1235 NE 47TH SUITE 148
PO BOX 1217
PARKRIDGE
BELLEVUE
Tempe
PORTLAND
PARK RIDGE
IL
WA
AZ
OR
IL
60068
98015
85282
97213
60068
PO BOX 45018
HOMETOWN HEALTHPLAN
HORIZON BCBS NJ
HOTEL EMPLOYEES -HERE
HRM CLAIM MANAGEMENT
Humana Military - Tricare South
Humana Vets (VA Heroes)
HUMANA, INC. (ALL CLAIM PLANS)
IBA SELF FUNDED
IBEW WESTERN UTILITES
ILWU COASTWISE CLAIMS*
INDEPENDENCE BC PA*
Inetico Inc
INNOVANTE BENEFIT ADMINISTRATORS
INSURANCE ADMINISTRATOR OF AMERICA
INSURANCE MGMT SVCS
INSURERS ADMINISTRATIVE CORPORATION
Integra BMS
INTEGRATED BENEFIT SERVICES*
Integrity Administrators Inc*
INTERCARE HEALTH PLANS
InterCommunity Health Network
INTERNATIONAL FUNDING LTD
INTERNATIONAL MEDICAL GROUP
JOHN ALDEN LIFE INS CO
JOINT LABOR MGT RETAIL TRUST
JP FARLEY CORPORATION
KAISER EPO
Kaiser of Colorado
KAISER PERMANENTE CA
KAISER PERMANENTE HI
KAISER PERMANENTE NORTHWEST
KAISER PERMANENTE SO CAL ONLY
KANAWHA INSURANCE CO
KEMPTON COMPANY
KEY BENEFIT ADMIN
KEY BENEFIT ADMINISTRATORS
KITSAP PHYSICIANS SERVICE KPS
KPIC
LABOR AND INDUSTRIES WA*
LES SCHWAB TIRE CENTER*
Lifemap
Lifeprint
LIFEWISE PREMERA OR WA
LIPA/OHP - EHA - TRILLIUM
LONDON CLAIMS
LONGVIEW FIBRE CO
LOVELACE SALUD
LOVELACE SANDIA HEALTH PLANS (COMMERCIAL)
Loyal American Life (Medicare Supplement)
LUMENOS
MAGNACARE
MAILHANDLERS PPO
MAKSIN MANAGEMENT CORP
MANAGED HEALTH NETWORKS
MANAGED HEALTH NORTHWEST MHN*
MARSH ADVANTAGE AMERICA
MASSACHUSETTS MUTUAL
MASTERS MATES AND PILOTS PLAN
MASTERS, MATES AND PILOTS PLAN
McLaren Health Plan
MDX HAWAII
MED COST BENEFITS SERVICES
MEDCOST INC
MEDICA CHOICE (ALLINA)
MEDICA HEALTH CARE PLAN
MEDICAID AK
MEDICAID FL*
MEDICAID HI*
MEDICAID MI*
MEDICAID OR
MEDICAL BENEFITS MUTUAL
MEDICAL CLAIMS SERVICE INC
88023
22099
91136
41170
61125
61120
61101
38234
74234
ILWU
54704
43471
31172
37279
IMSMS
IAC01
56139
37124
94770
37227
INTHP
39182
IMGIN
41099
JLMRT
34136
94320
91617
94135
94123
KS007
KS001
57038
73100
37284
37217
KPS01
KPIC1
LABOR
ORLES
RLH01
LIFE1
00430
LIPA
LONDON
LONGV
SX159
90328
13193
54195
11303
25133
22195
22771
MHN
13310
65935
MMPHB
MMPHB
38338
MDXHI
56205
56162
94265
78857
AKMCD
77027
HIMED
MIMCD
DMAPP
74323
04258
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
N
Y
Y
Y
Y
Y
Y
N
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
N
N
Y
Y
Y
PO BOX 1609
PO BOX 34355
PO BOX 1479
PO BOX 7032
NEWARK
SEATTLE
MINNEAPOLIS
CAMDEN
NJ
WA
MN
SC
07101
98124
55440
29020
PO BOX 51719
PO Box 30261
Salt Lake City
UT
49005
84130
PO BOX 69352
HARRISBURG
PA
17106
1220 SW MORRISON ST 300
PO BOX 5082
PO BOX 15688
PO BOX 828
PO BOX 1178
PO BOX 3819
PO BOX 13128
PO BOX 355
PO BOX 887
PORTLAND
MT LAUREL
AMARILLO
PARK RIDGE
Matthews
CHASWORTH
SACRAMENTO
ENGLEWOOD
CORVALLIS
OR
NJ
TX
IL
NC
CA
CA
CO
OR
97205
08054
79105
60068
28106
91313
95813
80155
97339
PO BOX 88500
P.O. BOX 1599
PO BOX 1187
PO BOX 458022
PO BOX 30547
INDIANAPOLIS
BOISE
PORTLAND
WESTLAKE
SALT LAKE CITY
IN
ID
OR
OH
UT
46208
83701
PO BOX 129
PO BOX 12378
PO BOX 12378
PO BOX 7004
PO BOX 1000
PO BOX 6660
PO BOX 1279
8330 Allison Pointe Trail
P O BOX 339
OAKLAND
PORTLAND
PORTLAND
DOWNEY
LANCASTER
FOLSOM
FORT MILL
INDIANAPOLIS
BREMERTON
CA
OR
OR
CA
SC
CA
SC
IN
WA
94604
97212
97212
90242
29721
95763
29716
46250
98310
PO BOX 44269
PO BOX 5666
OLYMPIA
PORTLAND
WA
OR
98504
97228
PO BOX 770
PO BOX 117
LAS VEGAS
BEND
EUGENE
NV
OR
OR
89114
97708
97440
1220 SW MORRISON SUITE 300
PORTLAND
OR
97205
PO BOX 549
BUCKEYSTOWN
MD
21717
PO BOX 69309
PO BOX 1001
PO BOX 8402
PO BOX 2647
PO BOX 14621
1120 NW 20TH AVE STE 200
PO BOX 2305
1867 WEST MARKET ST
HARRISBURG
GARDEN CITY
LONDON
CAMDEN
LEXINGTON
PORTLAND
SPOKANE
AKRON
PA
NY
KY
NJ
KY
OR
WA
OH
17106
11530
40742
08101
40512
5700 HAMMONDS FERRY ROAD
PO BOX 1511
500 Ala Moana Blvd Ste 2-200
PO BOX 25987
PO BOX 25307
PO BOX 659752
LINTHICUM HEIGHTS
Flint
Honolulu
WINSTON-SALEM
WINSTON-SALEM
SAN ANTONIO
MD
MI
HI
NC
NC
TX
21090
48501
96813
27114
27114
78265
PO BOX 7072
PO BOX 1220
Po Box 30043
500 SUMMER STREET NE
TALLAHASSEE
HONOLULU
LANSING
SALEM
FL
HI
MI
OR
32314-7072
96807
48909
973010315
PO BOX 853925
RICHARDSON
TX
75085
44145
84130
99210
44313
MEDICAL DEVELOPEMNT INTERNATIONAL
MEDICAL MUTUAL OF OHIO
Medicare AK - Noridian
Medicare AZ - Noridian
Medicare CA North - Noridian
Medicare HI - Noridian
Medicare MI - WPS
Medicare OR - Noridian
Medicare PA - Novitas
Medicare TX - Trailblazer*
Medicare WA - Noridian
MEDSOLUTIONS INC
MEGA LIFE & HEALTH INS CO
Memorial Hermann Health Network
MERCY HEALTH PLANS
MERCY HEALTHPLANS
Meritain Health/NAA
MERITAN AGENCY SERVICES
MICRON TECH
MID ROGUE OREGON HEALTH PLAN
MIDLANDS CHOICE
MIDWEST NATIONAL LIFE INS CO
MIDWEST SECURITY ADMINISTRATORS
MMSI
MODA Health - Formerly ODS Health
MOLINA HEALTHCARE OF CALIFORNIA
MOLINA HEALTHCARE OF MICHIGAN
MOLINA HEALTHCARE OF WASHINGTON
MONUMENTAL LIFE INS CO ACCIDENT/CANCER
MONUMENTAL LIFE INS CO LONG TERM CARE
MONUMENTAL LIFE INS CO MAJOR MED, LTC, LTC RIDER
MONUMENTAL LIFE INS CO MED SUPP
MONUMENTAL LIFE INS CO MED SUPP
MOTION PICTURE INDUSTRY
MOUNTAIN STATES ADMINISTRATIVE
MUTUAL ASSURANCE ADMINISTRATORS
MUTUAL BENEFIT - FORTIS - now Assurant
MUTUAL OF OMAHA
MVP PLAN OF NY
NAA (North America Admin., L.P.)
NALC ASSOC LETTER CARRIER
NATIONAL BENEFIT ADMIN - NC
NATIONAL BENEFIT ADMIN - NJ
NATIONAL HEALTH INSURANCE CO
NATIONAL RURAL ELECTRIC COOP - NRECA
NATIONAL TELE COOP ASSOC NTCA
NATIONWIDE HEALTH PLANS
NCAS - FAIRFAX VA
NCAS CHARLOTTE
NESIKA HEALTH GROUP
Netcare Life and Health Insurance
NEW ENGLAND FINANCIAL
New Payer ID
New West Health Plan
NGS AMERICAN INC
NIPPON LIFE INSURANCE CO
Northwest Physicians Network
NORTHWEST PRIMARY CARE*
NOVA HEALTHCARE ADMIn
OEA CHOICE
Ohana Quest
OHANA Wellcare
OHP/DOCTORS OF OREGON COAST
OLYMPIC HEALTH MANAGEMENT SYSTEMS
ONE HEALTH PLAN
OPERATING ENGINEERS 302 612
OPTIMUM CHOICE INC
Optimum HealthCare
OREGON DHS
Oregon Medical Assistance Program
Oregons Health CO-OP
Oregons Health CO-OP DOS prior to 1/1/2015
52181
29076
00831
00832
01112
01212
08202
00835
12502
04402
00836
62160
59221
MHHNP
MER11
43166
64157
64158
96598
MRIPA
47080
59224
MIDSC
41154
ORD01
38333
38334
38336
MMLIC
MMLI3
MMLI2
MMLI4
MMLI5
MPI01
86040
37256
39065
71412
14165
65085
53011
56176
56175
75275
52132
52103
31417
75190
75191
37255
66055
80705N
84141
38225
81264
NPN11
NWPRI
16644
OEA
14163
14163
DOCSO
91151
ONEHL
91136
52148
20133
DMAP
OMAP
45332
21455
N
N
N
N
N
Y
Y
N
Y
N
Y
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
PO BOX 6018
PO BOX 6703
PO BOX 6704
CLEVELAND
Fargo
Fargo
OH
ND
ND
44101
58108-6703
58108-6704
PO Box 5555
PO BOX 6702
PO BOX 890418
PO BOX 660031
PO BOX 6700
PO BOX 981612
PO Box 982017
Marion
Fargo
Camp Hill
DALLAS
Fargo
EL PASO
NORTH RICHLAND HILLS
IL
ND
PA
TX
ND
TX
TX
62959-0967
58108-6702
17089-0418
75266
58108-6700
79998
76182
PO BOX 9501
AMHERST
NY
14226
740 SE 7TH ST
PO BOX 247017
GRANTS PASS
OMAHA
97526
68124
2700 MIDWEST DRIVE
ONALASKA
OR
NE
TN
WI
PO BOX 40384
PO BOX 22697
PORTLAND
LONG BEACH
OR
CA
97240
90801
WA
98041
54650
PO BOX 1999
13901 E EXPOSITION AVE
PO BOX 42096
PO BOX 624
STUDIO CITY
AURORA
OKLAHOMA CITY
MILWAUKEE
CA
CO
OK
WI
91614
80012
73123
53204
PO BOX 2207
PO BOX 1984
20547 WAVE
PO BOX 668329
SCHENECTADY
NASHVILLE
ASHBURN
CHARLOTTE
NY
TN
VA
NC
12301
37202
22093
28266
PO BOX 619999
PO BOX 6249
ONE WEST PACK SQ STE 600
PO BOX 182690
PO BOX 862
PO BOX 221209
NE STEPHENS ST. STE 400
424 West O'Brien Drive
DALLAS
LINCOLN
ASHEVILLE
COLUMBUS
FAIRFAX
CHARLOTTE
ROSEBURG
Hagatna
TX
NE
NC
OH
VA
NC
OR
GU
75261
68506
28801
43218
22030
28222
97470
96910
2132 Broadwater Ave, Unit A-1
PO BOX 7676
PO BOX 39710
PO Box 2117
PO BOX 22075
PO BOX 308
PO BOX 23600
PO BOX 31372
PO BOX 31372
Billings
ST CLAIR SHORES
COLORADO SPRINGS
Tacoma
MILWAUKIE
GRAND ISLAND
TIGARD
TAMPA
TAMPA
MT
MI
CO
WA
OR
NY
OR
FL
FL
59102
48080
80949
98401
97269
14072
97281
33631
33631
P O Box 5348
Bellingham
WA
98227
PO BOX 28416
4 TAFT COURT
PO Box 14130
500 SUMMER STREET NE
OAKLAND
ROCKVILLE
Lexington
SALEM
CA
MD
KY
OR
94604
20850
40512
973010315
PO BOX 3948
PO Box 40048
Corpus Christi
Portland
TX
OR
78463
97240
OXFORD HEALTH PLANS
P5 ELECTRONIC HEALTH SERVICES
PACIFIC LIFE & ANNUITY
PACIFICARE
PACIFICARE BEHAVIORAL HEALTH
PACIFICARE PPO ONLY
PacificSource Community Solutions
PACIFICSOURCE HLTH PLNS
PACIFICSOURCE MEDICARE
Paper Claims With Attachment
PAPER MISCELLANEOUS PAYERS*
PARAGON BENEFITS
PARR LUMBER CO
Peoples Health Network
PERSONAL CARE
PERSONAL INSURANCE ADMINISTRATORS
PHA INSURANCE SERVICES*
PHCS TUFTS
PHILLIPS ADMIN SERVICES*
PHYSICIANS HEALTH CHOICE CLAIMS
PHYSICIANS HEALTHCARE PLAN
PHYSICIANS MUTUAL
PIONEER LIFE*
PITTMAN - ASSOCIATES
PLANNED ADMINISTRATORS INC PAI
PLUMBER STEAMFITTERS LOCAL 290
PORTLAND PUBLIC SCHOOLS
PREFERRED CARE INC
PREFERRED HEALTH PLAN
Preferred Healthcare System
Preferred One Administrative Service
PRESBYTERIAN HEALTH PLAN
PRIMARY PHYSICIAN CARE INC
PrimeCare Medical Network - NAMM
PRINCIPAL MUTUAL LIFE INSURANCE CO
Priority Health Insurance Company
PRISM UNIVERA
PRO AMERICA*
PROFESSIONAL BENEFIT ADMINISTRATORS
PROVIDENCE ELDERPLACE*
PROVIDENCE HEALTH PLAN
PROVIDENCE PREFERRED
PROVIDENT AMERICAN
PRUDENTIAL HEALTHCARE
PUBLIC EMPLOYEES HEALTH PROGRAM
QUADMEDBEECHSTREET
QVI RISK
RAILROAD MEDICARE
RBMS LLC
Regence BlueShield of ID
Regence BlueShield of WA
Regence OR BCBS
REGIONAL CARE INC
REYNOLDS AND REYNOLDS
RIGHT CHOICE BENEFIT ADMINISTRATORS
Rocky Mountain Health Plan Grand Junction
Samaritan Advantage
Samaritan Choice Plan
Samaritan Health Services
Samaritan Healthy KidsConnect
Samaritan Select
SAMBA
SANFORD HEALTH PLAN
ScanOne - Samaritan Paper Claims
SEABURY SMITH
SECURE HORIZONS
SECURE HORIZONS DIRECT
SECURITY HEALTH PLAN
SELECT BENEFIT ADMIN - ASHLAND WI
SELECT BENEFIT ADMIN - OREGON
SELECT CARE
SELECT HEALTH
06111
87068
67466
95959
33053
95999
20416
93029
20377
PAPERA
PAPER
58174
PARRL
72126
25133
95397
95183
04298
PHYAS
PHCS1
65031
47027
35196
37224
37287
LOC290
PDXPU
23212
61106
04320
41147
PREHP
56144
IP079
61271
38217
37315
PROAM
36331
ELDER
PHP01
PPOOR
71404
68241
87068P
39197
57117
00882
91176
00611
00932
00851
47076
37270
37331
SX141
SAMAD
SAMCH
SAMHS
SAMHK
SAMSE
37259
91184
ICN01
13310
95959S
87726S
39045
37282
SBA01
00014
UH107
N
N
N
Y
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
Y
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
N
Y
N
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Po Box 7082
PO Box 9554
PO BOX 34799
P O BOX 6090
Bridgeport
Salt Lake City
PHOENIX
CYPRESS
CT
UT
AZ
CA
06601-7082
84109
85067
90630
PO BOX 6090
CYPRESS
CA
90630
PO BOX 706
EUGENE
EUGENE
OR
OR
97401
97401
PO BOX 1400
PORTLAND
OR
PO BOX 6040
PO BOX 620123
AGOURA HILLS
ORLANDO
CA
FL
91376
32862
PO BOX 219
ALBANY
OR
97321
PO BOX 5151
PO BOX 111047
PO BOX 6702
1305 SW 12TH
PO BOX 100
PO BOX 1235
JANESVILLE
MEMPHIS
COLUMBIA
PORTLAND
PORTLAND
FREDRICK
WI
OR
SC
OR
OR
MD
53547
38111
29260
97201
PO Box 26267
PO BOX 11088
Albuquerque
CHARLOTTE
NM
NC
87125
28220
PO BOX 39710
COLORADO SPRINGS
CO
80943
PO BOX 23000
PO BOX 9219
PO BOX 4687
13007 NE GLISAN
PO BOX 3125
PO BOX 3236
ROCHESTER
OAK BROOK
OAK BROOK
PORTLAND
PORTLAND
PORTLAND
NY
IL
IL
OR
OR
OR
14692
60523
60522
PO BOX 13999
560 E. 200 SOUTH
PHILADELPHIA
Salt Lake City
PA
UT
19187
84102
PO BOX 10066
AUGUSTA
GA
30999
905 WEST 27TH ST
PO BOX 2608
Salt Lake City
SCOTTSBLUFF
DAYTON
UT
NE
OH
69361
45401
PO BOX 10600
PO BOX 1510
PO BOX 336
PO BOX 1310
PO BOX 1310
PO BOX 1310
11301 OLD GEORGETOWN RD
PO BOX 91110
Grand Junction
CORVALLIS
CORVALLIS
CORVALLIS
CORVALLIS
CORVALLIS
ROCKVILLE
SIOUX FALLS
CO
OR
OR
OR
OR
OR
MD
SD
81502
97339
97339
97339
97339
97339
20852
57109
PO BOX 1520
EXCEPT SECUREHORIZONS DIRECT
PO BOX 31353
PO BOX 8000
PO BOX 440
PO BOX 230519
PO Box 830489
PO BOX 30192
IOWA CITY
CYPRESS
SALT LAKE CITY
MARSHFIELD
ASHLAND
PORTLAND
Birmingham
SALT LAKE CITY
IA
CA
UT
WI
WI
OR
AL
UT
52244
90630
84131
54449
54806
97281
35283
84130
21702
97208
SELECTCARE
Sentinel Plan
SENTRY INSURANCE
SHASTA ADMIN SVC
SIERRA HEALTH SERVICES
Siletz Contract Health*
SMITH ADMINSTRATORS
SOUNDPATH HEALTH
Spectera Unitedhealthcare Vision
Standard Life & Accident - Secondary Claims ONLY
STAR BRIDGE HRG
STATE EMPLOYEES GROUP BENEFITS - LOUISIANA
STATE FARM
State of Texas Dental Plan
Sterling Option 1
STRATEGIC RESOURCE COMPANY
STUDENT INSURANCE DIVISION
SUMMACARE
Summerlin Life & Health
SUMMIT AMERICA INSURANCE SERVICES
SUPERIOR ADMINISTRATIORS INC
Tall Trees/Managed Care Admin
TEAMSTERS LOCAL UNION 301*
THE CHESTERFIELD COMPANIES
THE EPOCH GROUP
THE GUARDIAN
The Loomis Company
TIMBER PRODUCTS MFG*
TIME INS CO FORTIS INSURANCE CO
TODAYS OPTIONS - PYRAMID
TONGASS TIMBER TRUST
Total Health Care
TOWER LIFE INSURANCE CO
TRANSWESTERN INSURANCE ADMINISTRATORS
TRICARE FOR LIFE
TRICARE North - Palmetto - Healthport
Tricare West DOS after 04012013
Tricare West WPS
TRILLIUM COMMUNITY HEALTHPLAN
TRILLIUM MEDICARE
TRISURANT
TRUE CHOICE
TRUSTEED PLANS SERVICE CORPORATION
TRUSTMARK
TUALITY HEALTH ALLIANCE
TUALITY HEALTH SELECT
UFCW
UHC Compass Rose
UHN
Umpqua Health Alliance / Douglas County IPA ABCT*
UMR MIDWEST SECURITY
UMR/WAUSAU
UMWA HEALTH & RETIREMENT FUNDS
UNICARE
UNIFIED GROUP SERVICES
UNIFIED HEALTH SERVICES
UNIFORM MEDICAL PLAN/CENTRA
UNION LABOR LIFE INSURANCE
UNITED BEHAVIORAL HEALTH
UNITED HEALTHCARE
United Medical Alliance (UMA)
UNITED MEDICAL RESOURCES
UNITED RESOURCES NETWORK
UnitedHealthcare of the River Valley
UNIVERSAL HEALTH CARE INC
University Health Alliance UHA
University of Utah Health Plans
UPMC HEALTH PLAN
Upper Peninsula Health Plan
UPREHS UNION PAC RAILROAD
US BENEFITS
US HEALTH AND LIFE
00014
23249
39033
75280
76342
SCHOR
02057
42172
00773
01758
59225
72087
31053
57254
91151
60054SRC
74227
95202
86071
37301
23218
88067
36612
CRI01
28777
64246
23223
TIMBR
39065
48055
92620
38201
69493
TRAN1
TRILF
57106
99726
WESTR
TRILL
TRILM
34185
TTCEC
91078
61425
THA01
THASC
UFCW1
50946
UHN01
DCIPA
79480
39026
52180
80314
35198
62170
75243
13142
87726B
87726
84132
39026
41194
95378
50528
99026
SX155
23281
38337
87042
93092
38259
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
Y
N
Y
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Po Box 16960
PO BOX 8025
PO BOX 174
CLEARWATER
STEVENS POINT
BEND
FL
WI
OR
33766
54481
97756
PO BOX 320
PO BOX 161125
Siletz
FORT WORTH
OR
TX
97380
76161
Po Box 16708
PO BOX 55270
PO BOX 44035
PO BOX 297
Jackson
PHEONIX
BATON ROUGE
CLINTON
MS
AZ
LA
IA
39236
85078
70804
52733
PO BOX 69314
PO BOX 23759
PO BOX 809025
HARRISBURG
COLUMBIA
DALLAS
PA
SC
TX
17106
29224
75380
1440 Kapiolani Blvd Suite 1020
5001 College Blvd Ste216
PO BOX 27730
PO BOX 71747
PO BOX 3470
PO BOX 1884
PO BOX 12170
PO BOX 8007
NON PPO CONTRACTS ONLY
PO Box 4867
501 W MICH
Honolulu
Leawood
SANTA ANA
SALT LAKE CITY
PORTLAND
AKRON
OVERLAND PARK
APPLETON
Wyomissing
Missoula
MILWAUKEE
HI
KS
CA
UT
OR
OH
KS
WI
PA
MT
WI
96814
66211
92799
84171
97208
44309
66282
54912
19610
59806
53201
Po Box 21486
Po Box 45019
SAINT PAUL
SAN ANTONIO
FRESNO
MN
TX
CA
55121
78205
93718
PO Box 870140
Surfside Beach
SC
29587
PO BOX 8929
PO BOX 117
MADISON
EUGENE
WI
OR
53708
97440
PO BOX 700307
PO BOX 2942
PO BOX 925
TUALITY HEALTH ALLIANCE
P O Box 9000
PO BOX 6430
PO BOX 33470
PO BOX 1047
DALLAS
TACOMA
CLINTON
HILLSBORO
TUALATIN
Walnut Creek
ANNAPOLIS
PORTLAND
Roseburg
TX
WA
IA
OR
OR
CA
MD
OR
OR
75370
98401
52733
97123
PO BOX 8013
PO BOX 619099
PO BOX 4058
PO BOX 10
WAUSAU
DALLAS
SCHAUMBURG
PENDLETON
WI
TX
IL
IN
54402
75261
60168
46064
PO BOX 34850
KING OF PRUSSIA PA
PO BOX 30755
SEATTLE
KING OF PRUSSIA
SALT LAKE CITY
WA
PA
UT
98124
19406
84130
P O BOX 145804
P.O. BOX 4912
PO BOX 5230
CINCINNATI
OH
45250
KINGSTON
NY
12402
700 Bishop Street Suite 300
Honolulu
HI
96813
PO BOX 2999
PO BOX 190
795 N 400 W
1919 NE PACIFIC SUITE 100
PITTSBURGH
Marquette
SALT LAKE CITY
PORTLAND
PA
MI
UT
OR
15230
49855
84103
97232
94598
21401
97292
97470
USAA UNITED STATES AUTO
USI ADMINISTRATORS
VA FEE BASIS PROGRAM
VA Patient-Centered Community Care
VALLEY BAPTIST HEALTH PLANS
VALUE OPTIONS*
VSP VISION SERVICE PLANS
WA MEDICAID DSHS
WALMART*
WASHINGTON EMPLOYERS TRUST
WATERSTONE BENEFIT ADMIN
WATKINS ASSOCIATED INDUSTRIES
WC BEELER & COMPANY
WEA TRUST
WEB TPA
WELLCARE PPFS
WESTERN GROCERS
WESTERN GROWERS INS
WESTERN MUTUAL INSURANCE
Western Oregon Advanced Health / DOCS Health Plan
Willamette Valley Community Hlth
WILLIAM C EARHART
WindsorSterling
WINhealth Partners / Wyoming Health Solutions
WORLD INSURANCE COMPANY
WPS WISCONSIN PHYSICIAN SERVICES
WRITERS GUILD INDUSTRY HEALTH
YALE NEW HAVEN HEALTH*
YOUNG LIFE BENEFIT PLAN
ZENITH ADMINISTRATORS*
74095
23217
12115
VAP5A
94999
SX173
VSP01
WAMCD
75257
37294
73155
58082
62111
39151
75261
77072
93128
24735
37247
DOCSO
WVCHP
WIEAR
67829
27327
75276
SX022
23710
06121
75285
ZENITH
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
N
P.O. BOX 659466
PO BOX 37
3400 Lebanon Pike
SAN ANTONIO
MINNEAPOLIS
Murfreesboro
TX
MN
TN
78265
55440
37129
12940 N HWY 183
PO BOX 1290
PO BOX 1290
AUSTIN
LATHAM
LATHAM
TX
NY
NY
78750
12110
12110
922 W WALN
PO BOX 850898
4013 NW EXPRESSWAY SUITE 575
P O Box 1738
ROGERS
RICHARDSON
OKLAHOMA CITY
ALANTA
AR
TX
OK
GA
72756
75085
73116
30301
PO BOX 8220
P O Box 539508
PO BOX 795184
MADISON
Grand Prairie
SAN ANTONIO
WI
TX
TX
53708-8220
75053
78279
PO BOX 572450
MURRAY
UT
84157
PO BOX 4148
PO BOX 269003
PORTLAND
PLANO
OR
TX
97208
75026
PO BOX 3160
PO BOX 8190
1015 N HOLLYWOOD WAY
17 Hillhouse Ave
PO BOX 520
PO BOX 91014
OMAHA
MADISON
BURBANK
New Haven
COLORADO SPRINGS
SEATTLE
NE
WI
CA
CT
CO
WA
68103
53708
91505
06520
80901
98111