PayerId Payer Names 72467 ACS CONSULTING SERVICES ...

1 PayerIdPayer Names72467 ACS CONSULTING SERVICES INCORPORATED18014 Aetna Medicare EPO/PPO DentalARA01 AgeRight Advantage12M07AK and ID Medicare Part ASMAK0AK Medicare Part B (J2)12M01AL MEDICARE A (MAC JJ) CahabaSMAL0AL MEDICARE B (MAC JJ) CahabaMRCHPALLCARE ADVANTAGE82238 Allegian Advantage12022AR Medicare Part A (J7)SMAR0AR Medicare Part B (J7)41556 ARIZONA AND 21ST CORP DBA BERKLEY EAST CONV HOSPITALAZFMCARIZONA FOUNDATION FOR MEDICAL CARENCHONARIZONA INTEGRATED PHYSICIANS03432 ARIZONA PHYSICIANS IPA36326 ASSOCIATES FOR HEALTH CARE INCORPORATED12M02AZ Medicare Part A (J3 - Noridian)SMAZ0AZ Medicare Part B (J3 - Noridian)BHPMAB aptist Health Plan AdvantageBTHS1 Brown and Toland Health Services12M98CA Home Health & HospiceSMCA1CA Medicare Part B North (J1 - PGBA)SMCA2CA Medicare Part B South (J1 - PGBA)26160 CareSource33070 ChiroMetrics Inc12M03CO Medicare Part A (J4 - Trailblazer)SMCO0CO Medicare Part B12M88CO NM OK TX - MEDICARE PART A (MAC J4) LEGACY WPS12M04CT Medicare Part A (J13 - NGS)SMCT0CT Medicare Part B (J13 - NGS)12M63DC Medicare Part A (J12 - Highmark)SMDC0DC Medicare Part B (J12 - Highmark)SMDE0DE Medicare Part B (J12 - Highmark)12M76 Delaware Medicare Part ASDMEDDME Region D (DMERC D)J1061 DUNN EDWARDS CORPORATIONJ1934 EAGLE CLAIMS24770 Easy Choice Health Plan of New York12M76 Empire Medicare Services73126 EQUITABLE PLAN SERVICESJ1491 EQUITY HOTEL AND SUPPLY COMPANY93121 Family Care CCO12M34FL Medicare Part A (J9 First Coast)SMFL0FL Medicare Part B (J9 First Coast)43197 Fresenius Health Partners12M05GA MEDICARE A (MAC JJ) CahabaSMGA0GA MEDICARE B (MAC JJ) Cahaba70259 HARBOR HEALTH PLAN (PROCARE)

2 4245 Harvard Community Health Plan37111 HCH ADMINISTRATION PEORIA25126 HEALTH AMERICA INCORPORATED HEALTH ASSURANCE ADVANTRA68021 HEALTH NET VAPCCCPHCP02 HEALTHCARE PARTNERS ARIZONA01041 HEALTHSOURCE MAINE95827 HEALTHY BEACHES PALM BEACH COUNTYHER01 HERITAGE IPASMHI0HI Medicare Part B (J1 - PGBA)HPFFSHISPANIC PHYSICIANS IPA91164 HMSO-Highline Medical Service Organization12 HHAHOME HEALTH & HOSPICE - JURISDICTION A (MAC JK - NGS)12M97 HOME HEALTH & HOSPICE (MAC J15 - JURISDICTION B) CGS88537 HOMETOWN HEALTH PROVIDERS66003 Hopkins Health Advantage12M10IA Medicare Part A (J5 - WPS)SMIA0IA Medicare Part B (J5 - WPS)SMID0ID Medicare Part B (J2)12M08IL Medicare Part A (J6)SMIL0IL Medicare Part B (J6)12M09IN Medicare Part A (J8)SMIN0IN Medicare Part B (J8)64284 Independence Care Systems FIDA-MMP12M64J1 MAC Medicare Part A (CAHINV)12M99J12 MEDICARE PART A LEGACY WPS (DC DE MD NJ PA)J1491 JOHNSON LARRY (AN INDIVIDUAL)J1118 JOHNSTON SCHOOLSCOKSRKAISER PERMANENTE COLORADOKEE01 KEENAN AND ASSOCIATES3414 AKLAIS AND COMPANYSMKS0KS Medicare Part B (J5 - WPS)12M11KY MEDICARE A (MAC J15) CGSSMKY0KY MEDICARE B (MAC J15) CGS12M12LA Medicare Part A (JH)SMLA0LA Medicare Part B (J7)44827 LAKE REGION COMMUNITY HEALTH PLAN52280 Legacy Medicare Part A - WPS (MAC J5)RLH01 LIFEMAPLWA01 LifeWorks Advantage12M14MA Medicare Part A (J14 - NHIC)SMMA0MA Medicare Part B (J14 - NHIC)12M85 Mcare Advantage PlanSMMD0MD Medicare Part B J1212M13ME Medicare Part A (J14 - NHIC)SMME0ME Medicare Part B (J14 - NHIC)10102 MEDICARE ALABAMA PART BAKMCRMEDICARE ALASKA02102 MEDICARE ALASKA PART B03102 MEDICARE ARIZONA PART B07101 MEDICARE ARKANSAS PART A07102 MEDICARE ARKANSAS PART B12M64 MEDICARE CALIFORNIA NEVADA HAWAII PART A (J1 MAC)04111 MEDICARE COLORADO PART A04112 MEDICARE COLORADO PART B12M04 MEDICARE CONNECTICUT PART A (J13 NGS)

3 12M76 MEDICARE DELAWARE PART A12M63 MEDICARE DISTRICT OF COLUMBIA PART A (J12 HIMARK)SDMEAM edicare DME (JA - CEDI/NHIC)SDMEBM edicare DME (JB - CEDI/NGS)SDMECM edicare DME (JC - CEDI/CGS)16013 MEDICARE DMERC REGION A17013 MEDICARE DMERC REGION B18003 MEDICARE DMERC REGION C19003 MEDICARE DMERC REGION D09101 MEDICARE FLORIDA PART A09102 MEDICARE FLORIDA PART B12M05 MEDICARE GEORGIA PART A (J10 CAHABA)15004 MEDICARE HHH (HOME HEALTH AND HOSPICE) J15 (CGS)12M07 MEDICARE IDAHO PART A (J2)02202 MEDICARE IDAHO PART B12M08 MEDICARE ILLINOIS PART A06102 MEDICARE ILLINOIS PART B (NGS)12M09 MEDICARE INDIANA PART A (J8)12M10 MEDICARE IOWA PART A (J5 WPS)12M11 MEDICARE KENTUCKY PART A (J15)15102 MEDICARE KENTUCKY PART B (J15)07201 MEDICARE LOUISIANA PART A07202 MEDICARE LOUISIANA PART B12M13 MEDICARE MAINE PART A 12010 MEDICARE MARYLAND PART A12M14 MEDICARE MASSACHUSETTS PART A 14212 MEDICARE MASSACHUSETTS PART B12M18 MEDICARE MICHIGAN PART A (WPS)08202 MEDICARE MICHIGAN PART B (WPS)06201 MEDICARE MINNESOTA PART A (NGS)06202 MEDICARE MINNESOTA PART B (NGS)07301 MEDICARE MISSISSIPPI PART A07302 MEDICARE MISSISSIPPI PART B12M15 MEDICARE MISSOURI PART A (J5 WPS)05302 MEDICARE MISSOURI PART B (J5 WPS)SMMO0 MEDICARE MISSOURI PART B EAST (J5 WPS)SMKC0 MEDICARE MISSOURI PART B WEST (J5 WPS)12M77 MEDICARE MONTANA PART A (NORIDIAN)SMMT0 MEDICARE MONTANA PART B (NORIDIAN)SMNE0 MEDICARE NEBRASKA PART B (J5 WPS)SMNV0 MEDICARE NEVADA PART B 12M21 MEDICARE NEW HAMPSHIRE PART A 14312 MEDICARE NEW HAMPSHIRE PART B12401 MEDICARE NEW JERSEY PART A12402 MEDICARE NEW JERSEY PART B04211 MEDICARE NEW MEXICO PART A04212 MEDICARE NEW MEXICO PART B13202 MEDICARE NEW YORK DOWNSTATE12M35 MEDICARE NEW YORK PART A 13282 MEDICARE NEW YORK PART B12M23 MEDICARE NORTH CAROLINA PART A (J11)SMNC0 MEDICARE NORTH CAROLINA PART B (J11)12M82 MEDICARE NORTH DAKOTA PART A (NORIDIAN)

4 SMND0 MEDICARE NORTH DAKOTA PART B (NORIDIAN)15201 MEDICARE OHIO PART A15202 MEDICARE OHIO PART B04311 MEDICARE OKLAHOMA PART A04312 MEDICARE OKLAHOMA PART B12M41 MEDICARE OREGON PART A 02302 MEDICARE OREGON PART B12M65 MEDICARE PART A (CAHINV)12M65 MEDICARE PART A (CAHINV) LEGACY04911 MEDICARE PART A J0491112M99 MEDICARE PART A LEGACY WPS (DC DE MD NJ PA)12M19 MEDICARE PART A NEBRASKA (J5 WPS)SMPR0 MEDICARE PART B PUERTO RICO (FIRST COAST)12501 MEDICARE PENNSYLVANIA PART A12502 MEDICARE PENNSYLVANIA PART BSX170 Medicare Plus Blue12M49 Medicare Puerto Rico00882 MEDICARE RAILROAD12M74 MEDICARE RHODE ISLAND PART A SMRI0 MEDICARE RHODE ISLAND PART B12M83 MEDICARE SOUTH DAKOTA PART A (NORIDIAN)SMSD0 MEDICARE SOUTH DAKOTA PART B (NORIDIAN)12M53 MEDICARE TENNESSEE PART A (CAHABA)SMTN0 MEDICARE TENNESSEE PART B (CAHABA)04411 MEDICARE TEXAS PART A04412 MEDICARE TEXAS PART B12M84 MEDICARE UTAH PART A (NORIDIAN)SMUT0 MEDICARE UTAH PART B (NORIDIAN)12M26 MEDICARE VERMONT PART A SMVT0 MEDICARE VERMONT PART A 12M52 Medicare Virgin IslandsSMVI0 MEDICARE VIRGIN ISLANDS PART B (FIRST COAST)11003 MEDICARE VIRGINIA PART A11302 MEDICARE VIRGINIA PART B02001 MEDICARE WASHINGTON PART A02402 MEDICARE WASHINGTON PART B12M28 MEDICARE WEST VIRGINIA PART A 12M29 MEDICARE WISCONSIN PART A AND FQHC06302 MEDICARE WISCONSIN PART B (NGS)12M30 MEDICARE WYOMING PART A (NORIDIAN)SMWY0 MEDICARE WYOMING PART B (NORIDIAN)26080 Memorial Care Medical Foundation12M18MI Medicare Part A (J8)SMMI0MI Medicare Part B (J8)MMS01 Missouri Medicare Select12M16MN Medicare Part A (J6)SMMN0MN Medicare Part B (J6)12M15MO Medicare Part A (J5 - WPS)12M17MS Medicare Part A (J7)SMMS0MS Medicare Part B (J7)12M77MT Medicare Part A (JF - Noridian)32043 MyNexus INCORPORATEDNHC01 NATIONAL HEALTCHARE CORPORATION ADVANTAGE12M23NC Medicare Part A (J11)12M82ND Medicare Part A (J3 - Noridian)

5 12M19NE Medicare Part A (J5 - WPS)12M21NH Medicare Part A (J14 - NHIC)SMNH0NH Medicare Part B (J14 - NHIC)NHC01 NHC Advantage12005NJ Medicare Part A J12 SMNJ0NJ Medicare Part B J1212M22NM Medicare Part A J4 SMNM0NM Medicare Part B J412M35NY Medicare Part A (J13 - NGS)SMNY0NY Medicare Part B Downstate (J13 - NGS)SMNY2NY Medicare Part B Queens (J13 - NGS)SMNY1NY Medicare Part B Upstate (J13 - NGS)12M24OH MEDICARE A (MAC J15) CGSSMOH0OH MEDICARE B (MAC J15) CGS12M37OK Medicare Part ASMOK0OK Medicare Part B12M41OR Medicare Part A (J2 - Noridian)SMOR0OR Medicare Part B (J2 - Noridian)12M60PA Medicare Part A J12 SMPA0PA Medicare Part B J1220377 PacificSource Medicare97652 Passport Advantage3443 Phoenix Health Plans (Medicare - Abrazo)93082 Prominence Health Plan of Nevada80095 Prominence Health Plan of TexasPH001 Pruitt Health PremierSRRGAR ailroad Medicare (PGBA)12M80 RHHI JC (MAC J11)12M74RI Medicare Part A (J14 - NHIC)45552 Satellite Health Plan Medicare Part A & SW/SE RHHI (J11)12M83SD Medicare Part A (J3 - Noridian)46187 Seaside Health PlanSA002 Signature Advantage56621 Sutter Senior Care12M53TN MEDICARE A (MAC JJ) Cahaba12M31TX Medicare Part A and Indian Health SERVICES J4 SMTX0TX Medicare Part B and Indian Health SERVICES J445282 University of Maryland Health Advantage12M84UT Medicare Part A (J3 - Noridian)12004VA Medicare Part A (J11)SMVA0VA Medicare Part B (J11)41556 VALLEY CASEWORK INCORPORATEDJ1491 VEGTABLE GROWERS SUPPLY INCORPORATEDJ1533 VIACOM MURPHY AND BEANESCAN1 VILLAGE HEALTH PLAN12M26VT Medicare Part A (J14 - NHIC)12M45WA Medicare Part A (J2 - Noridian)SMWA0WA Medicare Part B (J2 - Noridian)WVS01 West Virginia Senior Advantage12M29WI Medicare Part A & FQHC (J6)SMWI0WI Medicare Part B (J6)41556 WILMER HUTCHINS INDEPENDENT SCHOOL DISTRICT (ISD) DALLAS INDEPENDENT SCHOOL DISTRICT (ISD)

6 57324 WPS Medicare KS Part A12M28WV Medicare Part A (J11)12M30WY Medicare Part A (J3 - Noridian)States ModelsLobMedicareMEDICALMEDICAREDENTALME DICAREHOSPITALIDMEDICAREHOSPITALAKMEDICA REMEDICALALMEDICAREHOSPITALALMEDICAREMED ICALORM edicareHOSPITALMEDICAREHOSPITALARMEDICAR EALLARMEDICAREMEDICALM edicareMEDICALM edicareMEDICALM edicareMEDICALM edicareMEDICALM edicareMEDICALAZMEDICAREHOSPITALAZMEDICA REMEDICALMEDICAREHOSPITALMEDICAREHOSPITA LMEDICAREHOSPITALCAMEDICAREMEDICALCAMEDI CAREMEDICALMEDICAREHOSPITALMEDICAREHOSPI TALCOMEDICAREHOSPITALCOMEDICAREMEDICALME DICAREHOSPITALCTMEDICAREHOSPITALCTMEDICA REMEDICALDCMEDICAREHOSPITALDCMEDICAREMED ICALDEMEDICAREMEDICALDEMEDICAREHOSPITALU SMEDICAREMEDICALALM edicareMEDICALARM edicareMEDICALMEDICAREHOSPITALDEMEDICARE HOSPITALCAM edicareMEDICALCAM edicareMEDICALMEDICAREHOSPITALFLMEDICARE HOSPITALFLMEDICAREMEDICALMEDICAREHOSPITA LGAMEDICAREHOSPITALGAMEDICAREMEDICALCTM edicareMEDICALMAMEDICAREHOSPITALHIM edicareMEDICALIAM edicareMEDICALIDM edicareMEDICALILM edicareMEDICALINM edicareMEDICALKSM

7 EdicareMEDICALLAM edicareMEDICALHIMEDICAREMEDICALMEM edicareMEDICALMEDICAREHOSPITALMEDICAREHO SPITALWYMEDICAREHOSPITALMIM edicareMEDICALMEDICAREHOSPITALIAMEDICARE HOSPITALIAMEDICAREMEDICALIDMEDICAREMEDIC ALILMEDICAREHOSPITALILMEDICAREMEDICALINM EDICAREHOSPITALINMEDICAREMEDICALMEDICARE HOSPITALCAMEDICAREHOSPITALMEDICAREHOSPIT ALMOM edicareMEDICALMOM edicareMEDICALNCM edicareMEDICALNHM edicareMEDICALNYM edicareMEDICALKSMEDICAREMEDICALKYMEDICAR EHOSPITALKYMEDICAREMEDICALLAMEDICAREHOSP ITALLAMEDICAREMEDICALOKM edicareMEDICALUSMEDICAREHOSPITALSCM edicareMEDICALMEDICAREHOSPITALMAMEDICARE HOSPITALMAMEDICAREMEDICALMIMEDICAREHOSPI TALMDMEDICAREMEDICALMEMEDICAREHOSPITALME MEDICAREMEDICALALMEDICAREMEDICALAKMEDICA REHOSPITALALMEDICAREMEDICALAZMEDICAREMED ICALARMEDICAREHOSPITALAKMEDICAREMEDICALM EDICAREHOSPITALCOMEDICAREHOSPITALCOMEDIC AREMEDICALCTMEDICAREHOSPITALDEMEDICAREHO SPITALDCMEDICAREHOSPITALUSMEDICAREMEDICA LUSMEDICAREMEDICALUSMEDICAREMEDICALMEDIC AREMEDICALMEDICAREMEDICALMEDICAREMEDICAL MEDICAREMEDICALFLMEDICAREHOSPITALFLMEDIC AREMEDICALGAMEDICAREHOSPITALMEDICAREHOSP ITALIDMEDICAREHOSPITALTXMEDICAREMEDICALI LMEDICAREHOSPITALILMEDICAREMEDICALINMEDI CAREHOSPITALIAMEDICAREHOSPITALKYMEDICARE HOSPITALKYMEDICAREMEDICALLAMEDICAREHOSPI TALLAMEDICAREMEDICALMEMEDICAREHOSPITALMD MEDICAREALLMAMEDICAREHOSPITALMAMEDICAREM EDICALMIMEDICAREHOSPITALMIMEDICAREMEDICA LMNMEDICAREHOSPITALMNMEDICAREMEDICALMSME DICAREHOSPITALMSMEDICAREMEDICALMOMEDICAR EHOSPITALMOMEDICAREMEDICALMEDICAREMEDICA LMEDICAREMEDICALMTMEDICAREHOSPITALMEDICA REMEDICALMEDICAREMEDICALMEDICAREMEDICALN HMEDICAREHOSPITALNHMEDICAREMEDICALNJMEDI CAREHOSPITALNJMEDICAREMEDICALNMMEDICAREH OSPITALNMMEDICAREMEDICALMEDICAREMEDICALN YMEDICAREHOSPITALNYMEDICAREALLNCMEDICARE HOSPITALMEDICAREMEDICALNDMEDICAREHOSPITA LMEDICAREMEDICALOHMEDICAREHOSPITALOHMEDI CAREMEDICALOKMEDICAREHOSPITALOKMEDICAREM EDICALORMEDICAREHOSPITALORMEDICAREMEDICA LMEDICAREHOSPITALMEDICAREHOSPITALMEDICAR EHOSPITALMEDICAREHOSPITALMEDICAREHOSPITA LMEDICAREMEDICALMEDICAREHOSPITALPAMEDICA REMEDICALMIMEDICAREMEDICALMEDICAREHOSPIT AL MEDICAREMEDICALRIMEDICAREHOSPITALMEDICAR EMEDICALSDMEDICAREHOSPITALMEDICAREMEDICA LTNMEDICAREHOSPITALMEDICAREMEDICALTXMEDI CAREHOSPITALTXMEDICAREMEDICALUTMEDICAREH OSPITALMEDICAREMEDICALVTMEDICAREHOSPITAL MEDICAREMEDICALMEDICAREHOSPITALMEDICAREM EDICALVAMEDICAREHOSPITALMEDICAREMEDICALW AMEDICAREHOSPITALWAMEDICAREMEDICALWVMEDI CAREHOSPITALWIMEDICAREHOSPITALTXMEDICARE MEDICALWYMEDICAREHOSPITALMEDICAREMEDICAL MEDICAREHOSPITALMIMEDICAREHOSPITALMIMEDI CAREMEDICALMEDICAREHOSPITALMNMEDICAREHOS PITALMNMEDICAREMEDICALMOMEDICAREHOSPITAL MSMEDICAREHOSPITALMSMEDICAREMEDICALMEDIC AREHOSPITALMEDICAREHOSPITALM edicareHOSPITALM edicareHOSPITALOHMEDICAREHOSPITALMTMEDIC AREHOSPITALNEMEDICAREHOSPITALNHMEDICAREH OSPITALNHMEDICAREMEDICALMEDICAREHOSPITAL NJMEDICAREHOSPITALNJMEDICAREMEDICALNMMED ICAREHOSPITALNMMEDICAREMEDICALNYMEDICARE HOSPITALNYMEDICAREMEDICALNYMEDICAREMEDIC ALNYMEDICAREMEDICALOHMEDICAREHOSPITALOHM EDICAREMEDICALOKMEDICAREHOSPITALOKMEDICA REMEDICALORMEDICAREHOSPITALORMEDICAREMED ICALPAMEDICAREHOSPITALPAMEDICAREMEDICALM EDICAREHOSPITALMEDICAREHOSPITALMEDICAREH OSPITALMEDICAREHOSPITALMEDICAREHOSPITALM EDICAREHOSPITALUSMEDICAREMEDICALSCMEDICA REHOSPITALRIMEDICAREHOSPITALMEDICAREHOSP ITALSCMEDICAREHOSPITALSDMEDICAREHOSPITAL MEDICAREHOSPITALMEDICAREHOSPITALMEDICARE HOSPITALTNMEDICAREHOSPITALTXMEDICAREHOSP ITALTXMEDICAREMEDICALMEDICAREHOSPITALUTM EDICAREHOSPITALVAMEDICAREHOSPITALVAMEDIC AREMEDICALUTM edicareMEDICALWAM edicareMEDICALWIM edicareMEDICALWVM edicareMEDICALVTMEDICAREHOSPITALWAMEDICA REHOSPITALWAMEDICAREMEDICALMEDICAREHOSPI TALWIMEDICAREHOSPITALWIMEDICAREMEDICALWI LMER HUTCHINS INDEPENDENT SCHOOL DISTRICT (ISD) DALLAS INDEPENDENT SCHOOL DISTRICT (ISD)MedicareMEDICALKSMEDICAREHOSPITALWV MEDICAREHOSPITALWYMEDICAREHOSPITAL