Blue Cross Blue Shield of Michigan, Electronic Interchange ...

1 11/18/2021 blue Cross blue Shield of michigan , Electronic Interchange Group Professional Commercial Payer ListPayer IDClaim Office #TypeNameAddressCitySt36273 EAARP UNITEDHEALTHCAREALL CLAIM OFFICE ADDRESSES38265 EADMIN SYSTEMS RESEARCH ASRALL CLAIM OFFICE ADDRESSES22384 EADMINISTRATIVE CONCEPTSALL CLAIM OFFICE ADDRESSES60054 EAETNA - All PLANSALL CLAIM OFFICE ADDRESSES128 MIEAETNA BETTER HEALTH OF MIALL CLAIM OFFICE ADDRESSES37308 EALLIED BENEFIT SYSTEMSALL CLAIM OFFICE ADDRESSESMHPMIEAMBETTER FROM MICHIGANALL CLAIM OFFICE ADDRESSES38219 EAMERA PLAN3001 W BIG BEAVER #320 TROYMI81400 EAMERICAN MEDICAL SECURITYALL CLAIM OFFICE ADDRESSESASH01 EAMERICAN SPECIALTY HEALTHALL CLAIM OFFICE ADDRESSES54763 EAMERIHEALTH ADMINISTRATORPO BOX 21545 EAGANMN77013 EAMERIHEALTH CARITASPO BOX 853914 RICHARDSONTX81312E APOSTROPHEALL CLAIM OFFICE ADDRESSES36326 EASSOCIATES FOR HEALTHCAREALL CLAIM OFFICE ADDRESSES38259 EAUTOMATED BENEFIT SERVICESALL CLAIM OFFICE ADDRESSESBHOVO EBEACON HEALTH

2 OPTIONS ALL CLAIM OFFICE ADDRESSES 36149 EBENEFIT ADMINISTRATIVE SYSTEMSALL CLAIM OFFICE ADDRESSES25463 EBIND (ASCENSION HEALTH GROUP)ALL CLAIM OFFICE ADDRESSES74238 EBOON CHAPMAN BENEFITALL CLAIM OFFICE ADDRESSES41124 ECBSA (FORTIS SELF-FUNDED)ALL CLAIM OFFICE ADDRESSES84146 ECHAMPVA HACALL CLAIM OFFICE ADDRESSES62308 ECIGNA - ALL PLANSALL CLAIM OFFICE ADDRESSES17902 ECOMMUNITY CARE ASSOCIATESALL CLAIM OFFICE ADDRESSES75261 ECOMMUNITY HEALTH Electronic CLAIMSALL CLAIM OFFICE ADDRESSES37363 ECOMPSYCHALL CLAIM OFFICE ADDRESSES35182 ECORESOURCE AZ,IL,IN,MD,MN,IAALL CLAIM OFFICE ADDRESSES38225 ECORESOURCE NGS AMERICAPO BOX 2310MT CLEMENSMI25133 ECOVENTRY HEALTH CAREALL CLAIM OFFICE ADDRESSES90 AQSECOVID19 HRSA COVERAGE ASSISTANCE FUND ALL CLAIM OFFICE ADDRESSES95964 ECOVID19 HRSA UNINSURED TESTING & TREATMENT FUNDALL CLAIM OFFICE ADDRESSES92135 EEMPLOYEE LOGISTICSALL CLAIM OFFICE ADDRESSES25059 EFOREST COUNTY POTAWATOMI ALL CLAIM OFFICE ADDRESSES62324 EFREEDOM LIFEALL CLAIM OFFICE ADDRESSES34171 EFRONTPATHALL CLAIM OFFICE ADDRESSES06603 EGEHA ASAALL CLAIM OFFICE ADDRESSES07689 EGLOBAL CARE CLAIM OFFICE ADDRESSES37602 EGOLDEN RULE INSURANCE ALL CLAIM OFFICE ADDRESSES44054 EGOVERNMENT EMPLOYEES HEALTH ASSOCIATIONALL CLAIM OFFICE ADDRESSES 80705 EGREAT WEST LIFEALL CLAIM OFFICE ADDRESSES48143 EGROUP AND PENSION ADMINALL CLAIM OFFICE ADDRESSES 38224 EHAP - HEALTH ALLIANCE PLAN OF MICHIGANALL CLAIM OFFICE ADDRESSES62111 EHEALTH COST SOLUTIONSALL CLAIM OFFICE ADDRESSESType.

3 D=direct Electronic connection to payer from BCBSM EDI, E= Electronic transmission through clearinghouseBCBSM is a nonprofit corporation and independent licensee of the blue Cross and blue Shield Association111/18/2021 blue Cross blue Shield of michigan , Electronic Interchange Group Professional Commercial Payer ListPayer IDClaim Office #TypeNameAddressCitySt56144 EHEALTHGRAMALL CLAIM OFFICE ADDRESSES71063 EHEALTHSCOPE BENEFITSALL CLAIM OFFICE ADDRESSES37283 EHEALTHSMART BENEFIT SOLUTIONSALL CLAIM OFFICE ADDRESSES61101 EHUMANAALL CLAIM OFFICE ADDRESSES 37217 EKEY BENEFIT ADMINISTRATORALL CLAIM OFFICE ADDRESSES 25133 EMAIL HANDLERS BENEFIT PLANALL CLAIM OFFICE ADDRESSES3833 REMCLAREN ADVANTAGEALL CLAIM OFFICE ADDRESSES3833 AEMCLAREN HEALTH ADVANTAGEALL CLAIM OFFICE ADDRESSES38338 EMCLAREN HEALTH PLAN COMMERCIALALL CLAIM OFFICE ADDRESSES3833 CEMCLAREN HEALTH PLAN MEDICAIDALL CLAIM OFFICE ADDRESSES 3833 SEMCLAREN MEDICARE SUPPLEMENTALALL CLAIM OFFICE ADDRESSES94265 EMEDICAALL CLAIM OFFICE ADDRESSES29076 EMEDICAL MUTUAL OF OHIOALL CLAIM OFFICE ADDRESSESMHPMIEMERIDIAN COMPLETEALL CLAIM OFFICE ADDRESSES52563 EMERIDIAN HEALTH PLAN OF MIALL CLAIM OFFICE ADDRESSES 64157 EMERITAIN HEALTHALL

4 CLAIM OFFICE ADDRESSESMHPMIEMICHIGAN COMPLETE ALL CLAIM OFFICE ADDRESSES68069 EMICHIGAN COMPLETE HEALTHALL CLAIM OFFICE ADDRESSES37281 EMID-AMERICA ASSOCIATESALL CLAIM OFFICE ADDRESSES38334 EMOLINA HEALTHCAREALL CLAIM OFFICE ADDRESSES71412 EMUTUAL OF OMAHA ALL CLAIM OFFICE ADDRESSES53011 ENATIONAL ASSOCIATION OF LETTER CARRIERSALL CLAIM OFFICE ADDRESSES98798 ENEW ERA LIFEALL CLAIM OFFICE ADDRESSES38225 ENGS CORESOURCEPO BOX 2310MT CLEMENSMI81264 ENIPPON LIFE INSURANCE COMPANYALL CLAIM OFFICE ADDRESSES 41161 EOPTUMHEALTH PHYSICAL HEALTHALL CLAIM OFFICE ADDRESSES06111 EOXFORD HEALTH PLANALL CLAIM OFFICE ADDRESSES SX158 EPARAMOUNT HEALTHPO BOX 928 CLAIMS OFFICETOLEDOOH37330 EPHYSICIANS HEALTH PLANALL CLAIM OFFICE ADDRESSES83276 EPHYSICIANS HEALTH PLAN MEDICARE ADVANTAGEALL CLAIM OFFICE ADDRESSES37287 EPLANNED ADMINISTRATORSALL CLAIM OFFICE ADDRESSES36373 EPRAIRIE STATESALL CLAIM OFFICE ADDRESSES41147 EPREFERRED ONEALL CLAIM OFFICE ADDRESSES 989990557 DPRIORITY HEALTH1231 EAST BELTLINE NE GRAND RAPIDSMI71412 ERURAL CARRIER BENEFIT PLANALL CLAIM OFFICE ADDRESSES35164 ESAGAMORE HEALTH NETWORKALL CLAIM OFFICE ADDRESSES76342 ESIERRA HEALTH AND LIFEALL CLAIM OFFICE ADDRESSES38259 ESMARTHEALTHALL CLAIM OFFICE ADDRESSES61425 ESTARMARKALL CLAIM OFFICE ADDRESSES31053 ESTATE FARMALL CLAIM OFFICE ADDRESSES31059 ESTATE FARM PROPERTY & CASUALTYALL CLAIM OFFICE ADDRESSES74227 ESTUDENT INSURANCE DIVISIONALL CLAIM OFFICE ADDRESSESType.

5 D=direct Electronic connection to payer from BCBSM EDI, E= Electronic transmission through clearinghouseBCBSM is a nonprofit corporation and independent licensee of the blue Cross and blue Shield Association211/18/2021 blue Cross blue Shield of michigan , Electronic Interchange Group Professional Commercial Payer ListPayer IDClaim Office #TypeNameAddressCitySt38201 ETOTAL HEALTHCAREALL CLAIM OFFICE ADDRESSESTRESTETRICARE EASTALL CLAIM OFFICE ADDRESSESVAPCCETRIWEST HEALTHCARE ALLIANCEALL CLAIM OFFICE ADDRESSES39026 EUMR (FORMERLY UMR WAUSAU)ALL CLAIM OFFICE ADDRESSES79480 EUMR HARRINGTONALL CLAIM OFFICE ADDRESSES35198 EUNIFIED GROUP SERVICESALL CLAIM OFFICE ADDRESSES71412 EUNITED OF OMAHAALL CLAIM OFFICE ADDRESSES 87726 EUNITEDHEALTHCARE - All PLANSALL CLAIM OFFICE ADDRESSES954672744 EUNITEDHEALTHCARE COMMUNITY PLAN PO BOX 30991 SALT LAKE CITYUT38337 EUPPER PENINSULA HEALTH PLANALL CLAIM OFFICE ADDRESSES74095 EUSAAALL CLAIM OFFICE ADDRESSES 12115 EVA COMMUNITY CAREALL CLAIM OFFICE ADDRESSESVACCNEVA COMMUNITY CARE (OPTUM) ALL CLAIM OFFICE ADDRESSES72187 EVARIPROALL CLAIM OFFICE ADDRESSES75261 EWEBTPAALL CLAIM OFFICE ADDRESSES14163 EWELLCAREALL CLAIM OFFICE ADDRESSESWELM2 EWELLMEDALL CLAIM OFFICE ADDRESSES38232 EWEYCO CLAIM OFFICE ADDRESSESOOWPS EWPS HEALTH INSURANCE1717 W BROADWAYMADISONWIType.

6 D=direct Electronic connection to payer from BCBSM EDI, E= Electronic transmission through clearinghouseBCBSM is a nonprofit corporation and independent licensee of the blue Cross and blue Shield Association3