Exchange EDI Claims Payer List

1 Exchange EDI Claims Payer List Payer Name Payer ID. 1199 National Benefit Fund 13162. A & I Benefit Plan Administrators 93044. AAG Benefit Plan Administrators 75240. AARP United Healthcare Insurance 36273. ABC Health Plan of New York 48185. ABMA Medical Corp. (Hnet Sr. & Secure Horizons ONLY) IP079. Abrazo Advantage Health Plan 03443. Abri Health Plan ABRI1. Access Administrators (Texas) AHS01. Acclaim 64071. Acclaim IPA MHIPA. Acclaim IPA (MHCAC) MHIPA. Acclaim Repricing 21356. Accountable IPA AHIPA. ACS Benefit & Consulting Services, Inc.

2 72467. Adaptis Healthplan 91173. Administration Systems Research Corporation (ASR) 38265. Administrative Concepts, Inc. 22384. Advanced Benefit Solutions/Tribal Health Partners ADVTH. Advanced Data Solutions, Inc. 58202. Advanced Medical Management AMM01. Advantage by Bridgeway Health Solutions 68056. Advantage by Buckeye Community Health Plan 68056. Advantage by Managed Health Services 68056. Advantage by Superior HealthPlan 68056. Advantage Health Solutions 35209. Advantage Medical Group (CA) NMM01. Advantage Preferred Plus 77070.

3 Advantica Benefits 59374. Advica - Northeast Georgia Health System 13376. AdvoCare Incorporated (Ohio BWC) 31147. Advocate Health Centers 36320. Advocate Health Partners (PHO's) 65093. Aetna / US Healthcare (All Plans) 60054. Aetna Affordable Health Choices 57604. Aetna Better Health Connecticut Medicaid 23225. Aetna Better Health Illinois Medicaid 26337. Aetna Better Health Pennsylvania Medicaid 23228. Aetna Texas Medicaid and CHIP 38692. Affiliated Doctors of Orange County ADOCS. Affinity Health Plan 13334.

4 Affinity Medical Group 46594. Affinity Medicare Advantage 13333. Affordable Benefit Administrators 95426. AFL- CIO Food & Beverage Dealer's Trust Fund - Toledo, Ohio 34444. AFTRA Health Fund 13346. Agate Resources/LIPA/Trillium 20048. AGIA, Inc. 95241. AKM Medical Group (Cap Management Systems) CAPMN. Alabama Medical Surgical, LLC 06311. Alameda Alliance for Health 95327. Alaska Children's Services, Inc. 91136. Alaska Electrical Health & Welfare Fund 92600. Alaska Laborers Construction Industry Trust 91136. Alaska Pipe Trades Local 375 91136.

5 Alaska State Employee Association (ASEA) Local 52 PAPER. Alaska United Food & Commercial Workers Health & Welfare Trust 91136. Alignis 58213. All Saints/Covenant - Milwaukee, Wisconsin 39160. Allcare AC101. Allegiance Benefit Plan Management Inc 81040. Alliance - Alpha Care Gold ADSL1. Alliance IPA (California) HCP01. Alliance PPO, Inc. (Maryland) 52149. Alliant Health Plans of Georgia 58234. Allied Administrators - San Francisco, California 94177. Allied Benefit Systems 37308. Allied Physicians Medical Group (CA) NMM01.

6 AlohaCare ALOHA. AlohaCare - Medicare Advantage ALOHA. AlohaCare - Quest ALOHA. Alpha Care Medical Group SYMED. ALPS CompCare (Ohio BWC) 31147. Alta Bates Medical Group A0701. Alta Senior Care (Hnet Sr. & Secure Horizons ONLY) IP079. AMA Insurance Agency AMAIA. Amalgamated Life Insurance Company (ALICARE) 13550. AMCO 62176. AmeriBen Solutions, Inc. 75137. Americaid Community Care (Maryland) 27517. Americaid Community Care (New Jersey) 27516. American Administrative Group (AAG) 37283. American Administrative Group (AAG) - Gallagher Benefit Administrators 37283.

7 American Administrative Group (formerly known as ICON. Benefit Admin) 75185. American Behavioral 63106. American Benefit Plan Administrators (ABPA) 95170. American Benefits Management - North Canton, Ohio 34187. American Community Mutual Insurance (OH) 60305. American Family Health Providers (Cap Management Systems) CAPMN. American Family Insurance Company AMF11. American Family Medicare Supplement and PPO Policies 56071. American General 62030. American Healthcare Alliance 01066. American Heritage 77083. American Imaging Management, Inc.

8 36369. American Insurance Company of Texas 81949. American International Group, Inc. (AIG) 87726. American Lifecare 72099. American Medical and Life Insurance 23212. American Medical Security (AMS) 81400. American National Insurance Company 74048. American Republic Insurance Company 42011. American Specialty Health ASHP1. American Worker Health Plan 37322. America's 1st Choice Health Plans of South Carolina 20553. America's PPO 16120. America's TPA 41178. AmeriChoice of FL 87726. AmeriChoice of IL 87726. AmeriChoice of MD 04567.

9 AmeriChoice of NE UFNEP. AmeriChoice of New Jersey (New Jersey Medicaid) 86047. AmeriChoice of New Jersey Personal Care Plus (New Jersey Medicare) 86001. AmeriChoice of New York (New York Medicaid) 86048. AmeriChoice of New York Personal Care Plus (New York Medicare) 86002. AmeriChoice of Pennsylvania Medicaid/CHIP 86049. AmeriChoice of Pennsylvania Personal Care Plus (Pennsylvania Medicare) 25175. AmeriChoice of RI 87726. Americhoice San Diego County - Co Medical Svcs (CMS) AMCH1. Americhoice San Diego County - Coverage Initiative AMCH7.

10 Americhoice San Diego County - Low Income Health Plan (LIHP) AMCH7. Americhoice San Diego County - Physicians Emergency Svcs (PES) AMCH2. Americhoice San Diego County - Ryan Care Act AMCH3. Americhoice San Diego County - SD Co Sheriff's Dept AMCH5. Americhoice San Diego County - SD Primary Care Services AMCH4. AmeriChoice Tennessee 95378. Amerigroup Community Care Network 27514. Amerigroup Florida 27514. Amerigroup Georgia 27514. Amerigroup Louisiana 27514. Amerigroup Maryland 27514. Amerigroup Nevada 27514. Amerigroup New Jersey 27514.