Payer Claims List - edsedi.com

1 Payer Claims ListPayer IDPayer NameReq. Administrators (Onalaska, WI)No204466 Degrees Health Inc. (Beaverton, OR)NoCX044A & I Benefit Plan Admin, Portland OregonNo39640A&D Charitable Foundations (Eden Prairie, MN) Administrators (Southfield, MI)No75240 AAG Benefit Plan Administrators (Dallas, TX)No37283 AAG-American Administrative Group (Lubbock,TX)NoAARP1 AARP Dental Insurance Plan (Mechanicsburg, PA)NoLX144 ABS - US Health (Oak Park, MI)No61425 ACEC-HealthplanNo61474 ACS Benefit Service (PO Box 2400 Winston, NC only)No72468 ACS Benefit Services (Salem Winston, NC)No61473 ACS Benefit SolutionsNo72468 ACS Consulting, Salem Winston, NCNo10003 ACS Hawaii (Honolulu, HI)

2 YesCX052AD-Medicaid (Atlantic Dental, Inc)(Mequon, WI)NoCX085 ADI (Atlantic Dental) PPO (Coral Gables, FLNoCX052 ADI -Medicaid (Atlantic Dental, Inc)(Coral Gables, FLNoFX036 ADN (Southfield, MI)No58066 AFLAC of GA (Columbus, GA)No52080 AFLAC of NY (1932 Wynnton Road, Columbus GA)No91136 AGC- Local 701 trust FundsNo80705AH & L (Anthem Health & Life Ins of NJ)(Kennett, MO)NoLX140 AHCCCS (Phoenix, AZ)NoLX122 AHL (Richardson TX)No59140 AIG (Las Vegas, NV & Seattle, WA & Tampa, FL)No13545 AIG American General (US Life) (Neptune, NJ & BeattyvilNo80705 ALTA Health & Life Ins. Co. (Kennett, MO)No16140 APA Partners, Inc.)))

3 - Latham, NYNoCXARCARC Administrators (Lexington, KY)No63240 ARM (Alternative Risk Management (Eagan, MN)No38265 ASR Corporation (Grand Rapids, MI)NoASRM1 ASRM (Moorestown, NJ)NoATPA1 ATPA (Associated Third Party Admin)NoATPA1 ATPA (San Diego, CA & Tualatin, OR)NoPHP01 Abrazo HealthCare (Phoenix, AZ)NoAHP01 Abri Health Plan (Thiensville, WI)No43178 Acceptius (Benefit Management Inc of MO, Joplin, MO)NoCX097 Access Dental (Salem, OR)No64071 Acclaim (Tupelo, MS)No87815 Accordia National (Charleston, WV)No38255 Activa Benefit Services, LLC - Grand Rapids, MINo22384 Administrative Concepts (Wayne, PA)NoCX098 Administrative No 1 Welfare Fund (Des Plaines, IL)NoCX076 Administrative Services Only (PO Box 9005,9007,9010 LyNo93524 Advantage Dental Plan - Roseburg, ORNo52133 Advantage Health Solutions (Salt Lake City, UT)NoCPPSAA dvantage by Superior (PO Box 537030, Sacramento, CAYes83077 Advantek Benefit Admin (Fresno, CA)No43168 Advantica Administrative Svcs (St.))))

4 Louis, MO)No60054 Adventis Risk Management IncNo95340 Adventist Health Claims (Roseville, CA)No75261 Adventist Risk Management (Grapevine, TX) Old PO Box No54763 Adventist Risk Management (Horsham, PA) Old PO Box 4No60054 AetnaNo57604 Aetna (SRC)(Blue Bell, PA & Columbia, SC)NoPayer Claims ListPayer IDPayer NameReq. Better Health of WV (Phoenix, AZ)No68246 Aetna US Healthcare Encounters (PO Box 14530, LexingtNo95426 Affordable Benefits Admin (Burbank, CA)No91136 Alaska Children's Services, Electric Health & Welfare Fund (Anchorage, AK)No91136 Alaska Hotel Restaurant and campNo91136 Alaska Laborers Construction Industry Trust (Seattle, WANo91136 Alaska Pipe Trades Local 375 (Seattle, WA)No91136 Alaska United Food & Comm.)

5 Workers Health & Welfare No44423 Alexian Brothers Community Services of TN (ChattanoogNoCXALCAllCare CCO Dental (Salem, OR)No81040 Allegiance Benefit Plan (Missoula, MT)NoCX016 Allen Medical Claims Administrator (Fort Valley, GA)NoLX139 Alliant (Chesire, CT)No65074 Allianz (Miami, FL)No51037 Allied Administrators (Eagan, MN)No94177 Allied Administrators (San Francisco, CA)No37308 Allied Benefit Systems (Chicago, IL)No22155 Allied National (Eagan, MN)No63240 Alternative Risk Management (ARM) Eagan, MN)No50503 Altus Dental - Providence, RINoSTR01 AlwaysCare Benefits (Baton Rouge, LA)No13343 Amalgamated Life - PA Alicare (New York, NY) (King of PNo86048 AmeriChoice - New York Medicaid (Salt Lake City, UT)No86002 AmeriChoice - New York Medicare (Salt Lake City, UT)No86003 AmeriChoice - Pennsylvania Medicare (Salt Lake City, UTNo86047 AmeriChoice of NJ Medicaid (salt Lake City, UT)NoCallAmeriHealth Mercy Health Plan75137 Ameriben Solutions (Boise, ID)No42112 American Admin (West Des Moines, IA)No74223 American Administrative Group, Inc (AAG)))

6 (San Antonio, NoCX084 American Benefit Corporation (Huntington, WV)No34187 American Benefits Management of (N Canton, OH)No52133 American Choice (Thiensville, WI)NoLX016 American Dental Network (ADN)(PO Box 610, Southfield,NoADP01 American Dental Payers of WINoAHG01 American Health (Maumee, OH)No660650587 American Health MedicareNoCX001 American Medical Security (Green Bay, WI)No44444 American Postal Workers Union Health Plan (Silver SprinNo41178 Americas TPA (Minneapolis, MN)No86001 Americhoice - New Jersey Medicare (Salt Lake City, UT)NoGP133 Americhoice NJ(Thiensville, Milwaukee WI)NoLX010 amerihealth (720 Blair, Horsham, PA)No54763 amerihealth Administrators (Horsham, PA)No47009 Ameritas Life Insurance Corp.)))

7 (Lincoln, NE)No38255 Amway Corporation (East Ada, MI)No53085 Anchor Benefit Consulting (Maitland, FL & Davenport, LANo34192 Antares Management Solutions (Westlake, OH)No84103 Anthem (PO Box 1115, Minneapolis, MN)No47198 Anthem CA (Po Box 1115, MPLS MN)No80705 Anthem Health & Life Insurance Co of New Jersey/AH&LNo84105 Anthem of CT (PO Box 547 North Haven, CT)No84105 Anthem of CT (PO Box 9274, Oxnard, CA)No84105 Anthem of TX (Po box 659444, texas)NoCB923 Anthem of Virginia (Richmond, VA)NoPayer Claims ListPayer IDPayer NameReq. (Tampa Fl)NoARGUSA rgus (Tampa, FL & Eagan, MN)No75278 Arkansas Best Corp-Choice Benefits-Fort Smith, ARNo81883 Arkansas Municipal Health Benefit (N Little Rock AR)NoLX035 Arm LTD Midwest (Brookfield, WI)No38416 Arm, LTD (Spencer Stuart) (Eagan, MN)NoCX072 Ascent Benefits (Phoenix, AZ)No16180 Aspen (Redwood City, CA)No25133 Associated Benefit Plan (London, KY)No50266 Associated Benefits (Des Moines, IA)NoATPA1 Associated Third Party Admin (ATPA)(San Diego, CA)NoATPA1 Associated Third Party Admin (ATPA)(Tualatin, OR)No70408 Assurant (PO Box 2940 Clinton, IA))

8 NoLX088 Assurant Health (Fort Mill SC)No39065 Assurant Health (PO Box 2806, Clinton, IA)No75068 Assurant Health Self Funded (Chicago, IL)NoASHC1 Assurant Supplemental (PO Box 2829 Clinton, IA)No74240 Assured Benefits Administrators (El Paso, TX)No93221 Asuris Northwest Health(PO Box 30271 SLC, UT)No95691 Athens Area Health Plan Select (Athens, GA)NoCX085 Atlantic Dental Inc - PPO (ADI) (Coral Gables, FL)NoCX052 Atlantic Dental Inc-Medicaid (Coral Gables, FL)NoLX081 Aultra ( Canton, OH)No37280 Automated Group Admin (Fort Wayne, IN)No91136 Automotive Machinists Local 289 Health & Welfare TrustNoCX022 Auxiant (Cedar Rapids, IA)NoLX019 Auxiant (PO Box 90991, Milwaukee, WI)No86098 Avesis (PO Box 7777 Phoenix, AZ)No999999 BAD CARRIERNo77078 BAnner - Medisun (Mesa, AZ)NoLX070 BCBS KS (Tokepa, KS)No53021 BCBS of LA AdvantagePlans NetworkNoLX108 BCBS of WA - FEP (Po Box 31207,SLC, UT)No49153 BCI Administrators Inc (West Bloomfield, MI)NoCXBMDBEAM Dental (Columbus, OH)NoBEAM1 BEAM Insurance Adminsitrators (Burlington, KY)No44219 BHP Unity (PO Box 456, Arnold, MD)No43471 BMA (Tampa, FL)

9 No74227 Bankers United Life/Student Insurance (Lincoln, NE)NoSX145 Banner Health Systems (Mesa, AZ)NoCHSBABay Area Automotive Group (Livermore, CA)NoCHSBDBay Area Delivery Drivers (Livermore, CA)No68241 Bell AtlanticNoLX154 Ben-e-lect (Visalia, CA)NoBNMK1 BenMark (Mississippi)No23210 BeneCare Dental Plan - Philadelphia, PANo33192 Benecomp National Corporation (St. Petersburg, FL)NoLX165 Benefit & Risk Mgmt Services - BRMS (Folsom, CA)No36149 Benefit Admin Systems (PO Box 2920 Milwaukee, WI)No41205 Benefit Administration Services (Eagan, MN)No25145 Benefit Coordinators Corporation (Pittsburgh, PA)NoLX156 Benefit Coordinators Corporation (Pittsburgh, PA)No56139 Benefit Management (Matthews, NC)NoLX087 Benefit Management (San Antonio TX)No43178 Benefit Management Inc of MO (Joplin, MO)NoFX012 Benefit Management Services (PO Box 1178, Matthews, NoPayer Claims ListPayer IDPayer NameReq.)

10 Management Services, Inc (Charlotte, NC)No37212 Benefit Management Systems (Madison, MS)No48611 Benefit Management, Inc. (Great Bend, KS)No36459 Benefit Mangement Group NV (Las Vegas, NV)NoLX086 Benefit Plan Adm (Fargo ND)No37118 Benefit Plan Admin (Roanoke, VA)No39081 Benefit Plan Administrators Co. Eau Claire, WINo74223 Benefit Planners, Inc )San Antonio, TX)No36342 Benefit Systems & Services, Inc. (Westmont, IN)NoR7003 Benefit, Inc. (Roseville, MN)No58102 BenefitStream (Po Box 1990, Jasper GA)NoFX022 Benefits (PO Box 1175, Maple Grove, MN)No36149 Benefits Admin Systems (Homewood, IL)NoBMX01 Benemax (Medfield, MA)No37248 Benesys, Inc (LaFayette, LA)NoLX152 Benicomp, Inc.