Payer Connection Payer List

Payer Connection - Electronic Claims Payer ListAs of 05/09/2018 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 IDERAS econdaryAddressCityStateZipA I BENEFIT PLAN ADMINAIBPANY1220 SW MORRISON ST 300 PORTLANDOR97205 AARP Medicare Supplement36273 YYPO BOX 30976 Salt Lake CityUT84130 AARP MedicareComplete from SecureHorizonsAARPNYPO BOX 31362 SALT LAKE CITYUT84131 ABA AFFORDABLE BENEFITS ADMIN95426 NYPO BOX 10787 BURBANKCA91510 ABC ASSOCIATED BENIFITS CORPFAABCNYPO BOX 71039 DES MOSINESIA50325 ACS Consulting Services72467

NYADMINISTRATIVE CONCEPTS INC22384YY994 OLD EAGLE RD SUITE 1005 WAYNEPA19087 Administrative Services, WESTAWESTNN612 NE SAVANNAH DRBENDOR97701 ADVANCED BENEFIT ADMINISTRATORADVBANN6420 SW MACADAM AVE STE 380 PORTLANDOR97201 ADVANTRA FREEDOM 25133 NNADVENTIST HEALTH SYSTEM WEST95340 NYPO BOX 619031 ROSEVILLECA95661 Aetna Affordable Health Choices (SM) - SRC57604 NYAETNA INSURANCE COMPANY60054 YYAffinity Medical Group46594 NYAFTRA HEALTH FUND13346NY261 Madison AveNew YorkNY10016 AHA/FIRST HEALTH1066 NYAlameda Alliance for Health95327 NYAlaska Electrical Health & Welfare Fund92600 NYALASKA LABORERS91136 NYP O Box 34567 SeattleWA98124 AllCare Health PlanMRIPANNAllCare PEBB26158NY740 SE 7th StreetGrant PassOR97526 ALLEGIANCE BENEFIT PLAN81040YN1000 GREAT WEST DRKENNETTMO63857 Alliance PPO Inc - OneNet PPO52149 NYALLIED ADMINISTRATORS94177 NYPO BOX 2500 SAN FRANCISOCA94126 ALLIED

BENEFITS SYSTEMS37308 YYPO BOX 909786-60690 CHICAGOIL60690 AlohaCare AdvantageALOHANN1357 Kapiolani Blvd Ste 1250 HonoluluHI96814 Alohacare QuestALQSTNN1357 Kapiolani Blvd Ste 1250 HonoluluHI96814 Alta Bates Medical Group ABMGA0701 NYAMA INSURANCE AGENCYAMAIANN200 NORTH LASALLE ST SUITE 4 CHICAGOIL60601 AMERIBEN SOLUTIONS INC75137 YNP O BOX 7186 BOISEID83707 America's Choice20029 NYAMERICAN FAMILY INSURANCEAMF11NN6000 AMERICAN PARKWAYMADISONWI53783 American Heritage77083 NYAMERICAN MEDICAL SECURITY81400 YYPO BOX 19032 GREEN BAYWI54307 AMERICAN REPUBLIC INS42011 NYPO BOX 2975 CLINTONIA52733 American Specialty HealthASH01 NNAMERICAN SPECIALTY HEALTHASH01 NYP O BOX 509001P O BOX 509001CA92150 Americhoice NJ Medicaid & Family Care86047 NYAMERIGROUP NJ28806 NNAMERIGROUP Box 62509 Virginia BeachVA234662509 AMERIHEALTH ADMINISTRATORS54763NY720 Blair Mill RoadHorshamPA19044 AMERIHEALTH HMO NEW JERSEY AND DELAWARE23037 NNAMERIHEALTH MERCY HEALTH PLAN22248NN720 BLAIR MILL RDHORSHAMPA19044 Anthem Blue Cross60 YYPO Box 533 North HavenCT6473 ANTHEM HEALTH AND

LIFE80705 ANNAPWU AMERICAN POSTAL WORKERS UNION44444 NYArizona Physicians IPA (APIPA) (UHC APIPA)3432 NYARM LTD NORTHWESTARMNWNN10200 SW Nimbus Ste G5 PORTLANDOR97223 Arnett Health Plan - former Payer id 9544087726 YNP O Box 6108 LafayetteIN47903 ASRM CORPASRM1 NNASSOCIATED ADMINISTRATORSAAIORNNPO BOX 1271 PORTLANDOR97207 ASSOCIATES FOR HEALTHCARE36326 NYPO BOX 981 BROOKFIELDWI53008 Assurant Employee Benefits - Formerly FortisASSURNYPO BOX 624 MILWAUKEEWI53201 ASSURANT HEALTH - AETNA SIGNATURE ADMIN58730 NYPO BOX 91604 LUBBOCKTX79490 ASSURECARE INC88035 NYASURIS NORTHWEST HEALTH93221 NNPO BOX 30271 SALT LAKE CITYUT84130

Athens Area Health Plan Select95691 NYPO BOX 370 LOUISEVILLEKY40233 ATPAATPA1NY7600 SW Mohawk StTualatinOR97062 ATRIO Health Plan / Marion Polk Community AdvantagATRIONNAUSTIN REGIONAL CLINIC EMPLOYEE BENEFITCMSEBNNAvMed59274 NNPO BOX 569000 MIAMIFL33256 BANKERS LIFEBNKLINNPO BOX 1935 CHICAGOIL60654 Banner HealthSX145 NNBEECH STREET CORPORATION95377 NYP O BOX 57015 IRVINECA92619 BENEFIRST37125NN1020 Plain StMarshfieldMA2050 BENEFIT ADMINISTRATOR SYS36149NY17475 JOVANNA DRIVE 1 BHOMEWOODIL60430 BENEFIT AND RISK MANAGEMENT SVS FC99320 NNPO BOX 2140 FOLSOMCA95763 BENEFIT CONCEPTS51037 NNPO BOX C50 WARMINSTERPA18974 BENEFIT COORDINATORS CORPORATION25145NY111 Ryan Court Suite 300 PittsburgPA15205 BENEFIT MGMT SERVICES37220 NNPO BOX 98044 BATON ROUGELA70898 Benefit Plan Administrators Inc.

(BPA) - Nevada88027 NYBENEFIT PLANNERS, BOX 690450 SAN ANTONIOTX78269 BENESIGHT87265 NYPO BOX 375 PUEBLOCO81002 BIG LOTS ASSOCIATES BENEFIT PLANSCX025 NNP O Box 9071 DublinOH43017 BLUE CARE NETWORK HMO - BCBS MIHM710 NNPO BOX 68767 GRAND RAPIDSMI49516 BLUE CROSS BLUE SHIELD AZ53589 NNBLUE CROSS BLUE SHIELD MI710 NNPO BOX 44407 DETROITMI48244 BLUE CROSS BLUE SHIELD MI Medicare PlusP0710 NNPO BOX 440 SouthfieldMI48034 Blue Cross Blue Shield MTBCSMTNNBLUE CROSS BLUE SHIELD RI870NY500 Exchange StPROVIDENCERI2903 BLUE CROSS CA - Anthem47198 NYPO BOX 60007 Los

AngelesCA90060 BLUE CROSS ID610 NNPO BOX 7408 BOISEID83707 BLUE SHIELD CA94036 NYChicoCABLUE SHIELD NY (EMPIRE)NYBLSNYBLUECROSS blueshield IL (HCSC)621 NNPO BOX 805107 CHICAGOIL60680 BLUEGRASS FAMILY HEALTH61124 NYPo Box 21921 LEXINGTONKY40522 BOILERMAKERS HEALTH AND WELFARE36609 NYBOON-CHAPMAN BENEFIT ADMINISTRATORS74238 NNPO BOX 9201 AUSTINTX78766 BOSTON MEDICAL CENTER HEALTH PLAN13337 NYBOULDER ADMINISTRATION SERVICES18768NN23048 N 15TH AVEPHOENIXAZ85027 Bridgespan HealthBRIDGYNB ridgeway Health Solutions68054 NYBRIGHTWOOD INS - KIP COMPANYBRIGHTNYPO BOX 1400 PORTLANDOR97207 Brown & Toland Medical Group94316 NYPO Box 640469 San FranciscoCA94164 CAMBRIDGE ISG59334NY920 SW

6TH AVENUEPORTLANDOR97204 CAPITOL ADMINISTRATORS68011 NYCare 1st Health Plan of Arizona57116 NYCare 1st Health Plan of CA57115 NYCARE OREGON93975 YYPO BOX 403 PORTLANDOR97204 CARE OREGON ADVANTAGE93975 MNYPO BOX 40328 PORTLANDOR97204 CAREFIRST ADMINISTRATORS MA52118 NYPO BOX 1196 OWINGS MILLSMD21117 CareFirst BCBSSB580 NNPO BOX 14116 LexingtonKY40512 CARESOURCE HEALTH PLAN OF OREGONMRCHPNN740 SE 7TH STGRANTS PASSOR97526 CARESOURCE OF INDIANA37311 NNPO BOX 2920 CLINTONIA52733 CARPENTERS HEALTH & WELFARE25133 NYPO Box 42031 HAZELWOODMO63042 CASCADE HEALTH SERVICECHLTHNYPO BOX 85008 BELLEVUEWA98015 CBCA ADMINISTRATORS55438 NNCBSA41124 NYPO BOX 27267 MINNEAPOLISMN55427 CCN.

MANAGED CARE INC73159 NNPO BOX 235 SAN DIEGOCA92193 CDS GROUP HEALTH88022 NYPO BOX 50190 SPARKSNVCELTIC INSURANCECELTCNYPO BOX 26440 LITTLE ROCKAR72221 CEMENT MASONS PLASTERERS HEALTH91136 NYPO BOX 34203 SEATTLEWA98324 CENTRAL RESERVE LIFE34097 NYPO BOX 946 CLEVELANDOH44101 CHAMP VA - HAC84146 YYPO BOX 65024 DENVERCO80206 CHESTERFIELD RESOURCES34154 NYChildren's First Healthcare Network94321 NYCHOICE BENEFIT ADMIN75278 NYPO BOX 10048FT SMITHAR72917 CHRISTIAN BROTHERS SERVICES38308NN1205 WINDHAM PKWYROMEOVILLEIL60446 Christian Care - Medishare59355 NYCIGNA62308 YYCIGNA BEHAVIORAL HEALTH2331 NNCIGNA MEDICARE ACCESS86033 NYPO BOX 696018 SAN ANTONIOTX78269 CLAIM MANAGEMENT SERVICES INC39141 NNPO BOX 10888 GREEN BAYWI54307 CLAIMS CENTRAL95340 NYPO BOX 619031 ROSEVILLECA95661 CLEAR CHOICE COIHS77201 NYPO BOX 5729 BENDOR97708 CNA - PHCS71063 NYPO BOX 305065 NASHVILLETN37230CO FINITY PPO NETWORK38335 NYCOASTAL ADMINISTRATIVE SERVICES77052 NYCOLONIAL HEALTHCARE37123NY399 Market StreetPhiladelphiaPA19181 Columbia Pacific CCOCPCCONY315 SW Fifth Avenue.

Suite 900 PortlandOR97204 COLUMBIA UNITED PROVIDERS CUP91162NY19120 SE 34th #201 VancouverWA98683 COMMERCE BENEFITS GROUP34181 NYPO BOX 900 ELYRISOH44036 COMMONWEALTH ADMINISTRATIVE GROUP37237 NYPO BOX 9016 ANDOVERMA1810 COMMUNITY HEALTH PLAN OF WASHINGTONCHPWAYN720 OLIVE WAY #300 SEATTLEWA98101 COMPLIMENTARY HEALTHCARE PLANS KAISER93101 NYComprehensive Benefits3036 NYPo Box 8955 MelvilleNY11747 CONNECTICARE INC6105 NYPO BOX 546 FARMINGTONCT6034 CONNECTICUT GENERALCONNGNYP O BOX 29000 ATLANTAGA30359 CONNECTICUT GENERAL - MEDICAL ONLYCONGENYPO BOX 9003 JERICHONY11753 CONSOLIDATED GROUP/HPS4274 NNConsolidated Health Plans87843NY2077 Roosevelt AvenueSpringfieldMA1104 CONTINENTAL AMERICAN INSURANCE35315 NYPO BOX 2086FT MILLSC29716 CONTINENTAL GENERAL INSURANCE CO71404 NYPO BOX 24505 TUCSONAZ85734 Cook Group Health Plan35149 NYCOOPERATIVE BENEFIT ADMIN INC52132 NYPO BOX 145 LEXINGTONKY14586 COORDINATED BENEFIT PLAN14829 NYPO BOX 20594 TAMPAFL33622 COORDINATED CARE6806

Payer Connection Payer List

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