Payer ID Payer Name Enrollment Required - ABILITY Website

1 Payer ID Payer name Enrollment Required 10001 AARP. 10906 Absolute Total Care 13187 Access Medicare 10916 ACS Benefit Services, Inc. 10923 Administrative Services, Inc. 10927 Advantage by Bridgeway Health Solutions 10928 Advantage by Buckeye Community Health Plan 10929 Advantage by Managed Health Services 10930 Advantage by Superior HealthPlan 10011 Aetna 13185 Aetna Administrator Medicare Supplement 13186 Aetna Better Health (IL). 13188 Aetna Better Health (LA). 13189 Aetna Better Health (MI). 13190 Aetna Better Health (MO). 13191 Aetna Better Health (NJ). 13192 Aetna Better Health (PA). 13193 Aetna Better Health (TX). 13222 Aetna Better Health (TX) CHIP. 13221 Aetna Better Health of (NE). 13213 Aetna Health and life insurance company 13212 Aetna life insurance company 13093 Aetna Long Term Care 13194 Aetna Senior Supplemental 13195 Aetna Signature Administrators 10944 Affinity Health Plan 13196 Affinity Health Plan - Medicare 13201 AFLAC.

2 10014 AFLAC - Dental 13199 Aflac-Medicare Supplemental 10015 Aftra Health Fund 10018 Alabama Medicaid 13197 Alan Sturm and Associates - Dental 13094 Alaska Medicaid 13198 All Savers life insurance 10965 Allegiance Benefit Plan Management Inc. 13211 Allianz life insurance company of New York 10973 Allied Benefit Systems, Inc. 13180 AlohaCare 13220 Alternative insurance Resources, Inc 13219 Altus Dental 13095 AMC - Alaska Electrical Health & Welfare Fund 13096 AMC - American General life & Accident 13097 AMC - Health Future 13098 AMC - Poly America 13099 AMC - Touchstone 13100 AMC - Touchstone PSO. 10982 Ameriben Solutions, Inc. 10030 American Community Mutual 13210 American continental insurance company 12961 American Family insurance Group-Medicare Sup and PPO. 13209 American General life insurance company 13218 American Health Medicare (Inmediata Health).

3 13217 American Income life insurance company 13101 American Medical Security (AMS). 11008 American National insurance 13102 American National life insurance Co. of Texas 13216 American Network Ins. Medicare Supplement 10043 American Postal Workers Union (APWU). 10045 American Republic insurance company (ARIC). 12962 American Retirement life Ins Co - Medicare Supplement 10048 Americhoice Of New Jersey 10049 Amerigroup 13214 Amerihealth (DE, NJ, PA). 11039 AmeriHealth Administrators 11939 AmeriHealth Caritas Louisiana (formerly LaCare). 13215 AmeriHealth Caritas Pennsylvania 10051 Amerihealth Mercy Health Plan 13103 Ameritas Group - Ameritas life insurance Co. 13104 Ameritas Group - First Ameritas of New York 13105 Ameritas Group - First Reliance Standard life 13106 Ameritas Group - Reliance Standard life 13107 Ameritas Group - Standard insurance 13108 Ameritas Group - Standard insurance of New York 11048 Antares 13109 Arbor Health Plan 10057 Arizona Medicaid (AHCCCS).

4 11064 Arizona Physicians IPA (APIPA). 10059 Arkansas Medicaid 10062 Assurant Health - John Alden insurance company (JALIC). 13110 Assurant Health - Time insurance company (FIC). 11075 Assurant Health - Union Security insurance company (FBIC). 10064 Asuris Northwest Health 10065 AULTCARE. 10067 AvMed Health Plans 11097 Banner Health Plans 10077 BCBS of Alabama Yes 13170 BCBS of Alabama (Institutional) Yes 10079 BCBS of Arizona 10080 BCBS of Arkansas Yes 10082 BCBS of Colorado (Anthem). 10083 BCBS of Connecticut (Anthem). 10084 BCBS of Delaware 10086 BCBS of Florida 10087 BCBS of Georgia (Anthem). 11141 BCBS of Hawaii 10088 BCBS of Illinois 10089 BCBS of Indiana (Anthem). 10090 BCBS of Iowa 10091 BCBS of Kansas Yes 13111 BCBS of Kansas City 10092 BCBS of Kentucky (Anthem).

5 10093 BCBS of Louisiana 10094 BCBS of Maine (Anthem). 10096 BCBS of Massachusetts 12964 BCBS of Michigan (Institutional) Yes 12965 BCBS of Michigan (Professional) Yes 10098 BCBS of Minnesota 10099 BCBS of Mississippi 10100 BCBS of Missouri (Anthem). 10101 BCBS of Nebraska 10102 BCBS of Nevada (Anthem). 10103 BCBS of New Hampshire (Anthem). 10104 BCBS of New Jersey 10105 BCBS of New Mexico 12963 BCBS of New York (Central). 10223 BCBS of New York (Empire). 10106 BCBS of New York (Excellus). 12967 BCBS of New York (Rochester Area). 12968 BCBS of New York (Utica-Watertown). 10107 BCBS of North Carolina 10108 BCBS of North Dakota Yes 10109 BCBS of Ohio (Anthem). 11150 BCBS of Oklahoma 11151 BCBS of Oregon (Regence). 11152 BCBS of Pennsylvania (Highmark) - Institutional Yes 10110 BCBS of Pennsylvania (Highmark) - Professional Yes 10111 BCBS of Rhode Island 10112 BCBS of South Carolina 11153 BCBS of South Dakota 10113 BCBS of Tennessee 10114 BCBS of Texas 11154 BCBS of Utah (Regence).

6 11155 BCBS of Vermont 10115 BCBS of Virginia (Anthem). 11101 BCBS of West Virginia Yes 10117 BCBS of Wisconsin (Anthem). 10118 BCBS of Wyoming Yes 13113 Best Choice Health Plan 11127 Best life and Health 11128 Better Health Plans (Unison Health Plan). 11144 Blue Cross Blue Shield of Montana 11156 Blue Cross Blue Shield of Virginia (Anthem). 10366 Blue Cross Independence (Pennsylvania) Yes 12996 Blue Cross Northeastern Pennsylvania 10081 Blue Cross of California (Anthem). 10119 Blue Cross Of Idaho 12970 Blue Cross of Washington and Alaska (Premera). 10128 Blue Cross Pennsylvania (Capital) Yes 11173 Blue Shield of California 12577 Blue Shield of Idaho (Regence). 12578 Blue Shield of Washington (Regence). 10121 BlueChoice HealthPlan South Carolina Medicaid 11177 Bluegrass Family Health 11179 BMC HealthNet Plan 11188 Bravo Health 11191 Bridgeway Arizona 11196 Buckeye Community Health 13179 California Health & Wellness 10127 California Medicaid (Medi-Cal).

7 11213 Capital District Physicians Health Plan (CDPHP). 11221 Care Improvement Plus 10095 CareFirst BCBS (MD, DC, ). 10132 Careplus Health Plan 10134 Caresource Health 10135 Cariten Healthcare 11270 Celticare 13117 Cenpatico - Arizona 13118 Cenpatico - Florida 13119 Cenpatico - Illinois 13120 Cenpatico - Indiana 13121 Cenpatico - Kansas 13122 Cenpatico - Kentucky 11277 Cenpatico - Massachusetts 11278 Cenpatico - Ohio 13123 Cenpatico - South Carolina 13124 Cenpatico - Texas 13125 Cenpatico - Wisconsin 13181 Central CA Alliance for Health 12971 Central Reserve insurance company 12972 Central Reserve life Ins Co. - Medicare Supplement 10140 Central States Fund 11301 CHAMPVA/Spina Bifida/Children of Women Vietnam Vets 10158 CIGNA-GreatWest 11350 Colorado Access 10161 Colorado Medicaid 13208 Combined insurance company of America 10163 Community Care Of Oklahoma 11373 Community Health Plan of Washington (CHPW).

8 12973 Community Healthfirst Medicare Advantage 10164 CONNECTICARE. 10165 Connecticut Medicaid 11390 Consolidated Associates Railroad 13183 Constellation Health 12974 continental General Ins Co - Medicare Supplement 10168 continental General insurance company 13207 continental life insurance company of Brentwood, Tennessee 11395 Cook Childrens Health Plan 10170 Cooperative Benefit Administrators (CBA). 10003 Coordinated Care 10171 Coresource (Fmh). 10172 Coresource (Little Rock). 10174 CoreSource (MD,PA,IL,NC,IN,AZ,MN). 10175 CoreSource (Ohio). 10181 Coventry Healthcare - Advantra (TX, NM, AZ Only). 10009 Coventry Healthcare - Advantra Freedom 13126 Coventry Healthcare - Advantra Savings 13127 Coventry Healthcare - Altius Health Plans 10145 Coventry Healthcare - Carelink (Advantra).

9 13128 Coventry Healthcare - Carelink Medicaid 10182 Coventry Healthcare - CareNet 10184 Coventry Healthcare - Coventry Health and life (Nevada). 10185 Coventry Healthcare - Coventry Health and life (Oklahoma). 10186 Coventry Healthcare - Coventry Health and life (Tennessee). 10206 Coventry Healthcare - CoventryCares 13171 Coventry Healthcare - CoventryCares of Kentucky 10207 Coventry Healthcare - CoventryOne 10200 Coventry Healthcare - Delaware 10183 Coventry Healthcare - Diamond Plan (Maryland Medicaid). 10187 Coventry Healthcare - Federal 10144 Coventry Healthcare - Florida/Vista/Summit 10190 Coventry Healthcare - Georgia 10146 Coventry Healthcare - Group Health Plan (GHP). 10195 Coventry Healthcare - HealthAmerica and HealthAssurance 10188 Coventry Healthcare - HealthCare Inc.

10 (Promina). 10197 Coventry Healthcare - Healthcare USA(HCUSA). 10148 Coventry Healthcare - Iowa 10192 Coventry Healthcare - Kansas 10150 Coventry Healthcare - Louisiana 10198 Coventry Healthcare - Mail Handlers Benefit Plan 10205 Coventry Healthcare - Missouri 10196 Coventry Healthcare - National Network 10194 Coventry Healthcare - Nebraska 10199 Coventry Healthcare - Nebraska Medicaid 10201 Coventry Healthcare - OmniCare (Michigan). 10202 Coventry Healthcare - PersonalCare/Coventry Health of Illinois 10203 Coventry Healthcare - Southern Health Services (SHS). 13129 Coventry Healthcare - University of Missouri 13130 Coventry Healthcare - Vista (MCD, FHK, LTC). 10153 Coventry Healthcare - WellPath Select (Carolinas). 12975 CSA Fraternal Live - Medicare Supplement 10208 DAKOTACARE.