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DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at 800-845-0367 for more inform Payer ID Payer Name State 03432 1199 NATIONAL BENEFIT FUND AZ 03440 1-888-OHIOCOMP (Ohio BWC) 06105 3-Hab (Ohio BWC) 06108 A.G.I.A. Inc. 06108 AAG- American Administrative Group 06111 AAG Benefit Plan Administrators 07205 AARP 09908 ABC HEALTH PLAN 10216 ABMA Medical Corporation 10515 Abrazo Advantage Health Plan 10850 ACCESS ADMINISTRATORS 11315 ACCESS PLUS (UTMB) 11315 ACCLAIM NY 12115 Acclaim Repricing 13306 Accountable Health Plan ALL 13334 ACMG Inc.(formally Formax Inc.) 13334 Acordia National ALL 13346 ACS CNSULTING SERVICES, INC. 13402 ACTIVA BENEFIT SERVICES, LLC 14163 Administration Systems Research 14163 Administrative Concepts 14163 Administrative Services 14163 ADMINONE 14163 ADOC 14163 Advantage by Bridgeway Health Solutions 14163 Advantage by Superior HealthPlan 14163 Advantage Health Solutions 14164 Advantage Preferred Plus 14164 Advantage-Buckeye Community Health 14165 Advantra NY 20149 Advantra Freedom OH 20554 Adventist Health System TX 21313 ADVICA 22254 Advica New York Hospital Community

DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

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Page 1: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

DataLink Solutions - Institutional Claims Payer List

Some payers may require special enrollment - Contact Customer Service at 800-845-0367 for more informPayer ID Payer Name State

03432 1199 NATIONAL BENEFIT FUND AZ03440 1-888-OHIOCOMP (Ohio BWC)06105 3-Hab (Ohio BWC)06108 A.G.I.A. Inc.06108 AAG- American Administrative Group06111 AAG Benefit Plan Administrators07205 AARP09908 ABC HEALTH PLAN10216 ABMA Medical Corporation10515 Abrazo Advantage Health Plan10850 ACCESS ADMINISTRATORS11315 ACCESS PLUS (UTMB)11315 ACCLAIM NY12115 Acclaim Repricing13306 Accountable Health Plan ALL13334 ACMG Inc.(formally Formax Inc.)13334 Acordia National ALL13346 ACS CNSULTING SERVICES, INC.13402 ACTIVA BENEFIT SERVICES, LLC14163 Administration Systems Research14163 Administrative Concepts14163 Administrative Services14163 ADMINONE14163 ADOC14163 Advantage by Bridgeway Health Solutions14163 Advantage by Superior HealthPlan14163 Advantage Health Solutions14164 Advantage Preferred Plus14164 Advantage-Buckeye Community Health14165 Advantra NY20149 Advantra Freedom OH20554 Adventist Health System TX21313 ADVICA22254 Advica New York Hospital Community

Page 2: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

22254 AdvoCare Incorporated (Ohio BWC)22326 ADVOCATE HEALTH CENTERS22326 ADVOCATE HEALTH PLANS NJ22326 Aetna22326 Aetna NJ23171 Aetna Affordable Health Choices23173 Aetna Better Health23226 Aetna Life & Casualty Company23250 Aetna TX Medicaid & CHIP23281 Affiliated Doctors of Orange County23281 Affinity Health Plan NY23284 Affinity Health Plan23706 Affinity Health Plan (Medicare Only)23710 Aftra Health Fund23856 AH & L25126 AHPO (Cleveland, OH)25126 Alaska Children's Services Inc.25127 Alaska Electrical Health & Welfare GA25128 Alaska Laborers Construction25129 Alaska Laborers Construction25129 Alaska Pipe Traders Local 37525130 Alaska Pipe Traders Local 375 DE25132 Alaska United Food & Commercial IA25133 Alaska United Food & Commercial25133 Alexian Brothers25134 ALICARE KS25134 All Savers Insurance Co. KS25135 Allegiance Benefit Plan Management LA25136 ALLIANCE - ALPHA CARE GOLD NE25139 Alliance PPO Inc.25139 Alliance Select25141 Alliant Health Plans of (Georgia)25142 ALLIED BENEFITS SYSTEMS25143 ALPHA DATA SYSTEMS25143 ALPS CompCare (Ohio BWC)25146 ALTA Health and Life25147 Alta Senior Care25147 Altius25147 AMA INSURANCE AGENCY25150 Amalgamated Life25152 AMALGAMATED LIFE INS CO25175 Amer Healthcare Plan Net25193 AmeraPlan29076 AMERIBEN SOLUTIONS, INC. OH30946 Americaid Community Care-Houston31147 AMERICAID COMMUNITY CARE-MARYLAND31147 AMERICAID COMMUNITY CARE-NEW JERSEY

Page 3: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

31147 American Administrators31147 American Behavior31147 American Benefit Administrative31147 American Benefit Plan Administrators31147 American Community Mutual Insurance31147 American General31147 American General Life & Accident31147 American General Life and Accident31147 American Healthcare Alliance31147 AMERICAN IMAGING MANAGEMENT31147 American International Group31147 American International Group (AIG)31147 AMERICAN LIFECARE31147 American Medical Securities31147 American Medical Security31147 American National Insurance31147 American Postal Workers Union31147 American Republic Insurance31147 American Service Life31147 American Worker Health Plan31147 America's Health Choice31147 America's PPO31147 America's PPO/America's TPA31147 America's TPA31147 AmeriChoice of Florida31147 AmeriChoice of Illinois31147 AmeriChoice of Maryland31147 AmeriChoice of Nebraska31147 AmeriChoice of New York31417 AmeriChoice of New York (Medicaid)32680 Americhoice of NJ (Medicaid)33001 AmeriChoice of NJ (Medicaid)34092 Americhoice of NJ Personal Care34097 AmeriChoice of Pennsylvania34136 AmeriChoice of Rhode Island35180 AmeriChoice of Tennessee35180 AMERICHOICE PERSONAL CARE PLUS35182 Amerigroup - Ft. Worth - Dallas35182 Amerigroup - Houston35183 Amerigroup - Maryland36273 Amerigroup - New Jersey37330 Amerigroup - New York MI38309 AmeriHealth Administrators AZ38333 AmeriHealth Mercy Health Plan CA38334 AmeriHealth NJ (PPO) MI38336 AmeriHealth NJ/DE (HMO) WA39026 AmeriHealth NJ/DE (HMO)

Page 4: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

39026 Amerihealth Non-HMO NJ/IBC (Passport Advantage)39026 Amida Care39026 AMWAY CORPORATION39065 Antares Management Solutions39065 Anthem Health and Life39065 APA PARTNERS39126 Apex Benefit Services41045X APS Healthcare Inc.41099 Araz41147 ARCADIAN MGMT SERVICES41154 Arizona Physicians IPA42011 Arkansas Best Corporation44054 Arkansas Best Corporation44054 Arkansas Managed Care Organization Inc44444 Arnett Health Plans47027 ASR Corporation48117 ASR Health Benefits48117 ASR Physicians Care48143 Associates for Health Care Inc52095 Assurant Employee Benefits52132 Assurant-Fortis Benefits52132 ASSURED BENEFITS ADMINISTRATORS52189 ATHENS AREA HEALTH PLAN52192 ATLANTICARE ADMINISTRATORS Inc.52192 AultComp Managed Care Org (OH BWC)52192 AUSTIN REGIONAL CLINIC EMPLOYEE55247 Automated Group Administration NY55248 Automotive Machinists Local 28956152 Automotive Machinists Local 28956205 AvatarComp (Ohio BWC)58226 AVERA HEALTH59221 AvMed Health Plan59222 Azeros Health Plans Inc.59222 BANKERS UNITED LIFE (STUDENT DIV)59223 Baptist Healthcare Network59224 Bass Administrators, Inc.59225 BCBS of Alabama59225 BCBS of Arizona59227 BCBS of Arkansas59274 BCBS of Colorado59321 BCBS of Connecticut60054 BCBS of Delaware60054 BCBS of Florida ALL60054 BCBS of Georgia ALL60054 BCBS of Hawaii (HMSA) ALL60054 BCBS of Illinois ALL60054 BCBS of Indiana ALL

Page 5: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

60110 BCBS of Iowa60110 BCBS of Kentucky60305 BCBS of Louisiana61101 BCBS of Maine61101 BCBS of Maryland61101 BCBS of Massachusetts61101 BCBS of Michigan61101 BCBS of Michigan (Blue Care Net)61101 BCBS of Michigan (FEP)61101 BCBS of Minnesota61101 BCBS of Mississippi61101 BCBS of Missouri61101 BCBS of Missouri (Blue Choice)61101 BCBS of Nebraska61101 BCBS of Nevada61101 BCBS of New Hampshire61101 BCBS of North Carolina61101 BCBS of Ohio61101 BCBS of Pennsylvania - Highmark61101 BCBS of Tennessee61101 BCBS of Texas61101 BCBS of Utah61101 BCBS of Virginia61101 BCBS of Wisconsin61101 Beacon Health Strategies61101 BEECH STREET CORPORATION61101 Beechstreet Corporation61101 BENEFIRST61124 Benefit Administrative Systems61271 BENEFIT CONCEPTS61271 BENEFIT COORDINATORS CORPORATION61271 BENEFIT MANAGEMENT ADMIN61271 BENEFIT MANAGEMENT SERVICES INC61271 Benefit Management Systems61271 BENEFIT PLAN ADMIN OF ST LOUIS61271 BENEFIT PLAN ADMINISTRATORS, INC.61271 BENEFIT PLAN ADMINISTRATORS-ROANOKE61271 Benefit Plan Management Inc.61425 Benefit Planners61425 Benefit Systems & Services (BSSI)61425 Benefit Trust Life61425 Benesight (formerly The TPA)61425 Benesys61604 Best Life & Health Insurance Co.62030 Better Health Plans of SC62030 Blue Cross of Alaska62030 Blue Cross of California

Page 6: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

62072 Blue Cross of Idaho62073 Blue Cross of Rhode Island62155 Blue Shield of California62155 BLUE SHIELD OF IDAHO (REGENCE) TN62155 Bluegrass Family Health TN62155 Boon-Chapman Benefit Administrators62179 Boston Medical Center Healthnet AZ62308 BPS Inc.62308 BPS, INC.62308 Bravo Health62308 Bridgestone Claims Services62308 Brodart62308 BROKERAGE CONCEPTS62308 Brown & Toland Medical Group62308 Brown & Toland Medical Services62308 Buckeye Community Health62308 C&O EMPLOYEES HOSPITAL ASSOCIATION62308 C. L. Frates & Co - OSMA Health70408 C.N.Y. MANAGED CARE70408 California Eye Care - New Century Health70408 Cal-Optima Direct70408 Cambridge ISG71079 Cameron and Associates71079 CANNON COCHRAN MANAGEMENT MO71404 CAPE HEALTH PLAN71412 Capital District Physicians Health71412 CAPITOL ADMINISTRATORS NE71412 Capstone Health Plan71412 Care 1st Health Plan of Arizona NE71412 Care Improvement Plus71412 Care Management Group of Greater NY NE72127 Care To Care73147 CareCore National74227 CareCore National - Healthnet74227 CareCore National-Aetna Radiology74227 CareCore National-Health Net NJ74227 CareCore National-Oxford Radiology74227 Carelink Advantra74227 Carelink Health Plan74227 Carelink Medicaid74227 Carenet74227 CareOne Health Plan (MED3000)74227 CAREOREGON75136 CarePlus Cardiology - New Century Health76048 CarePlus Dermatology - New Century Health77950 Careplus Health Plan80141 CarePlus Oncology-New Century

Page 7: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

80141 CareSource of Indiana NY80141 CareWorks (Ohio BWC) NY80142 Cariten Healthcare PA80314 Cariten Senior Health80314 CAROLINA CARE PLAN80705 Carolina Crescent Health Plan Inc.80705 CAROLINA SUMMIT HEALTHCARE80705 Carpenter's Health and Welfare80705 Caterpillar80705 CBA Blue80705 CBCA ADMINISTRATORS80705 CBSA80705 CDS Group Health80705 Celtic Insurance80705 Cement Masons & Plasterers Health80705 Cenpatico - FL80705 Cenpatico Behavioral Health- AZ80705 Cenpatico Behavioral Health-OHIO80705 Cenpatico Georgia80705 CenterCare80705 CENTRAL BENEFITS LIFE80705 Central Benefits Mutual80705 Central Benefits National80705 CENTRAL RESERVE LIFE80705 Central States Health & Welfare80705 Central Valley Medical Group80705 Century Health Solutions80705 CHA-Commonwealth Health Alliance80705 CHAMP VA - HAC80705 CHC - Altius Health Plans80705 CHEC - A SUBSIDIARY OF SPRINT80705 Chesapeake National Life Insurance80705 Children of Women Vietnam Veterans80705 Choice Plus (TRW)80705 ChoiceOne-UTMB CHIP- Mediview80705 CHP/RPU (FABOH)80705 Christian Brothers Services80705 Christus Health80705 CHRISTUS SPOHN NETWORK80705 CIGNA80705 CIGNA Behavioral Health80705 CIGNA FLEX CARE (NEW MEXICO ONLY)80705 CIGNA HealthCare (HMO & PPO)80705 CIGNA Medicare Advantage80705 CIGNA Premier Plus80705 CIGNA Senior81264 Cimarron Salud!- New Mexico

Page 8: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

81400 Cincinnati Financial Corporation81400 Citrus Health Care81400 CITY OF SAN ANTONIO81400 Claim Management Services81400 Clearchoice Health Plan / COIHS81400 CNA81400 CNA Health Partners Repricing - AR81400 Cofinity81400 COLONIAL HEALTHCARE81400 Colorado Kaiser Permanente81400 COLUMBIA CORNELL CARE81400 COLUMBIA UNITED PROVIDERS81400 CoMed - CIGNA81400 COMMERCE BENEFITS GROUP81400 COMMONWEALTH ADMINISTRATIVE GROUP81400 Commonwealth Care Alliance81400 Community Care Behavioral Health81400 COMMUNITY CARE MANAGED HEALTH CARE81400 Community Care Organization81400 COMMUNITY CHOICE OF MICHIGAN81400 Community First Health Plan81400 Community Health Alliance81400 Community Health Choice81400 Community Health Elec Clearinghouse81400 COMMUNITY HEALTH NETWORK OF CT81400 COMMUNITY HEALTH PLAN OF WASHINGTON84135 Community Health Plan-St Joseph84146 Community Health Plan-St Joseph84146 Community Premier Plus84146 COMMUNITY PREMIER PLUS FOR NEIGHBOR84146 CompManaged Health Systems (OH BWC)86001 CompManagement/Integrated Comp BWC NJ87043 Comprehensive Medical Care (OH BWC)87043 Confederation Admin Services87043 Confederation Life Insurance87726 Conferation Admin Services87726 Connecticare ALL87726 Connecticut General87726 Connecticut General-Medical Claims ALL87726 Conseco Services LLC87726 CONSOCIATE GROUP (DECATUR) ALL87726 CONTINENTAL GENERAL INSURANCE CO87726 Continental Life & Accident Co ALL87726 Conversion Plan-APWU87726 Cooperative Benefit Administrators ALL87726 Cooperative Managed Care Services87726 Cooperative Managed Care Services ALL

Page 9: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

87726 CoreSource of Little Rock87726 Coresource of MD/PA/IL ALL87726 Coresource of NC87726 Coresource of NC, IN ALL87726 CoreSource of OH87726 CoreSource/CoreStar ALL87726 Cornerstone Benefit Administrators87726 Corporate Benefits Service ALL87726 CORPORATE SYSTEMS ADMINISTRATION ALL87726 Correctional Medical Service ALL87726 CorSolutions87726 Corvel Corporation (Ohio BWC) ALL87726 COUNTRY LIFE INSURANCE COMPANY87726 Covenant Administrators ALL87726 COVENANT ADMINISTRATORS, INC.87726 COVENANT MGMT SYSTEMS EMPLOYEE ALL87726 Coventry Health Care KS-Wichita87726 Coventry Health Care of Delaware ALL87726 Coventry Health Care of Iowa87726 Coventry Health Care of Kansas ALL87726 Coventry Health Care of Kansas Inc.87726 Coventry Health Care of Kentucky ALL87726 Coventry Health Care of Louisiana87726 Coventry Health Care of NC ALL87726 Coventry Health Care of Nebraska ALL87726 COVENTRY HEALTH CARE SC87726 COVENTRY HEALTH CARE SOUTH ALL87726 Coventry Healthcare of Georgia87726 CRA Managed Care (Ohio BWC) ALL87726 Crawford & Company (Ohio BWC)87726 CREATIVE MEDICAL SYSTEMS ALL88023 Creative Plan Administrators NV88030 Crown Life90328 Croy-Hall Mgmt. Inc. NM91162 CUSTOM BENEFIT ADMINISTRATORS92600 CWIBENEFITS94036 DakotaCare CA94265 Definity Services94265 Definity Services MN95202 Delaware Health Plan Consortium95378 Delaware Physicians Care95378 DelawareCare95378 Dentemax/DPI (MI)95567 Denver Health and Hospital CA/OR95567 DENVER HEALTH MEDICAL PLAN CA/OR95604 Destiny Health95959 Detroit Medical Center

Page 10: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

95959 Directors Guild of America Producer CA95959 DIVERSIFIED ADMINISTRATION95959 Dunn and Associates Benefits Admin95959 E3 Health CA95959 EAGLE CREEK MEDICAL PLAZA CA95959 Eaton Benefits, OH95964 EBA - CITY OF SAN ANTONIO AZ95964 EBMS (EMPLOYEE BENEFIT MANAGEMENT AZ95999 EHI (Employers Health Insurance)BC001 EL PASO FIRST - CHIP CABS560 Elder Health Hmo Of Pennsylvania CTBS600 Elder Health Maryland HMO Inc. GACHPWA ElderPlan, Inc.CIMSA ELMCOCIMSA Emerald HMO (HMO Claims only) NMCOFHP EMPHESYS COCOFHP Empire Plan - UHC COCOKSR Employee Benefit Concepts Inc. COCOKSR Employee Benefit Corporation COIEHP1 Employee Benefit Management ServiceKS003 Employee Benefit Services CAMA001 Employee Benefit Services of LAMDTX00 Employee Benefits Plan-EBPA TXMDWI00 EMPLOYEE PLANS LLC WI04271 Employee Security Inc.04298 Employers Coalition On Health-ECOHMDIL00 Employers Direct Health IL66705 EMPLOYERS DIRECT HEALTH (EMPLY)KS001 Employers Insurance of Wausau CAMDCLNK Employers Mutual Inc (FL)MDCLNK Encircle PPO13551 Encompass NY00014 ENCORE ENCORE00247 ENCORE HEALTH NETWORK00247 ENH MEDICAL GROUP IPA MD01041 Enstar Natural Gas - G#P61 ME01066 Enstar Natural Gas - G#P6101260 EQUICOR02041 EQUICOR - PPO MA02041 EQUIFAX / HEALTHCARE ADMIN (EHAS) MA02057 Equitable (Cigna)03036 Equitable Health Plan03036 EQUITABLE PLAN SERVICES03443 Erin Group Administrators04258 ES Beveridge and Associates04293 E-V Benefits Management04293 Evercare Star Plus MA

Page 11: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

04320 Evercare Star Plus04320 Evergreen Health Plan04320 Evolutions Healthcare Systems04616 EXCEL06102 ExclusiveCare06119 ExclusiveCare SC06119 Fallon Health Plan SC06119 Family Health Network SC06143 Family Health Partners Kansas06143 Family Hlth Partners MC/Missouri09824 FARA BENEFIT SERVICES09824 FCE Benefit Administrators NM09829 Federally Qualified Healthcare10207 Federated Mutual Insurance10321 FHC Super Select (FL)10525 FHP of Colorado - HMO only11123 FIDELIS CARE NEW YORK11303 Fidelis Care New York11324 Fidelis Secure Care11325 First Allmerica Financial Life11328 First Carolina Care11328 FIRST CHOICE (CT)11331 FIRST CHOICE HEALTH NETWORK NY11338 First Choice of Midwest (PPO)12399 First Great West Life & Annuity13142 First Health13162 First Health Network13174 First Health/Alta Health Strategies13265 First Integrated Health13310 FIRST OPTION HEALTH PLAN13310 First Seniority Freedom13310 FIRST STATE HEALTH PLAN13315 FIRSTGUARD HEALTH PLAN - KANSAS13333 FIRSTGUARD HEALTH PLAN - MISSOURI13335 Fiserv Health - Kansas / Tennessee13350 Fiserv Health Services13350 Florida Health Choice/Select (FL)13350 Florida Healthy Options HMO13357 FLORIDA HOSPITAL HEALTHCARE SYSTEMS13373 FLORIDA HOSPITAL WATERMAN NY13376 FMH Benefit Services, Inc. GA13376 FMH Coresource GA13381 Fortis Benefits13407 Fortis Life Insurance Company13550 Fox-Everett Inc.13550 Fox-Everett Ingalls Ship Building13550 FrontPath Health Coalition

Page 12: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

13550 GALLAGHER BENEFIT ADMINISTRATORS14142 GALVESTON COUNTY INDIGENT HEALTH NY14162 Gates McDonald Health Plus (OH BWC)14179 Gates McDonald Health Plus Inc.14179 Gateway Health Plan14180 Gateway Health Plan Medicaid PA14180 Gateway Health Plan of Ohio14182 Gateway Health Plan-Medicare Assure14184 GE Group Administrators14185 GE GROUP ADMINISTRATORS, TEXAS14315 GEHA MENTAL HEALTH CLAIMS ALL15749 GEISINGER HEALTH PLAN16105 Gencare Health (St. Louis)16111 Genelco (St. Louis Only)16114 General American (Sanus - East)16117 General American (Sanus-St. Louis)16120 General American Life Insurance16120 Generations Advantage16120 GENEX Care of Ohio (Ohio BWC)16126 George Washington Health Plan16126 Georgia Power Medical Benefits NY16126 Gettysburg Health Plans16140 GHI - New York (Group Health Inc.)16158 GHI HMO SELECT16158 GHP (Group Health Plan)16412 GIC INDEMNITY PLAN16412 Gilsbar ALL16412 Glassworkers Health & Welfare16412 GMS16412 Gold Coast Health Plan16412 Golden Rule Insurance16412 Golden State Medical Group16412 Golden State Physicians Medical16412 Golden Triangle Physician Assoc.16412 Goodyear Tire & Rubber Company16412 Government Employees Hospital Assoc16412 Government Employees Hospital/GEHA16412 Great Lakes Health Plan16412 Great West16412 Great West (SF)16412 Great West (WA)16412 Great West Care16412 Great West Denver16412 Great West Life ALL16644 Great West Life & Annuity Ins. Co NY16644 Great West Life Assurance NY20199 Great-West Bellevue

Page 13: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

20199 Great-West Healthcare20257 Great-West Healthcare (CA)20333 Great-West Healthcare (GA)20356 Great-West Healthcare/One Health20398 GREAT-WEST LIFE & ANNUITY INS CO20460 GROUP & PENSION ADMINISTRATORS20475 GROUP ADMINISTRATORS20475 Group Health Coop (Claims)21356 Group Health Coop (Encounters)21356 Group Health Coop So Central WI HA22175 Group Health Cooperative - East22195 Group Health Cooperative - West22240 Group Health Cooperative - West22264 Group Health Managers22384 Group Insurance Service Center22603 Group Practice Affiliates22771 Guardian Life (The Guardian)23037C Gundersen Lutheran Health Plan23172 H.E.R.E.I.U Welfare Pension Funds23212 HARMONY HEALTH PLAN OF ILLINOIS23212 HARMONY HEALTH PLAN OF INDIANA23217 Harrington Benefit Services Inc.23218 Harrington Benefit Services, Inc.23223 Harrington Benefit Services-Centra23225 Harrington Benefit Svcs CT23249 Harrington Health - Kansas23253 Harris Methodist Health Plan23253 Harris Methodist Health Plan HMO23285 Harvard Pilgrim Health Care23287 HAS- Health Administration Services23342 HCH - Albuquerque24735 HCH Administration24735 HCH Administration Inc24735 HCH ADMINISTRATION PEORIA24735 HCHA ALBQ SELF FUNDED24818 HDM BENEFIT SOLUTIONS24818 HDPC - Premier Healthcare24819 HDPC/Alliance Physicians25125 HEALTH ALLIANCE EXCLUSIVE25137 HEALTH ALLIANCE MEDICAL PLANS DE25145 Health Alliance Plan of Michigan25169 Health Alliance Plan of Michigan25169 Health America25179 Health Assurance25351 Health Care Network of Wisconsin25404 HEALTH CARE SAVINGS25531 Health Choice Generations

Page 14: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

27009 Health Choice of Arizona27515 Health Design Plus (Hudson) TX27516 HEALTH DESIGNS PLUS (HUDSON, OH)27516 HEALTH ECONOMICS -MICS CORP NJ27517 Health EZ MD28530 Health First TPA (Tyler)28777 Health First TPA (Tyler)28804 Health Future TX28805 Health Management Solutions TX28806 Health Market Care Assured NJ28806 Health Net NJ28807 Health Net America MD30005 Health Net California (Encounters)31048 HEALTH NET OF ARIZONA31053 Health Net of CA and Oregon-Claims31053 Health Net of the Northeast31107 Health Net Plus (TN)31118 HEALTH NETWORK AMERICA31118 Health One Alliance31118 Health Partners - Jackson31127 HEALTH PARTNERS - JACKSON, TENN.31138 Health Partners (PA)31140 HEALTH PLAN MANAGEMENT31140 Health Plan of Michigan31141 Health Plan Services31141 Health Plan Svcs - OK OH31182 Health Plans Inc.31441 Health Plus PHSP (Brooklyn - NY)31472 Health Right KS31472 HEALTH RISK MANAGEMENT (HRM) KS31478 Health Services for Children31625 Health Services Preferred-Emerald32004 HEALTH VALUE MANAGEMENT32006 Healthcare La IPA32481 Healthcare Options33033 HealthCare Partners, IPA33069 Healthcare Preferred (IA)34080 Healthcare Solutions Group34108 Healthcare Transaction Processing34131 Healthcare USA34134 Healthcares Finest Network (HFN)34145 Healthchoice of Memphis34158 Healthcourse KY OH34158 Healthfirst Inc.34159 Healthfirst Inc. OH34159 Healthfirst of New York OH34159 Healthfirst TPA - Austin OH

Page 15: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

34167 HEALTHGUARD OF LANCASTER34167 HealthHelp Network Inc. (HHNI)34171 HEALTHHELP NETWORK, INC (HHNI)34181 HEALTHLINK HMO34185 Healthlink PPO34189 Healthnet- Kansas City34192 Healthnet of the Northeast34196 HEALTHPLAN SERVICES (TAMPA ONLY)34514 Healthpoint Corp.34555 HEALTHSCOPE BENEFITS35107 Healthsmart Accel IN35112 HealthSmart Preferred Care35161 Healthsource (claims)35162 Healthsource (encounters)35164 Healthsource CMHC35167 Healthsource GA35167 Healthsource GA IN35173 Healthsource IN35174 Healthsource IN35174 Healthsource KY35186 Healthsource MA35193 Healthsource ME35198 Healthsource North Carolina35199 Healthsource NY35199 Healthsource of North Texas35199 Healthsource OH35199 HEALTHSOURCE SC35199 Healthsource TN35199 HEALTHSOURCE, KY35199 HEALTHSOURCE, TN35202 HealthSpring35202 Healthstar Inc.35204 Healthwave of Kansas IN35206 Healthy Choice/Healthy Choice Plus35206 Heritage New York Medical Group35206 Heritage Physicians Network - HPN35209 Heritage Physicians Network - HPN36111 HFN Inc.36149 High Desert Primary Care36215 Hinsdale Physicians Healthcare36215 HIP-Health Insurance Plan36215 HMA Hawaii36320 HMAA-Hawaii Mgmt Alliance Assoc36326 Homestead CHP/S36326 Hometown Health Plan Nevada36331 Horizon Blue Cross Blue Shield36332 Horizon HealthCare Admin (HHA)

Page 16: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

36335 Horizon NJ Health36335 Hotel Employees & Restaurant36338 Hotel Employees & Restaurant36342 HPS PARADIGM36345 HRM Claim Management IL36347 Hudson Health Plan36369 Humana36373 Humana Care Plan36389 Humana Group Health Plan36401 Humana Health Chicago36401 Humana Health Plan36404 Humana Inc.36405 Humana Insurance Agency36406 Humana Insurance Company36436 Humana Medical Plan - CA36609 Humana Medical Plan - KY36612 Humana Military - Tricare South37060 Humana VA Hero Project37105 Humana Wisconsin Health37105 HUMANA, INC. (CLAIMS)37110 HUNT INSURANCE GROUP37110 HYVEE37111 I.E. SHAFFER (WEST TRENTON, NJ)37112 IBA HEALTH & LIFE ASSURANCE CO.37114 IBA SELF FUNDED GROUP37116 IBI37116 IMCARE37118 INDECS Corporation37118 Indiana Health Network VA37119 INDIANA PRO HEALTH NETWORK37121 Indiana Teamsters Health Benefits37123 Individual Health Insurance Co.37125 Individual Practice Assoc-IPA HCFA37125 INFORMED LLC37127 Inland Empire Health Plan37127 INNOVATIVE HEALTHWARE SOLUTIONS37129 Institutes of Quality37129 INSURANCE DESIGN ADMINISTRATORS37135 INSURANCE MANAGEMENT SERVICES IL37212 INSURERS ADMINISTRATIVE CORPORATION37212 INTEGRA GROUP37215 Integrated Care Network by Emerald37215 Integrated Mental Health Services37215 Integrity Benefit Network37216 Inter-County Health Plan37217 INTERGROUP SERVICES CORPORATION37221 International Brotherhood of Boilermakers Employee Health Care Plan(IBB

Page 17: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

37222 International Educational Exchange Services (IEES)37224 INTERNATIONAL UNION OF OPERATING37225 International?Educational?Exchange?Services?(IEES)37230 Intl. Brotherhood of Boilermakers37233 Intrntnl Union Oper Engineers Lcl1537237 IOWA BENEFITS37242 Iowa, Envoy Platinum OH37246 J.F. Molloy and Associates Inc.37247 JI Specialty37248 John Alden Life Insurance Co.37248 JOHN DEERE HEALTH CARE37248 JOHN HANCOCK37253 Johns Hopkins Healthcare37255 JOPLIN CLAIMS37255 JP FARLEY CORPORATION37256 JSL ADMINISTRATORS37264 Kaiser Foundation - Colorado37266 Kaiser Foundation - Colorado37266 Kaiser Foundation - Georgia37269 Kaiser Foundation - Mid-Atlantic37269 Kaiser Foundation - So. CA37272 Kaiser Foundation- No. CA37276 Kaiser Foundation- Ohio37276 KANAWHA INSURANCE CO.37278 Kanawha Insurance Company37278 KANSAS CITY LIFE INSURANCE CO.37280 KEMPTON COMPANY,KEMPTON GROUP ADM IN37282 Kempton Company/Kempton Group Adm37283 Kern Health Systems37285 Key Benefit Administrators37286 Key Select37287 Keystone Mercy Health Plan37289 KLAIS & Company37289 LAKE FOREST MANAGED CARE ASSOCIATES37290 Lakeside Health Services37299 Lakeside Medical Group Inc.37305 LEGGETT AND PLATT37308 LHP Claims Unit37311 Liberty Mutual Insurance Company37318 LIFE TRAC37320 Lifeprint37321 LINCOLN NATIONAL37322 Lovelace Health Plan37329 Lovelace Sandia Health Plan37329 Lovelace Senior Options (LSO)37331 Lovelace Senior Plan (LSP)37602 MAG Mutual Healthcare Solutions

Page 18: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

37602 Magellan Behavioral Health37602 Magnacare38194 MAILHANDLERS MENTAL HEALTH CLAIMS38201 Maksin Management Corporation MI38202 MAMSI Life & Health (MLH HCFA) FL38219 MANAGED CARE INDEMNITY38224 MANAGED CARE SERVICES MI38224 Managed Health Network OH38224 Managed Health Services - Wisconsin MI38224 Managed Medical Assurance OH38225 Managed Physical Network38232 MANAGED PRESCRIPTION SERVICES38234 Manatee Service Center38234 Manhattan National Life Insurance38241 Maricopa Health Plan38245 Marriot38254 MARSH ADVANTAGE AMERICA38254 Martin's Point Health Care USFHP38264 Maryland Physicians Care38265 Maryland Physicians Care38265 MASHANTUCKET PEQUOT TRIBAL NATION38265 Mayo Management Services38265 MBS (MEDCOST BENEFIT SERVICES)38265 Mcare38265 MCC Behavioral Care38325 McLaren Health Plan38329 MD Wise Hoosier Alliance38335 MD-Individual Practice Assoc Inc.38335 MDNY HEALTHCARE38337 MDWise Hoosier Alliance38338 MedAdmin Solutions38692 MEDBENEFIXX INC TX39033 Medcaid of California39045 MedCom39112 MEDCOST INC39141 Medica39151 Medica39156 Medicaid - Carelink39167 Medicaid of Alabama WI39168 Medicaid of Arizona WI39168 Medicaid of Arkansas39170 Medicaid of California39170 Medicaid of Colorado39180 Medicaid of Connecticut39185 Medicaid of Delaware39187 Medicaid of Florida WI39197 Medicaid of Georgia

Page 19: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

39200 Medicaid of Hawaii39280 Medicaid of Idaho39634 Medicaid of Illinois AZ40585 Medicaid of Indiana41041 Medicaid of Iowa41095 Medicaid of Kansas41124 Medicaid of Kentucky41124 Medicaid of Louisiana-Ambulance41124 Medicaid of Maine41124 Medicaid of Maryland41136 Medicaid of Massachusetts41159 Medicaid of Michigan41170 Medicaid of Minnesota41170 Medicaid of Mississippi41198 Medicaid of Missouri41555 Medicaid of Nebraska41600 Medicaid of New Jersey42102 Medicaid of New York42137 Medicaid of North Carolina42137 Medicaid of Ohio43160 Medicaid of Oregon43166 Medicaid of Pennsylvania WA43173 Medicaid of Rhode Island43173 Medicaid of Texas43178 Medicaid of Virginia44030 Medicaid of West Virginia44273 Medicaid of Wisconsin46045 Medical Administrators47076 Medical Benefit Administrators47080 Medical Benefits Mutual47080 Medical Claims Service47083 Medical Control Inc.47083 MEDICAL DEVELOPMENT INTERNATIONAL48055 Medical Mutual of Ohio48116 MEDICAL PLAN OF KANSAS CITY48120 Medical Reimbursement Associates48145 MEDICAL RESOURCE NETWORK48146 Medical Value Plan - MVP - OH ALL48185 Medical Value Plan - MVP - OH48186 Medicare Complete NY48964 Medicare of Alabama48964 Medicare of Alaska50528 Medicare of Arizona51032 Medicare of Arkansas51037 Medicare of California- No. Region51037 Medicare of Colorado - Noridian51052 Medicare of Connecticut

Page 20: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

52103 Medicare of Florida52104 Medicare of Georgia52148 Medicare of Hawaii52148 Medicare of Idaho52148 Medicare of Illinois52149 Medicare of Indiana52149 Medicare of Iowa52149 Medicare of Kansas-BCBS52149 Medicare of Kentucky52149 Medicare of Louisiana52149 Medicare of Maine52152 Medicare of Maryland52180 Medicare of Massachusetts52181 Medicare of Michigan52190 Medicare of Mississippi52196 Medicare of Mutual of Omaha52201 Medicare of Nebraska53011 Medicare of New Jersey53476 Medicare of New York - Empire54098 Medicare of Ohio54160 Medicare of Pennsylvania55438 Medicare of Rhode Island55544 Medicare of Tennessee56116 Medicare of Texas - Trailblazers56139 Medicare of Utah56142 Medicare of Utah-Blue Shield56144 Medicare of Virginia56147 Medicare of Wisconsin NC56151 MedPlan PPO56162 MedPOINT Management56175 MedSolutions Inc.56176 MEDSOLUTIONS, INC.56176 Mega Life - OKC Division56195 Mega Life - Student Division56196 Mega Life - Transamerica56240 MEGA Life & Health57038 MEGA Life & Health (United Ins)57038 MEGA Life & Health Ins Co/Star HRG57080 Mega Life and Health Insurance57098 MEGA Student Insurance-Boston57098 MEGA Student Insurance-Mid-West57105 MEGA Student Insurance-New York57116 Memorial Clinical Associates57604 MERCY CARE PLAN58082 Mercy CarePlus58082 Mercy Health Plan of NJ58102 Mercy Health Plan of NJ

Page 21: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

58102 MERCY HEALTH PLANS58200 MERIDIAN HEALTH CARE MANAGEMENT58200 Meritain Health58202 Mesa Mental Health58203 Metcare Health Plans, Inc.58210 METHODIST ASSOC HEALTH PLAN58210 METHODIST CARE GA58227 Methodist SW Prv Org58233 MetraHealth Care Plans58234 MetraHealth Care Plans GA58234 Metro Plus Health Plan GA58246 Metropolitan Health Plan58246 METROPOLITAN LIFE INS CO GA58248 MICHAEL REESE HMO59069 MICHAEL REESE PHYSICIANS GROUP59069 MID AMERICA HEALTH (LEASED PPO)59087 Mid Atlantic Psychiatric Services59087 Mid Atlantic Psychiatric Services (MAPSI)59111 MID-ATLANTIC HEALTH SYSTEM59111 Midlands Choice59140 Midlands Health Partners59140 Mid-Valley CareNet59141 MID-VALLEY CARENET, INC59142 MIDWEST HEALTH PLAN59142 Mid-West National Life Insurance59231 Mid-West Nat'l Life & Health Ins. Co.59266 Midwest Preferred59291 Midwest Security Administrators59296 Midwest Security Insurance59298 Minneapolis Prudential Business59313 Mission Community IPA Med Grp60550 Mississippi Public Entity Employee61106 MISSISSIPPI SELECT HEALTH CARE61106 Mississippi Select Healthcare KY61127 Molina Healthcare of California61127 Molina Healthcare of Michigan61127 Molina Healthcare of Missouri KY61129 Molina Healthcare of New Mexico62061 Molina Healthcare of New Mexico62061 Molina Healthcare of Ohio62061 Molina Healthcare of Texas62129 Molina Healthcare of Washington TN62129 MONTEFIORE CONTRACT MANAGEMENT TN62149 Monumental Life Insurance Co62153 Mony Financial Services62153 Motorola Inc62153 Mountain States

Page 22: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

62157 Mountain States Admin (Tucson AZ) TN62157 MPLAN INC/HEALTHCARE GROUP LLC62159 MultiPlan Inc. for American Family62160 Multiplan Wisconsin Provider Net62160 Mutual Alliance Plan (MAP)62168 MUTUAL ASSURANCE ADMINISTRATORS62168 Mutual Benefit Life62170 MUTUAL GROUP (THE)62180 Mutual of Omaha Insurance Company62181 Mutual of Omaha Insurance Company62295 MVP Health Plan of NY62553 N.W. Iron Workers Health & Security63079 N.W. Iron Workers Health & Security63080 N.W. Roofers & Employers63081 N.W. Roofers & Employers63088 N.W. Textile Processors63103 NAA - NORTH AMERICAN ADMINISTRATORS63665 National Assoc Preferred Prv TX MO63665 NATIONAL BENEFIT ADMIN. N.C. MO63665 National Benefit Administrators MO63665 NATIONAL BENEFIT ADMINISTRATORS NJ MO63665 National Group Life Insurance63665 National Health Benefits Corportation-NHBC02 MO63665 National Rural Electric Coop/NRECA MO64067 National Rural Letter Carrier64068 National Telecom Coop Assoc. (NTCA)64069 National Telecom Coop Assoc. STAFF64071 Nationwide Health Plans64088 Natl Capital Preferred Provider Org64088 NCAS - CHARLOTTE, NC64088 NCAS - Fairfax64246 NCAS - Fairfax65085 NCAS - FAIRFAX, VA65088 Neighborhood Health Partnership (NHP)65093 Neighborhood Health Plan65099 NEIGHBORHOOD HEALTH PLAN (BOSTON)65113 NEIGHBORHOOD HEALTH PROVIDERS66055 NESIKA HEALTH GROUP66893 NETCARE LIFE AND HEALTH INSURANCE66893 Network Health66917 Network Health PPO67466 Network Healthplan of Wisconsin67466 New Alliance Health Plan67466 New England Financial68011 New England, The68011 NEW ERA LIFE68041 New West Health Plan

Page 23: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

68041 NEW YORK MEDICAL IMAGING - MVP68041 NEW YORK PRESBYTERIAN COMMUNITY68041 New York Presbyterian System68046 NGS AMERICAN68048 Nippon Life68050 NJ Carpenters Health Fund68053 North America Benefits Network68195 North American Medical Mgmt- No. CA68195 NORTHEAST GEORGIA HEALTH68241 Northern Illinois Health Plan68241 Northern Nevada Trust Fund68241 Nova Casualty Company68241 NOVA HEALTH ADMIN (GRAND ISLAND)68241 NOVASYS68241 NPPN/Conseco68241 NY DOH UCP68241 NYHART68241 NYLCare Health Plan68241 NYMI OXFORD68241 Occupational Health Mgmt68241 Ochsner Health68241 ODS HEALTH PLAN68241 OEA CHOICE TRUST68241 OFFICE OF ADMINISTRATOR, WASHINGTON68241 Ohana Health Plan68241 Ohio BWC68241 Ohio Comp Choice68241 Ohio Employee Health Partnership68241 Ohio Health Choice Plan (OH)68241 OHIO HEALTH CHOICE PPO68241 OLYMPIC HEALTH MANAGEMENT SYSTEMS68241 Omnicare - A Coventry Health Plan68241 ONE HEALTH PLAN (ALL 50 STATES)68241 ONE Health Plan Inc68241 One Health Plan Inc.68241 One Health Plan Michigan, Inc.69493 One Health Plan New York, Inc.70491 One Health Plan of Alaska70491 One Health Plan of Arizona, Inc.71063 One Health Plan of California71063 One Health Plan of Colorado71063 One Health Plan of DC Inc,71080 One Health Plan of Florida72087 One Health Plan of Georgia LA72087 One Health Plan of Illinois LA72099 One Health Plan of Indiana, Inc.72112 One Health Plan of KS and MS

Page 24: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

72112 One Health Plan of MA72126 One Health Plan of Maine, Inc.72128 One Health Plan of Minnesota, Inc.72148 One Health Plan of Nevada, Inc.72467 One Health Plan of New Jersey73066 One Health Plan of North Carolina73074 One Health Plan of Ohio OK73100 One Health Plan of Pennsylvania73100 One Health Plan of South Carolina73100 One Health Plan of Tennessee73126 One Health Plan of Texas73143 One Health Plan of Virginia, Inc.73145 One Health Plan of Washington73155 One Health Plan of Wisconsin, Inc.73159 One Health Plan of Wyoming73288 Onenet PPO74048 Operating Engineers Local 302 & 61274095 Operating Engineers Local 302 & 61274214 Optimum Choice Inc. - OCI74214 Optimum Choice Inc. (OCI) TX74223 Optimum Choice of the Carolinas74238 Optimum Choice of the Carolinas74240 Option Services Group74323 OptumHealth Behavior Solutions75130 OptumHealth Behavior Solutions75133 OptumHealth New Mexico75134 ORNDA Health D29675137 Orthonet Corporation - CIGNA75138 OSF Health Plans75138 OSG - ST. THERESE PHYSICIAN ASSOC.75190 OSNA Cigna Commercial75190 OSNA Cigna Medicare VA75190 OSNA United Health Care75191 Oxford Health Plans75196 P5 Health Plan Solutions of Utah75196 PACIFIC LIFE & ANNUITY COMPANY75196 Pacific Mutual Life Ins. Company75229 PacifiCare of Arizona75232 PacifiCare of California75233 PacifiCare of California - Claims75234 Pacificare of Colorado75234 Pacificare of Colorado (HMO) TX75236 PacifiCare PPO - All States75237 PACIFICSOURCE HEALTH PLANS75238 Paramount Preferred Network-OH BWC75238 PARKLAND HEALTH FIRST75240 Partners in Practice (TX)

Page 25: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

75240 Partners National Health Plans75240 Passport Advantage75240 Passport Advantage.75243 Passport Health Plan75245 Patient Advocates, LLC75250 PCA STAR MEDICAID75255 Peoples Health Network TX75257 Performax, Inc.75261 PersonalCare75261 PHA Admin Serv.75261 PHCS Savility Payers75261 PHOENIX GROUP SERVICES75261 PHOENIX GROUP SERVICES (TEXAS)75261 Phoenix Health Plan75273 PHOENIX HEALTHCARE75276 PHP of Mid-Michigan75278 PHP TENNCARE75278 PHP TENNCARE AR75279 PHP TENNCARE (Cariten)75280 PHP TennCare (Covenant Health)75280 Physician Care Network-Rockford IL75280 Physician Health Partners75281 Physicians Alliance75600 Physicians Alliance/Stones River Regional IPA76028 Physicians Care Health Plans OH76049 Physicians Care Network76049 Physicians Care Network (ASR)76049 PHYSICIANS CARE NETWORK (PCN)76342 Physicians Health Collaborative76343 Physicians Health Plan CA,NV76569 Physicians Health Plan (PHP)- NC76569 Physicians Health Plan (PHP)- SC77039 Physicians Health Plan No. Indiana77042 PHYSICIANS MUTUAL INSURANCE COMPANY77045 Physicians Plus Insurance Corp.77045 PIEDMONT ADMINISTRATORS77054 Pinnacle Claims Management Inc77070 Pioneer Life Insurance Co77073 Pipeline Industry Benefit Fund77082 PITTMAN & ASSOCIATES77201 Plaines (IA)79480 Plaines Advisor (FL) (WI)79480 Plaines Networks - Envoy81040 Planned Administrators, Inc. (PAI)82048 Poly-American Medical & Dental83035 POMCO83253 PPO Plus LLC

Page 26: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

84133 PPOM84141 Prairie States Enterprises, Inc.85035 Preferred Benefit Administrators86002 Preferred Care FL NY86003 Preferred Care Partners PA86003 PREFERRED COMMUNITY CHOICE PA86033 Preferred Community Choice (OK)86033 Preferred Health Network (PHN)86040 Preferred Health Plan86040 Preferred Health Plan (Louisville)86044 Preferred Health Professionals86047 Preferred Health Systems86047 Preferred Network Access NJ86048 PREFERRED NETWORK ACCESS, INC. NY86049 Preferred One PA86052 PREFERRED PLUS OF KANSAS (PPK)86052 Premier Benefits Inc.86066 Premier Comp of Hometown Health Net87042 PREMIER HEALTH NETWORK87066 Premier Health Plans87066 Premier Managed Care (OH BWC)87068 Presbyterian (NM)87265 PREVEA HEALTH INSURANCE PLAN87265 Primary Choice (Aetna HP-NY/NJ)87815 Primary Health Network87815 Primary Physician Care Inc87815 PRIME BENEFITS SYSTEM87815 Prime Health88006 Prime West Health Plan88022 PRIMESOURCE HEALTH NETWORKS88027 Principal Financial Group88029 Principal Healthcare Life88067 Principal Life Insurance Company88331 Principal Mutual Life Insurance88461 Pro Care Health Plan WI90001 Professional Benefit Admin90001A Professional Benefit Admin-FL90010 Professional Claims Mgmt-Canton90010 Professional Risk Management MO90023 Promina ASO90060 Protegrity Services (Ohio BWC)90061 PROVIDENCE PREFERRED OF WASHINGTON90607 Provident Healthsource (Cigna)91051 PROVIDENT LIFE AND ACCIDENT INS91051 Provident Life and Accident Ins. WA91078 Provider Networks of America-PRONET91121 PRU Plus WA

Page 27: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

91131 PruCare of California91131 PruChoice91131 Prudential91136 Prudential for Health91136 Prudential Health Insurance AK91136 Prudential HealthCare & Life91136 Prudential Healthcare Health Maint. AK91136 Prudential Healthcare HMO91136 Prudential Healthcare Metro Network AK91136 Prudential Healthcare of America91136 Prudential Healthcare Systems-PHCS AK91136 Prudential HMO Small Business91136 Prudential Plus AK91136 Prudential PPO Small Business91136 Prudential PSO Small Business AK91136 Prudential Psychiatric Mgmt91136 PruNet AK91136 PruNetwork91136 PruPsych AK91136 PsychCare LLC91136 Puget Sound Benefits Trust AK91136 Puget Sound Benefits Trust91136 Quad Med LLC (Pewaukee, WI) AK91136 Qual Choice of Arkansas91136 QualCare Inc. AK91136 QUINCY HEALTH CARE MANAGEMENT INC.91136 Railroad Medicare AK91136 RAILROAD MEDICARE91136 RANDMARK, INC AK91136 RBMS LLC91136 Regional Care, Inc. AK91136 Reliance National Insurance91136 Reserve National Insurance AK91136 RightChoice Benefits Administrators91136 RIVER QUEST NETWORK, INC. AK91151 Riverbend GBA91151 Riverside Family Health Med Grp IPA91176 RMSCO, INC.91617 Rooney Life Inc.93029 Rosemont of Des Plaines93092 Rush Prudential93092 RUSH PRUDENTIAL HMO94316 S & S HEALTHCARE STRATEGIES CA94316 SAGAMORE HEALTH NETWORK CA95241 Saint Mary's Health95266 Santa Clara Family Health Plans95266 SANUS- HMO/PPO ST LOUIS NM

Page 28: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

95266 Sanus PPO/General American NM95266 SCAN Long Term Care95266 Scott & White Health Plan95340 SEABURY & SMITH95376 SECURE HEALTH PLANS OF GEORGIA95377 Secure Horizons (PFFS)95377 Secure Horizons Arizona - Claims95379 Secure Horizons CA CA95379 Secure Horizons California CA95388 Secure Horizons of CA IL95412 Secure Horizons of California CO95415 SECURITY HEALTH PLAN95415 Select Administrative Services-SAS95415 Select Benefit Admin of America95420 Select Benefit Admin-Des Moines95440 Select Benefit Administrators95444 Select Benefit Administrators95467 Select Choice95569 Select Health of South Carolina GA95569 SELECTCARE GA95569 Selectcare of Texas (Beaumont) GA95570 Selectcare of Texas (Houston) CA95691 Selectcare of Texas (Kelsy-Seybold)95691 SELF INSURED BENEFIT ADMINISTRATORS96107 SELF INSURED PLANS96475 Self-Funded Plans Inc (IL/PA/OH)97055 Senior Choice (Aetna HP-NY/NJ)97055 Senior Whole Health97055 SeniorCare98010 SENTINEL MANAGEMENT SERVICES99208 Sentry Life Insurance Company HA99208 SETON EMPLOYEE PLAN HIADOCS Seton Health PlanADOCS SETON HEALTH PLAN - MAP PROGRAMADSL1 SETON HEALTH PLAN (CHIP)ADSL1 Seven CornersAHS01 Share Health Plan - ILL/PPOAMAIA Shasta Administrative ServicesBMATP Shaw Industries (Acordia National)BOONG Shaw Industries (Acordia)CALOP Sheakley UNICOMP (Ohio BWC)CAMAA Sheet Metal Workers - Local 91CELTC Sierra Health ServicesCMSEB Sierra Health Services EncountersCMSEB Sierra Nevada Medical AssociatesCOMMF SIGNATURE HEALTH ALLIANCEDAK01 SMA HEALTH PLANS SD

Page 29: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

E3510 SMIPA/SFIPAE3510 Smith Administrators CAE3510 Solidarity Managed Care Org-PH BWCE3510 Sonoma County Primary Care CAE3510 Sonoma County Primary CareE3510 SoNoran Desert Health CAE3510 Sooner Health NetworkE3510 SOUND HEALTH (PROVIDENCE)E3510 SOUTHCARE/HEALTHCARE PREFERRED CAE3510 Southern Benefit ServicesE3510 SOUTHERN DESERT HEALTH (WISCONSIN) CAEPF03 Southern Health ServicesEPNSH Southwest Service LifeGTPA1 SPECIAL RISK INTERNATIONAL TXGTPA1 Spectrum Administrators-Allentown TXGTPA1 Spina Bifida - VA HAC TXHDMCO St. Anthony Memorial HealthcareHPN11 ST. BARNABAS SYSTEM HEALTH PLANHPN11 St. Catherine Hospital PHO - MDWISE TXHPN11 St. Francis Health NetworkIAC01 St. John's Claim AdministrationJISSP St. Margaret Mercy HealthcareKLSY1 St. Therese Physicians Association TXLIFE1 Star HRGMCCBV StarmarkMCCBV State Employees Group BenefitsMER11 STATE EMPLOYESS GROUP BENEFITSMER11 State Farm Insurance CompaniesMHP77 Staywell Health Plan (Wellcare HMO)MIDSC Sterling Option 1MIDSC Stones River Regional IPAMIDSC Student InsuranceMPHC2 Student-Reliance Insurance CompanyMPHC2 Suburban Health OrganizationOSFIL Suburban Health Organization ILPHPMC SUFFOLK HEALTH PLAN OF NEW YORKSHEBP SUMMACARE HEALTH PLANSHMAP Summerlin Life & Health InsuranceSHP11 SummitCorp (Ohio BWC) TXSHPCH SUPERIOR BENEFITSSPOHN Superior Health Plan TexasSX079 Synergy Health PlansTCUCH Tall Trees AdministratorsTCUCH TEAM CHOICE - ALPHA CARE GOLDTCUSA TEAM CHOICE PNSTTCEC TEAM CHOICE UMCTTCEC Teamcare

Page 30: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

TTCEC TEAMSTERS LOCAL UNION #301UHSCH Texas Childrens Health PlanUNIV1 Texas Community CareUSFHP Texas Municipal League GroupWELM2 TEXAS MUNICIPAL LEAGUE GROUP02910 TEXAS TRUE CHOICE HI04332 The Alliance (WI Provider Network) MAEPF37 The Boon GroupSX088 The Chesterfield Companies12005 The City of Odessa12X03 THE EPOCH GROUP12X24 THE EPOCH GROUP13374 THE FORD METER BOX COMPANY, INC.16107 The Health Exchange21810 The Health Plan (Ohio BWC)22445 The Healthcare Group24077 THE INTEGRITY BENEFIT NETWORK, INC.34025 The Loomis Company35196 The Mega Life & Health Insurance35196 THE OATH FOR LOUISIANA35196 THE PREFERRED HEALTHCARE SYSTEM-PPO35196 The Prudential35196 THE TPA (BENESIGHT)35196 The Travelers35197 THIRD PARTY CLAIMS MANAGEMENT3561l Time Insurance Company37115 TMG Life Insurance Company37117 TN IPA39111 Today's Option43132 Tooling & Manufacturing Association MO48603 TOTAL CARE CHOICE52098 Total Community Care52812 Total Health Care58216 Total Health Choice58216 Total Health Management (OH BWC)58247 Touchpoint59334 Touchpoint61160 Touchstone Health Net SmartChoice62177 Touchstone Health PSO62310 Tower Life62310 TR PAUL, INC.62310 TransAmerica Life Insurance Co66916 Travelers Health Network-HMO69140 Travelers/CGT-PPO69140 Tricare (CHAMPUS) - North Region69140 Tricare (CHAMPUS) - North Region (Inst Claims)74275 Tricare (CHAMPUS) - North Region PART B ONLY

Page 31: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

75201 Tricare (CHAMPUS) - South Region75202 Tricare (CHAMPUS) - South Region PART B ONLY75289 Tricare (CHAMPUS) - West Region8588M Tricare North Hospital Claims88050 Tricare South Hospital Claims93031 Tristate94249 TRUE CHOICE USA95092 True Choice USA/Christus Health95170 TRUSTEED PLANS SERVICE CORPORATION96218 Trustmark00813 Trustmark Insurance Company54763 Tufts Health Plan PA60061 UBH Employer Division PA61125 UBH Employer Division81039 UBH RIOS86071 UHC (form MetraHealth Care Plans)95044 UHC (form MetraHealth Care Plans) PA22248 UHC RIVER VALLEY22248 UICI- Administrators00621 UICI-ADMINISTRATORS - ST OF NEVADA ILBS84980 UMC Health Plan TXMDAL00 UMR - Onalaska ALMDMO00 UMR Wausau/UHIS MOMDOH00 UMWA HEALTH & RETIREMENT FUNDS OHMDWV00 UNICARE WV22099 UNICARE - Special Accounts NJ38520 Unified Group Services38520 UNIFIED HEALTH SERVICES38520 Uniform Medical Plan38520 UNION LABOR LIFE INSURANCE COMPANY38520 UNION PACIFIC RAILROAD EMPLOYEESBS064 Union Security Insurance Company HIBS730 Unison/Three Rivers Health Plans MSCHTRW United Behavioral HealthMDCA00 United Behavioral Health CAMDFL00 UNITED BENEFITS/POE & BROWN FLMDGA00 United Healthcare GAMDHI00 United Healthcare HIMDKY00 United Healthcare KYMDME00 United Healthcare MEMDMI00 United Healthcare - Evercare MIMDMN00 United Healthcare - Evercare MNMDNJ00 United HealthCare (MetraHealth) NJMDNY00 United HealthCare (MetraHealth) NYBS770 United Healthcare (The Travelers) NHMDKS00 United Healthcare (UHC) KS00882 United Healthcare (UHC)

Page 32: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

00882 United Healthcare (UHC) ALLBS510 United Healthcare (UHC) ALMDMD00 United HealthCare ALL States MDMDRI00 United HealthCare ALL States RI38521 United Healthcare of the Midwest38521 UNITED MEDICAL RESOURCESBS530 United Mine Workers Association AZMDPA00 United of Omaha PAMCAK00 United of Omaha AKMCAL00 United States Automobile Assoc ALMCGA00 Unity Health Insurance GAMCHI00 Unity/Precision Health Plans HIMCIN00 Univera Health Southern Tier INMCNY00 Univera Healthcare NYMCOH00 Univera Healthcare - CNY OHMCTX00 UNIVERSAL CARE- CALIFORNIA TXMCVA00 Universal Health Care Inc VAMCWI00 Universal Health Care Inc. WIMDDE00 UNIVERSAL HEALTH PLAN DE00611 University Comp Care (Ohio BWC) IDBS241 University Health Alliance (UHA) MOBS338 UNIVERSITY HEALTH PLAN OHBS630 University Health Plan (Medicaid) INBS660 University Health Plans of Georgia KYBS680 University of Washington Students MEBS690 University of Washington Students MDBS765 UPMC Health Plan NVBS923 UPMC Health Plan VABS950 UPPER PENINSULA HEALTH PLAN WIMDAR00 US Benefits AR00610 US FAMILY HEALTH PLAN (USFHP) ID23738 USFHP ST. VINCENT CATHOLIC MEDICAL LABS030 USI ADMINISTRATORS IABS390 UTILMED TNMDCO00 UTMB Healthcare Systems COMDCT00 UTMBP Healthcare Systems CTMDIA00 VA Fee Basis Programs IAMDMA00 VA Health Admin Ctr MAMDMS00 VA Veterans Affairs MSMDNC00 VALLEY HEALTH PLAN NCMDOR00 Valley Preferred PPO ORBS242 Value Options Commericial Claims MOBS550 Vanderbilt Health Plan COBS700 VANTAGE HEALTH PLAN MABS720 Vida Care MNBS760 VISTA HEALTH PLAN NEMDAZ00 VNS CHOICE Medicare AZ

Page 33: DataLink Solutions - Institutional Claims Payer List...DataLink Solutions - Institutional Claims Payer List Some payers may require special enrollment - Contact Customer Service at

MDID00 Volusia Health Network IDMDIN00 VYTRA HEALTHCARE INMDVA00 WAL-MART VA00520 Washington National Insurance Co ARBS003 Waterstone Benefit Administrators NCBS710 Watkins Associated Industries Inc. MIBS711 WATKINS ASSOCIATED INDUSTRIES, INC. MIBS711 Wausau Benefits, Inc. MI13337 WEA INSURANCE GROUP22304 WEB TPA22304 WebTPAMDLA01 Wellcare LAMMLI3 Wellcare of ConnecticutBS088 Wellcare of Georgia UTBS870 Wellcare of Kentucky RIMDNE00 Wellcare of Louisiana NE5522I Wellcare of New Jersey AKFQHC1 Wellcare of New YorkMCNE01 Wellcare of Ohio NEMCAR00 Wellcare of Texas ARMCAZ00 WELLMED/SECURE HORIZONS (CLAIMS) AZMCCA01 Wellpath CAMCCO00 Wells Fargo TPA COMCCT00 Wells Fargo TPA (Acordia National) CTMCFL00 West Coast Stationary Engineers FLMCID00 West Coast Stationary Engineers IDMCIL00 Western Grower's Assurance Trust ILMCLA00 Western Grower's Insurance Company LAMCMA00 Western Grower's Insurance Trust MAMCMD00 WESTERN MUTUAL INSURANCE MDMCME00 WESTERN SOUTHERN FINANCIAL GROUP MEMCMI00 WestLake Financial Group Inc. MIMCMS00 WEYCO MSMCNJ00 WILLIAM J. SUTTON & COMPANY NJMCPA00 Willis Administrative Services PAMCRI00 WILLIS COROON RIMCTN00 Wilson-McShane TNMCUT00 Windsor Medicare Extra UTMCUT01 Wisconsin Auto and Truck Dealers UT54771 WISCONSIN EMPLOYERS GROUP PABS570 Worksite Benefit Services, LLC DEBS590 World Insurance Company FLMCIA00 Writers Guild-Industry Health Plan IAMCKS00 XANTUS HEALTHPLAN OF TENNESSEE KSMCKY00 YALE PREFERRED HEALTH KYMCNE00 Yavapai County NE