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SORTED BY STATE
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New Payer = |
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Added since last
publication. N = New Payer, C =
Change to payer record. |
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Par/Non-Par = |
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Par = Payers which
participate with ProxyMed in efforts to increase EDI volumes by subsidizing
all or a significant portion |
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of the cost of electronic
transmission. |
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Non-Par = Payers which
do not participate with ProxyMed in programs to increase EDI volumes by
subsidizing the cost of electronic transmission. |
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Payer ID = |
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Is used to route
claims electronically. Each claim
must be associated with a payer ID.
If using ProxyMed's software, EZ-Claim, ProxyMed can assign these
numbers. Speak to your Implementation
Coordinator or Account Executive for more information. If sending directly from your practice
management system, speak to your practice management software vendor about
where to store payer IDs. You may
notice a change in Payer ID since our last update. Please note, ProxyMed will continue to accept all previous
codes. |
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Comm/Govn't/Paper = |
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Comm = Commercial
health plans and those participating Blue Cross and Blue Shield carriers. |
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Govn't = Medicare,
Medicaid and non participating Blue Cross Blue Shield payers. |
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Paper = Payers that can
not receive claims electronically.
ProxyMed prints to paper and mails to payer. |
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ST = |
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State specific payers
have state abbreviation, national payers are blank. |
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Provider ID Required = |
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Payer has stated
unique ID #'s are assigned to each provider or group. Contact your payer representative for more
information. These #'s must appear on
each claim record. |
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Enrollment Authorization
= |
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Payer requires
notification and/or paperwork be completed prior to sending claims. Contact ProxyMed's Enrollment department
for more information. (888) 894-7888
selection 2. |
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Response Level = |
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This indicates the
claim status response/acknowledgement you will receive back from ProxyMed and
the payer. ProxyMed indicates
ProxyMed acknowledges claim, payer does not.
Payer acknowledgement indicates payer will also acknowledge
claim. Payer Claim S |
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Test = |
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Provider must test
with payer in addition to ProxyMed. |
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| New Payer |
Par/ Non-Par |
Payer ID |
Comm/ Govn't/ Paper |
ST |
Payer Name |
Provider ID Req. |
Enrollment Authorization |
Response Level From Payer |
Test Required |
M/D |
|
| C 11/15/00 |
Par |
CH002 |
Govn't |
AK |
CHAMPUS - Alaska |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR024 |
Govn't |
AK |
DMERC - Alaska (Region D) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
AK |
Medicare - Alaska {Please call
888-894-7888 opt 1, client services if you are interested in sending these
claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| N 3/5/01 |
Non-Par |
BS054 |
Govn't |
AL |
Blue Shield - Alabama |
Yes |
Enr., Auth. |
Payer Claim Status |
Yes |
M |
|
| C 11/15/00 |
Par |
CH002 |
Govn't |
AL |
CHAMPUS - Alabama |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR032 |
Govn't |
AL |
DMERC - Alabama (Region C) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 5/17/02 |
Non-Par |
63082 |
Comm |
AL |
Insurance Claims Service, Inc. |
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Payer Acknowledgment |
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M |
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| N 11/28/00 |
Non-Par |
MC018 |
Govn't |
AL |
Medicaid - Alabama |
Yes |
Authorization |
Payer Claim Status |
|
M |
|
| N 6/24/02 |
Non-Par |
MR054 |
Govn't |
AL |
Medicare - Alabama |
Yes |
Enrl, Auth |
Payer Acknowledgment |
Yes |
M |
|
| N 5/17/02 |
Non-Par |
63092 |
Comm |
AL |
The OATH – A Health Plan For
Alabama {Note: all claims require a 4-6 digit rendering provider id, please
contact The OATH prior to sending @ 800-743-7141 for provider enrollment} |
Yes |
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Payer Acknowledgment |
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M |
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| N 8/27/01 |
Par |
87726 |
Comm |
AL |
United HealthCare of Alabama |
Yes |
|
Payer Acknowledgment |
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M |
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| N 5/15/02 |
Non-Par |
|
Govn't |
AR |
Blue Shield - Arkansas {Please call 888-894-7888 opt 1,
client services if you are interested in sending these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
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| C 11/15/00 |
Par |
CH002 |
Govn't |
AR |
CHAMPUS - Arkansas - Region 4 |
Yes |
Enrollment |
ProxyMed Acknowledgment |
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M |
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| |
Non-Par |
CH001 |
Govn't |
AR |
CHAMPUS - Arkansas - Region 6 |
Yes |
Enrollment |
ProxyMed Acknowledgment |
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M |
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| C 3/29/01 |
Par |
71063 |
Comm |
AR |
CNA Health Partners (Formerly
Coresource, AR) |
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ProxyMed Acknowledgment |
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M |
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| |
Non-Par |
MR032 |
Govn't |
AR |
DMERC - Arkansas (Region C) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
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Par |
71074 |
Comm |
AR |
Healthsource, AR |
Yes |
|
ProxyMed Acknowledgment |
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M |
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| |
Non-Par |
71075 |
Comm |
AR |
Healthsource, AR (Medicare HMO) |
Yes |
|
ProxyMed Acknowledgment |
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M |
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| N 9/1/00 |
Non-Par |
MC029 |
Govn't |
AR |
Medicaid - Arkansas |
Yes |
Enrollment |
Payer Claim Status |
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M |
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| N 6/24/02 |
Non-Par |
MR055 |
Govn't |
AR |
Medicare - Arkansas |
Yes |
Enr., Auth. |
Payer Acknowledgment |
Yes |
M |
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| |
Non-Par |
35174 |
Comm |
AR |
Qual Choice of Arkansas |
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ProxyMed Acknowledgment |
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M |
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| N 8/27/01 |
Par |
87726 |
Comm |
AR |
United HealthCare of Arkansas |
Yes |
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Payer Acknowledgment |
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M |
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| |
Non-Par |
BS046 |
Govn't |
AZ |
Blue Shield - Arizona |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| C 11/15/00 |
Par |
CH002 |
Govn't |
AZ |
CHAMPUS - Arizona |
Yes |
Enrollment |
Payer Claim Status |
|
M |
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| |
Non-Par |
MR024 |
Govn't |
AZ |
DMERC - Arizona (Region D) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 1/9/02 |
Non-Par |
86065 |
Comm |
AZ |
HMA Inc. (Arizona) |
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|
ProxyMed Acknowledgment |
|
M |
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| |
Par |
61101 |
Comm |
AZ |
Lincoln National - Phoenix, AZ
(Humana) |
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|
ProxyMed Acknowledgment |
|
M |
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| |
Non-Par |
MR008 |
Govn't |
AZ |
Medicare - Arizona |
Yes |
Enrollment |
Payer Claim Status |
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M |
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| N 6/28/02 |
Par |
|
Comm |
AZ |
Pacificare of Arizona (Providers
must contact the payer to get set up to submit electronic claims. Contact Tishia Mendoza @ 602-244-8200 ext
4313 for set up and payer id.) |
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Payer Claim Status |
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M |
|
| N 8/27/01 |
Par |
87726 |
Comm |
AZ |
United HealthCare of Arizona,
Inc. |
Yes |
|
Payer Acknowledgment |
|
M |
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| |
Non-Par |
IP026 |
Comm |
AZ |
Western Arizona Regional
Physicians (Labs Only) |
|
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| N 7/20/01 |
Par |
IP093 |
Comm |
CA |
Affinity (through PPMSI) |
Yes |
Enr., Auth. |
Payer Claim Status |
|
M |
|
| |
Non-Par |
IP002 |
Comm |
CA |
Arrowhead Physician Alliance
(Labs Only) |
|
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
IP008 |
Comm |
CA |
Associated Hispanic Physicians
(Labs Only) |
|
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
BC001 |
Comm |
CA |
Blue Cross - California (also has ERA connection) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Par |
HM006 |
Comm |
CA |
Blue Cross - California Care -
HMO |
Yes |
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
BC001 |
Comm |
CA |
Blue Cross (Cal-Optima -
Medi-Cal) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Par |
BS001 |
Comm |
CA |
Blue Shield - California / Blue
Shield (FEP) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Par |
HM007 |
Comm |
CA |
Blue Shield HMO - HMO |
Yes |
Enrollment |
Payer Claim Status |
Yes |
M |
|
| C 10/23/00 |
Non-Par |
94316 |
Comm |
CA |
Brown & Toland |
|
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
IP059 |
Comm |
CA |
Calif. Care (Humboldt Del Norte) |
|
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
IP020 |
Comm |
CA |
California Primary Care Medical
Group (Labs Only) |
|
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
BC001 |
Comm |
CA |
Cal-Optima - Medi-Cal (Blue
Cross) |
|
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
IP037 |
Comm |
CA |
Central Coast IPA (Labs Only) |
|
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| C 11/15/00 |
Par |
CH002 |
Govn't |
CA |
CHAMPUS - California |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 1/16/01 |
Non-Par |
HM022 |
Comm |
CA |
Delta Health Systems - Gallo
(Encounters Only) |
|
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| N 1/16/01 |
Non-Par |
HM023 |
Comm |
CA |
Delta Health Systems - Gallo
Union (Encounters Only) |
|
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| N 1/16/01 |
Non-Par |
HM021 |
Comm |
CA |
Delta Health Systems - Memorial
(Encounters Only) |
|
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| 5/1/2001 |
Par |
IP079 |
Comm |
CA |
Empire Physicians MG |
|
Enr., Auth. |
Payer Claim Status |
|
M |
|
| |
Par |
IP017 |
Comm |
CA |
Family / Seniors Medical Group,
Inc. (Labs Only) - IPA |
|
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
FH001 |
Comm |
CA |
Foundation Health |
|
Enrollment |
Payer Claim Status |
|
M |
|
| |
Par |
FH002 |
Comm |
CA |
Foundation Health - HMO |
|
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
FH002 |
Comm |
CA |
Foundation Health Amerimed - HMO |
|
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
FH002 |
Comm |
CA |
Foundation Health Amerimed
Senior - HMO |
|
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
IP062 |
Comm |
CA |
General Hospital (Humboldt Del
Norte) |
|
Enr., Auth. |
ProxyMed Acknowledgment |
|
M |
|
| N 7/17/01 |
Par |
IP087 |
Comm |
CA |
Genesis Healthcare (EMG) |
|
Enr., Auth. |
Payer Claim Status |
|
M |
|
| N 7/17/01 |
Par |
IP086 |
Comm |
CA |
Good Samaritan Medical Practice
Association (GSMPA) |
|
Enr., Auth. |
Payer Claim Status |
|
M |
|
| |
Par |
FH003 |
Comm |
CA |
Health Net (Claims Only) |
|
Enrollment |
Payer Acknowledgment |
|
M |
|
| C 3/16/01 |
Par |
HM001 |
Comm |
CA |
Health Net (Encounters Only) |
|
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
94254 |
Comm |
CA |
Health Plan of the Redwoods
(Mediprime) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 11/28/00 |
Par |
IP081 |
Comm |
CA |
Healthbridge |
Yes |
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| N 5/24/02 |
Non-Par |
HERZ0 |
Comm |
CA |
High Desert Medical Group |
|
Authorization |
Payer Claim Status |
|
M |
|
| C 6/7/02 |
Par |
|
Comm |
CA |
Hill Physicians Medical Group
{providers should call customer
service at 800-445-5747 for information to get setup to submit edi claims and
to obtain the payer id} |
Yes |
Enr., Auth. |
Payer Claim Status |
|
M |
|
| |
Par |
61101 |
Comm |
CA |
Humana Health Plan - HMO |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
61101 |
Comm |
CA |
Humana Medical Plan - CA |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 7/17/01 |
Par |
IP089 |
Comm |
CA |
Imperial Valley Medical Group
(IMPV) |
|
Enr., Auth. |
Payer Claim Status |
|
M |
|
| N 2/25/02 |
Par |
JMH01 |
Comm |
CA |
John Muir Health Network |
Yes |
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| |
Par |
HM036 |
Comm |
CA |
Kaiser Permanente (Encounter
data only) |
|
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| C 12/10 |
Par |
KS001 |
Comm |
CA |
Kaiser Permanente (Southern
California Only) |
|
Enrollment |
Payer Claim Status |
|
M |
|
| N 12/29/00 |
Par |
IP082 |
Comm |
CA |
Key Medical Group (Providers
please contact Brandi Guinn @ 559-735-3892 ext. 233 for authorization) |
Yes |
Authorization |
Payer Claim Status |
|
M |
|
| |
Non-Par |
IP021 |
Comm |
CA |
Korean American Medical Group
(Labs Only) |
|
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| N 4/24/00 |
Par |
HM039 |
Comm |
CA |
LA Care - Encounter data only |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| C 9/13/00 |
Par |
95416 |
Comm |
CA |
Lakeside IPA |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
IP060 |
Comm |
CA |
Mad River Community (Humboldt
Del Norte) |
|
Enr., Auth. |
ProxyMed Acknowledgment |
|
M |
|
| C 1/28/02 |
Non-Par |
MC050 |
Govn't |
CA |
Medi-Cal - California - Type 04
(Outpatient) |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| C 1/28/02 |
Non-Par |
MC051 |
Govn't |
CA |
Medi-Cal - California - Type 05
(Medical) |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR002 |
Govn't |
CA |
Medicare (NHIC) of California
(also has ERA connection) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| C 1/18/00 |
Non-Par |
MR001 |
Govn't |
CA |
Medicare (Transamerica) of
California |
Yes |
Enrollment |
Payer Acknowledgment |
|
M |
|
| |
Non-Par |
IP004 |
Comm |
CA |
Midcoast Care (Marian IPA) (Labs
Only) |
|
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
IP014 |
Comm |
CA |
Mission Valley IPA Medical
Group/Lompoc (Labs Only) |
|
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| N 12/29/00 |
Par |
IP083 |
Comm |
CA |
Mosaic IPA Medical Group
(Providers please contact Brandi Guinn @ 559-735-3892 ext. 233 for
authorization) |
Yes |
Authorization |
Payer Claim Status |
|
M |
|
| N 10/23/00 |
Non-Par |
E3510 |
Comm |
CA |
North American Medical
Management - (Must contact the EDI Claims Manager @ NAMM before sending
claims: 510.450.1500) |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
IP016 |
Comm |
CA |
Oakview Medical Group, Inc.
(Labs Only) IPA |
|
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
IP061 |
Comm |
CA |
OMNI Healthcare (Humboldt Del
Norte) |
|
Enr., Auth. |
ProxyMed Acknowledgment |
|
M |
|
| N 7/17/01 |
Par |
IP088 |
Comm |
CA |
Omnicare Medical Group (OMNI) |
|
Enr., Auth. |
Payer Claim Status |
|
M |
|
| |
Par |
95379 |
Comm |
CA |
One Health Plan of California,
Inc. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| C 11/13/01 |
Par |
95959 |
Comm |
CA |
Pacificare - Secure Horizon CA |
|
|
ProxyMed Acknowledgment |
|
M |
|
| 3/29/2001 |
Par |
HM012 |
Comm |
CA |
PacifiCare (encounters) |
|
Authorization |
ProxyMed Acknowledgment |
Yes |
M |
|
| N 11/19/01 |
Par |
95959 |
Comm |
CA |
Pacificare of California |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 6/7/02 |
Par |
IP094 |
Comm |
CA |
Physician Associates of Greater
San Gabriel Valley |
|
Enr., Auth. |
ProxyMed Acknowledgment |
|
M |
|
| N 11/28/00 |
Par |
IP081 |
Comm |
CA |
PrimeCare |
Yes |
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| N 5/1/01 |
Par |
IP079 |
Comm |
CA |
PrimeCare Medical Network -
Chino |
|
Enr., Auth. |
Payer Claim Status |
|
M |
|
| N 5/1/01 |
Par |
IP079 |
Comm |
CA |
PrimeCare Medical Network -
Corona |
|
Enr., Auth. |
Payer Claim Status |
|
M |
|
| N 5/1/01 |
Par |
IP079 |
Comm |
CA |
PrimeCare Medical Network -
Hemet |
|
Enr., Auth. |
Payer Claim Status |
|
M |
|
| N 5/1/01 |
Par |
IP079 |
Comm |
CA |
PrimeCare Medical Network -
Inland Valley |
|
Enr., Auth. |
Payer Claim Status |
|
M |
|
| N 5/1/01 |
Par |
IP079 |
Comm |
CA |
PrimeCare Medical Network -
Moreno |
|
Enr., Auth. |
Payer Claim Status |
|
M |
|
| N 5/1/01 |
Par |
IP079 |
Comm |
CA |
PrimeCare Medical Network -
Redlands |
|
Enr., Auth. |
Payer Claim Status |
|
M |
|
| N 5/1/01 |
Par |
IP079 |
Comm |
CA |
PrimeCare Medical Network -
Riverside |
|
Enr., Auth. |
Payer Claim Status |
|
M |
|
| N 5/1/01 |
Par |
IP079 |
Comm |
CA |
PrimeCare Medical Network - Sun
City |
|
Enr., Auth. |
Payer Claim Status |
|
M |
|
| N 5/1/01 |
Par |
IP079 |
Comm |
CA |
PrimeCare Medical Network -
Temecula |
|
Enr., Auth. |
Payer Claim Status |
|
M |
|
| |
Par |
IP058 |
Comm |
CA |
ProMed Healthcare San Antonio |
|
Enr., Auth. |
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
IP057 |
Comm |
CA |
ProMed Pomona Valley |
|
Enr., Auth. |
Payer Claim Status |
|
M |
|
| |
Par |
PR002 |
Comm |
CA |
Prucare - ASO |
|
|
Payer Claim Status |
|
M |
|
| |
Par |
HM015 |
Comm |
CA |
Prucare - HMO |
|
Authorization |
Payer Claim Status |
|
M |
|
| |
Par |
HM015 |
Comm |
CA |
Prucare Senior - HMO |
|
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
PR002 |
Comm |
CA |
PruChoice |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 10/23/00 |
Par |
IP034 |
Comm |
CA |
Santa Clara County IPA (SCCIPA) |
Yes |
Authorization |
Payer Claim Status |
|
M |
|
| |
Non-Par |
IP027 |
Comm |
CA |
Santa Marta Medical Group (Labs
Only) IPA |
|
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| C 11/19/01 |
Par |
95959 |
Comm |
CA |
Secure Horizon CA - Pacificare |
|
|
ProxyMed Acknowledgment |
|
M |
|
| C 9/28 |
Par |
HM024 |
Comm |
CA |
Shield 65+ (formerly Care
America) |
|
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| N 7/18/01 |
Par |
IP084 |
Comm |
CA |
Sutter Connect - ABMG (Please
contact Sutter to get set up to send claims, 800-611-5191) |
|
Enr., Auth. |
ProxyMed Acknowledgment |
|
M |
|
| N 7/18/01 |
Par |
IP090 |
Comm |
CA |
Sutter Connect - Sutter Medical
Group of the Redlands (SMGR) (Please contact Sutter to get set up to send
claims, 800-611-5191) |
|
Enr., Auth. |
ProxyMed Acknowledgment |
|
M |
|
| N 6/25/02 |
Par |
HM056 |
Comm |
CA |
Sutter Connect- ABMG (Please contact Sutter to get set up to
send Encounters, 800-611-5191) |
|
Enr, Auth |
ProxyMed Acknowledgment |
|
M |
|
| N 6/25/02 |
Par |
IP092 |
Comm |
CA |
Sutter Connect- SIP, SMG, SWMG
(Please contact Sutter to get set up to send claims, 800-611-5191) |
|
Enr, Auth |
ProxyMed Acknowledgment |
|
M |
|
| N 6/25/02 |
Par |
HM059 |
Comm |
CA |
Sutter Connect- SIP, SMG, SWMG
(Please contact Sutter to get set up to send Encounters, 800-611-5191) |
|
Enr, Auth |
ProxyMed Acknowledgment |
|
M |
|
| N 6/25/02 |
Par |
IP091 |
Comm |
CA |
Sutter Connect- Sutter Gould
Medical Foundation (Please contact
Sutter to get set up to send claims, 800-611-5191) |
|
Enr, Auth |
ProxyMed Acknowledgment |
|
M |
|
| N 6/25/02 |
Par |
HM058 |
Comm |
CA |
Sutter Connect- Sutter Gould
Medical Foundation (Please contact
Sutter to get set up to send Encounters, 800-611-5191) |
|
Enr, Auth |
ProxyMed Acknowledgment |
|
M |
|
| N 6/25/02 |
Par |
HM057 |
Comm |
CA |
Sutter Connect- Sutter Medical
Group of the Redwoods (SMGR) (Please
contact Sutter to get set up to send Encounters, 800-611-5191) |
|
Enr, Auth |
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
87726 |
Comm |
CA |
Travelers Health Network - HMO
(Metrahealth) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 11/28/00 |
Par |
IP081 |
Comm |
CA |
Turlock Primary Care Associates
Medical Group |
Yes |
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
68241 |
Comm |
CA |
UC Care (University of
California) |
|
|
Payer Claim Status |
|
M |
|
| N 8/27/01 |
Par |
87726 |
Comm |
CA |
United HealthCare of California
- Northern Calif. |
Yes |
|
Payer Acknowledgment |
|
M |
|
| N 8/27/01 |
Par |
87726 |
Comm |
CA |
United HealthCare of California
- Southern Calif. |
Yes |
|
Payer Acknowledgment |
|
M |
|
| |
Par |
IP044 |
Comm |
CA |
Valley of the Moon |
|
Enr., Auth. |
ProxyMed Acknowledgment |
|
M |
|
| N 12/29/00 |
Non-Par |
77004 |
Comm |
CA |
Valley Physician's IPA |
|
|
Payer Claim Status |
|
M |
|
| |
Non-Par |
IP023 |
Comm |
CA |
Westgrove Medical Group (Labs
Only) - IPA |
|
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR024 |
Govn't |
CA |
DMERC - California (Region D) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
BS020 |
Govn't |
CO |
Blue Shield - Colorado |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| C 11/15/00 |
Par |
CH002 |
Govn't |
CO |
CHAMPUS - Colorado |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR032 |
Govn't |
CO |
DMERC - Colorado (Region C) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| C 10/29/01 |
Non-Par |
COMMA |
Comm |
CO |
Mountain Medical Affiliates |
|
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
95412 |
Comm |
CO |
One Health Plan of Colorado,
Inc. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 8/27/01 |
Par |
87726 |
Comm |
CO |
United HealthCare of Colorado,
Inc. |
Yes |
|
Payer Acknowledgment |
|
M |
|
| N 10/25/99 |
Par |
HM044 |
Comm |
CO |
Kaiser Permanente
(Encounters-Colorado only) (Must
contact Betsy Baxa at 303.743.5828 prior to submission.) |
Yes |
|
Payer Acknowledgment |
|
M |
|
| |
Non-Par |
MC004 |
Govn't |
CO |
Medicaid - Colorado |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| N 12/10/99 |
Non-Par |
BS043 |
Govn't |
CT |
Blue Shield - Connecticut |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
06102 |
Comm |
CT |
Diversified Group Brokerage
(Marlb, CT) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR030 |
Govn't |
CT |
DMERC - Connecticut (Region A) |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| N 6/13/02 |
Non-Par |
95376 |
Comm |
CT |
HealthChoice of Connecticut |
|
|
Payer Acknowledgement |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
CT |
Medicaid - Connecticut {Please call 888-894-7888 opt
1, client services if you are interested in sending these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| |
Non-Par |
MR049 |
Govn't |
CT |
Medicare - Connecticut |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 6/13/02 |
Non-Par |
95376 |
Comm |
CT |
Yale Preferred |
|
|
Payer Acknowledgement |
|
M |
|
| C 3/22/02 |
Non-Par |
SB580 |
Comm |
DC |
Blue Cross Blue Shield Carefirst
- DC, National Capital Area |
Yes |
Enr., Auth. |
Payer Claim Status |
|
M |
|
| C 11/15/00 |
Par |
CH002 |
Govn't |
DC |
CHAMPUS - Washington DC |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR031 |
Govn't |
DC |
DMERC - Washington DC (Region B) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR040 |
Govn't |
DC |
Medicare - Washington DC |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
13310 |
Comm |
DC |
Office of the Administrator
(Seabury and Smith) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| C 3/29/01 |
Par |
BS042 |
Comm |
DE |
Blue Shield - Delaware |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| N 8/21/00 |
Non-Par |
25130 |
Comm |
DE |
Coventry Healthcare of Delaware |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 8/21/00 |
Non-Par |
25137 |
Comm |
DE |
Delaware Care (CHC of Delaware
Medicaid) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR030 |
Govn't |
DE |
DMERC - Delaware (Region A) |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
61101 |
Comm |
DE |
Group Health Insurance |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
61101 |
Comm |
DE |
Health Value Management - DE
(Humana) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR039 |
Govn't |
DE |
Medicare - Delaware |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
BS022 |
Govn't |
FL |
Blue Shield - Florida |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| C 11/15/00 |
Par |
CH002 |
Govn't |
FL |
CHAMPUS - Florida |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR032 |
Govn't |
FL |
DMERC - Florida (Region C) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Par |
AMS01 |
Comm |
FL |
FHC Super Select (FL) -
Wisconsin Only |
|
|
Payer Claim Status |
|
M |
|
| |
Non-Par |
59276 |
Comm |
FL |
Florida 1st - Winterhaven, FL |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
AMS01 |
Comm |
FL |
Florida Health Choice (FL) -
Wisconsin Only |
|
|
Payer Claim Status |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
FL |
Florida Health Choice {Please
call 888-894-7888 opt 1, client services if you are interested in sending
these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| |
Par |
AMS01 |
Comm |
FL |
Florida Health Choice/Select
(FL) - Wisconsin Only |
|
|
Payer Claim Status |
|
M |
|
| C 1/9/02 |
Par |
87815 |
Comm |
FL |
Florida Health Network - PPO |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
48116 |
Comm |
FL |
Florida Hospital Waterman
Employee Benefit Plan |
|
|
Payer Acknowledgment |
|
M |
|
| |
Par |
68241 |
Comm |
FL |
Florida Power & Light
(Prudential) |
|
|
Payer Claim Status |
|
M |
|
| C 1/9/02 |
Par |
87815 |
Comm |
FL |
Gulf Group Services (Anthem) |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/23/01 |
Non-Par |
59608 |
Comm |
FL |
Healthease |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
41555 |
Comm |
FL |
Manatee Service Center (FL) |
|
|
Payer Acknowledgment |
|
M |
|
| |
Non-Par |
MC010 |
Govn't |
FL |
Medicaid - Florida |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR025 |
Govn't |
FL |
Medicare - Florida (also has ERA
connection) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
65018 |
Comm |
FL |
PCA Health Plan of Florida |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
AMS01 |
Comm |
FL |
Plaines Advisor (FL) - Wisconsin
Only |
|
|
Payer Claim Status |
|
M |
|
| N 1/19/01 |
Non-Par |
36404 |
Comm |
FL |
Self Insured Plans LLC |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 8/27/01 |
Par |
87726 |
Comm |
FL |
United HealthCare of Florida |
Yes |
|
Payer Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
58234 |
Comm |
GA |
Alliant Health Plans of Georgia |
|
|
Payer Acknowledgment |
|
M |
|
| |
Non-Par |
BS039 |
Govn't |
GA |
Blue Shield - Georgia |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| C 11/15/00 |
Par |
CH002 |
Govn't |
GA |
CHAMPUS - Georgia |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 8/21/00 |
Non-Par |
25127 |
Comm |
GA |
Coventry Healthcare of Georgia |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR032 |
Govn't |
GA |
DMERC - Georgia (Region C) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 9/21/00 |
Non-Par |
58207 |
Comm |
GA |
Georgia Health Plan PPO |
|
|
ProxyMed Acknowledgment |
|
M |
|
| C 3/16/01 |
Par |
61271 |
Comm |
GA |
Georgia Power Med. Benefits Pln
(Hlth Care Srvcs) |
|
|
Payer Claim Status |
|
M |
|
| C 3/16/01 |
Par |
61271 |
Comm |
GA |
Health Care Services, Georgia
Power |
|
|
Payer Claim Status |
|
M |
|
| |
Par |
58210 |
Comm |
GA |
Healthsource - Georgia |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MC020 |
Govn't |
GA |
Medicaid - Georgia |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR015 |
Govn't |
GA |
Medicare - Georgia |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 5/17/02 |
Non-Par |
62160 |
Comm |
GA |
MedSolutions, Inc. of Georgia |
|
|
Payer Acknowledgment |
|
M |
|
| |
Par |
95569 |
Comm |
GA |
One Health Plan of Georgia, Inc. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
58200 |
Comm |
GA |
The Integrity Benefit Network,
Inc. (Marietta, GA) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 8/27/01 |
Par |
87726 |
Comm |
GA |
United HealthCare of Georgia |
Yes |
|
Payer Acknowledgment |
|
M |
|
| |
Non-Par |
MR024 |
Govn't |
GU |
DMERC - Guam (Region D) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
HI |
Blue Shield - Hawaii {Please call 888-894-7888 opt 1,
client services if you are interested in sending these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| C 11/15/00 |
Par |
CH002 |
Govn't |
HI |
CHAMPUS - Hawaii |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR024 |
Govn't |
HI |
DMERC - Hawaii (Region D) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
HI |
Medicaid - Hawaii {Please call
888-894-7888 opt 1, client services if you are interested in sending these
claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
HI |
Medicare - Hawaii {Please call
888-894-7888 opt 1, client services if you are interested in sending these
claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
|
|
| |
Non-Par |
BS030 |
Govn't |
IA |
Blue Shield - Iowa |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR024 |
Govn't |
IA |
DMERC - Iowa (Region D) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Par |
AMS01 |
Comm |
IA |
Healthcare Preferred (IA) -
Wisconsin Only |
|
|
Payer Claim Status |
|
M |
|
| |
Non-Par |
41124 |
Comm |
IA |
Iowa Benefits, Inc. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MC026 |
Govn't |
IA |
Medicaid - Iowa |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
IA |
Medicare - Iowa {Please call
888-894-7888 opt 1, client services if you are interested in sending these
claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| |
Par |
AMS01 |
Comm |
IA |
Plaines (IA) - Wisconsin Only |
|
|
Payer Claim Status |
|
M |
|
| N 12/29/00 |
Non-Par |
42137 |
Comm |
IA |
Select Benefit Administrators |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
BC002 |
Govn't |
ID |
Blue Cross - Idaho |
Yes |
Enrollment |
Payer Claim Status |
Yes |
M |
|
| |
Non-Par |
BS002 |
Govn't |
ID |
Blue Shield - Idaho |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
CH001 |
Govn't |
ID |
CHAMPUS - Idaho - Region 11 |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| C 11/15/00 |
Par |
CH002 |
Govn't |
ID |
CHAMPUS - Idaho - Region 8 |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR024 |
Govn't |
ID |
DMERC - Idaho (Region D) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR003 |
Govn't |
ID |
Medicare - Idaho |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
91131 |
Comm |
ID |
Sound Health |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
91131 |
Comm |
ID |
Sound Health (Sisters of
Providence) |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
BS018 |
Govn't |
IL |
Blue Shield - Illinois |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR031 |
Govn't |
IL |
DMERC - Illinois (Region B) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 9/21/00 |
Non-Par |
37115 |
Comm |
IL |
Hinsdale Physicians Health |
|
|
Payer Claim Status |
|
M |
|
| |
Non-Par |
37124 |
Comm |
IL |
Integrated Benefit Services, IL |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
37124 |
Comm |
IL |
Kepple & Co. (Formerly
Integrated Benefit Svcs.) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MC009 |
Govn't |
IL |
Medicaid - Illinois |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR023 |
Govn't |
IL |
Medicare - Illinois |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
|
|
| |
Par |
61101 |
Comm |
IL |
Michael Reese HMO Plan - IL |
|
|
ProxyMed Acknowledgment |
|
|
|
| N 5/17/02 |
Non-Par |
36398 |
Comm |
IL |
NAMM of Illinois |
|
|
Payer Acknowledgment |
|
|
|
| N 5/17/02 |
Non-Par |
36346 |
Comm |
IL |
Northwest Suburban IPA
(Illinois) |
|
|
Payer Acknowledgment |
|
|
|
| C 8/7/00 |
Par |
95388 |
Comm |
IL |
One Health Plan of Illinois,
Inc. |
|
|
ProxyMed Acknowledgment |
|
|
|
| N 5/17/02 |
Non-Par |
36345 |
Comm |
IL |
Physicians Care Network (Address
Rockford, IL ONLY) |
|
|
Payer Acknowledgment |
|
|
|
| N 5/17/02 |
Non-Par |
46113 |
Comm |
IL |
Preferred Plan of Illinois
(PPOI) |
|
|
Payer Acknowledgment |
|
|
|
| N 5/17/02 |
Non-Par |
36331 |
Comm |
IL |
Professional Benefit
Administrators, Inc. (Oak Brook, IL address ONLY) |
|
|
Payer Acknowledgment |
|
|
|
| |
Par |
UH006 |
Comm |
IL |
Share Health Plan - ILL/PPO |
|
Enr., Auth. |
ProxyMed Acknowledgment |
|
|
|
| |
Par |
UH005 |
Comm |
IL |
Share Health Plan - ILX/HMO |
|
Enr., Auth. |
ProxyMed Acknowledgment |
|
M |
|
| C 1/28/02 |
Non-Par |
37116 |
Comm |
IL |
St. Therese Physician Associates |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 8/27/01 |
Par |
87726 |
Comm |
IL |
United HealthCare of Illinois |
Yes |
|
Payer Acknowledgment |
|
M |
|
| N 12/17/99 |
Non-Par |
BS049 |
Govn't |
IN |
Acordia-Anthem BS of Indiana
(need to use 00630 as sub payer id/Claim office id) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
IN |
Blue Shield - Indiana {Please
call 888-894-7888 opt 1, client services if you are interested in sending
these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| N 8/21/00 |
Non-Par |
25131 |
Comm |
IN |
Coventry Healthcare of Indiana |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR031 |
Govn't |
IN |
DMERC - Indiana (Region B) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
35167 |
Comm |
IN |
Healthsource, IN |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| N 6/13/02 |
Non-Par |
35204 |
Comm |
IN |
Indiana Health Network |
|
|
Payer Acknowledgement |
|
M |
|
| N 5/17/02 |
Non-Par |
35107 |
Comm |
IN |
Local 135 Health Benefits
(Indianapolis, IN) |
|
|
Payer Acknowledgment |
|
M |
|
| C 6/13/02 |
Non-Par |
|
Comm |
IN |
Managed Health Services of
Indiana/ Maxicare { Please contact
Debbi Sandberg @ (800) 225-2573,
Ext. 25306, to get set up to submit electronic claims and to obtain
the payer id.} |
|
|
Payer Claim Status |
|
M |
|
| |
Non-Par |
MC022 |
Govn't |
IN |
Medicaid - Indiana |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR041 |
Govn't |
IN |
Medicare - Indiana |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
61101 |
Comm |
IN |
Michael Reese HMO Plan - IN |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
35164 |
Comm |
IN |
Sagamore Health Network |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 8/21/00 |
Non-Par |
25132 |
Comm |
IO |
Coventry Healthcare of Iowa |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
BS023 |
Govn't |
KS |
Blue Shield - Kansas |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| N 8/21/00 |
Non-Par |
25133 |
Comm |
KS |
Coventry Healthcare of Kansas,
Inc. - Kansas City |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 8/21/00 |
Non-Par |
25134 |
Comm |
KS |
Coventry Healthcare of Kansas,
Inc. - Wichita |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR024 |
Govn't |
KS |
DMERC - Kansas (Region D) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MC012 |
Govn't |
KS |
Medicaid - Kansas |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
KS |
Medicare - Kansas {Please call
888-894-7888 opt 1, client services if you are interested in sending these
claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| N 12/17/99 |
Non-Par |
BS050 |
Govn't |
KY |
Acordia-Anthem BS of Kentucky
(need to use 00660 as sub payer id/Claim office id) |
|
Enr., Auth. |
ProxyMed Acknowledgment |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
KY |
Blue Shield - Kentucky {Please
call 888-894-7888 opt 1, client services if you are interested in sending
these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| |
Non-Par |
MR032 |
Govn't |
KY |
DMERC - Kentucky (Region C) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
61127 |
Comm |
KY |
Healthsource, KY |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
61101 |
Comm |
KY |
Humana Medical Plan - KY |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
63077 |
Comm |
KY |
Kentucky Health Select |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
KY |
Medicaid - Kentucky {Please call
888-894-7888 opt 1, client services if you are interested in sending these
claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
KY |
Medicare - Kentucky {Please call
888-894-7888 opt 1, client services if you are interested in sending these
claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| N 8/9/00 |
Non-Par |
22248 |
Comm |
KY |
Passport |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 6/13/02 |
Non-Par |
61106 |
Comm |
KY |
Preferred Health Plan, Inc. (Louisville, KY) |
|
|
Payer Acknowledgement |
|
M |
|
| N 8/27/01 |
Par |
87726 |
Comm |
KY |
United HealthCare of Kentucky,
Ltd. |
Yes |
|
Payer Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
76061 |
Comm |
LA |
AmCare of Louisiana |
|
|
Payer Claim Status |
|
M |
|
| |
Par |
BS038 |
Comm |
LA |
Blue Shield - Louisiana |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| C 11/15/00 |
Par |
CH002 |
Govn't |
LA |
CHAMPUS - Louisiana - Region 4 |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
CH001 |
Govn't |
LA |
CHAMPUS - Louisiana - Region 6 |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| N 8/21/00 |
Non-Par |
25135 |
Comm |
LA |
Coventry Healthcare of Louisiana |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR032 |
Govn't |
LA |
DMERC - Louisiana (Region C) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 10/5/99 |
Non-Par |
MC028 |
Govn't |
LA |
Medicaid - Louisiana |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR048 |
Govn't |
LA |
Medicare - Louisiana |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| C 8/15/01 |
Par |
OCH01 |
Comm |
LA |
OCHSNER Health Plans |
|
Enr., Auth. |
Payer Claim Status |
|
M |
|
| N 12/29/00 |
Non-Par |
72087 |
Comm |
LA |
State Employee Group Benefits |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
MA |
Blue Shield - Massachusetts
{Please call 888-894-7888 opt 1, client services if you are interested in
sending these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| |
Non-Par |
MR030 |
Govn't |
MA |
DMERC - Massachusetts (Region A) |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
02041 |
Comm |
MA |
Healthsource, MA |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
MA |
Medicaid - Massachusetts {Please
call 888-894-7888 opt 1, client services if you are interested in sending
these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
MA |
Medicare - Massachusetts
{through NHIC} {Please call 888-894-7888 opt 1, client services if you are
interested in sending these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| N 6/20/02 |
Non-Par |
27517 |
Comm |
MD |
Americaid Community Care -
Maryland |
|
|
Payer Acknowledgment |
|
M |
|
| C 2/8/02 |
Par |
SB690 |
Comm |
MD |
Blue Cross Blue Shield Carefirst
- Maryland |
Yes |
Enr. Auth. |
Payer Claim Status |
|
M |
|
| C 2/8/02 |
Par |
SB690 |
Comm |
MD |
CareFirst BCBS - Maryland Region |
Yes |
Enrl, Auth |
Payer Claim Status |
|
M |
|
| C 3/15/02 |
Par |
12011 |
Comm |
MD |
CareFirst Blue Cross Blue Shield
of MD (includes coverage for DC and Northern Virginia) |
Yes |
Enrl, Auth |
Payer Claim Status |
|
M |
|
| N 10/29/01 |
Par |
SB691 |
Govn't |
MD |
CareFirst Delmarva Health Plan |
Yes |
Enrl, Auth |
Payer Claim Status |
|
M |
|
| C 11/15/00 |
Par |
CH002 |
Govn't |
MD |
CHAMPUS - Maryland |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 10/29/01 |
Par |
SB691 |
Govn't |
MD |
Delmarva Health Plan - Carefirst |
Yes |
Enr., Auth. |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR031 |
Govn't |
MD |
DMERC - Maryland (Region B) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 5/17/02 |
Non-Par |
52192 |
Comm |
MD |
Elder Health Maryland HMO, Inc. |
|
|
Payer Acknowledgment |
|
M |
|
| N 6/11/02 |
Non-Par |
SX069 |
Govn't |
MD |
Maryland Health Parnters |
Yes |
Enrl, Auth |
ProxyMed Acknowledgment |
|
M |
|
| N 10/29/01 |
Non-Par |
MDMCD |
Govn't |
MD |
Maryland Medical Assistance (MD Medicaid) |
Yes |
Enrl, Auth |
ProxyMed Acknowledgment |
|
M |
|
| N 10/29/01 |
Par |
00247 |
Govn't |
MD |
Maryland Physicians Care |
Yes |
|
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR038 |
Govn't |
MD |
Medicare - Maryland |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| N 12/6/01 |
Par |
00243 |
Comm |
MD |
MedStar Physician Partners |
|
|
Payer Claim Status |
|
M |
|
| N 1/28/02 |
Par |
35173 |
Comm |
MD |
Preferred Health Network,
providers in MD and DC only |
Yes |
|
Payer Claim Status |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
ME |
Blue Shield - Maine {Please call
888-894-7888 opt 1, client services if you are interested in sending these
claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| |
Non-Par |
MR030 |
Govn't |
ME |
DMERC - Maine (Region A) |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
01041 |
Comm |
ME |
Healthsource, ME |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
ME |
Medicaid - Maine {Please call
888-894-7888 opt 1, client services if you are interested in sending these
claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
ME |
Medicare - Maine {Please call
888-894-7888 opt 1, client services if you are interested in sending these
claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| |
Non-Par |
60305 |
Comm |
MI |
American Community Mutual Ins. -
Livonia, Michigan |
|
|
ProxyMed Acknowledgment |
|
M |
|
| C 7/27/01 |
Non-Par |
BS017 |
Govn't |
MI |
Blue Shield - Michigan |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Par |
AMS01 |
Comm |
MI |
Dentemax (MI) - Wisconsin Only |
|
|
Payer Claim Status |
|
M |
|
| |
Par |
AMS01 |
Comm |
MI |
Dentemax/DPI (MI) - Wisconsin
Only |
|
|
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR031 |
Govn't |
MI |
DMERC - Michigan (Region B) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 12/29/00 |
Non-Par |
38223 |
Comm |
MI |
Group Benefit Services, Inc.
(MI) {only claims to P.O. Box 1386, East Lansing, MI 48826-1386 can be sent
electronically} |
|
|
ProxyMed Acknowledgment |
|
M |
|
| C 7/25/01 |
Par |
38224 |
Comm |
MI |
Health Alliance Plan of Michigan |
|
|
Payer Acknowledgment |
|
M |
|
| C 4/15/02 |
Par |
MM001 |
Comm |
MI |
M-CARE |
Yes |
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| N 12/29/00 |
Non-Par |
MC035 |
Govn't |
MI |
Medicaid - Michigan |
Yes |
Enr., Auth. |
Payer Claim Status |
|
M |
|
| N 10/15/99 |
Non-Par |
MR017 |
Govn't |
MI |
Medicare - Michigan |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Par |
PPOM1 |
Comm |
MI |
PPOM |
|
|
Payer Claim Status |
|
M |
|
| |
Non-Par |
BS045 |
Govn't |
MN |
Blue Shield - Minnesota |
Yes |
Enrollment |
Payer Claim Status |
Yes |
M |
|
| N 12/29/00 |
Par |
ACN01 |
Comm |
MN |
Chiropratic Care of Minnesota,
Inc. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR031 |
Govn't |
MN |
DMERC - Minnesota (Region B) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 1/19/01 |
Non-Par |
41041 |
Comm |
MN |
Federated Mutual Health
Insurance Company |
|
|
Payer Claim Status |
|
M |
|
| C 6/18/02 |
Par |
94265 |
Comm |
MN |
Medica Choice (Allina) |
|
Authorization |
Payer Acknowledgment |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
MN |
Medicaid - Minnesota {Please
call 888-894-7888 opt 1, client services if you are interested in sending
these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| N 2/21/02 |
Non-Par |
41147 |
Comm |
MN |
PreferredOne
|
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
13310 |
Comm |
MO |
Benefit Plan Admin - St. Louis
(Seabury & Smith) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
MO |
Blue Shield - Missouri -- St.
Louis Area {Please call 888-894-7888 opt 1, client services if you are
interested in sending these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| |
Non-Par |
BS024 |
Govn't |
MO |
Blue Shield - Missouri (Kansas
City Blue Shield) |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| N 8/9/00 |
Non-Par |
22248 |
Comm |
MO |
CarePartners |
|
|
ProxyMed Acknowledgment |
|
M |
|
| C 11/15/00 |
Par |
CH002 |
Govn't |
MO |
CHAMPUS - Missouri |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR024 |
Govn't |
MO |
DMERC - Missouri (Region D) |
Yes |
Enrollment |
Payer Claim Status |
|
|
|
| N 6/13/02 |
Non-Par |
43173 |
Comm |
MO |
Family Health Partners/MC +
Missouri |
|
|
Payer Acknowledgement |
|
M |
|
| |
Par |
63665 |
Comm |
MO |
Gencare Health (St. Louis) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
63665 |
Comm |
MO |
Genelco (St. Louis Only) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
63665 |
Comm |
MO |
General American Life Ins. Co.
(Sanus, St. Louis) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
GE001 |
Comm |
MO |
Group Health |
|
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
43132 |
Comm |
MO |
HealthNet - Kansas City, MO |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MC011 |
Govn't |
MO |
Medicaid - Missouri |
Yes |
Enrollment |
ProxyMed Acknowledgment |
Yes |
M |
|
| |
Par |
61101 |
Comm |
MO |
Medical Plan of Kansas City - MO
(Humana) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
MO |
Medicare - Missouri -- St. Louis
Area {Please call 888-894-7888 opt 1, client services if you are interested
in sending these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| |
Non-Par |
MR044 |
Govn't |
MO |
Medicare - Missouri (BC/BS of
Kansas) |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
MO |
Medicare - Missouri {through
Arkansas} {Please call 888-894-7888 opt 1, client services if you are
interested in sending these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| 6/3/2002 |
Par |
87726 |
Comm |
MO |
Physicians Health Plan (PHP) -
Missouri(Greater St. Louis) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
61101 |
Comm |
MO |
Prime Benefits Systems Inc. - MO
(Humana) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
61101 |
Comm |
MO |
Prime Health Kansas City Inc. -
MO (Humana) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
61101 |
Comm |
MO |
Prime Health Mgmt. Services - MO
(Humana) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
61101 |
Comm |
MO |
Prime Health of Kansas City - MO
(Humana) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
63665 |
Comm |
MO |
Sanus HMO - St. Louis (General
American) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
BS047 |
Govn't |
MS |
Blue Shield - Mississippi |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| C 11/15/00 |
Par |
CH002 |
Govn't |
MS |
CHAMPUS - Mississippi |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR032 |
Govn't |
MS |
DMERC - Mississippi (Region C) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MC019 |
Govn't |
MS |
Medicaid - Mississippi |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
MS |
Medicare - Mississippi {Please
call 888-894-7888 opt 1, client services if you are interested in sending
these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| N 8/27/01 |
Par |
87726 |
Comm |
MS |
United HealthCare of Mississippi |
Yes |
|
Payer Acknowledgment |
|
M |
|
| |
Non-Par |
BS036 |
Govn't |
MT |
Blue Shield - Montana |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| C 11/15/00 |
Par |
CH002 |
Govn't |
MT |
CHAMPUS - Montana |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR024 |
Govn't |
MT |
DMERC - Montana (Region D) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MC033 |
Govn't |
MT |
Medicaid - Montana |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR047 |
Govn't |
MT |
Medicare - Montana |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
91131 |
Comm |
MT |
Sound Health |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
91131 |
Comm |
MT |
Sound Health (Sisters of
Providence) |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
BS040 |
Govn't |
NC |
Blue Shield - North Carolina |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| C 11/15/00 |
Par |
CH002 |
Govn't |
NC |
CHAMPUS - North Carolina |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR032 |
Govn't |
NC |
DMERC - North Carolina (Region
C) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 10/23/00 |
Non-Par |
56196 |
Comm |
NC |
First Carolina Care |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
56147 |
Comm |
NC |
Healthsource, NC |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MC021 |
Govn't |
NC |
Medicaid - North Carolina |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR020 |
Govn't |
NC |
Medicare - North Carolina |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
75191 |
Comm |
NC |
NCAS-Charlotte |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 6/13/02 |
Non-Par |
|
Comm |
NC |
Partners National Health Plans
of North Carolina { Contracted providers only. Call Robert Dunning @ 336-760-4822 x 2572 to become eligible to
submit edi claims and to obtain payer id} |
Yes |
|
Payer Acknowledgement |
|
M |
|
| 6/3/2002 |
Par |
87726 |
Comm |
NC |
Physicians Health Plan (PHP) -
North Carolina |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 8/27/01 |
Par |
87726 |
Comm |
NC |
United HealthCare of North
Carolina, Inc. |
Yes |
|
Payer Acknowledgment |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
ND |
Blue Shield -- North Dakota
{Please call 888-894-7888 opt 1, client services if you are interested in
sending these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| C 11/15/00 |
Par |
CH002 |
Govn't |
ND |
CHAMPUS - North Dakota |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR024 |
Govn't |
ND |
DMERC - North Dakota (Region D) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 8/29/01 |
Non-Par |
NDMCR |
Govn't |
ND |
Medicare - North Dakota |
Yes |
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
ND |
Medicare - North Dakota{Please
call 888-894-7888 opt 1, client services if you are interested in sending
these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
NE |
Blue Shield - Nebraska {Please
call 888-894-7888 opt 1, client services if you are interested in sending
these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| C 11/15/00 |
Par |
CH002 |
Govn't |
NE |
CHAMPUS - Nebraska |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 8/21/00 |
Non-Par |
25136 |
Comm |
NE |
Coventry Healthcare of Nebraska |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR024 |
Govn't |
NE |
DMERC - Nebraska (Region D) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
NE |
Medicaid - Nebraska {Please call
888-894-7888 opt 1, client services if you are interested in sending these
claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
NE |
Medicare - Nebraska {Please call
888-894-7888 opt 1, client services if you are interested in sending these
claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| |
Non-Par |
MR030 |
Govn't |
NH |
DMERC - New Hampshire (Region A) |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
02038 |
Comm |
NH |
Healthsource, NH |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/14/02 |
Non-Par |
27516 |
Comm |
NJ |
Americaid Community Care - New
Jersey |
|
|
Payer Acknowledgment |
|
M |
|
| N 6/13/02 |
Non-Par |
86001 |
Comm |
NJ |
AmeriChoice of New Jersey
Personal Care Plus (Medicare) {All claims require your AmeriChoice assigned
provider id number. Please call
AmeriChoice @ 866-362-3368 for your provider id number } |
Yes |
|
Payer Claim Status |
|
M |
|
| N 5/17/02 |
Non-Par |
86047 |
Comm |
NJ |
AmeriChoice of New Jersey, Inc.
- Medicaid NJ |
|
|
Payer Acknowledgment |
|
M |
|
| |
Non-Par |
BS031 |
Govn't |
NJ |
Blue Shield - New Jersey |
Yes |
Enrollment |
Payer Acknowledgment |
|
M |
|
| |
Non-Par |
MR030 |
Govn't |
NJ |
DMERC - New Jersey (Region A) |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| N 7/1/02 |
Non-Par |
22326 |
Comm |
NJ |
Horizon Mercy |
Yes |
|
Payer Acknowledgment |
|
M |
|
| |
Non-Par |
MR035 |
Govn't |
NJ |
Medicare - New Jersey |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 7/1/02 |
Non-Par |
22326 |
Comm |
NJ |
Mercy Health Plan of NJ (Horizon
Mercy) |
|
|
Payre Acknowledgment |
|
M |
|
| |
Non-Par |
BS037 |
Govn't |
NM |
Blue
Shield - New Mexico |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| C 11/15/00 |
Par |
CH002 |
Govn't |
NM |
CHAMPUS - New Mexico |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
62310 |
Comm |
NM |
CIGNA Flex Care (New Mexico
Only) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR032 |
Govn't |
NM |
DMERC - New Mexico (Region C) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MC034 |
Govn't |
NM |
Medicaid - New Mexico |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| N 8/29/01 |
Non-Par |
NMMCR |
Govn't |
NM |
Medicare - New Mexico |
Yes |
Enrl, Auth |
ProxyMed Acknowledgment |
No |
M |
|
| |
Non-Par |
BS019 |
Govn't |
NV |
Blue Shield - Nevada (FEP) |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| C 11/15/00 |
Par |
CH002 |
Govn't |
NV |
CHAMPUS - Nevada |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR024 |
Govn't |
NV |
DMERC - Nevada (Region D) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MC008 |
Govn't |
NV |
Medicaid - Nevada |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR007 |
Govn't |
NV |
Medicare - Nevada |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 5/17/02 |
Non-Par |
48185 |
Comm |
NY |
ABC Health Plan of New York |
|
|
Payer Acknowledgment |
|
M |
|
| N 12/29/00 |
Par |
ACN01 |
Comm |
NY |
American Chiropractic Network
IPA of NY |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 6/13/02 |
Non-Par |
86002 |
Comm |
NY |
AmeriChoice of New York Personal
Care Plus (Medicare) {All claims require your AmeriChoice assigned provider
id number. Please call AmeriChoice @
866-362-3368 for your provider id number } |
Yes |
|
Payer Claim Status |
|
M |
|
| N 5/17/02 |
Non-Par |
86048 |
Comm |
NY |
AmeriChoice of New York, Inc. -
Medicaid NY |
|
|
Payer Acknowledgment |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
NY |
Blue Cross - New York ---
Rochester {Please call 888-894-7888 opt 1, client services if you are
interested in sending these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
NY |
Blue Shield - Central New York
{Please call 888-894-7888 opt 1, client services if you are interested in
sending these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| |
Non-Par |
BS033 |
Govn't |
NY |
Blue Shield - New York |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
NY |
Blue Shield - New York ---
Rochester {Please call 888-894-7888 opt 1, client services if you are
interested in sending these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
NY |
Blue Shield - New York ---
Western NY {Please call 888-894-7888 opt 1, client services if you are
interested in sending these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
NY |
Blue Shield - New York
---Utica/Watertown {Please call 888-894-7888 opt 1, client services if you
are interested in sending these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
NY |
Blue Shield - Northeast New York
{Please call 888-894-7888 opt 1, client services if you are interested in
sending these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| N 9/16/99 |
Non-Par |
11331 |
Comm |
NY |
Care Management Group of Greater
New York |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR030 |
Govn't |
NY |
DMERC - New York (Region A) |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| N 3/20/00 |
Non-Par |
55247 |
Comm |
NY |
Health Insurance Plan of Greater
NY |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 10/25/00 |
Non-Par |
80141 |
Comm |
NY |
Healthfirst, Inc. (please
contact the payer prior to submitting claims to verify provider id,
212-801-6078) |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| N 3/20/00 |
Non-Par |
11328 |
Comm |
NY |
Heritage NY Medical Group |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 3/20/00 |
Non-Par |
AXN01 |
Comm |
NY |
Magellan Specialty Health -
Cigna NY general surgery |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 3/20/00 |
Non-Par |
11338 |
Comm |
NY |
MDNY Healthcare |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 8/29/01 |
Non-Par |
NYMCD |
Govn't |
NY |
Medicaid - New York |
Yes |
Enrl, Auth |
Payer Acknowledgment |
No |
M |
|
| N 2/5/02 |
Non-Par |
NYMCD |
Govn't |
NY |
Medicaid -- New York |
Yes |
Enrl, Auth |
Payer Rejection Reports |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
NY |
Medicare - New York -
Upstate/Albany {Please call 888-894-7888 opt 1, client services if you are
interested in sending these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| |
Non-Par |
MR042 |
Govn't |
NY |
Medicare - New York (Empire
BC/BS) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR045 |
Govn't |
NY |
Medicare - New York (GHI Queens
County Only) |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| N 11/12/01 |
Non-Par |
14165 |
Comm |
NY |
MVP Health Plan (Mohawk Valley) |
|
Enrl, Auth |
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
48186 |
Comm |
NY |
New York Presbyterian Community
Health Plan |
|
|
Payer Claim Status |
|
M |
|
| |
Non-Par |
60054 |
Comm |
NY |
Primary Choice (Aetna Health
Plans) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
60054 |
Comm |
NY |
Senior Choice (Aetna Health
Plans) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 8/27/01 |
Par |
87726 |
Comm |
NY |
United HealthCare of New York
(includes New York and New Jersey) |
Yes |
|
Payer Acknowledgment |
|
M |
|
| N 8/27/01 |
Par |
87726 |
Comm |
NY |
United HealthCare of Upstate New
York |
Yes |
|
Payer Acknowledgment |
|
M |
|
| C 1/12/00 |
Non-Par |
22264 |
Comm |
NY |
Vytra |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
14164 |
Comm |
NY |
Wellcare Management Group (HMO) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
14164 |
Comm |
NY |
Wellcare of New York, Inc. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
34444 |
Comm |
OH |
AFL-CIO Food & Beverage
Dealer’s Trust Fund (Billing Submission address of P. O. Box 457, Toledo,
OH 43697-0457 ONLY) |
|
|
Payer Acknowledgment |
|
M |
|
| N 6/13/02 |
Non-Par |
34178 |
Comm |
OH |
Benefit Services Inc. (Ackron,
OH) |
|
|
Payer Acknowledgement |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
OH |
Blue Shield -- Ohio Anthem/
Midwest BCBS {Please call 888-894-7888 opt 1, client services if you are
interested in sending these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| |
Non-Par |
34172 |
Comm |
OH |
Cleveland Health Network |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR031 |
Govn't |
OH |
DMERC - Ohio (Region B) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Par |
62308 |
Comm |
OH |
Eaton Benefits, OH |
|
|
Payer Claim Status |
|
M |
|
| N 10/23/00 |
Non-Par |
34654 |
Comm |
OH |
Health & Welfare fund of the
Plumbers & Pipefitters Local Union No 396 |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/3/01 |
Non-Par |
34193 |
Comm |
OH |
Health Care Payer's Coalition
(HCPC) Note: only send claims with address HCPC/PO Box 741, Toledo, OH
43697-0741 |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
34158 |
Comm |
OH |
Health Design Plus (Hudson,
Ohio) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
31141 |
Comm |
OH |
Healthsource, OH |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
34103 |
Comm |
OH |
Mahoning and Trumbull County
Building Trades Insurance Fund (only claims for PO Box 230/Niles, OH 44446) |
|
|
Payer Acknowledgment |
|
M |
|
| C 8/1/01 |
Non-Par |
BC004 |
Comm |
OH |
Medical Mutual of Ohio |
Yes |
Enrollment |
Payer Acknowledgment |
|
M |
|
| C 7/25/01 |
Par |
38224 |
Comm |
OH |
Medical Value Plan-MVP-OH |
|
|
Payer Acknowledgment |
|
M |
|
| |
Non-Par |
MR033 |
Govn't |
OH |
Medicare - Ohio |
Yes |
Enrollment |
ProxyMed Acknowledgment |
Yes |
M |
|
| |
Par |
AMS01 |
Comm |
OH |
Ohio Health Choice Plan (OH) -
Wisconsin Only |
|
|
Payer Claim Status |
|
M |
|
| N 9/21/00 |
Non-Par |
34189 |
Comm |
OH |
Ohio Health Choice PPO |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 10/23/00 |
Non-Par |
34675 |
Comm |
OH |
Sheet Metal Workers Local 33
Youngstown District Health & Welfare fund, OH |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 10/23/00 |
Non-Par |
34075 |
Comm |
OH |
Tri County Building Trades
Health Fund, OH |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 8/27/01 |
Par |
87726 |
Comm |
OH |
United HealthCare of Ohio |
Yes |
|
Payer Acknowledgment |
|
M |
|
| N 10/23/00 |
Non-Par |
34083 |
Comm |
OH |
Youngstown area Electrical
Welfare Fund |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
76061 |
Comm |
OK |
AmCare of Oklahoma |
|
|
Payer Claim Status |
|
M |
|
| |
Non-Par |
BS041 |
Govn't |
OK |
Blue Shield - Oklahoma |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
CH001 |
Govn't |
OK |
CHAMPUS - Oklahoma |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| N 1/24/01 |
Non-Par |
73413 |
Comm |
OK |
Community Care Managed Health
Care Plans of OK |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR032 |
Govn't |
OK |
DMERC - Oklahoma (Region C) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MC030 |
Govn't |
OK |
Medicaid - Oklahoma |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
BS026 |
Govn't |
OR |
Blue Shield - Oregon (Includes:
OHP/FEP/HMO) |
Yes |
Enrollment |
ProxyMed Acknowledgment |
Yes |
M |
|
| N 1/10/02 |
Par |
CAS01 |
Comm |
OR |
Cascade East Health Plan |
Yes |
Authorization |
Payer Claim Status |
|
M |
|
| |
Non-Par |
CH001 |
Govn't |
OR |
CHAMPUS - Oregon |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR024 |
Govn't |
OR |
DMERC - Oregon (Region D) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
93112 |
Comm |
OR |
Inpronet, Portland, OR |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 6/13/02 |
Non-Par |
93093 |
Comm |
OR |
LifeWise (of Oregon), A Premera
Healthplan |
|
|
Payer Acknowledgement |
|
M |
|
| |
Non-Par |
MC015 |
Govn't |
OR |
Medicaid - Oregon |
Yes |
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR011 |
Govn't |
OR |
Medicare - Oregon |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
93029 |
Comm |
OR |
Pacific Source (As of 2/1/99,
new payer ID for Pacific Source.) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 6/20/02 |
Par |
95959 |
Comm |
OR |
Pacificare of Oregon |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/14/02 |
Non-Par |
23251 |
Comm |
PA |
Alliance Health Plan -
Pennsylvania |
|
|
Payer Acknowledgment |
|
M |
|
| N 6/13/02 |
Non-Par |
86003 |
Comm |
PA |
AmeriChoice of Pennsylvania
Personal Care Plus (Medicare) {All claims require your AmeriChoice assigned
provider id number. Please call
AmeriChoice @ 800-345-3627 for your provider id number } |
Yes |
|
Payer Claim Status |
|
M |
|
| N 5/17/02 |
Non-Par |
86049 |
Comm |
PA |
AmeriChoice of Pennsylvania,
Inc. - Medicaid PA {payer requires
every claim contain the AmeriChoice assigned provider id (including suffix)} |
Yes |
|
Payer Claim Status |
|
M |
|
| |
Non-Par |
54763 |
Govn't |
PA |
Blue Shield - PA - Amerihealth
Administrators |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
93688 |
Govn't |
PA |
Blue Shield - PA - Amerihealth
Delaware |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
60061 |
Govn't |
PA |
Blue Shield - PA - Amerihealth
New Jersey |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
54720 |
Govn't |
PA |
Blue Shield - PA - Capital Blue
Cross Community Choice |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
54721 |
Govn't |
PA |
Blue Shield - PA - Capital Blue
Cross Healthone |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
54720 |
Govn't |
PA |
Blue Shield - PA - Community
Choice |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
54721 |
Govn't |
PA |
Blue Shield - PA - Healthone |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
54771 |
Govn't |
PA |
Blue Shield - PA - Highmark |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
53252 |
Govn't |
PA |
Blue Shield - PA - Inter-County
Health Plan |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
95199 |
Govn't |
PA |
Blue Shield - PA - KHP Central |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
95056 |
Govn't |
PA |
Blue Shield - PA - KHP East |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
BS027 |
Govn't |
PA |
Blue Shield - Pennsylvania |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
IP010 |
Comm |
PA |
Central Pennsylvania Physicians
(Labs Only) |
|
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR030 |
Govn't |
PA |
DMERC - Pennsylvania (Region A) |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| N 6/20/02 |
Non-Par |
80142 |
Comm |
PA |
HealthPartners, PA (all claims
submitted require a valid HealthPartners PA provider id in the rendering
provider id field) |
Yes |
|
Payer Acknowledgment |
|
M |
|
| N 6/24/02 |
Non-Par |
23284 |
Comm |
PA |
Keystone Mercy |
Yes |
|
Payer Acknowledgment |
|
M |
|
| N 6/13/02 |
Non-Par |
86049 |
Comm |
PA |
KidsChoice CHIP. - Medicaid
PA {payer requires every claim
contain the AmeriChoice assigned provider id (including suffix)} |
Yes |
|
Payer Claim Status |
|
M |
|
| N 5/17/02 |
Non-Par |
86049 |
Comm |
PA |
KidsChoice via Information
Network Corp |
Yes |
|
Payer Claim Status |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
PA |
Medicaid - Pennsylvania {Please
call 888-894-7888 opt 1, client services if you are interested in sending
these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| |
Non-Par |
MR027 |
Govn't |
PA |
Medicare - Pennsylvania |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR032 |
Govn't |
PR |
DMERC - Puerto Rico (Region C) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR030 |
Govn't |
RI |
DMERC - Rhode Island (Region A) |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| N 6/26/02 |
Non-Par |
BS028 |
Govn't |
SC |
Blue Shield - South Carolina |
Yes |
Enrl, Auth |
Payer Claim Status |
|
M |
|
| C 11/15/00 |
Par |
CH002 |
Govn't |
SC |
CHAMPUS - South Carolina |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| C 7/10/02 |
Non-Par |
BS060 |
Govn't |
SC |
Companion Healhcare |
Yes |
Enrl, Auth |
Payer Claim Status |
No |
M |
|
| |
Non-Par |
MR032 |
Govn't |
SC |
DMERC - South Carolina (Region
C) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
06119 |
Comm |
SC |
Healthsource - South Carolina
(Healthsource Network Providers Only) |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
06119 |
Comm |
SC |
Healthsource, SC |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MC024 |
Govn't |
SC |
Medicaid - South Carolina |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR028 |
Govn't |
SC |
Medicare - South Carolina |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| 6/3/2002 |
Par |
87726 |
Comm |
SC |
Physicians Health Plan (PHP) -
South Carolina |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
SD |
Blue Shield -- South Dakota
{Please call 888-894-7888 opt 1, client services if you are interested in
sending these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| C 11/15/00 |
Par |
CH002 |
Govn't |
SD |
CHAMPUS - South Dakota |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR024 |
Govn't |
SD |
DMERC - South Dakota (Region D) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
SD |
Medicaid - South Dakota {Please
call 888-894-7888 opt 1, client services if you are interested in sending
these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
SD |
Medicare - South Dakota {Please
call 888-894-7888 opt 1, client services if you are interested in sending
these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| N 8/29/01 |
Non-Par |
TNACC |
Comm |
TN |
Access Med Plus |
Yes |
Enrl, Auth |
Payer Acknowledgment |
No |
M |
|
| |
Non-Par |
BS032 |
Govn't |
TN |
Blue Shield - Tennessee |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| C 11/15/00 |
Par |
CH002 |
Govn't |
TN |
CHAMPUS - Tennessee |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR032 |
Govn't |
TN |
DMERC - Tennessee (Region C) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Par |
HT001 |
Comm |
TN |
Health Net Mgt |
|
Enrollment |
ProxyMed Acknowledgment |
Yes |
M |
|
| C 1/18/00 |
Par |
AMS01 |
Comm |
TN |
Health Net Plus (TN) |
|
|
Payer Claim Status |
|
M |
|
| |
Par |
AMS01 |
Comm |
TN |
Health Net Plus (TN) - Wisconsin
Only |
|
|
Payer Claim Status |
|
M |
|
| N 5/17/02 |
Non-Par |
62157 |
Comm |
TN |
Health Partners (Tennessee) |
|
|
Payer Acknowledgment |
|
M |
|
| |
Par |
62129 |
Comm |
TN |
Healthsource - Tennessee |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/15/02 |
Non-Par |
MR034 |
Govn't |
TN |
Medicare - Tennessee |
Yes |
Enrl, Auth |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
62153 |
Comm |
TN |
Phoenix Healthcare of TN |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/1/01 |
Non-Par |
62159 |
Comm |
TN |
Signature Health Alliance: Only send claims with a billing address of
P.O. Box 22419, Nashwille, TN 37202-2419 |
|
|
Payer Claim Status |
|
M |
|
| N 5/17/02 |
Non-Par |
76061 |
Comm |
TX |
AmCare of Texas |
|
|
Payer Claim Status |
|
M |
|
| C 8/2/00 |
Non-Par |
26375 |
Comm |
TX |
Americaid - Ft. Worth |
|
|
ProxyMed Acknowledgment |
|
M |
|
| C 8/2/00 |
Non-Par |
27514 |
Comm |
TX |
Americaid - Ft. Worth Texas
Region |
|
|
ProxyMed Acknowledgment |
|
M |
|
| C 8/2/00 |
Non-Par |
26374 |
Comm |
TX |
Americaid - Houston |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 6/13/02 |
Non-Par |
27515 |
Comm |
TX |
Americaid Community Care -
Houston |
|
|
Payer Acknowledgment |
|
M |
|
| |
Non-Par |
BS021 |
Govn't |
TX |
Blue Shield - Texas |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| C 12/10/99 |
Par |
75196 |
Comm |
TX |
Centra Benefits (Houston) |
|
|
Payer Acknowledgment |
|
M |
|
| |
Non-Par |
CH001 |
Govn't |
TX |
CHAMPUS - Texas - Region 6 |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| C 11/15/00 |
Par |
CH002 |
Govn't |
TX |
CHAMPUS - Texas - Region 7 |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| C 4/15/02 |
Non-Par |
75261 |
Comm |
TX |
Community Health Electronic
Claims |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MC023 |
Govn't |
TX |
Denticaid - Texas |
|
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR032 |
Govn't |
TX |
DMERC - Texas (Region C) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
94999 |
Comm |
TX |
Firstcare (Star Medicaid) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
75201 |
Comm |
TX |
Harris Methodist Health Plan
(Call Harris for reg. at (800) 845-6592) |
Yes |
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
HCPHM |
Comm |
TX |
HealthFirst (HMO) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
HCPMC |
Govn't |
TX |
HealthFirst (Medicare) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 10/19/01 |
Non-Par |
75234 |
Comm |
TX |
Healthfirst Tyler, TX |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
75255 |
Comm |
TX |
Healthsource, N. TX |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| C 5/31/00 |
Non-Par |
HM033 |
Comm |
TX |
HMO Blue - MediCaid |
|
Authorization |
Payer Claim Status |
|
M |
|
| N 1/14/00 |
Non-Par |
84980 |
Comm |
TX |
HMO Blue Shield (non-MediCaid) |
|
|
Payer Claim Status |
|
M |
|
| N 8/26 |
Non-Par |
MBH11 |
Comm |
TX |
Magellan Behavioral Health |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MC005 |
Govn't |
TX |
Medicaid - Texas |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR005 |
Govn't |
TX |
Medicare - Texas |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Par |
AMS01 |
Comm |
TX |
National Assoc Preferred Prv TX
- Wisconsin Only |
|
|
Payer Claim Status |
|
M |
|
| C 6/30/00 |
Non-Par |
93100 |
Comm |
TX |
North American Medical
Management - Texas (NAMM) B50 |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
NTX11 |
Comm |
TX |
North Texas Healthcare |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
95415 |
Comm |
TX |
One Health Plan of Texas, Inc. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 9/21/00 |
Par |
95959 |
Comm |
TX |
Pacificare of TX (OK & TX) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
AMS01 |
Comm |
TX |
Partners in Practice (TX) -
Wisconsin Only |
|
|
Payer Claim Status |
|
M |
|
| |
Par |
95885 |
Comm |
TX |
PCA Health Plans of Texas
(Humana) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 4/16/01 |
Non-Par |
75238 |
Comm |
TX |
Phoenix Group Services, TX |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
88030 |
Comm |
TX |
Scott & White Health Care
Plan |
|
|
ProxyMed Acknowledgment |
|
M |
|
| C 9/29 |
Non-Par |
SPA98 |
Comm |
TX |
Southwest Physicians Associates |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 11/16/01 |
Non-Par |
|
Govn't |
TX |
Superior Health Plan TX (please
contact ProxyMed enrollment 888-894-7888 opt 2 for payer id) |
Yes |
Enr., Auth. |
ProxyMed Acknowledgment |
|
M |
|
| N 12/17/01 |
Non-Par |
37228 |
Comm |
TX |
Tarrant Health Services |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
76048 |
Comm |
TX |
Texas Children's Health Plan |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
74214 |
Comm |
TX |
Texas Municipal League Group |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 9/21/00 |
Par |
75206 |
Comm |
TX |
TXEN Altpros |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 8/27/01 |
Par |
87726 |
Comm |
TX |
United HealthCare of Texas
-Dallas |
Yes |
|
Payer Acknowledgment |
|
M |
|
| N 8/27/01 |
Par |
87726 |
Comm |
TX |
United HealthCare of Texas-
Houston |
Yes |
|
Payer Acknowledgment |
|
M |
|
| C 11/15/00 |
Par |
CH002 |
Govn't |
UT |
CHAMPUS - Utah |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR024 |
Govn't |
UT |
DMERC - Utah (Region D) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 8/27/01 |
Par |
87726 |
Comm |
UT |
United HealthCare of Utah |
Yes |
|
Payer Acknowledgment |
|
M |
|
| N 6/13/02 |
Non-Par |
37118 |
Comm |
VA |
Benefit Plan Administrators Inc.
{Please call Mary Bender @940-345-2721 to verify if you should be sending
claims to BPA Roanoake, VA} |
|
|
Payer Acknowledgement |
|
M |
|
| C 1/19/00 |
Non-Par |
BS029 |
Govn't |
VA |
Blue Cross - Virginia - Trigon |
|
Enr., Auth. |
ProxyMed Acknowledgment |
|
M |
|
| C 1/19/00 |
Non-Par |
BS029 |
Govn't |
VA |
Blue Shield - VA - Trigon |
|
Enr., Auth. |
ProxyMed Acknowledgment |
|
M |
|
| C 11/15/00 |
Par |
CH002 |
Govn't |
VA |
CHAMPUS - Virginia |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR031 |
Govn't |
VA |
DMERC - Virginia (Region B) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MC017 |
Govn't |
VA |
Medicaid - Virginia |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| C 3/26/01 |
Non-Par |
MR022 |
Govn't |
VA |
Medicare - Virginia (All Other
Areas) |
Yes |
Enrollment |
ProxyMed Acknowledgment |
Yes |
M |
|
| |
Non-Par |
MR029 |
Govn't |
VA |
Medicare - Virginia (Counties of
Arlington and Fairfax / Cities of Alexandria, Falls Church, and Fairfax |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
35171 |
Comm |
VA |
Qual Choice of Virginia |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
BS029 |
Govn't |
VA |
Trigon B/C B/S Virginia |
|
Enr., Auth. |
ProxyMed Acknowledgment |
|
M |
|
| N 8/27/01 |
Par |
87726 |
Comm |
VA |
United HealthCare of Virginia |
Yes |
|
Payer Acknowledgment |
|
M |
|
| |
Non-Par |
MR032 |
Govn't |
VI |
DMERC - Virgin Islands (Region
C) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR030 |
Govn't |
VT |
DMERC - Vermont (Region A) |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
VT |
Medicare - Vermont {Please call
888-894-7888 opt 1, client services if you are interested in sending these
claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| N 2/4/02 |
Non-Par |
BS010 |
Govn't |
WA |
Blue Cross - Premera |
Yes |
Enr., Auth. |
ProxyMed Acknowledgment |
Yes |
M |
|
| |
Non-Par |
BS006 |
Govn't |
WA |
Blue Shield - King County (Washington King County Blue Shield-County ID Numbers
Required. Contact Our Client Services
Dept. at (888) 894-7888. |
Yes |
Enrollment |
Payer Claim Status |
Yes |
M |
|
| N 2/4/02 |
Non-Par |
BS010 |
Comm |
WA |
Blue Shield - Premera (formerly
MSC) |
Yes |
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| |
Non-Par |
BS035 |
Govn't |
WA |
Blue Shield - Whatcom County |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
CH001 |
Govn't |
WA |
CHAMPUS - Washington |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR024 |
Govn't |
WA |
DMERC - Washington (Region D) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
91051 |
Comm |
WA |
Group Health Cooperative Puget
Sound (Seattle, WA) (Authorization Required From GHC Provider Services. Call (800) 919-4325 or (206) 287-2400. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| C 12/10/99 |
Non-Par |
WC001 |
Comm |
WA |
Labor and Industry |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MC006 |
Govn't |
WA |
Medicaid - Washington (DSHS) |
Yes |
Enrollment |
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR006 |
Govn't |
WA |
Medicare - Washington |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 9/13/00 |
Non-Par |
38336 |
Comm |
WA |
Molina Healthcare of WA
(formerly Qualmed WA) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 6/20/02 |
Par |
95959 |
Comm |
WA |
Pacificare of Washington |
|
|
ProxyMed Acknowledgment |
|
M |
|
| C 9/6/01 |
Non-Par |
BS010 |
Govn't |
WA |
Premera Blue Cross (formerly
Medical Services Corp) |
Yes |
Enrollment |
Payer Claim Status |
Yes |
M |
|
| N 12/29/00 |
Non-Par |
91151 |
Comm |
WA |
Sterling Option One |
|
|
Payer Claim Status |
|
M |
|
| |
Par |
AMS01 |
Comm |
WI |
Amer Healthcare Plan Net (WI) -
Wisconsin Only |
|
|
Payer Claim Status |
|
M |
|
| N 12/29/00 |
Par |
ACN01 |
Comm |
WI |
Chiropratic Care of Wisconsin,
Inc. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
MR031 |
Govn't |
WI |
DMERC - Wisconsin (Region B) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 5/14/02 |
Non-Par |
98006 |
Comm |
WI |
EHS Group Health Plan
(Milwaukee, WI) |
|
|
Payer Acknowledgment |
|
M |
|
| |
Par |
AMS01 |
Comm |
WI |
Family Health Network - Wisconsin Only |
|
|
Payer Claim Status |
|
M |
|
| N 5/17/02 |
Non-Par |
39167 |
Comm |
WI |
Group Health Cooperative –
Madison, WI |
|
|
Payer Acknowledgment |
|
M |
|
| |
Par |
61101 |
Comm |
WI |
Humana Wisconsin Health
Organization (Formerly Carenetwork/Wisconsin Health Organization) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| C 6/13/02 |
Non-Par |
|
Comm |
WI |
Managed Health Services of
Wisconsin { Please contact Leisa
Hamlin @ (800) 225-2573, Ext. 25319, to get set up to submit electronic
claims and to obtain the payer id} |
|
|
Payer Claim Status |
|
M |
|
| N 2/5/02 |
Non-Par |
MC049 |
Govn't |
WI |
Medicaid - Wisconsin |
Yes |
Enrl, Auth |
ProxyMed Acknowledgment |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
WI |
Medicare - Wisconsin{Please call
888-894-7888 opt 1, client services if you are interested in sending these
claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| N 10/25/00 |
Non-Par |
39144 |
Comm |
WI |
Network Health Plan of WI |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
AMS01 |
Comm |
WI |
Network Health PPO - Wisconsin Only |
|
|
Payer Claim Status |
|
M |
|
| |
Par |
AMS01 |
Comm |
WI |
Plaines Advisor (WI) - Wisconsin
Only |
|
|
Payer Claim Status |
|
M |
|
| |
Par |
UH015 |
Comm |
WI |
Prime Care Health Plan |
|
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| N 8/29/01 |
Non-Par |
BS055 |
Govn't |
WV |
Blue Shield -- West Virginia |
Yes |
Enrl, Auth |
Payer Claim Status |
Yes |
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
WV |
Blue Shield -- West Virginia
{Please call 888-894-7888 opt 1, client services if you are interested in
sending these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| |
Non-Par |
MR031 |
Govn't |
WV |
DMERC - West Virginia (Region B) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
WV |
Medicaid - West Virginia {Please
call 888-894-7888 opt 1, client services if you are interested in sending
these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
WV |
Medicare - West Virginia {Please
call 888-894-7888 opt 1, client services if you are interested in sending
these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| C 12/10/99 |
Par |
75196 |
Comm |
WV |
West Virginia State Employees
(PEIA) |
|
|
Payer Acknowledgment |
|
M |
|
| N 8/29/01 |
Non-Par |
WVWCP |
Govn't |
WV |
West Virginia Worker's Comp |
Yes |
Enrl, Auth |
ProxyMed Acknowledgment |
No |
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
WY |
Blue Shield -- Wyoming {Please
call 888-894-7888 opt 1, client services if you are interested in sending
these claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| C 11/15/00 |
Par |
CH002 |
Govn't |
WY |
CHAMPUS - Wyoming |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| |
Non-Par |
MR024 |
Govn't |
WY |
DMERC - Wyoming (Region D) |
Yes |
Enrollment |
Payer Claim Status |
|
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
WY |
Medicaid - Wyoming {Please call
888-894-7888 opt 1, client services if you are interested in sending these
claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| N 5/15/02 |
Non-Par |
|
Govn't |
WY |
Medicare - Wyoming {Please call
888-894-7888 opt 1, client services if you are interested in sending these
claims] |
|
Enrl, Auth |
ProxyMed Acknowledgment |
Yes |
M |
|
| |
Non-Par |
13162 |
Comm |
|
1199 Local Benefit Fund |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
64071 |
Comm |
|
Acclaim |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
AMS01 |
Comm |
|
Accountable Health Plan -
Wisconsin Only |
|
|
Payer Claim Status |
|
M |
|
| C 9/25/00 |
Par |
87815 |
Comm |
|
Acordia Benefits |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
95285 |
Comm |
|
Admar Corporation - Med Network |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
58202 |
Comm |
|
Advanced Data Solutions |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 10/25/00 |
Non-Par |
61123 |
Comm |
|
Advantage Care |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/14/02 |
Non-Par |
13376 |
Comm |
|
Advica/Northeast Gerogia Health
System |
|
|
Payer Acknowledgment |
|
M |
|
| C 12/10/99 |
Non-Par |
23222 |
Comm |
|
Aetna (AUSHC) HMO & PPO |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
60054 |
Comm |
|
Aetna Health Plans - Managed
Choice |
|
|
Payer Claim Status |
|
M |
|
| |
Non-Par |
60054 |
Comm |
|
Aetna Health Plans - PPO |
|
|
Payer Claim Status |
|
M |
|
| |
Non-Par |
60054 |
Comm |
|
Aetna Life & Casualty
Insurance |
|
|
Payer Claim Status |
|
M |
|
| |
Non-Par |
06311 |
Comm |
|
Alabama Medical Surgical
Associates |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 1/31/01 |
Non-Par |
91136 |
Comm |
|
Alaska Children's Services, Inc.
Grp #P68 (MUST HAVE GRP # ON CLAIM) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 1/31/01 |
Non-Par |
91136 |
Comm |
|
Alaska Laborers Construction
Industry Trust Grp # F23 (MUST HAVE GRP # ON CLAIM) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 1/31/01 |
Non-Par |
91136 |
Comm |
|
Alaska Pipe Trades Local Grp #
F24 (MUST HAVE GRP # ON CLAIM) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 1/31/01 |
Non-Par |
91136 |
Comm |
|
Alaska United Food &
Commercial Workers Health & Welfare Trust Grp # F45 (MUST HAVE GRP # ON
CLAIM) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
13550 |
Comm |
|
ALICARE |
|
|
Payer Claim Status |
|
M |
|
| |
Non-Par |
37602 |
Comm |
|
All Savers Insurance Co. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| C 4/10/02 |
Par |
52149 |
Comm |
|
Alliance PPO, Inc. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
AMS01 |
Comm |
|
Alliance Select - Wisconsin Only |
|
|
Payer Claim Status |
|
M |
|
| C 8/17/00 |
Par |
87043 |
Comm |
|
Alta Health Strategies |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 1/28/02 |
Non-Par |
37231 |
Comm |
|
Alternative Technology Resources
(medical claims only, no work comp claims) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
13550 |
Comm |
|
Amalgamated |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 12/29/00 |
Par |
ACN01 |
Comm |
|
American Chiropractic Network
Group |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
ACN01 |
Comm |
|
American Chiropractic Network,
Inc. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
60305 |
Comm |
|
American Community Mutual
Insurance (Payer office ID is required) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 12/29/00 |
Par |
ACN01 |
Comm |
|
American Complimentary Care
Network, Inc. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 6/13/02 |
Non-Par |
13311 |
Comm |
|
American International Group
Inc. |
|
|
Payer Acknowledgement |
|
M |
|
| N 5/1/02 |
Non-Par |
72099 |
Comm |
|
American LIFECARE |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
AMS01 |
Comm |
|
American Medical Security -
Wisconsin Only |
|
|
Payer Claim Status |
|
M |
|
| C 10/5/01 |
Par |
44444 |
Comm |
|
American Postal Workers Union |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 6/13/02 |
Non-Par |
23037 |
Comm |
|
Amerihealth HMO New Jersey and Delaware |
|
|
Payer Acknowledgement |
|
M |
|
| C 8/9/00 |
Non-Par |
22248 |
Comm |
|
Amerihealth Mercy Health Plan
(excluding Texas and North Carolina) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
38254 |
Comm |
|
Amway Corporation |
|
|
ProxyMed Acknowledgment |
|
M |
|
| C 3/29/01 |
Par |
87815 |
Comm |
|
Anthem |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| C 10/5/01 |
Par |
44444 |
Comm |
|
APWU/Affordable Network |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/14/02 |
Non-Par |
16120 |
Comm |
|
Araz |
|
|
Payer Acknowledgment |
|
M |
|
| N 12/29/00 |
Non-Par |
AMS11 |
Comm |
|
Arcadian Management Systems |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
75278 |
Comm |
|
Arkansas Best Corporation |
|
|
Payer Acknowledgment |
|
M |
|
| |
Non-Par |
36326 |
Comm |
|
Associates for Healthcare |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
95691 |
Comm |
|
Athens Area Health Plan Select |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/14/02 |
Non-Par |
22304 |
Comm |
|
AtlantiCare Administrators |
|
|
Payer Acknowledgment |
|
M |
|
| N 1/31/01 |
Non-Par |
91136 |
Comm |
|
Automotive Machinists Local 289
Health & Welfare Trust Grp # F32 (MUST HAVE GRP # ON CLAIM) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
46045 |
Comm |
|
Avera Health Plans |
|
|
Payer Acknowledgment |
|
M |
|
| |
Non-Par |
74227 |
Comm |
|
Bankers United Life (Student
Div) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
PR002 |
Comm |
|
Bell Atlantic (Prudential) |
|
|
Payer Claim Status |
|
M |
|
| N 5/17/02 |
Non-Par |
37125 |
Comm |
|
Benefirst |
|
|
Payer Acknowledgment |
|
M |
|
| N 6/13/02 |
Non-Par |
88027 |
Comm |
|
Benefit Plan Administrators
Inc. (BPA) |
|
|
Payer Acknowledgement |
|
M |
|
| N 6/18/02 |
Par |
37222 |
Comm |
|
Benefit Plan Management, Inc. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
74223 |
Comm |
|
Benefit Planners |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
36342 |
Comm |
|
Benefit Systems & Services,
Inc. (BSSI) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
74223 |
Comm |
|
Benefits Planners, Inc. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 12/29/00 |
Non-Par |
87265 |
Comm |
|
Benesight (formerly The TPA) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
62183 |
Comm |
|
Better Health Plans, Inc. |
|
|
Payer Acknowledgment |
|
M |
|
| N 10/25/00 |
Non-Par |
61124 |
Comm |
|
Bluegrass Family Health |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
36609 |
Comm |
|
Boilermakers National Health
& Welfare Fund |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
74238 |
Comm |
|
Boon – Chapman Administrators,
Inc. |
|
|
Payer Acknowledgment |
|
M |
|
| N 11/29/00 |
Par |
51037 |
Comm |
|
Brokerage Concepts |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
HP101 |
Comm |
|
Brooklyn Health |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 9/21/00 |
Non-Par |
59069 |
Comm |
|
Brown & Brown Benefits |
|
|
Payer Claim Status |
|
M |
|
| N 5/17/02 |
Non-Par |
50240 |
Comm |
|
Buenaventura Medical Group |
|
|
Payer Acknowledgment |
|
M |
|
| N 9/21/00 |
Non-Par |
38245 |
Comm |
|
Cape Health Plan |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
68011 |
Comm |
|
Capitol Administrators |
|
|
Payer Acknowledgment |
|
M |
|
| C 6/1/00 |
Par |
HM037 |
Comm |
|
Care Choices HMO |
Yes |
Enr. Auth. |
Payer Claim Status |
|
M |
|
| N 7/20/00 |
Non-Par |
00344 |
Comm |
|
Care Management Resources |
Yes |
|
Payer Claim Status |
|
M |
|
| |
Non-Par |
43172 |
Comm |
|
Care Partners |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 10/29/01 |
Non-Par |
52118 |
Comm |
|
CareFirst Administrators |
|
Enrollment |
Payer Claim Status |
|
M |
|
| C 3/22/02 |
Non-Par |
SB580 |
Comm |
|
CareFirst BCBS - DC, National Capital Area |
Yes |
Enrl, Auth |
Payer Claim Status |
|
M |
|
| N 5/14/02 |
Non-Par |
25139 |
Comm |
|
Carelink Advantra (WV and OH
members only) |
|
|
Payer Acknowledgment |
|
M |
|
| |
Non-Par |
35167 |
Comm |
|
Carewise |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 1/11/02 |
Non-Par |
57105 |
Comm |
|
Carolina Care Plan Inc. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 6/13/02 |
Non-Par |
56195 |
Comm |
|
Carolina Summit Healthcare Inc |
|
|
Payer Acknowledgement |
|
M |
|
| N 6/13/02 |
Non-Par |
93102 |
Comm |
|
Cascade Health Partners |
|
|
Payer Acknowledgement |
|
M |
|
| |
Non-Par |
37060 |
Comm |
|
Caterpillar, Inc. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/14/02 |
Non-Par |
31158 |
Comm |
|
CBIZ Benefits & Insurance
Services |
|
|
Payer Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
88019 |
Comm |
|
CCEA Welfare Benefit Trust |
|
|
Payer Acknowledgment |
|
M |
|
| N 1/25/01 |
Non-Par |
33005 |
Comm |
|
CCN (required data: Group
number, Group name, Insured's Employer Name) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
95166 |
Comm |
|
Cedars-Sinai Medical Network |
|
|
Payer Acknowledgment |
|
M |
|
| N 1/31/01 |
Non-Par |
91136 |
Comm |
|
Cement Masons & Plasterers
Hlth & Welfare Trust Grp# F16 (MUST HAVE GRP# ON CLAIM) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| C 12/10/99 |
Non-Par |
75243 |
Comm |
|
Centra |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
31118 |
Comm |
|
Central Benefits Life |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
31118 |
Comm |
|
Central Benefits Mutual |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
31118 |
Comm |
|
Central Benefits National |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
02041 |
Comm |
|
Central Mass. Health Care (CMHC) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
34097 |
Comm |
|
Central Reserve Life |
|
|
ProxyMed Acknowledgment |
|
M |
|
| C 10/5/01 |
Par |
36215 |
Comm |
|
Central States Health &
Welfare Funds |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
86048 |
Comm |
|
Child Health Plus |
|
|
Payer Acknowledgment |
|
M |
|
| N 12/29/00 |
Par |
ACN01 |
Comm |
|
ChiroCare |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
PR002 |
Comm |
|
Choice Plus (TRW) |
|
|
Payer Claim Status |
|
M |
|
| |
Par |
62308 |
Comm |
|
CIGNA |
|
|
Payer Claim Status |
|
M |
|
| |
Par |
62308 |
Comm |
|
CIGNA - PPO |
|
|
Payer Claim Status |
|
M |
|
| N 2/12/01 |
Non-Par |
MCCBV |
Comm |
|
CIGNA Behavioral Health (please
contact enrollment dept. for payer id and authorization) |
|
Authorization |
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
62308 |
Comm |
|
CIGNA Health Plan |
|
|
Payer Claim Status |
|
M |
|
| N 8/24/01 |
Par |
62308 |
Comm |
|
CIGNA Premier Plus |
|
|
Payer Claim Status |
|
M |
|
| |
Par |
62413 |
Comm |
|
Claims Administration Corp.
(Payer office ID is required) |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| N 6/13/02 |
Non-Par |
57080 |
Comm |
|
Claimsware, Inc., DBA ManageMed |
|
|
Payer Acknowledgement |
|
M |
|
| |
Par |
62413 |
Comm |
|
CNA (Mailhandlers Benefit Plan) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| C 3/29/01 |
Par |
71063 |
Comm |
|
CNA Health Partners |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/14/02 |
Non-Par |
25351 |
Comm |
|
Columbia Cornell Care, LLC |
|
|
Payer Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
91162 |
Comm |
|
Columbia United Providers |
|
|
Payer Acknowledgment |
|
M |
|
| N 8/24/01 |
Par |
62308 |
Comm |
|
CoMed - CIGNA |
|
|
Payer Claim Status |
|
M |
|
| N 5/17/02 |
Non-Par |
37237 |
Comm |
|
Commonwealth Administrators,
LLC. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/14/02 |
Non-Par |
23171 |
Comm |
|
Commonwealth Health Alliance
--CHA |
|
|
Payer Acknowledgment |
|
M |
|
| N 5/14/02 |
Non-Par |
25179 |
Comm |
|
Community Care Behavioral Health
Organization |
|
|
Payer Acknowledgment |
|
M |
|
| N 6/13/02 |
Non-Par |
48145 |
Comm |
|
Community Health Choice |
Yes |
|
Payer Claim Status |
|
M |
|
| |
Non-Par |
23742 |
Comm |
|
Community Health Plan (Cert.
Req., call (518) 783-1864x40422) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/14/02 |
Non-Par |
32481 |
Comm |
|
Community Premier Plus (for
Neighborhood Health Providers) |
|
|
Payer Acknowledgment |
|
M |
|
| N 9/21/00 |
Non-Par |
23296 |
Comm |
|
Compfirst |
|
|
Payer Claim Status |
|
M |
|
| N 5/14/02 |
Non-Par |
03036 |
Comm |
|
Comprehensive Benefits
Administrator, Inc. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
06105 |
Comm |
|
Connecticare, Inc. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
62308 |
Comm |
|
Connecticut General |
|
|
Payer Claim Status |
|
M |
|
| |
Non-Par |
63208 |
Comm |
|
Connecticut PRI |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
04284 |
Comm |
|
Consolidated Group Claims -
CGC (Alternet, Best Choice, LGSelect) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 12/10/99 |
Par |
04274 |
Comm |
|
Consolidated Group/HPS |
|
|
Payer Acknowledgment |
|
M |
|
| |
Non-Par |
04284 |
Comm |
|
Consolidated Group/Travelers |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
52132 |
Comm |
|
Cooperative Benefit
Administrators (CBA) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
41124 |
Comm |
|
Corp. Benefit
Services/CBSA/Fortis Self Funded Admin |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
43160 |
Comm |
|
Correctional Medical Services,
Inc. |
|
|
Payer Acknowledgment |
|
M |
|
| |
Non-Par |
62553 |
Comm |
|
Country Life Insurance Company |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 8/21/00 |
Non-Par |
25129 |
Comm |
|
Coventry Healthcare of the
Carolinas |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 10/25/00 |
Non-Par |
64068 |
Comm |
|
Creative Medical Systems |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
80705 |
Comm |
|
Crown Life (Great West) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
PR002 |
Comm |
|
Customcare (Southwestern
Bell-Exec.) |
|
|
Payer Claim Status |
|
M |
|
| |
Non-Par |
63081 |
Comm |
|
Delaware Health Plan Consortium |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
06102 |
Comm |
|
Diversified Group
Brokerage/Healthplan Services |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 1/28/02 |
Non-Par |
37231 |
Comm |
|
Doctor and Patient (medical
claims only, no work comp claims) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
75260 |
Comm |
|
Electronic Transmission Corp. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| C 7/24/00 |
Par |
34167 |
Comm |
|
Emerald Health Network |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
PR002 |
Comm |
|
Emorycare |
|
|
Payer Claim Status |
|
M |
|
| |
Non-Par |
73288 |
Comm |
|
Emphesys |
|
|
ProxyMed Acknowledgment |
|
M |
|
| 6/3/2002 |
Par |
87726 |
Comm |
|
Empire Plan- United Healthcare |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 1/11/02 |
Non-Par |
38241 |
Comm |
|
Employee Benefit Concepts |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
81039 |
Comm |
|
Employee Benefit Management
Svcs., Inc. (EBMS) |
|
|
Payer Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
03036 |
Comm |
|
Employee Benefit Plan
Administration (E.B.P.A.) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 6/13/02 |
Non-Par |
37216 |
Comm |
|
Employee Benefit Services |
|
|
Payer Acknowledgement |
|
M |
|
| |
Non-Par |
54098 |
Comm |
|
Employee Security, Inc. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 6/5/02 |
Non Par |
MSI01 |
Comm |
|
Employers Coalition on Health
(ECOH) |
|
|
Payer Acknowledgment |
|
M |
|
| N 6/5/02 |
Non Par |
MSI01 |
Comm |
|
Employers Health Cooperative
(EHC) |
|
|
Payer Acknowledgment |
|
M |
|
| |
Non-Par |
73288 |
Comm |
|
Employers Health Insurance |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
36364 |
Comm |
|
ENH Medical Group IPA |
|
|
Payer Acknowledgment |
|
M |
|
| N 1/31/01 |
Non-Par |
91136 |
Comm |
|
Enstar Natural Gas, Grp P61
(MUST HAVE GRP# ON CLAIM) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 6/13/02 |
Par |
62308 |
Comm |
|
Equicor |
|
|
Payer Acknowledgement |
|
M |
|
| |
Par |
62308 |
Comm |
|
Equicor - PPO |
|
|
Payer Claim Status |
|
M |
|
| N 6/13/02 |
Par |
62308 |
Comm |
|
Equicor PPO |
|
|
Payer Acknowledgement |
|
M |
|
| |
Par |
62308 |
Comm |
|
Equicor/Equitable |
|
|
Payer Claim Status |
|
M |
|
| C 12/10/99 |
Par |
75196 |
Comm |
|
Equifax Healthcare Admin Svc.
(EHAS) |
|
|
Payer Acknowledgment |
|
M |
|
| N 6/13/02 |
Par |
62308 |
Comm |
|
Equitable (CIGNA) |
|
|
Payer Acknowledgement |
|
M |
|
| N 5/14/02 |
Non-Par |
23250 |
Comm |
|
Erin Group Administrators |
|
|
Payer Acknowledgment |
|
M |
|
| |
Non-Par |
74234 |
Comm |
|
Erisa Adminstrative Services,
Inc. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
58233 |
Comm |
|
Evergreen Health Plan |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
71412 |
Comm |
|
Exclusicare |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 12/4/01 |
Non-Par |
91131 |
Comm |
|
First Choice Health Network |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| N 12/10/99 |
Par |
80705 |
Comm |
|
First Great West Life &
Annuity Ins. Co. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| C 3/26/00 |
Par |
87043 |
Comm |
|
First Health |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/14/02 |
Non-Par |
23241 |
Comm |
|
First Priority Health |
|
|
Payer Acknowledgment |
|
M |
|
| |
Non-Par |
63080 |
Comm |
|
First State Health Plan |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
90060 |
Comm |
|
FirstGuard Health Plan |
|
|
Payer Acknowledgment |
|
M |
|
| |
Par |
68241 |
Comm |
|
Flexcare |
|
|
Payer Claim Status |
|
M |
|
| |
Non-Par |
59276 |
Comm |
|
Florida First |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
48117 |
Comm |
|
FMH Benefit Services, Inc. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| C 3/30/00 |
Par |
39065 |
Comm |
|
Fortis (Formerly Time Insurance) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| C 3/30/00 |
Par |
39065 |
Comm |
|
Fortis (Western Life Ins.
Benefit Plan) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| C 3/30/00 |
Par |
39065 |
Comm |
|
Fortis Benefits, Inc. (Woodbury)
PHCS Network Claims |
|
|
ProxyMed Acknowledgment |
|
M |
|
| C 3/30/00 |
Par |
39065 |
Comm |
|
Fortis Western |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 6/13/02 |
Non-Par |
64067 |
Comm |
|
Fox Everett-- Ingalls Ship
Building |
|
|
Payer Acknowledgement |
|
M |
|
| |
Non-Par |
64069 |
Comm |
|
Fox-Everett, Inc. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
25169 |
Comm |
|
Gateway Health Plan |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 11/4/99 |
Par |
44054 |
Comm |
|
GEHA |
|
|
Payer Claim Status |
|
M |
|
| |
Par |
44054 |
Comm |
|
GEHA Ins. No. 372 |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
75273 |
Comm |
|
Geisinger Health Plans [Payer
requires enrollment. Please contact
the payer at (570) 271-8077] |
|
|
Payer Acknowledgment |
|
M |
|
| |
Par |
63665 |
Comm |
|
General American (Sanus - East) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
63665 |
Comm |
|
General American Life |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 1/9/02 |
Non-Par |
07205 |
Comm |
|
Gilsbar Inc. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 1/31/01 |
Non-Par |
91136 |
Comm |
|
Glassworkers Hlth & Welfare
Fund, Grp F29 (MUST HAVE GRP# ON CLAIM) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
37602 |
Comm |
|
Golden Rule Insurance Company |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
34025 |
Comm |
|
Goodyear Tire & Rubber
Company |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
44054 |
Comm |
|
Government Employees Hospital
Association |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
58204 |
Comm |
|
Grady HealthCare |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/29/02 |
Par |
37234 |
Comm |
|
Grant Physicians Practice
Association |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
95467 |
Comm |
|
Great Lakes Health Plan |
|
|
Payer Acknowledgment |
|
M |
|
| |
Par |
80705 |
Comm |
|
Great West Care |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
80705 |
Comm |
|
Great-West Life & Annuity
Insurance Company |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
48143 |
Comm |
|
Group and Pension Administrators
{Group # required on all claims} |
|
|
Payer Claim Status |
|
M |
|
| |
Non-Par |
91051 |
Comm |
|
Group Health Cooperative (WA) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
61101 |
Comm |
|
Group Health Insurance (Humana) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
91121 |
Comm |
|
Group Health Northwest {Eastern Washington state and Northern
Idaho. Signed provider agreement required.
Please call 509-241-7317 prior to submitting claims.} |
|
Enrollment |
Payer Acknowledgment |
|
M |
|
| |
Non-Par |
13551 |
Comm |
|
Group Health, Inc. (GHI) |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
64246 |
Comm |
|
Guardian Life (The Guardian) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
37114 |
Comm |
|
H.E.R.E.I.U. Welfare Pension
Plan Funds |
|
|
Payer Acknowledgment |
|
M |
|
| C 12/10/99 |
Par |
95266 |
Comm |
|
Harrington Benefit Services |
|
|
Payer Acknowledgment |
|
M |
|
| N 11/8/00 |
Par |
59140 |
Comm |
|
Harrington Benefit Services,
Inc. (HBS, Inc) - formerly Health Plan Services |
|
|
Payer Acknowledgment |
|
M |
|
| |
Non-Par |
04271 |
Comm |
|
Harvard Pilgrim Health Plan -
(Check insured's card) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 2/21/02 |
Non-Par |
86065 |
Comm |
|
Hawki |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
37111 |
Comm |
|
HCH Administration |
|
|
Payer Acknowledgment |
|
M |
|
| N 7/17/01 |
Non-Par |
34185 |
Comm |
|
Health Administration Service |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 9/21/00 |
Non-Par |
23172 |
Comm |
|
Health Alliance Exclusive &
Plus |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 1/9/02 |
Non-Par |
77950 |
Comm |
|
Health Alliance Medical Plan |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
25126 |
Comm |
|
Health America, Inc./ Health
Assurance/ Advantra |
|
|
Payer Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
25126 |
Comm |
|
Health Assurance/ Health
America, Inc./ Advantra |
|
|
Payer Acknowledgment |
|
M |
|
| |
Par |
68241 |
Comm |
|
Health Care Alliance (Sears) |
|
|
Payer Claim Status |
|
M |
|
| |
Non-Par |
56142 |
Comm |
|
Health Care Savings |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
46112 |
Comm |
|
Health Data Solutions |
|
|
Payer Acknowledgment |
|
M |
|
| C 12/10/99 |
Par |
75196 |
Comm |
|
Health Economics Corporation |
|
|
Payer Acknowledgment |
|
M |
|
| C 2/12/02 |
Non-Par |
06108 |
Comm |
|
Health Net of the Northeast
(formerly Physicians Health Services) (please call Joanne Shamas at
203-381-7618 to verify provider id) |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/14/02 |
Non-Par |
04286 |
Comm |
|
Health New England |
|
|
Payer Acknowledgment |
|
M |
|
| N 9/21/00 |
Non-Par |
58216 |
Comm |
|
Health One Alliance, PPO |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 12/10/99 |
Par |
59142 |
Comm |
|
Health Plan Services - Oklahoma |
|
|
Payer Acknowledgment |
|
M |
|
| C 12/10/99 |
Par |
59140 |
Comm |
|
Health Plan Services (now known
as Harrington Benefit Services) |
|
|
Payer Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
44273 |
Comm |
|
Health Plans, Inc. |
|
|
Payer Acknowledgment |
|
M |
|
| |
Non-Par |
95435 |
Comm |
|
Health Pledge HMO |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
41170 |
Comm |
|
Health Risk Management |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
36332 |
Comm |
|
Health Star |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
96475 |
Comm |
|
Healthcare Plan HMO (Contact
payer at 800-435-7441) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
90001 |
Comm |
|
Healthcare Plan PPO (Contact
payer at 800-435-7441) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 11/20/01 |
Par |
36335 |
Comm |
|
Healthcare's Finest Network |
|
|
Payer Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
23226 |
Comm |
|
HealthGuard
of Lancaster |
|
|
Payer Acknowledgment |
|
M |
|
| |
Par |
61101 |
Comm |
|
Healthhelp Networks, Inc. (HNNI) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
90001 |
Comm |
|
Healthlink PPO {Please call
provider relations dept @ 800-624-2356 for unique provider id} |
Yes |
|
Payer Acknowledgment |
|
M |
|
| |
Par |
68195 |
Comm |
|
Healthpoint Corp. |
|
|
Payer Claim Status |
|
M |
|
| |
Non-Par |
31106 |
Comm |
|
Healthpower HMO |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 1/21/02 |
Non-Par |
HSPC1 |
Comm |
|
HealthSmart Preferred Care |
Yes |
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
68195 |
Comm |
|
Healthsource Provident
Administrators |
Yes |
|
Payer Claim Status |
|
M |
|
| |
Par |
68195 |
Comm |
|
Healthsource Provident Ins. Co. |
Yes |
|
Payer Claim Status |
|
M |
|
| N 6/13/02 |
Non-Par |
|
Comm |
|
HealthSource/
Hudson Health Plan { Provider enrollment required by payer. Please contact Sam Gutwilig @ 914-372-2291
to enroll and obtain provider id} |
Yes |
|
Payer Acknowledgement |
|
M |
|
| |
Non-Par |
36332 |
Comm |
|
Healthstar, Inc. (Preferred Care
Network/PCN) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
95378 |
Comm |
|
Heritage (John Deere Health
Care) (Payer requires a JDHC electronic ID from Nancy Knauss at John
Deere. Please contact her at (309)
748-0426, electronic id #'s (309) 765-0548) |
|
|
Payer Claim Status |
|
M |
|
| N 1/11/02 |
Non-Par |
59230 |
Comm |
|
Heritage Consultants |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 6/13/02 |
Non-Par |
HPN11 |
Comm |
|
Heritage Physican Network (HPN)
{Providers must email provider relations (pr@hhsi.com) to get their unique 5
digit provider id. This provider id
is required on all claims} |
Yes |
|
Payer Acknowledgement |
|
M |
|
| N 10/17/01 |
Par |
36335 |
Comm |
|
HFN, Inc. |
|
|
Payer Acknowledgment |
|
M |
|
| |
Non-Par |
22228 |
Comm |
|
HIP-NJ |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
61101 |
Comm |
|
HMPK, INC. (Humana) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
AMS01 |
Comm |
|
Homestead CHP/S - Wisconsin Only |
|
|
Payer Claim Status |
|
M |
|
| N 1/31/01 |
Non-Par |
91136 |
Comm |
|
Hotel Employees & Restaurant
Employees Hlth Trust, Grp# F19 (MUST HAVE GRP# ON CLAIM) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
61101 |
Comm |
|
HPLAN, INC. (Humana) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
94254 |
Comm |
|
HPR |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
58227 |
Comm |
|
HPS Paradigm, INC |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
41170 |
Comm |
|
HRM Claim Management |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
55905 |
Comm |
|
HSI
Health Plans, Inc. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
61102 |
Comm |
|
Humana - Encounters only |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
61101 |
Comm |
|
Humana Care Plan |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
61101 |
Comm |
|
Humana Gold Plus |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
61101 |
Comm |
|
Humana Health |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
61101 |
Comm |
|
Humana Health Chicago Inc. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
61101 |
Comm |
|
Humana Health Chicago Ins. Co. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
61101 |
Comm |
|
Humana Health Plan |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
61101 |
Comm |
|
Humana Insurance Agency |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
61101 |
Comm |
|
Humana Insurance Co. |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
38234 |
Comm |
|
IBA Self Funded Group |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
68241 |
Comm |
|
IBM Medical Plans |
|
|
Payer Claim Status |
|
M |
|
| N 5/17/02 |
Non-Par |
41600 |
Comm |
|
IMCARE |
|
|
Payer Acknowledgment |
|
M |
|
| N 2/5/02 |
Non-Par |
52196 |
Comm |
|
Informed |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/14/02 |
Non-Par |
04320 |
Comm |
|
Innovative Healthware Solutions |
|
|
Payer Acknowledgment |
|
M |
|
| |
Par |
68241 |
Comm |
|
Institutes of Quality |
|
|
Payer Claim Status |
|
M |
|
| N 5/14/02 |
Non-Par |
13315 |
Comm |
|
Insurance Design Administrators |
|
|
Payer Acknowledgment |
|
M |
|
| N 5/14/02 |
Non-Par |
31127 |
Comm |
|
Integra Group |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
94315 |
Comm |
|
Interactive Diagnostic Services |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/14/02 |
Non-Par |
23287 |
Comm |
|
InterGroup Services PPO |
|
|
Payer Acknowledgment |
|
M |
|
| N 2/21/02 |
Non-Par |
86065 |
Comm |
|
Iowa Health Solutions |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
AMS01 |
Comm |
|
Iowa, Envoy Platinum - Wisconsin
Only |
|
|
Payer Claim Status |
|
M |
|
| C 3/16/01 |
Par |
61271 |
Comm |
|
J.F. Molloy & Associates,
Inc. |
|
|
Payer Claim Status |
|
M |
|
| C 10/29/01 |
Par |
41099 |
Comm |
|
John Alden Life |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Par |
95378 |
Comm |
|
John Deere Health Care
(Heritage) (Payer requires a JDHC electronic ID from Nancy Knauss at John
Deere. Please contact her at (309)
748-0426, electronic id #'s (309) 765-0548) |
|
|
Payer Claim Status |
|
M |
|
| C 3/19/01 |
Par |
65099 |
Comm |
|
John Hancock Health Security
Plan (UNICARE) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| C 3/19/01 |
Par |
65099 |
Comm |
|
John Hancock Mutual Life Ins.
Co. (UNICARE) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| C 3/19/01 |
Par |
65099 |
Comm |
|
John Hancock Preferred Health
Plan (UNICARE) |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
37215 |
Comm |
|
John P. Pearl & Associates,
Ltd. |
|
|
Payer Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
21313 |
Comm |
|
Kaiser Foundation Health Plan of
Georgia |
|
|
Payer Acknowledgment |
|
M |
|
| N 6/25/02 |
Non-Par |
52095 |
Comm |
|
Kaiser Foundation Health Plan of
the Mid-Atlantic States (MD, VA and DC) |
|
|
ProxyMed Acknowledgement |
|
M |
|
| N 5/17/02 |
Non-Par |
57038 |
Comm |
|
Kanawha Healthcare Solutions,
Inc. |
|
|
Payer Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
57038 |
Comm |
|
Kanawha Insurance Company |
|
|
Payer Acknowledgment |
|
M |
|
| N 1/11/02 |
Non-Par |
25144 |
Comm |
|
Kansas City Advantra |
|
|
ProxyMed Acknowledgment |
|
M |
|
| N 5/17/02 |
Non-Par |
44030 |
Comm |
|
Kansas City Life Insurance
Company |
|
|
Payer Acknowledgment |
|
M |
|
| |
Non-Par |
73100 |
Comm |
|
Kempton Company |
|
|
ProxyMed Acknowledgment |
|
M |
|
| |
Non-Par |
73100 |
Comm |
|
Kempton Group Administrators |
|
|
ProxyMed Acknowledgment |
|
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