eligibility payor id list - genius solutions, inc. · pdf filegenius solutions 11/15/2017...

Genius Solutions 11/15/2017

Eligibility Payor

ID List

Quick Reference Guide for Our Most Popular Payors

Payor ID Payor Name Subscriber Dependent

10319 AARP Y N

10004 Aetna Y Y

11026 Aetna Better Health Michigan Y N

10038 Blue Cross Blue Shield of Michigan Y Y

10038 Blue Care Network – Michigan Providers Y Y

10062 Cigna – Great West Y Y

10308 HAP – Health Alliance Plan Y N

10100 Humana Y N

10038 Medicare Plus Blue – Michigan Providers Y N

10136 Michigan Medicaid Y N

10250 Molina of Michigan Y N

10490 Priority Health Y N

10189 TRICARE Y Y

10879 TRICARE for Life Y N

10002 United Healthcare Y y

Complete Eligibility Payor List

Payor ID Payor Name Subscriber Dependent

10431 AARP (A United HealthCare Insurance Company) Y N

10560 Absolute Total Care Y N

11009 ACS Benefit Services Y Y

10619 Administrative Services, Inc. Y N

10561 Advantage by Bridgeway Health Solutions Y N

10562 Advantage by Buckeye Community Health Plan Y N

10563 Advantage by Managed Health Services Y N

10564 Advantage by Superior HealthPlan Y N

10004 Aetna Y Y

11099 Aetna Better Health (FL) Y N

10892 Aetna Better Health (IL) Y N


11119 Aetna Better Health (KY) Y N

11008 Aetna Better Health (LA) Y N

11026 Aetna Better Health (MI) Y N

11064 Aetna Better Health (MO) Y N

10976 Aetna Better Health (NE) Y N

10994 Aetna Better Health (NJ) Y N

10816 Aetna Better Health (NY) Y N

10887 Aetna Better Health (OH) Y N

10894 Aetna Better Health (PA) Y N

10895 Aetna Better Health (TX) Y N

10896 Aetna Better Health (TX) CHIP Y N

10217 Aetna Better Health (VA) Y Y

11154 Aetna Better Health (WV) Y N

10397 Aetna Long Term Care Y N

10891 Aetna Retiree Medical Plan - Administrator Y Y

10897 Aetna Senior Supplemental Y N

11115 Affinity Essentials Y N

10594 Affinity Health Plan Y N

10661 Affinity Health Plan Medicare Y N

10955 AFLAC Y Y

10398 AFLAC - Dental Y Y

10663 AFLAC - Medicare Supplemental Y Y

11149 AGIA, Inc.

10007 Alabama Medicaid Y N

10798 Alan Sturm and Associates - Dental Y N

11016 Alaska Medicaid Y N

10829 All Savers Insurance (American Medical Security) Y Y

11027 All Savers Life Insurance Y Y

10654 Allegiance Benefit Plan Management Y Y

11109 Alliant Health Plans Y Y

10898 Allied Benefit Systems Y Y

11017 AlohaCare Y N

11002 Alternative Insurance Resources Inc Y Y

10786 Altus Dental Y N

11082 Ambetter Superior Health Plan TX Y N

10985 AmeriBen Y Y

10664 American Health Medicare Y N

10986 American Income Life Insurance Company Y N

10829 American Medical Security Y Y

10595 American National Insurance Company Y Y

10596 American National Life Insurance Company of Texas Y Y

10899 American Network Ins. Medicare Supplement Y Y

10016 American Postal Workers Union (APWU) Y Y

10538 American Retirement Life Ins Co Medicare Supplement Y N

10018 AmeriChoice of New Jersey (Commercial) Y N

11085 Americo Financial Life & Annuity Y N


10019 AMERIGROUP Y N

10974 AmeriHealth Y Y

10416 AmeriHealth Administrators Y Y

11193 AmeriHealth Caritas DC Y N

11142 AmeriHealth Caritas Iowa Y N

10640 Amerihealth Caritas Louisiana (LaCare) Y N

10340 AmeriHealth Caritas Pennsylvania Y N

11151 AmeriHealth Caritas VIP Care Plus Y N

10020 AmeriHealth Group - Ameritas Life Insurance Inc Y Y

11189 AmeriHealth Northeast Pennsylvania Y N

11152 AmeriHealth VIP Care Y N

10232 Ameritas Group - First Ameritas of New York Y Y

10233 Ameritas Group - First Reliance Standard Life Y Y

10234 Ameritas Group - Reliance Standard Life Y Y

10236 Ameritas Group - Standard Insurance Y Y

10237 Ameritas Group - Standard Insurance of New York Y Y

10993 Anthem Vivity Y N

10708 Apex Benefits Services Y Y

10641 Arbor Health Plan Y N

11181 Arise Health Care Y Y

10868 Arise Health Plan Medicare Select Policy Y N

10021 Arizona Medicaid (AHCCCS) Y N

10022 Arizona Physicians IPA (APIPA) Y N

10023 Arkansas Medicaid Y N

10957 Associacion De Maestros Puerto Rico Y N

10529 Asuris Northwest Health Y Y

10472 AultCare Y Y

10890 Automated Benefit Services Y Y

10900 Auxiant Y Y

11145 Avalon Administrative Services Y

10869 Avera Health Plans Y N

10024 AvMed Health Plans Y N

10813 Bankers Life and Casualty Y N

10707 Banner Health Plans Y Y

10025 BCBS of Alabama Y Y

10609 BCBS of Alabama (Institutional) Y Y

10027 BCBS of Arizona Y Y

10028 BCBS of Arkansas Y Y

10029 BCBS of Colorado (Wellpoint) Y Y

10030 BCBS of Connecticut (Wellpoint) Y Y

11102 BCBS of DC (Carefirst) Y Y

10831 BCBS of Delaware Y Y

10031 BCBS of Florida Y Y

10032 BCBS of Georgia (Wellpoint) Y Y

10530 BCBS of Hawaii Y Y

10033 BCBS of Illinois Y Y


10258 BCBS of Indiana (Wellpoint) Y Y

10396 BCBS of Iowa Y Y

10034 BCBS of Kansas Y Y

10473 BCBS of Kansas City Y Y

10259 BCBS of Kentucky (Wellpoint) Y Y

10035 BCBS of Louisiana Y Y

10036 BCBS of Maine (Wellpoint) Y Y

10270 BCBS of Maryland (Carefirst) Y Y

10037 BCBS of Massachusetts Y Y

10519 BCBS of Michigan (Institutional) Y Y

10038 BCBS of Michigan (Professional) Y Y

10039 BCBS of Minnesota Y Y

10040 BCBS of Mississippi Y N

10322 BCBS of Missouri (Wellpoint) Y Y

10516 BCBS of Montana Y Y

10384 BCBS of Nebraska Y Y

10260 BCBS of Nevada (Wellpoint) Y Y

10261 BCBS of New Hampshire (Wellpoint) Y Y

10041 BCBS of New Jersey (Horizon) Y Y

10042 BCBS of New Mexico Y Y

10043 BCBS of New York (Empire) Y Y

10323 BCBS of New York (Excellus) Y Y

10461 BCBS of New york(Central) Y Y

10469 BCBS of New york(Rochester Area) Y Y

10470 BCBS of New york(Utica-Watertown) Y Y

10383 BCBS of North Carolina Y Y

10478 BCBS of North Dakota Y Y

10044 BCBS of Ohio (Wellpoint) Y Y

10582 BCBS of Oklahoma Y Y

10045 BCBS of Oregon (Regence) Y Y

10046 BCBS of Pennsylvania (Highmark) [Includes Blue Shield PA - Highmark Senior Health]

Y Y

10524 BCBS of Pennsylvania (Highmark) Institutional Y Y

10304 BCBS of Rhode Island Y Y

10047 BCBS of South Carolina Y Y

10395 BCBS of South Dakota (Wellmark) Y Y

10430 BCBS of Tennessee Y Y

10048 BCBS of Texas Y Y

10618 BCBS of Utah Y Y

10624 BCBS of Vermont Y Y

10049 BCBS of Virginia (Wellpoint) Y Y

10462 BCBS of West Virginia Y Y

10498 BCBS of Western NY Y Y

10299 BCBS of Wisconsin (Wellpoint) Y Y

10480 BCBS of Wyoming Y Y

10665 Benefit Management Inc Y Y


10256 Best Choice Health Plan Y N

10050 Best Life and Health Y Y

10187 Better Health Plans (Unison Health Plans) Y N

10999 Better Health Plans of Florida Y N

10803 Blue Benefit Administrators of Mass Y Y

11183 Blue Cross Community Options Y N

10262 Blue Cross Independence (Pennsylvania) Y Y

10264 Blue Cross Northeastern Pennsylvania Y Y

10051 Blue Cross of California (Wellpoint) Y Y

10638 Blue Cross of Idaho Y Y

10326 Blue Cross of Washington and Alaska (Premera) Y Y

10325 Blue Cross Pennsylvania (Capital) Y Y

10053 Blue Shield of California Y N

10052 Blue Shield of Idaho (Regence) Y Y

10499 Blue Shield of NorthEastern NY Y N

10054 Blue Shield of Washington (Regence) Y Y

10046 Blue Shield PA - Highmark Senior Health Y Y

10504 BlueChoice HealthPlan South Carolina Medicaid Y N

11174 BlueCross Medicare Advantage Y N

10429 Bluegrass Family Health (Baptist Health Plan) Y Y

10556 BMC HealthNet Plan (Boston Medical) Y N

10821 Boon Group Y Y

10414 Boon-Chapman Benefit Admin Y Y

10399 Bravo Health (Cigna Bravo Healthspring) Y N

10827 Bridgespan Y N

10565 Bridgeway Arizona Y N

10783 Brokers National - Dental Y N

10566 Buckeye Community Health Y N

10997 C and C Employees' Hospital Association Plan Y N

10759 California Health & Wellness Y N

10055 California Medicaid (Medi-Cal) Y N

11070 Cal-Viva Y N

10458 Capital District Physicians Health Plan (CDPHP) Y N

10903 Capitol Administrators Y N

10660 Caprock Y N

10806 Care Improvement Plus Y N

10981 Care1st Health Plan Arizona Y N

11080 CareMore Y Y

10056 CarePlus Health Plan Y N

10822 Carepoint Medicare Advantage Y N

10057 CareSource Health Y N

10762 Carolina Care Plan Y Y

11161 Carpenters Health and Welfare Trust Fund of St Louis Y D

10667 CDS Group Health Y Y

10668 Celtic Insurance Y Y

10589 Celticare Y Y


11106 CenCal Y N

10567 Cenpatico - Arizona Y N

10568 Cenpatico - Florida Y N

10569 Cenpatico - Georgia Y N

10631 Cenpatico - Illinois Y N

10570 Cenpatico - Indiana Y N

10571 Cenpatico - Kansas Y N

10632 Cenpatico - Kentucky Y N

10588 Cenpatico – Massachusetts Y N

10769 Cenpatico - Mississippi Y N

10768 Cenpatico - Missouri Y N

10770 Cenpatico - New Hampshire Y N

10572 Cenpatico - Ohio Y N

10573 Cenpatico - South Carolina Y N

10633 Cenpatico - Texas Y N

10766 Cenpatico Behavioral Health Y N

10767 Cenpatico Behavioral Health Texas Y N

10634 Cenptatico - Wisconsin Y N

10765 Centene - Granite State Health Plan Y N

10763 Centene - Advantage by Peach State Y N

10764 Centene - Advantage by Sunshine State Y N

11126 Centene - Ambetter Sunshine Health Y N

10566 Centene - Buckeye Community Health Y N

10759 Centene - California Health & Wellness Y N

10761 Centene - Coordinated Care Y N

10760 Centene - Home state Health Plan Y N

10757 Centene - Illinicare Health Plan Y N

10620 Centene - Kentucky Spirit Health Plan Y N

10756 Centene - Louisiana Healthcare Connections Y N

11034 Centene - Michigan Fidelis Secure Care Y N

10590 Centene - Peach State Health Plan Y N

10758 Centene - Sunflower State Health Plan Y N

10592 Centene - Superior HealthPlan Texas Y N

10771 Centene Advantage Plans Y N

10884 Central California Alliance for Health Y N

10904 Central Senior Care Y N

10486 Central States Fund Y Y

10744 Central States Indemnity Y N

11018 Cerner Health Plan Y Y

10061 CHAMPVA/Spina Bifida/Children of Women Vietnam Vets Y N

10447 CHC – Advantra (TX, NM, AZ Only) Y Y

10419 CHC - Advantra Savings Y Y

10216 CHC - Altius Health Plans Y Y

10307 CHC - Avantra Freedom Y Y

10448 CHC – Coventry Health and Life – Nevada Y Y

10212 CHC - Coventry Health and Life (Oklahoma) Y Y


10405 CHC - Coventry Health and Life (Tenn) Y Y

10481 CHC - Coventry Healthcare Federal Y Y

10449 CHC – Coventry Missouri Y Y

10642 CHC - CoventryCares of Kentucky Y Y

10440 CHC – CoventryOne Y Y

10076 CHC - Delaware Y Y

10551 CHC ‐ Florida Y Y

10206 CHC - Georgia Y Y

10219 CHC - Group Health Plan (GHP) Y Y

10221 CHC - HealthCare Inc. (Promina) Y Y

10224 CHC - Illinois Y Y

10207 CHC - Iowa Y Y

10208 CHC - Kansas Y Y

10210 CHC - Louisiana Y Y

10085 CHC - Mail Handlers Benefit Plan Y Y

10211 CHC - Nebraska Y Y

10428 CHC - University of Missouri Y Y

10225 CHC - Virginia Y Y

10214 CHC - West Virginia Y Y

10226 CHC of the Carolinas Y Y

10906 Children's Mercy PCN Y N

10907 CHP Direct Y Y

10908 Christian Brothers Services Y Y

11113 Christie Student Health Plans Y Y

11006 CHRISTUS Health Plan New Mexico Y Y

11007 CHRISTUS Health Plan NM Medicare Advantage Y N

10062 CIGNA - Great West Y Y

11001 Claims Management Service Inc Y N

10909 CMFG Life Insurance Y Y

10852 Colonial Penn Life Y N

10064 Colorado Access Y N

10065 Colorado Medicaid Y N

10066 Community Care of Oklahoma Y Y

11165 Community Health Choice Y N

11087 Community Health Group Y Y

10329 Community Health Plan of Washington (CHPW) Y N

10421 Community HealthFirst Medicare Advantage Y N

10861 Concentrix Insurance Solutions Y N

10303 ConnectiCare Y Y

10067 Connecticut Medicaid Y N

10517 Connecticare Medicare Y N

10669 Consolidated Associates Railroad Y Y

11042 Constellation Health Y N

10911 Consumers Life Y Y

11051 Consumers Mutual Insurance of Michigan Y N

10540 Continental General Ins Co Medicare Supplement Y N


10610 Cook Children’s Health Plan Y N

10068 Cooperative Benefit Administrators (CBA) Y Y

10761 Coordinated Care Y N

10311 CoreSouce (FMH) Y Y

10071 CoreSource (Little Rock) Y Y

10072 CoreSource (MD,PA,IL,NC,IN,AZ,MN) Y Y

10411 Corporate Benefit Service Y Y

10670 Country Life Insurance Company Y Y

11143 CountyCare Y N

10880 Covenant Administrators (TPA) Y N

10084 Coventry Healthcare National Network Y Y

10428 Coventry Healthcare University of Missouri Y Y

10223 CoventryCares of Michigan Y Y

10215 CoventryCares of West Virginia Y Y

10838 Cox Health Plan Y N

11160 CSI Life Insurance Company Y Y

10775 Culinary Health Fund Y Y

10577 DakotaCare Y Y

10653 Dean Health Plan Y N

10780 DeCare Dental Health Insurance Y N

10828 Definity Health Y Y

10293 Delaware Medicaid Y N

10709 Delta Dental Ins. Co. - Alabama Y N

10710 Delta Dental Ins. Co. - Florida Y N

10711 Delta Dental Ins. Co. - Georgia Y N

10712 Delta Dental Ins. Co. - Louisiana Y N

10713 Delta Dental Ins. Co. - Mississippi Y N

10714 Delta Dental Ins. Co. - Montana Y N

10715 Delta Dental Ins. Co. - Nevada Y N

10716 Delta Dental Ins. Co. - Texas Y N

10717 Delta Dental Ins. Co. - Utah Y N

10705 Delta Dental of California Y N

10718 Delta Dental of Colorado Y N

10719 Delta Dental of Connecticut Y N

10720 Delta Dental of Delaware Y N

10721 Delta Dental of Hawaii Y N

10722 Delta Dental of Indiana Y N

10723 Delta Dental of Maryland Y N

10724 Delta Dental of Michigan Y N

10725 Delta Dental of Minesota Y N

10726 Delta Dental of Nebraska Y N

10727 Delta Dental of New Jersey Y N

10728 Delta Dental of New Mexico Y N

10729 Delta Dental of New York Y N

10730 Delta Dental of North Carolina Y N

10731 Delta Dental of North Dakota Y N


10732 Delta Dental of Ohio Y N

11175 Delta Dental of Oklahoma Y N

10733 Delta Dental of Pennsylvania Y N

10734 Delta Dental of Rhode Island Y N

10735 Delta Dental of Tennessee Y N

10736 Delta Dental of Virginia Y N

10737 Delta Dental of Washington DC Y N

10738 Delta Dental of Washington State Y N

10739 Delta Dental of West Virginia Y N

10740 DeltaCare USA - Claims Y N

10741 DeltaCare USA - Encounters Y N

10787 Dental Benefit Providers Y N

10331 Denver Health Medical Plan Y N

10578 Deseret Mutual (DMBA) Y Y

10077 Director's Guild Y Y

11098 District No. 9, I.A. of M. & A. W. Welfare Trust Y Y

10078 District of Columbia Medicaid Y N

11166 Diversified Administrative Corp Y Y

11081 DMC Care Y N

11090 Driscoll Health Plan Y N

10862 EBMS Y Y

11135 Educators Mutual Insurance (EMI) Y N

11010 Elderplan Y N

10616 Emblem Health (GHI NY & HIP of Greater NY) Y N

10784 Employee Benefit Services - Dental Y N

10914 EPIC Life Insurance Y N

11011 EPSI, Inc Y Y

11153 Equitable Life & Casualty Insurance Company Y N

10601 Essence Healthcare Y N

10807 Evercare Y Y

10772 Everence Financial Y Y

11164 Everest Reinsurance Company Y Y

11136 Evergreen Health Y N

10860 Evergreen Health Co-Op Y N

11019 Expert Benefit Solutions Y Y

10082 Fallon Community Health Plan Y N

10427 FamilyCare Y Y

11167 Farm Bureau Health Plans Y N

11003 FCE Benefit Administrators Y N

10083 Federated Insurance Company Y Y

10459 Fidelis Care New York Y N

11190 First Health Network (Coventry National) Y Y

10916 First Medical Network Y Y

10987 First United American Insurance Company Y N

10870 FirstCare Y N

11068 Fiserv Wausau Y N


10799 Flex Compensation - Dental Y N

10811 Florida Combined Life - Dental Y N

10615 Florida Health Care Plans Y Y

10333 Florida Hospital Healthcare System Y N

10086 Florida Medicaid Y N

10776 Food Employers & Bakery Workers Benefit Y Y

11130 Frensenius Health Partners Y N

11069 Fringe Benefits Y N

11052 FSL Admin by KBA Y N

11144 G.M.P. Employers Retiree Trust Y N

10629 Gateway Health Plan Y N

10611 Geisinger Health Plan Y N

10612 Geisinger Health Plan-Gold Y N

11065 GEMCare Y N

10053 Gemcare (Golden Empire Managed Care System - Blue Shield CA)

Y N

10053 Gemcare Managed Care System Kern Delango - Blue Shield CA

Y N

10088 Georgia Medicaid Y N

10808 GHI - Group Health Incorporated Y N

10509 Gilsbar Y Y

10988 Globe Life & Accident Insurance Company Y N

10652 Golden Rule Y Y

10394 Government Employees Hospital Association (GEHA) Y Y

10765 Granite State Health Plan Y N

10543 Great American Life Insurance Co Medicare Supplement Y N

11156 Greek Catholic Union of the USA Y N

10174 Group & Pension Administrators Y Y

11188 Group Dental Services Y Y

10964 Group Hospitalization and Medical Services Y N

10583 Group Practice Affiliates Y N

10788 Guardian Life Insurance Co. of America Dental Y N

10840 Gundersen Health Plan Y Y

11110 Harken Health Y N

10514 Harmony Health Plan Y N

10376 Harvard Pilgrim Health Care Y N

10091 Hawaii Medicaid Y N

10871 Health Alliance Medical Plan (IL) Y N

10308 Health Alliance Medical Plans (HAP) Y N

10220 Health America of PA Y Y

10092 Health Choice Arizona Y N

11148 Health Choice Oklahoma Y Y

11012 Health Cost Solutions Y Y

10673 Health First Health Plan Y Y

10674 Health First Insurance Y Y

10385 Health Net National Y N


10627 Health New England Y N

10484 Health Partners Minnesota Y Y

10098 Health Partners of Philadelphia Y N

10362 Health Plan of San Mateo Y N

10657 Health Plan of Upper Ohio Valley Y N

10584 Health Services Children Special Needs Y N

10823 Health Share of Oregon Y N

11084 Healthcare Management Administrators Y N

11020 HealthComp Administrators Y Y

10597 HEALTHe Exchange Y N

10510 HealthEase Y N

10511 HealthEase Kids Y N

10656 HealthEZ (America's TPA) Y Y

10438 Healthfirst New Jersey Y N

10099 Healthfirst New York Y N

10692 Healthgram Y Y

10500 Healthnow Y N

10804 HealthPlan of Nevada Y Y

10856 HealthPlan Services - Celtic Insurance Company Y N

10802 HealthPlans Inc Y N

10309 HealthPlus of Michigan Y N

10621 Healthscope Y N

11079 Healthsmart Benefit Solutions Y N

10789 Healthsource Provident - Dental Y N

10552 Healthspring Y N

11155 Heartland National Life Insurance Company Y N

10918 Heritage Physician Network (Houston) Y N

10795 Hershey Healthsmile - Dental Y N

11024 Highmark Senior Solutions Y Y

10406 HIPNY Y N

11053 HM Care Advantage Admin by KBA Y N

11112 HMA (Hawaii Mainland Administrators) Y Y

10035 HMO Louisiana Blue Advantage Y N

10760 Home State Health Plan Y N

10335 Hometown Health Y N

10337 Horizon NJ Health Y N

11169 HSBS Oklahoma City Y Y

11046 Hudson Health Plan Y N

10100 Humana Y N

10920 Humana CareSource (KY) Y N

10855 IBEW Local 508 Health Plan Y N

10101 Idaho Medicaid Y N

10747 Ideal Life Insurance Y N

10998 IHC Health Solutions Y N

10757 IlliniCare Health Plan Y N

10102 Illinois Medicaid Y N


10417 Independence Administrators Y Y

10536 Independent Health Y N

10103 Indiana Medicaid Y N

10104 Inland Empire Health Y N

11021 Insurers Administrative Corporation (IAC) Y Y

11054 INTEGRA Administrative Group Y N

10585 Integrated Mental Health Services Y N

10105 Inter Valley Health Plan Y N

11028 International Medical Card Inc Y N

10581 Intracorp Y N

10107 Iowa Medicaid Y N

10675 Island Home Insurance Y N

11147 Jai Medical Systems Y N

10267 John Hopkins Health Plan Y N

11132 Johns Hopkins Healthcare LLC Y N

10110 Kaiser Foundation Health Plan of Colorado Y N

10111 Kaiser Foundation Health Plan of Hawaii Y N

10676 Kaiser Foundation Health Plan of Hawaii (DHMO Choice) Y Y

10113 Kaiser Foundation Health Plan of the Mid-Atlantic Y N

10114 Kaiser Foundation Health Plan of the Northwest Y N

11041 Kaiser Foundation Health Plan of WA Y Y

10608 Kaiser Health Plan of Washington Y Y

10238 Kaiser Permanente of Georgia Y N

10115 Kaiser Permanente of Northern CA Y N

10239 Kaiser Permanente of Southern CA Y N

10116 Kansas Medicaid Y N

10921 Katy Medical Group Y N

11047 Kemper Benefits Y N

10117 Kentucky Medicaid Y N

10620 Kentucky Spirit Health Plan Y N

11067 Key Benefit Administrators - 37217 Y N

10754 Key Benefits Administrators (IN) Y N

11044 Key Healthy Partners Y N

11055 KeySolution Y N

10262 Keystone East Health Plan Y Y

10300 Keystone Mercy Health Plan Y N

11182 Keystone VIP Care Y N

10341 Kitsap Physician Services Y N

10748 KSKJ Life Y N

10640 LACare - AmeriHealth Caritas Louisiana Y N

11118 Land of Lincoln Y N

10975 Leggett & Platt Y Y

10677 Leon Medical Centers Health Plan Y N

10989 Liberty National Life Insurance Company Y N

11170 Lifecare Assurance Company Y Y

10978 Lifetime Benefit Solutions (RMSCO) Y N


10843 Lifewise Arizona Y N

10651 Lifewise Health Plan Of Oregon Y Y

10650 Lifewise Health Plan of Washington y Y

10678 Lincoln Financial Y Y

10749 Lincoln Heritage Y N

10979 Local 1199 Y Y

11013 LoneStar TPA Y Y

10755 Loomis Company y Y

10830 Louisiana Health Exchange Y Y

10756 Louisiana Healthcare Connections Y N

10118 Louisiana Medicaid Y N

10544 Loyal American Life Insurance Co Medicare Supplement Y N

11159 Loyal Christian Benefit Association Y N

10649 Magellan Behavioral Health Y Y

10867 Magnacare Y N

10704 Magnolia Health Plan Y N

11122 Maine Community Health Options Y Y

10121 Maine Medicaid Y N

10818 Majestacare VA Y N

10122 MAMSI Health Plan Y N

10885 Managed Care of America Y N

10863 Managed Health Network (MHN) Y N

10586 Managed Health Services Indiana Y N

10587 Managed Health Services Wisconsin Y N

10679 MAPFRE Life Puerto Rico Y N

10680 MAPFRE Medicare Excel Y N

10435 Maricopa Care Advantage(Arizona) Y N

10434 Maricopa Health Plan (Arizona) Y N

10289 Maryland Medicaid Y N

10693 Maryland Physicians Care Y N

10124 Massachusetts Medicaid Y N

11173 MDWise Exchange Y Y

11172 MDWise Medicaid Health Plans Y N

10681 MedBen - Newark Ohio Y Y

10272 MedCost Benefits Services Y N

10125 Medica Y Y

11029 Medica Health Plans Y N

11171 Medica2 Y Y

10683 Medical Associates Health Plan/Health Choices Y Y

10952 Medical Card System Y N

10126 Medical Mutual of Ohio Y Y

10001 Medicare (Part A & B) Y N

11000 Medicare Advantage - Pennsylvania Y Y

10960 Medicare y Mucho Mas (INMEDIATA HEALTH GROUP) Y N

10800 Medigold Health Plans Y N

10682 Med-Pay Inc Y N


10844 Medstar Family Choice Y N

10845 Medstar Health Plan Y N

10133 Mercy Care Plan (Arizona) Y N

11141 MercyCare Health Plan (WI) Y N

10644 Meridian Health Plan of Illinois Y N

10635 Meritain Health Y N

10980 Meritus Health Partners Y Y

10134 MetLife Dental Family Y Y

10846 MetroPlus Y N

10135 Metropolitan Health Plan (MHP) Y N

10659 MHNet Behavioral Health Y Y

10136 Michigan Medicaid Y N

10392 Michigan Medicaid Pending Eligibility Y N

10138 Michigan MIChild Y N

10139 Minnesota Medicaid Y N

10140 Mississippi Children's Health Insurance Program Y Y

10141 Mississippi Medicaid Y N

10142 Mississippi State Employees and Teachers Y N

10702 Missouri Care Y N

10143 Missouri Medicaid Y Y

11103 Missouri Medicare Select Y N

10144 MMSI (Mayo Health) Y Y

11005 Moda Health - ODS Health Plan Y Y

10145 Molina Healthcare of California Y N

10445 Molina Healthcare of Florida Y N

10685 Molina Healthcare of Illinois Y N

10250 Molina Healthcare of Michigan Y N

10146 Molina Healthcare of New Mexico Y N

10251 Molina Healthcare of Ohio Y N

11031 Molina Healthcare of Puerto Rico Y N

10815 Molina Healthcare of South Carolina Y N

10391 Molina Healthcare of Texas Y N

10252 Molina Healthcare of Utah Y N

10253 Molina Healthcare of Washington Y N

10147 Montana Medicaid Y N

11035 Montefiore CMO Y N

10687 Municipal Health Benefit Fund Y Y

10686 Mutual Health Services Y N

10382 Mutual of Omaha Y Y

10148 MVP Health Care (New York) Y N

10992 NaphCare Inc Y N

10149 National Association of Letter Carriers (NALC) Y Y

10812 National Telecommunications Cooperative Association (NTCA)

Y Y

10966 Nebraska Medicaid Y N

11180 Nebraska Total Care Y N


10151 Neighborhood Health Partnership Y N

10377 Neighborhood Health Plans Massachusetts Y N

10630 Neighborhood Health Plans Rhode Island Y N

10688 Network Health Insurance Corp Y N

10706 Network Health Plan of WI Y N

10152 Nevada Medicaid Y N

10991 New Era Life Insurance Co Y N

10153 New Hampshire Medicaid Y N

10154 New Jersey Medicaid Y N

11123 New Mexico Health Connections Y Y

10247 New Mexico Medicaid Y N

10155 New York Medicaid Y N

10074 NGS Coresource Y Y

10156 North Carolina Medicaid Y N

10157 North Dakota Medicaid Y N

11038 Northwest Administrators Y N

10537 Nova Healthcare Administrators Y Y

10466 NovaSys Health Y N

11005 ODS Health Plans - Moda Health Y N

10515 Ohana Health Plan Y N

10158 Ohio Medicaid Y N

10995 Oklahoma Employees Group Insurance Division (EDS HealthChoice)

Y Y

10159 Oklahoma Medicaid Y N

10777 Operating Engineers Local No. 428 Y N

10477 Optima/Sentara Y N

10951 Orange County Fire Authority Y N

10160 Oregon Medicaid Y N

11124 Oregon's Health Co-Op Y Y

10881 Oscar Y N

10161 Oxford Health Plans Y N

10375 Pacific Source Health Plan Y N

10002 PacifiCare (PPO) Y N

10002 PacifiCare of Arizona (HMO) Y N

10002 PacifiCare of California (HMO) Y Y

10002 PacifiCare of Colorado (HMO) Y N

10002 PacifiCare of Nevada (HMO) Y N

10002 PacifiCare of Oklahoma (HMO) Y Y

10002 PacifiCare of Oregon (HMO) Y Y

10002 PacifiCare of Texas (HMO) Y Y

10002 PacifiCare of Washington (HMO) Y Y

11177 PacificSource Administrators Y Y

11091 PacificSource Community Solutions Medicaid Y Y

11178 PacificSource Medicare Y N

11114 Pan-American Life Insurance Y Y

10689 Panamerican Life Puerto Rico Y N


10854 Paramount Health Y N

10369 Partners National Health Plans of NC Y N

10164 Partnership Health Plan of California Y N

10782 Patriot Dental Y N

10590 Peach State Health Plan Y N

10924 Penn Treaty Network America Ins Medicare Supp Y Y

10165 Pennsylvania Medicaid Y N

11022 People First Y Y

10636 Peoples Health Y N

10492 Personal Insurance Administrators Y Y

10471 PHCS Savility Payors Y Y

10658 Physicians Health Plan Northern Indiana Y N

11015 Physicians Health Plan of Mid-Michigan Y Y

10167 Physicians Mutual Insurance Company Y Y

11004 Physicians Plus Insurance Corp Y N

10882 Piedmont (GA) Y N

10825 Piedmont Wellstar Health Plans Y N

10926 Pinnacle Physician Management Org Y N

10408 Pittman and Associates Y Y

10958 Plan de Salud Hospital Menonita Y N

10886 Planned Administrators Inc Y Y

10778 Plumbers and Pipefitters Local Union 525 Y Y

10691 Preferred Care Partners Y N

10847 Preferred Health System of Kansas Y N

10959 Preferred Medicare Choice (PMC) (INMEDIATA HEALTH GROUP)

Y N

10169 PreferredOne Y N

10848 Premier Health Y N

10494 PrimeWest Health Y N

10170 Principal Financial Group (Nippon Life) Y Y

10171 Principal Financial Group (Vision Only) Y Y

10490 Priority Health Y N

10242 Professional Benefits Administrators Y Y

11199 Prominence Health Plan of Texas Y Y

11198 Prominence Health Plan of Nevada Y Y

10172 Providence Health Plan Y N

10545 Provident American Life & Health Ins Co Medicare Supplement

Y N

10790 Provident Preferred Network - Dental Y N

11101 Pruitt Health Premier Y N

11043 Public Employee Benefit Authority Y Y

11049 Public Employees Health Plan - Medicare Y N

10574 Public Employees Health Plan (PEHP) Y Y

11050 Public Employees Health Plan -CHIP Y N

10743 Puritan Life Insurance Y N

10637 Qualcare Y N


10553 Qualchoice Y Y

10508 QuikTrip Corporation Y Y

11127 Reserve National Insurance Company Y Y

11116 RightCare from Scott and White Y N

10175 Rocky Mountain Health Plan Y N

10751 Royal Neighbors of America Y N

10875 S and S Healthcare Strategies Y N

11163 S USA Life Insurance Company Inc Y Y

10849 San Francisco Health Plan Y N

10177 San Joaquin Health Plan Y N

10533 Sanford Health Plan Y N

10876 Santa Clara Health Plan Y N

11162 SBLI USA Life Insurance Company Inc Y Y

10887 Schaller Anderson Aetna Better Health of OH Y N

10817 Schaller Anderson Delaware Physicians INC Y N

10693 Schaller Anderson Maryland Physicians Care Y N

10694 Schaller Anderson Mercy Care of Arizona Y N

10996 Schaller Anderson Mercy Maricopa Y N

10695 Schaller Anderson Missouri Care Y N

10643 Schaller Anderson Parkland Community Health Plan Y N

10696 Schaller Anderson Texas Christus Y N

10360 Scott & White Health Plan Y N

10883 Secure Health Plans of Georgia Y N

10655 Secure Horizons UHC Y Y

10792 Securian Dental Y N

10793 Securian/Patriot Dental Y N

10864 Security Health Plan Y Y

11056 Security Health Plan of Wisconsin Y N

10520 Select Health SC Y N

10575 Select Health Utah Y Y

10927 Select Senior Clinic Y N

10928 SelectCare of Texas (Beaumont) Y N

10929 SelectCare of Texas (Golden Triangle) Y N

10930 SelectCare of Texas (Houston) Y N

10931 SelectCare of Texas (Integranet) Y N

10932 SelectCare of Texas (Kelsey-Seybold) Y N

10933 SelectCare of Texas (Memorial Clinical Assoc) Y N

10934 SelectCare of Texas (Northwest Diagnostic) Y N

11150 Selman & Company Y Y

11117 Sendero Health Plans Y N

10178 Senior Care Action Network (SCAN) HMO Y N

11023 Senior Dimensions Y N

10697 Senior Health Services Ctr- Univ American Family Co Y Y

10962 Senior Whole Health Y N

10967 Sharp Health Plan Y N

10752 Shenandoah Life Insurance Y N


10282 Sierra Health Services Y Y

10081 Significa Benefit Services Y Y

10826 Simply Healthcare Plans Y N

11129 SisCo Benefits Y N

10935 Soundpath Health Y N

10179 South Carolina Medicaid Y N

10180 South Dakota Medicaid Y N

10591 Special Agents Mutual Benefit Association Y Y

10936 Spectrum Health Y N

10546 SPJST Medicare Supplement Y N

10593 Standard Life and Accident Insurance Company Y N

10645 State Farm Y N

10750 State Mutual Med Supplement Y N

10982 State Mutual-Lincoln Novation Y N

10512 StayWell Y N

10513 StayWell Kids Y N

10937 Stewart C Miller and Co Y N

11032 Stonebridge Life Insurance Company Y N

10183 Student Insurance Y Y

10938 StudentResources Y Y

10294 SummaCare Health Plan Y N

11073 Summit America Insurance Service Y N

10758 Sunflower State Health Plan Y N

10451 Sunshine State Health Plan Y N

10592 Superior HealthPlan Texas Y N

10941 Sutter Select Y Y

10794 TennDent - Dental Y N

10184 Tennessee Medicaid Y N

10942 TexanPlus (Integranet) Y N

10943 TexanPlus (Kelsey-Seybold) Y N

10604 TexanPlus North Texas Area Y N

10605 TexanPlus Southeast Texas Area Y N

10944 Texas First Health Plan (TOPA) Y N

10186 Texas Medicaid Y N

10698 The Kempton Company Y Y

10945 The ULLICO Family of Companies Y Y

10318 Three Rivers Health Plans (Unison Health Plan) Y N

11158 Thrivent Y N

10688 TMG Health Network Y N

10505 Today’s Option Y N

11168 TransactRX Infusion and Specialty Y N

11037 TransactRX Part D Y N

10946 Transamerica Life Insurance (KBA) Y N

11100 Transamerica Premier Life Insurance Y Y

10963 Triad Healthcare Inc Y N

10189 TRICARE Y Y


10879 TRICARE for Life Y N

10947 TRICARE Overseas Y N

11120 Trillium Community Health Plan Y N

10953 Triple-S Salud (BCBS Puerto Rico) Y Y

10190 Trustmark Insurance Y Y

10379 Tufts Health Plan Y N

10626 Tufts Public Health Plan Y N

10352 UCare of Minnesota Y N

10888 Ultimate Health Plans Y N

10501 UMR (WAUSAU) Y Y

11121 UMWA Health and Retirements Funds Y Y

10246 Underwriters Safety & Claims Y Y

10791 Unicare - Dental Y N

10285 Unicare (Wellpoint) Y Y

11086 Unified Life Insurance Company Y N

10599 Union Pacific Railroad Employees Health Systems Y N

10990 United American Insurance Company Y N

10810 United Concordia Companies, Inc - Dental Y N

10809 United Concordia Federal Employees Program - Dental Y N

11107 United Health Group - Community Plan Y Y

11076 United Health Group - Optum Health Behavioral Solutions Y N

11077 United Health Group - UHCWest Y N

10002 United Healthcare Y Y

10835 United Healthcare Community Plan - Kansas Y N

11025 United Healthcare Community Plan - Tennessee Y N

10836 United Healthcare Facets Detroit Community & State Y Y

10834 United Healthcare Facets Pittsburgh Community & State Y Y

10837 United Healthcare Nevada Market Y N

10192 United Healthcare Plan of River Valley Y Y

10547 United Teacher Assoc Insurance Co Medicare Supplement Y N

10349 Unity Health Plans Y N

10535 Univera Y N

11033 Universal Benefit Corp Y N

10193 Universal Care of California Y N

10699 University Care Advantage Arizona Y Y

10194 University Family Care Y N

10977 University of Utah Health Plans Y N

10433 University Physicians Care Advantage (Arizona) Y N

10439 University Physicians Healthcare Group (Arizona) Y N

10889 Universtiy of Arizona Health Plan - UHM Y N

10288 UPMC Health Plan (Tristate) Y N

10195 USAA Life Insurance Company Y N

10648 Utah Medicaid Y N

10196 VA Fee Basis Program Y N

10956 VA Health Administration Center Y N

10956 VA Health Administration Center Y N


10850 VA Healthcare Y N

10948 Valley Care Program Y N

10949 Valley Health Plan Y N

10858 Vantage Health Plan Inc Y Y

10197 Vermont Medicaid Y N

10950 Village Family Practice Y N

10198 Virginia Medicaid Y N

10483 Aetna Better Health of Florida Y Y

10468 VIVA Health Y N

10600 VNS CHOICE Y N

10407 VYTRA Y N

10424 Washington Medicaid (ProviderOne) Y N

10853 Washington National Y N

10501 Wausau (Formerly UMR) Y Y

10554 WEA Trust Y Y

10532 WEB-TPA, Inc. Y Y

10814 Well Sense Y N

10488 WellCare Health Plans Y N

10003 Wells Fargo TPA (Healthsmart Benefit Solutions) Y N

10200 West Virginia Medicaid Y N

11111 Western & Southern Financial Group Y Y

10201 Western Health Advantage Y N

11083 Westlake Financial Group Y N

10797 Wilson McShane - Dental Y N

10576 Windsor Medicare Extra Y N

10202 Wisconsin Medicaid Y N

10452 Wisconsin Medicaid Chronic Disease Program Y N

10453 Wisconsin Medicaid Well Woman Program Y N

10700 World Corp Y Y

10878 WPS Health Insurance Y N

10204 Wyoming Medicaid Y N

11089 YourCare Health Plan Y N

eligibility payor id list - genius solutions, inc. · pdf filegenius solutions 11/15/2017...

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