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Institutional Payer Destination Codes

Blue Cross Plans
Payer ID
Empire Blue Cross (Albany) 00300
Empire Blue Cross (NYC) 00303

NEIC HOSPITAL PAYER LIST AS OF January 27, 2003
(Maintained by the National Electronic information Corporation)

Note: The NEIC list has been modified by Empire Blue Cross to display only those payers that are Supported by Empire OMNIPRO for QuickLinkSM claim submission

Blanket No Card

Payer Name ID
1199 Local Benefit Fund 13162
ABC Health Plan of New York 48185
Advica/Northeast Georgia Health Systems 13376
Aetna Health Plans - PPO 60054
Aetna Life & Casualty Co 60054
AFTRA 60054
ALICARE 13550
All Savers Insurance Co 37602
Alliance Missouri Blue Cross/Blue Choice 12B15
Allied Benefit Systems, Inc 37308
Alta Health Strategies (First Health) 87043
Amer Postal Wrkers Union Hlth Plan 44444
American Commercial Barge Lines 37128
American Community Mutual Ins 60305
American Imaging Management, Inc 36369
AmeriChoice of New York 86048
AmeriChoice of Pennsylvania 86049
APA Partners, Inc 16140
Arkansas Best Corporation 75278
Ascendia Healthcare Management 56192
Associates for Health Care - WI 36326
Athens Area Health Plan Select 95691
Avera Health Plans 46045
Benefirst 37125
Benefit Plan Administrators (BPA) 88027
Benefit Plan Administrators, Inc 37222
Benefit Planners 74223
Benefit Services, Inc (Akron, OH) 34178
Benefit Systems and Services, Inc 36342
Benesight
BENESYS/BENESYS, Inc/Bass Administrators, Inc
87365
Benesys-LHP Claims 37248
Better Health Plans, Inc 62183
Boston Medical Center HealthNet Plan Inc 13337
Brown & Brown Benefits 59069
Cannon Cochran Management Services 37105
Capitol Administrators 68011
Care Management Group of Greater NY 11331
Central Mass Health Care (CMHC) 02041
Central Reserve Life 34097
CHA Health 23171
Choice One UTMB 76049
Choice Plus 68241
CIGNA Health Plan - HMO 62308
CIGNA HealthCare for Seniors A-Z 86033
CIGNA PPO 62308
CIGNA 62308
Commonwealth Administrator LLC. Inc 37237
Community Care Managed Health Care Plans 73143
Community Care Behavioral Health Organization 25179
Community Care Plus 71079
Community Health Choice 48145
Community Premier Plus for Neighborhood 23481
Comprehensive Benefits Administrator, Inc 03036
Connecticut General 62308
Consociate Group Claim 37135
Consolidated Group Claim 04284
Cooperative Benefit Administration 52132
CoreSource of NC 35180
CoreStar 41045
Coventry Health Care of Delaware, Inc 25130
Coventry Health Care of Georgia 25127
Coventry Health Care of Iowa, Inc 25132
Coventry Health Care of Kansas, Inc 25133
Coventry Health Care of Kansas, Wichita 25134
Coventry Health Care of Louisiana, Inc 25135
Coventry Health Care of Nebraska, Inc 25136
Coventry Health Care of The Carolinas, Inc 25129
Coventry of Kansas City Medicare (Advantra) 25144
DelawareCare 25137
E3 Health Inc 75232
EAppealsolutions, Inc 65009
EBA - Employee Benefits America 67466
EHS Group Health Plan 98006
Elder Health, Inc 52192
ELMCO 37253
Emerald Health Network (PPO) 34167
Employee Benefit Concepts, Inc 38241
Employee Benefit Services 37216
Employers Health Insurance, Inc 73288
Encompass 37110
Encore Health Network 35206
Encounters (Health Net of CA) 95568
ENH Medical Group IPA 36364
EQUICOR -PPO 62308
EQUICOR 62308
ExclusiCare 71412
Federated Mutual Insurance Companies 41041
First Carolina Care 56196
First Choice (CT) 14162
First Health (Alta Health Strategies) 87043
Florida 1st 59276
FMH Benefits Services on behalf of Florida
Hospital Waterman Employee Benefit Plan
48116
Fortis/Time, Inc 39065
Fox-Everett - Litton Ingalls 64067
G.E. Group Life Assurance Company 67814
GenCare Health (St. Louis Only) 63665
General American Life Ins Co 63665
GHI 13551
Gilsbar Inc 07205
Golden Rule Ins Co 37602
Goodyear Tire & Rubber 34025
Great Lakes Health Plan 95467
Great West Life 80705
Great-West Life & Annuity Ins Co 80705
Group Administrators, LTD 36338
Group Benefit Services, Inc 38223
Group Health Cooperative 39167
Group Health Cooperative 39168
Group Health of Puget Sound 91051
Guardian Life Ins Co of America 64246
Gundersen Lutheran Health Plan, Inc
H.E.R.E.I.U. Welfare Pension Funds
37114
Harrington Benefit Services 95266
Harrington Benefit Services, Inc 06131
Harrington Benefit Services, Inc 59142
Harrington Benefits 75196
HCH Administration 37111
HCHA-Albq, NM Self Funded 37329
Health Administration Services, Inc 34185
Health Alliance Exclusive & Plus
(Health Alliance)
23172
Health Alliance Plan of MI 38224
Health and Welfare Fund of the Plumbers And Pipefitters Local Union No. 396 34654
Health Care Network of WI 42102
Health Design Plus 34158
Health Net of the Northeast, Inc 06108
Health Partners of Philadelphia 80142
Health Partners 62157
Health Plan Management, Inc 37221
Health Plan of Greater NY (HIP) 55247
Health Plans, Inc 44273
Health Plus PHSP, Inc
HealthHelp Networks, Inc
59087
Health Plus PHSP, Inc 11324
HealthScope Benefits 71063
Healthsource Indiana Inc 35167
Healthsource Provident Inc Co 68195
Healthsource, Arkansas Inc 71074
Healthsource, Kentucky Inc 61127
Healthsource, Maine Inc 01041
HealthStar, Inc 36332
HRM Claim Management 41170
Humana Wisconsin Health Org - Formerly
CareNetwork/WI Hlth Org)
61101
IBA Self Funded Group Kalamazoo 38234
InforMed, LLC Self Funding Administrators 52196
Insurance Claims Service, Inc 63082
Insurance Design Administrators 13315
Integra Group 31127
Integrity Benefit Network, inc (Marietta, Ga) 58200
JF Molloy & Associates, Inc 61271
John Alden Life Insurance 41099
John Hopkins Medical Services Corp 52123
Kaiser Foundation Health Plan of the
Mid-Atlantic States
52095
Kaiser Foundation Health Plan 94134
Kaiser of Georgia 21313
Kansas City Life Insurance Co 44030
Kentucky Kare 61101
Key Benefit Administrators, Inc 37217
Lakeside Health Services 95415
Lovelace Health Plan 62310
Mahoning and Trumbull County Building
Trades Insurance Fund
34103
Malhandlers Benefit Plan 62413
Managed Care Services 35162
Manatee Service Center 41555
Marriott 68241
Mashantucket Pequot Tribal Nation 37131
Mayo Management Services, Inc 41154
MDNY Healthcare 11338
MedBen (Network OH) 74323
Medical Claims Services, Inc 04258
Medical Resource Network 58203
MedSolutions Inc. of Georgia 62160
Memphis Managed Care/TLC 36193
Mercy Health Plans / Premier Health Plans / Premier Benefits, Inc 43166
Mesa Mental Health 85035
Michael Reese Physicians Group 37127
Mid American Health 43132
Minneapolis Prudential Business 68241
Mississippi Select Health Care 64088
Missouri Blue Choice 12B65
Molina Healthcare, Inc 38336
Montefore CMO 13174
Mutual Of Omaha Insurance Co 71412
Mutually Preferred 71412
National Associate of Letter Carriers 53011
National Benefit Administrators 56176
National Claim Administrators, Inc 37126
National Rural Letter Carrier Association 71412
Neighborhood Health Providers 11325
New Alliance Health Plan 96218
New York Presbyterian Community Health 48186
North American Administrators 64157
North American Benefits Network 34159
North American Health Plans 64157
North American Preferred 64157
Northwest Administrators Inc 91068
NOVA Healthcare Administrators, Inc 16644
ODS Health Plan, Inc 13350
Omnicare Health Plan of Michigan 38252
Our Lady of the Resurrection 36365
Oxford Health Plan 06111
Pacific Mutual Life Ins Co 67466
PacifiCare Health Systems of California 95959
Parkland Community Health Plan 66917
Phoenix Group Services 75238
Phoenix Healthcare of TN, Inc 62153
PHP TennCare 62155
Physicians Care Network (PCN) 57098
Physicians Health Association of Illinois 37136
Physicians Plus Insurance Corporation 39156
Piedmont Administrators, Inc 56151
Pipeline Industry Benefit Fund 73074
Pittman & Associates 37224
PM Group 67466
POMCO 16111
PPOM 38335
PPOplus LLC. 72148
Preferred Community/Choice/PCC Select/CompMed 73145
Premier Health Network 37119
Prime Health 63088
Principal Financial Group 62172
Principal Mutual Life Insurance Co 61271
Professional Claim Administrators (Proclaim) 41163
Professional Claims Management (PCM) 37242
Promina 58226
Provider Networks of America 51032
PruCare HMO 63241
PruCare Plus 68241
PruCare 68241
Prudential Health Care Sys (PHCS) Amarillo, El Paso, Lubbock, Topeka, Corpus Christi, Kansas City, Midland, Wichita, Denver, Little Rock, Odessa 68241
Prudential 68241
PruNetwork 68241
QualCare, Inc 23342
Quincy Health Care Management, Inc/River
Quest Network, Inc
37129
Rooney Life, Inc 37602
Rush Prudential HMO 36389
Saint Barnabas System Health Plan 22240
San Francisco Electrical Health & Welfare 37236
Sanus HMO-St. Louis (Gen Amer) 63665
Seabury & Smith 13310
SecureCare of Iowa 42142
Select Benefit Administrators 42137
Select Health of South Carolina 23285
Self Funded Plans, Inc 34131
Self Insured Plans LLC 36404
Sentara Health Management/Optima Health Plan/Sentara Family Care/Optima Health Insurance Co 54154
Sentenel Management Services 23249
Sound Health's 91131
Southern National Life/Benefit Management Services BMS 37220
Special Risk International (SRI) 52190
Spina Bifida (VA-HAC) 84146
SSM Exclusive Choice 91131
St. Therese Physicians Association 37116
State Employee's Group Benefits Program 72087
Staywell Health/Wellcare Choice 14163
Sterling Option One 91151
Student Insurance 74227
Team Choice OMC 75134
Team Choice PPO 75133
Texas Children's Health Plan 76048
Texas Municipal League Group 74214
The Epoch Group L.C. 28777
The Kempton Company 73100
The Mutual group 70491
The NewEngland 66893
The Travelers 87726
Three Rivers Health Plan 25175
Total Health Care Inc 38201
TR Paul Inc. 37230
Travelers Health Network (HMO & Care Opt) 87726
Travelers Plan Administrators 87726
Triad Healthcare, Inc (Plainsbille, CT) 39181
UNICARE Special Accounts 65099
Unified Health Services 62170
Uniformed Services Family Health Plan - St Vincent Catholic Medical Centers of New York 13407
Union Pacific Railroad Employees Health System 87042
United Benefit Life Insurance 71412
United Healthcare of Wisconsin 87726
United Medical Resources 31107
United Omaha 87726
Univera Healthcare 16107
Univera Healthcare-Southern Tier 16108
Universal Care of Tennessee 33002
University Health Care 58248
Upper Peninsula Health Plan 38337
US HealthCare 23222
VHP Community Care 23173
Vytra Health Care (f.k.a. Choicecare - LI) 22264
Watkins Associated Industries, inc 58082
Wausau Ins Companies 39026
WEA Insurance Group 39151
Welfare & Pension Service 91136
Wellcare 14164
Western Mutual Insurance/WMI-TPA 37247
Weyco, Inc 38232
Willis Administrative Services Corporation 62061
World Insurance Company 75276
Writers Guild Industry Health Plan 23710
Youngstown Area Electrical Welfare Fund 34083

 

 

   
 
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