I P D I P D I P D I P D
1199 National Benefit Fund
13162 835 ✓ ✓ ✓ ✓
1199 National Benefit Fund
13162 837 ✓ ✓
1st Medical Network - Atlanta GA
29076 835 ✓ ✓ ✓ ✓
1st Medical Network - Atlanta GA
29076 837 ✓ ✓ ✓ ✓
1st MN--Atlanta GA
29076 835 ✓ ✓ ✓ ✓
1st MN--Atlanta GA
29076 837 ✓ ✓ ✓ ✓
21st Century Health and Benefits
59069 837 ✓ ✓
6 Degrees Health
20446 837 ✓ ✓
A & I Benefit Plan Administrators
93044 837 ✓ ✓
A-G Administrators LLC
11370 837 ✓ ✓ ✓ ✓
A.G.I.A. Inc.
95241 835 ✓ ✓ ✓ ✓
A.G.I.A. Inc.
95241 837 ✓ ✓
AAG Benefit Plan Administrators Inc.
75240 837 ✓ ✓ ✓ ✓
AAG-American Administravie Group
37283 835 ✓ ✓ ✓ ✓
AAG-American Administravie Group
37283 837 ✓ ✓ ✓ ✓
AARP - UnitedHealthcare Insurance Company
36273 835 ✓ ✓ ✓ ✓
AARP - UnitedHealthcare Insurance Company
36273 837 ✓ ✓ ✓ ✓
AARP Dental Insurance Plan
AARP1 835 ✓ ✓
AARP Dental Insurance Plan
AARP1 837 ✓ ✓
AARP MedicareComplete through UnitedHealthcare/AARP MedicareComplete
87726 835 ✓ ✓ ✓ ✓
AARP MedicareComplete through UnitedHealthcare/AARP MedicareComplete
87726 837 ✓ ✓ ✓ ✓
AblePay Health
ABLPY 835 ✓ ✓
AblePay Health
ABLPY 837 ✓ ✓
Notes
CLAIMS & ERA PAYER LIST
August 02, 2024
LEGEND:
I = Institutional, P = Professional, D = Dental
COB = Coordination of Benefits
Transaction Column: 837 = Claims, 835 = ERA
Available Column: A Check-mark indicates that the transaction type is available.
Enrollment Column: A Check-mark indicates that enrollment is required for the transaction type.
COB Column: A Check-mark Indicates that the payer accepts secondary claims electronically for the transaction type.
Attachments: A Check-mark indicates that the payer accepts medical attachments electronically for the transaction type.
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Experian Health Payer List Page 1 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Abrazo Advantage Health Plan
03443 837 ✓ ✓ ✓ ✓
Also known as Phoenix Advantage
Absolute Total Care
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Absolute Total Care
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Accelerated Claims Inc.
99999-0748 837 ✓ ✓ ✓ ✓
Accendo Health
62118 835 ✓ ✓ ✓ ✓
Access Administrators
AHS01 837 ✓ ✓
Access Community Health Network
ACCOM 837 ✓ ✓
Access IPA
ACC01 835 ✓ ✓ ✓ ✓
Access IPA
ACC01 837 ✓ ✓ ✓ ✓
Access Medical Group
AMG02 835 ✓ ✓ ✓ ✓
Access Medical Group
AMG02 837 ✓ ✓
Access Medicare
19305 837 ✓ ✓
Acclaim IPA
IP095 837 ✓ ✓ ✓ ✓
Accountable Care Management Group, LLC
45328 837 ✓ ✓ ✓
Accountable Healthcare IPA (AHCIPA)
AHIPA 837 ✓ ✓ ✓ ✓
Ace Property & Casualty Ins - MedSup (ERA Only)
IAS21 835 ✓ ✓ ✓ ✓
ERA Only
ACMG
37118 837 ✓ ✓
ACS Benefit Services Inc.
72467 835 ✓ ✓ ✓ ✓
ACS Benefit Services Inc.
72467 837 ✓ ✓
ACTIN Care Groups
24585 837 ✓ ✓ ✓ ✓
Also known as Clifton Health Systems
Activa Benefit Services LLC
38254 837 ✓ ✓
Administration Systems Research Corporation
38265 837 ✓ ✓
ERA Payer Code TLU02
Administration Systems Research Corporation
TLU02 835 ✓ ✓ ✓ ✓
Administrative Concepts Inc.
22384 835 ✓ ✓ ✓ ✓
Administrative Concepts Inc.
22384 837 ✓ ✓
Administrative Services Inc.
59141 837 ✓ ✓
ADVANCED DATA SOLUTIONS
58202 837 ✓ ✓
Advanced Medical Management
AMM03 837 ✓ ✓
Advantage by Bridgeway Health Solutions
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Advantage by Bridgeway Health Solutions
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Experian Health Payer List Page 2 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Advantage by Buckeye Community Health Plan
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Advantage by Buckeye Community Health Plan
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Advantage by Managed Health Services
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Advantage by Managed Health Services
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Advantage by Peach State
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Advantage by Peach State
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Advantage by Sunshine State
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Advantage by Sunshine State
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Advantage by Superior HealthPlan
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Advantage by Superior HealthPlan
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Advantage Care IPA
ACIPA 837 ✓ ✓ ✓ ✓
Advantek Benefit Administrators
83077 835 ✓ ✓ ✓ ✓
Advantek Benefit Administrators
83077 837 ✓ ✓
ADVANTICA BENEFITS
59374 835 ✓ ✓ ✓ ✓
ADVANTICA BENEFITS
59374 837 ✓ ✓ ✓ ✓
Advanzeon Solutions
59314 837 ✓ ✓
Adventist Hanford
MPM36 837 ✓ ✓ ✓ ✓
Adventist Health Care Network
MPM51 837 ✓ ✓ ✓ ✓
Adventist Health Plan (AHP)
MPM37 837 ✓ ✓ ✓ ✓
Adventist Health System West - Roseville CA
95340 835 ✓ ✓ ✓ ✓
Adventist Health System West - Roseville CA
95340 837 ✓ ✓
Adventist White Memorial - Crown City Medical Group
MPM33 837 ✓ ✓ ✓ ✓
Adventist White Memorial - Southland Gabriel Valley
MPM34 837 ✓ ✓ ✓ ✓
Advisory Health Administrators
CB159 837 ✓ ✓
Advocate Medical Group - AMG (Legacy AHC)
36320 835 ✓ ✓ ✓ ✓
Experian Health Payer List Page 3 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Advocate Medical Group - AMG (Legacy AHC)
36320 837 ✓ ✓
Advocate Physician Partners
65093 835 ✓ ✓ ✓ ✓
Advocate Physician Partners
65093 837 ✓ ✓
Aegis Administrative Services
CB637 837 ✓ ✓
Aetna
60054 835 ✓ ✓ ✓ ✓ ✓ ✓
Aetna
60054 837 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
Aetna (Professional Encounter Claims - Not BULK)
60054 837 ✓ ✓ ✓ ✓ ✓
Aetna Affordable Health Choices (SM) - SRC
57604 835 ✓ ✓ ✓ ✓
Aetna Affordable Health Choices (SM) - SRC
57604 837 ✓ ✓ ✓ ✓
Aetna Affordable Health Choices (SM) - SRC
60054 835 ✓ ✓ ✓ ✓
Aetna Affordable Health Choices (SM) - SRC
60054 837 ✓ ✓ ✓ ✓ ✓ ✓ ✓
Aetna Better Health of California
128CA 835 ✓ ✓ ✓ ✓
Aetna Better Health of California
128CA 837 ✓ ✓
Aetna Better Health of Florida
128FL 835 ✓ ✓ ✓ ✓
Aetna Better Health of Florida
128FL 837 ✓ ✓
Aetna Better Health of Illinois
68024 835 ✓ ✓ ✓ ✓
Aetna Better Health of Illinois
68024 837 ✓ ✓
Aetna Better Health of Kansas
128KS 835 ✓ ✓ ✓ ✓
Aetna Better Health of Kansas
128KS 837 ✓ ✓ ✓ ✓
Aetna Better Health of Kentucky
128KY 835 ✓ ✓ ✓ ✓
Aetna Better Health of Kentucky
128KY 837 ✓ ✓ ✓ ✓
Aetna Better Health of Louisiana
128LA 835 ✓ ✓ ✓ ✓
Aetna Better Health of Louisiana
128LA 837 ✓ ✓
Aetna Better Health of Maryland
128MD 835 ✓ ✓ ✓ ✓
Aetna Better Health of Maryland
128MD 837 ✓ ✓
Aetna Better Health of Michigan
128MI 835 ✓ ✓ ✓ ✓
Aetna Better Health of Michigan
128MI 837 ✓ ✓
Aetna Better Health of Nebraska (for claims with DOS prior to 1/1/17)
25133 835 ✓ ✓ ✓ ✓
Aetna Better Health of Nebraska (for claims with DOS prior to 1/1/17)
42130 837 ✓ ✓ ✓ ✓
ERA Payer Code 25133
Aetna Better Health of New Jersey
46320 835 ✓ ✓ ✓ ✓
Aetna Better Health of New Jersey
46320 837 ✓ ✓ ✓ ✓
Aetna Better Health of New York
34734 835 ✓ ✓ ✓ ✓
Aetna Better Health of New York
34734 837 ✓ ✓
Aetna Better Health of Ohio
50023 835 ✓ ✓ ✓ ✓
Aetna Better Health of Ohio
50023 837 ✓ ✓
Experian Health Payer List Page 4 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Aetna Better Health of Oklahoma
128OK 835 ✓ ✓ ✓ ✓
Aetna Better Health of Oklahoma
128OK 837 ✓ ✓ ✓ ✓
This payer is not available for production until
April 1, 2024.
Aetna Better Health of Pennsylvania
23228 835 ✓ ✓ ✓ ✓
Aetna Better Health of Pennsylvania
23228 837 ✓ ✓
Aetna Better Health of Texas (Medicaid & CHIP)
38692 835 ✓ ✓ ✓ ✓
Aetna Better Health of Texas (Medicaid & CHIP)
38692 837 ✓ ✓
Aetna Better Health of Virginia
128VA 835 ✓ ✓ ✓ ✓
Aetna Better Health of Virginia
128VA 837 ✓ ✓
Aetna Better Health of West Virginia
128WV 835 ✓ ✓ ✓ ✓
Aetna Better Health of West Virginia
128WV 837 ✓ ✓
Aetna Better Health Premier Plan (JVHL)
M5JVH 835 ✓ ✓ ✓ ✓
Aetna Better Health Premier Plan (JVHL)
M5JVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
Aetna Better Health Premier Plan MMAI
26337 835 ✓ ✓ ✓ ✓
Aetna Better Health Premier Plan MMAI
26337 837 ✓ ✓ ✓ ✓
Aetna Medicare
60054 835 ✓ ✓ ✓ ✓
Aetna Medicare
60054 837 ✓ ✓ ✓ ✓ ✓ ✓ ✓
Aetna OhioRISE
45221 837 ✓ ✓
Aetna OhioRISE
SKOH0 835 ✓ ✓ ✓ ✓
Effective 2/1/2023, remittance returned under
Ohio Medicaid
Aetna Senior Supplement/American Continental
62118 835 ✓ ✓ ✓ ✓
Aetna U.S. Healthcare (JVHL)
J1JVH 835 ✓ ✓ ✓ ✓
Aetna U.S. Healthcare (JVHL)
J1JVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
Affiliated Doctor's of Orange County
ADOCS 837 ✓ ✓
Affiliated Partners IPA
POP09 837 ✓
Affiliated Physicians IPA
POP06 837 ✓
Affinity by Molina Healthcare
16146 835 ✓ ✓ ✓ ✓
As of 8/29/22, Molina has designated ECHO
Health as their ERA gateway to better meet
provider's payment solutions needs
Affinity by Molina Healthcare
16146 837 ✓ ✓
Formerly known as TotalCare NY
Affinity Health Plan
13334 835 ✓ ✓ ✓ ✓
Affinity Health Plan
13334 837 ✓ ✓
AFFINITY MEDICAL GROUP
46594 837 ✓ ✓
AFLAC (ERA Only)
52080 835 ✓ ✓ ✓ ✓
Aflac Benefits Solutions, Inc
ABS01 837 ✓ ✓
AFTRA Health Fund (claims with DOS on or after 1/1/2015)
62308 835 ✓ ✓ ✓ ✓
AFTRA Health Fund (claims with DOS on or after 1/1/2015)
62308 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 5 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
AGA
37280 837 ✓ ✓
Agate Resources Inc. (LIPA)
20048 837 ✓
Agency Services Inc
64158 837 ✓ ✓
AgeRight Advantage
ARA01 837 ✓ ✓
As of January 23, 2024, the payer does not offer
an electronic remittance.
Agewell New York
AWNY6 835 ✓ ✓ ✓ ✓
Agewell New York
AWNY6 837 ✓ ✓
AHP Provider Network
MPM38 837 ✓ ✓ ✓ ✓
AHPO (Cleveland OH)
31138 837 ✓ ✓
AIDS Healthcare Foundation
95422 837 ✓ ✓
Aither Health
64884 835 ✓ ✓ ✓ ✓
Aither Health
64884 837 ✓ ✓ ✓ ✓
AKM Medical Group
CAPMN 837 ✓ ✓ ✓ ✓
Alabama Medicaid
12K01 835 ✓ ✓
Alabama Medicaid
12K01 837 ✓
Alabama Medicaid
SKAL0 835 ✓ ✓
Alabama Medicaid
SKAL0 837 ✓ ✓
Alabama Medicare
10112 835 ✓ ✓
Alabama Medicare
10112 837 ✓ ✓ ✓
Alameda Alliance for Health
95327 835 ✓ ✓ ✓ ✓
Alameda Alliance for Health
95327 837 ✓ ✓ ✓ ✓
Alamitos IPA
AIPAZ 837 ✓ ✓ ✓ ✓
For DOS Prior to 5/1/2020. Claims with DOS
5/1/20 and after use payer code CAPMN.
Alamitos IPA
CAPMN 837 ✓ ✓ ✓ ✓
Alan Sturm & Associates Dental
R7003 837 ✓ ✓ ✓
Alaska Carpenters Trust
91136 837 ✓
Alaska Children's Services Inc.
91136 837 ✓ ✓
Alaska Electrical Trust Funds
60054 835 ✓ ✓ ✓ ✓
Alaska Electrical Trust Funds
60054 837 ✓ ✓ ✓ ✓ ✓ ✓ ✓
Alaska Laborers Construction Industry Trust
91136 837 ✓ ✓
Alaska Medicaid
77200 835 ✓ ✓ ✓ ✓
Alaska Medicaid
77200 837 ✓ ✓ ✓ ✓ ✓ ✓
Alaska Medicare
SMAK0 835 ✓ ✓
Alaska Medicare
SMAK0 837 ✓ ✓ ✓
Alaska Pipe Trades Local 375
91136 837 ✓ ✓
Alaska United Food & Commercial Workers Health & Welfare Trust
91136 837 ✓ ✓
Experian Health Payer List Page 6 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Albuquerque Public Schools
85600 835 ✓ ✓ ✓ ✓
Albuquerque Public Schools
85600 837 ✓ ✓
Alexian Brothers Community Services of TN
44423 837 ✓ ✓
ALICARE
13550 835 ✓ ✓ ✓ ✓
ALICARE
13550 837 ✓ ✓
Align Senior Care (CA)
ASCA1 835 ✓ ✓ ✓ ✓
Align Senior Care (CA)
ASCA1 837 ✓ ✓
Align Senior Care (FL)
ASFL1 835 ✓ ✓ ✓ ✓
Align Senior Care (FL)
ASFL1 837 ✓ ✓
Align Senior Care (MI)
ASMI1 835 ✓ ✓ ✓ ✓
Align Senior Care (MI)
ASMI1 837 ✓ ✓
Align Senior Care (VA)
ASVA1 835 ✓ ✓ ✓ ✓
Align Senior Care (VA)
ASVA1 837 ✓ ✓
Aligned Community Physicians
ACP17 837 ✓ ✓ ✓ ✓
As of November 14, 2023, Electronic Remits
Advice (ERA) is not available for this payer at this
time.
Alignment Health Plan
CCHPC 835 ✓ ✓ ✓ ✓
Alignment Health Plan
CCHPC 837 ✓ ✓
Alignment Healthcare
AHCA1 835 ✓ ✓ ✓ ✓
Alignment Healthcare
AHCA1 837 ✓ ✓
All Savers/UHC
81400 835 ✓ ✓ ✓ ✓
All Savers/UHC
81400 837 ✓ ✓ ✓ ✓
AllCare Advantage
MRCHP 837 ✓ ✓
Former payer ID 26160
Allcare Health CCO
MRIPA 835 ✓ ✓ ✓ ✓
Allcare Health CCO
MRIPA 837 ✓ ✓
AllCare IPA
AC101 835 ✓ ✓
AllCare IPA
AC101 837 ✓
Allegiance Benefit Plan Management Inc.
81040 835 ✓ ✓ ✓ ✓ ✓ ✓
Allegiance Benefit Plan Management Inc.
81040 837 ✓ ✓ ✓ ✓
Alliance Behavioral Health
23071 835 ✓ ✓ ✓ ✓
Alliance Behavioral Health
23071 837 ✓ ✓ ✓ ✓ ✓ ✓
Alliance Coal Health Plan
93658 835 ✓ ✓ ✓ ✓
Alliance Coal Health Plan
93658 837 ✓ ✓
Alliance IPA
HCP01 837 ✓ ✓
This payer is now part of OptumCare Network.
Please submit claims using payer code OCN01.
Alliance Physicians High Desert
22417 835 ✓ ✓ ✓ ✓
EFT enrollment is required in order to obtain ERA’s
Experian Health Payer List Page 7 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Alliance Physicians High Desert
22417 837 ✓ ✓
Alliance Physicians Medical Group
APP01 835 ✓ ✓
Payer Returns ERA Automatically
Alliance Physicians Medical Group
APP01 837 ✓ ✓ ✓ ✓
Alliant Health Plans of Georgia
58234 835 ✓ ✓ ✓ ✓
Alliant Health Plans of Georgia
58234 837 ✓ ✓
Allianz Global Assistance
50749 837 ✓ ✓
Allied Benefit Systems
37308 835 ✓ ✓ ✓ ✓
Allied Benefit Systems
37308 837 ✓ ✓ ✓
Allied Healthcare
ALLCA 835 ✓ ✓ ✓ ✓
Payer returns ERA's automatically once electronic
claim submission begins.
Allied Healthcare
ALLCA 837 ✓ ✓
Payer returns ERA's automatically once electronic
claim submission begins.
Allied Pacific of California
NMM01 835 ✓ ✓ ✓ ✓
Allied Pacific of California
NMM01 837 ✓ ✓
Allied Physicians Medical Group
NMM01 835 ✓ ✓ ✓ ✓
Allied Physicians Medical Group
NMM01 837 ✓ ✓
Allina Health Aetna
54398 835 ✓ ✓ ✓ ✓
Allina Health Aetna
54398 837 ✓ ✓ ✓ ✓ ✓
Allwell of Arkansas Health & Wellness
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Allwell of Arkansas Health & Wellness
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Alpha Care Medical Group
NMM04 835 ✓ ✓ ✓ ✓
Alpha Care Medical Group
NMM04 837 ✓ ✓
Former payer code MPM32.
Alta Bates Medical Group
A0701 837 ✓ ✓
AltaMed
ALTAM 835 ✓ ✓ ✓ ✓
AltaMed
ALTAM 837 ✓ ✓ ✓ ✓
Effective 3/27/19, the new payer ID is ALTAM
Alterwood Advantage
RP016 837 ✓ ✓
Alvarado IPA
SYMED 837 ✓ ✓
Always Care Benefits
STR01 837 ✓ ✓ ✓
Always Care Vision
ATR01 837 ✓
AMA Insurance Agency
AMAIA 835 ✓ ✓
AMA Insurance Agency
AMAIA 837 ✓
AMA Insurance Agency
TH071 835 ✓ ✓
AMA Insurance Agency
TH071 837 ✓
Amada Health
AMDA1 835 ✓ ✓
Experian Health Payer List Page 8 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Amada Health
AMDA1 837 ✓ ✓ ✓ ✓
Amada Health South
AMDA2 835 ✓ ✓
Amada Health South
AMDA2 837 ✓ ✓ ✓ ✓
Amalgamated Life
13550 835 ✓ ✓ ✓ ✓
Amalgamated Life
13550 837 ✓ ✓
Amalgamated Life - PA / Alicare
13343 837 ✓ ✓
Ambay Health Network I & P
AMBHN 837 ✓ ✓
AMBETTER OF ARKANSAS
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
AMBETTER OF ARKANSAS
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Ambetter of Illinois
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Ambetter of Illinois
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
AMCO
62176 837 ✓ ✓
Ameri-West Health Associates
PROSP 835 ✓ ✓ ✓ ✓
Ameri-West Health Associates
PROSP 837 ✓ ✓ ✓ ✓
AmeriBen Solutions Inc.
75137 835 ✓ ✓ ✓ ✓
AmeriBen Solutions Inc.
75137 837 ✓ ✓
America's Choice Health Plans
20029 835 ✓ ✓ ✓ ✓
America's Choice Health Plans
20029 837 ✓ ✓
America's TPA
41178 837 ✓ ✓ ✓ ✓
Americaid Community Care (New Jersey)
27516 837 ✓ ✓ ✓ ✓
American Administrative Group
75240 837 ✓ ✓ ✓ ✓
American Behavioral
63103 835 ✓ ✓ ✓ ✓
American Behavioral
63103 837 ✓ ✓
American Benefit Plan Administrators
95170 835 ✓ ✓ ✓ ✓
American Benefit Plan Administrators
95170 837 ✓ ✓
American Family Insurance
12T31 837 ✓
American Family Insurance
TH095 837 ✓ ✓
American Family Medicare Sup and PPO Policies Administered by Am Rep
56071 835 ✓ ✓ ✓ ✓
American Family Medicare Sup and PPO Policies Administered by Am Rep
56071 837 ✓ ✓
American Fidelity Assurance Company
60801 837 ✓ ✓
American General
62030 835 ✓ ✓ ✓ ✓
Experian Health Payer List Page 9 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
American General
62030 837 ✓ ✓
American Health Advantage of Indiana
RP115 837 ✓ ✓
American Health Advantage of Mississippi
31135 835 ✓ ✓
ERA enrollment not required. Payer returns ERA
automatically.
American Health Advantage of Mississippi
31135 837 ✓ ✓ ✓ ✓
American Health Advantage of Oklahoma
31125 835 ✓ ✓ ✓ ✓
American Health Advantage of Oklahoma
31125 837 ✓ ✓
American Health Advantage of Tennessee
31130 837 ✓ ✓
American Health Advantage of Texas
31155 835 ✓ ✓ ✓ ✓
American Health Advantage of Texas
31155 837 ✓ ✓ ✓ ✓
AMERICAN HEALTH ADVANTAGE UTAH
31145 835 ✓ ✓ ✓ ✓
AMERICAN HEALTH ADVANTAGE UTAH
31145 837 ✓ ✓ ✓ ✓
American Healthcare Alliance
01066 835 ✓ ✓ ✓ ✓
American Healthcare Alliance
01066 837 ✓ ✓
American Heritage
77083 837 ✓
American Income Life Insurance Company (ERA Only)
60577 835 ✓ ✓ ✓ ✓
American Insurance Administrators (AIA) (ERA Only)
26119 835 ✓ ✓ ✓ ✓
American Insurance Co. of Texas
81949 837 ✓ ✓
American National Ins. Co. (ANICO)
74048 835 ✓ ✓ ✓ ✓
American National Ins. Co. (ANICO)
74048 837 ✓ ✓
American National Life Insurance Company of Texas (ERA Only)
IAS23 835 ✓ ✓ ✓ ✓
ERA Only
American Postal Workers Union Health Plan
44444 835 ✓ ✓ ✓ ✓
American Postal Workers Union Health Plan
44444 837 ✓ ✓
American Progressive Life and Health Insurance Company
48055 835 ✓ ✓ ✓ ✓
American Progressive Life and Health Insurance Company
48055 837 ✓ ✓
American Republic Insurance
42011 835 ✓ ✓ ✓ ✓
American Republic Insurance
42011 837 ✓ ✓
American Sentinel Co.
17965 837 ✓ ✓
American Specialty Health Plans
43146 837 ✓
American Specialty Health Plans
ASHP1 835 ✓ ✓
ERA Payer Code ASHP1
AMERICAN THERAPY ADMINISTRATORS
ATHAL 837 ✓ ✓ ✓ ✓
American Trust Administrators Inc.
56195 837 ✓ ✓
American West Health Care Solution
AWHCS 837 ✓ ✓
Americas Health Plan
AHP01 835 ✓ ✓ ✓ ✓
Payer returns ERA's automatically once electronic
claim submission begins. Office Ally ERA Transfer
Letter is required to receive files
Experian Health Payer List Page 10 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Americas Health Plan
AHP01 837 ✓ ✓ ✓ ✓
Americhoice Maryland and Washington (ERA Only)
04567 835 ✓ ✓ ✓ ✓
ERA Only
Americo (ERA Only)
IAS01 835 ✓ ✓ ✓ ✓
ERA Only
Amerigroup (IA, DC, MD, FL, GA, WA, TN, TX, NM)
26375 835 ✓ ✓ ✓ ✓
ERA payer code 26375
Amerigroup (IA, DC, MD, FL, GA, WA, TN, TX, NM)
26375 837 ✓ ✓ ✓ ✓ ✓ ✓
Amerigroup District of Columbia
26375 835 ✓ ✓ ✓ ✓
ERA payer code 26375
Amerigroup District of Columbia
26375 837 ✓ ✓ ✓ ✓ ✓ ✓
Amerigroup Florida
27519 837 ✓ ✓ ✓ ✓
Amerigroup Georgia
26375 835 ✓ ✓ ✓ ✓
ERA payer code 26375
Amerigroup Georgia
26375 837 ✓ ✓ ✓ ✓ ✓ ✓
Amerigroup Illinois
27518 837 ✓ ✓ ✓ ✓
Amerigroup New Mexico
26375 835 ✓ ✓ ✓ ✓
ERA payer code 26375
Amerigroup New Mexico
26375 837 ✓ ✓ ✓ ✓ ✓ ✓
Amerigroup/Wellpoint Arizona
WLPNT 835 ✓ ✓ ✓ ✓
Amerigroup/Wellpoint Arizona
WLPNT 837 ✓ ✓ ✓ ✓ ✓ ✓
Amerigroup/Wellpoint Iowa
WLPNT 835 ✓ ✓ ✓ ✓
Amerigroup/Wellpoint Iowa
WLPNT 837 ✓ ✓ ✓ ✓ ✓ ✓
Amerigroup/Wellpoint New Jersey
WLPNT 835 ✓ ✓ ✓ ✓
Amerigroup/Wellpoint New Jersey
WLPNT 837 ✓ ✓ ✓ ✓ ✓ ✓
Amerigroup/Wellpoint Tennessee
WLPNT 835 ✓ ✓ ✓ ✓
Amerigroup/Wellpoint Tennessee
WLPNT 837 ✓ ✓ ✓ ✓ ✓ ✓
Amerigroup/Wellpoint Texas
WLPNT 835 ✓ ✓ ✓ ✓
Amerigroup/Wellpoint Texas
WLPNT 837 ✓ ✓ ✓ ✓ ✓ ✓
Amerigroup/Wellpoint Washington
WLPNT 835 ✓ ✓ ✓ ✓
Amerigroup/Wellpoint Washington
WLPNT 837 ✓ ✓ ✓ ✓ ✓ ✓
AmeriHealth Administrators
54763 835 ✓ ✓ ✓ ✓
AmeriHealth Administrators
54763 837 ✓ ✓ ✓ ✓
AmeriHealth Caritas Delaware
77799 835 ✓ ✓ ✓ ✓
AmeriHealth Caritas Delaware
77799 837 ✓ ✓ ✓ ✓ ✓ ✓
AmeriHealth Caritas Florida
77003 835 ✓ ✓ ✓ ✓
Formerly Prestige Health Choice
AmeriHealth Caritas Florida
77003 837 ✓ ✓
Amerihealth Caritas Louisiana (LACare)
27357 835 ✓ ✓ ✓ ✓
Amerihealth Caritas Louisiana (LACare)
27357 837 ✓ ✓ ✓ ✓ ✓ ✓
AmeriHealth Caritas New Hampshire
87716 835 ✓ ✓ ✓ ✓
AmeriHealth Caritas New Hampshire
87716 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 11 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
AmeriHealth Caritas Next - A Product of AmeriHealth Caritas VIP Next, Inc.
47073 835 ✓ ✓ ✓ ✓
AmeriHealth Caritas Next - A Product of AmeriHealth Caritas VIP Next, Inc.
47073 837 ✓ ✓ ✓ ✓
AmeriHealth Caritas Next A Product of AmeriHealth Caritas Florida, Inc.
45408 835 ✓ ✓ ✓ ✓
AmeriHealth Caritas Next A Product of AmeriHealth Caritas Florida, Inc.
45408 837 ✓ ✓
AmeriHealth Caritas Next North Carolina
83148 835 ✓ ✓ ✓ ✓
AmeriHealth Caritas Next North Carolina
83148 837 ✓ ✓
AmeriHealth Caritas North Carolina
81671 835 ✓ ✓ ✓ ✓
AmeriHealth Caritas North Carolina
81671 837 ✓ ✓ ✓ ✓
AmeriHealth Caritas Ohio
84243 837 ✓ ✓ ✓ ✓
AmeriHealth Caritas Ohio
SKOH0 835 ✓ ✓ ✓ ✓
Effective 2/1/2023, remittance returned under
Ohio Medicaid
AmeriHealth Caritas Ohio Transportation
42435 837 ✓ ✓
AmeriHealth Caritas Ohio Transportation
SKOH0 835 ✓ ✓ ✓ ✓
Effective 2/1/2023, remittance returned under
Ohio Medicaid
AmeriHealth Caritas Pennsylvania
22248 835 ✓ ✓ ✓ ✓
AmeriHealth Caritas Pennsylvania
22248 837 ✓ ✓ ✓ ✓ ✓ ✓
AmeriHealth Caritas VIP Care
77062 835 ✓ ✓ ✓ ✓
AmeriHealth Caritas VIP Care
77062 837 ✓ ✓ ✓ ✓
AmeriHealth Caritas VIP Care - Delaware DSNP
87406 835 ✓ ✓ ✓ ✓
AmeriHealth Caritas VIP Care - Delaware DSNP
87406 837 ✓ ✓ ✓ ✓
AmeriHealth Caritas VIP Care - Florida DSNP
88232 835 ✓ ✓ ✓ ✓
AmeriHealth Caritas VIP Care - Florida DSNP
88232 837 ✓ ✓
Amerihealth Caritas VIP Care Plus (JVHL)
MDJVH 835 ✓ ✓ ✓ ✓
Amerihealth Caritas VIP Care Plus (JVHL)
MDJVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
AmeriHealth Caritus VIP Care Plus (Michigan)
77013 835 ✓ ✓ ✓ ✓
AmeriHealth Caritus VIP Care Plus (Michigan)
77013 837 ✓ ✓
AmeriHealth Delaware (Non-HMO)
93688 837 ✓ ✓ ✓ ✓
ERA Payer Code SX055
AmeriHealth Delaware (Non-HMO)
SX055 835 ✓ ✓ ✓ ✓
Amerihealth District of Columbia
77002 835 ✓ ✓ ✓ ✓
Amerihealth District of Columbia
77002 837 ✓ ✓ ✓ ✓
AmeriHealth New Jersey (Non-HMO)
60061 835 ✓ ✓ ✓ ✓
AmeriHealth New Jersey (Non-HMO)
60061 837 ✓ ✓ ✓ ✓
Amerihealth NJ/DE HMO
95044 835 ✓ ✓ ✓ ✓
Amerihealth NJ/DE HMO
95044 837 ✓ ✓ ✓ ✓
AmeriHealth NorthEast
77001 835 ✓ ✓ ✓ ✓
AmeriHealth NorthEast
77001 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 12 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Ameritas Dental
47009 835 ✓ ✓
Ameritas Dental
47009 837 ✓ ✓ ✓
Ameritas Life Insurance Corp of New York
72630 835 ✓ ✓
Ameritas Life Insurance Corp of New York
72630 837 ✓ ✓
AmFirst Insurance Company (payer only accepts Secondary claims)
64090 835 ✓ ✓ ✓ ✓
AmFirst Insurance Company (payer only accepts Secondary claims)
64090 837 ✓ ✓
Amica Mutual Insurance
12287 835 ✓ ✓ ✓ ✓
Amica Mutual Insurance
12287 837 ✓ ✓
Amida Care
24818 837 ✓ ✓
Amida Care Medicare
79966 837 ✓ ✓
Amita Health Medical Care Group
37105 835 ✓ ✓ ✓ ✓
aka Amita Health Medical Care Group
Amita Health Medical Care Group
37105 837 ✓ ✓
Amplifon
72947 835 ✓ ✓ ✓ ✓
Anaheim Memorial IPA
IP095 837 ✓ ✓ ✓ ✓
Anchor Benefit Consulting Inc.
53085 837 ✓ ✓
Ancillary Care Services (ERA Only)
A2004 835 ✓ ✓ ✓ ✓
ERA Only
Angel Medical Group
SCPR1 837 ✓ ✓
Former payer ID ECMSO
Angeles IPA
HSM01 837 ✓ ✓
Angle Insurance Company of Utah
39856 837 ✓ ✓
Antares Management Solutions
34192 835 ✓ ✓ ✓ ✓
Antares Management Solutions
34192 837 ✓ ✓ ✓ ✓
Antelope Valley Medical Associates
SMG01 837 ✓ ✓
Anthem Blue Cross and Blue Shield of New York
00303 835 ✓ ✓
Anthem Blue Cross and Blue Shield of New York
00303 837 ✓ ✓ ✓
Anthem Blue Cross and Blue Shield of New York
00803 835 ✓ ✓
ERA Payer Code 00803.
Anthem Blue Cross and Blue Shield of New York
00803 837 ✓ ✓ ✓
Anthem Blue Cross Blue Shield of California (Claims and Encounters)
47198 835 ✓ ✓ ✓ ✓ ✓ ✓
Anthem Blue Cross Blue Shield of California (Claims and Encounters)
47198 837 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
Anthem Blue Cross Blue Shield of Colorado
12B03 835 ✓ ✓
Anthem Blue Cross Blue Shield of Colorado
12B03 837 ✓ ✓ ✓
Anthem Blue Cross Blue Shield of Colorado
AD050 835 ✓ ✓
Anthem Blue Cross Blue Shield of Colorado
AD050 837 ✓
Anthem Blue Cross Blue Shield of Colorado
SB550 835 ✓ ✓
Anthem Blue Cross Blue Shield of Colorado
SB550 837 ✓ ✓ ✓
Anthem Blue Cross Blue Shield of Connecticut
12B04 835 ✓ ✓
Experian Health Payer List Page 13 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Anthem Blue Cross Blue Shield of Connecticut
12B04 837 ✓ ✓ ✓
Anthem Blue Cross Blue Shield of Connecticut
SB560 835 ✓ ✓
Anthem Blue Cross Blue Shield of Connecticut
SB560 837 ✓ ✓ ✓
Anthem Blue Cross Blue Shield of Georgia
00101 835 ✓ ✓
Anthem Blue Cross Blue Shield of Georgia
00601 835 ✓ ✓
Anthem Blue Cross Blue Shield of Georgia
12015 837 ✓ ✓ ✓
Anthem Blue Cross Blue Shield of Georgia
SB600 837 ✓ ✓ ✓
Anthem Blue Cross Blue Shield of Indiana
12B09 835 ✓ ✓
Anthem Blue Cross Blue Shield of Indiana
12B09 837 ✓ ✓ ✓
Anthem Blue Cross Blue Shield of Indiana
SB630 835 ✓ ✓
Anthem Blue Cross Blue Shield of Indiana
SB630 837 ✓ ✓ ✓
Anthem Blue Cross Blue Shield of Kentucky
12B11 835 ✓ ✓
Anthem Blue Cross Blue Shield of Kentucky
12B11 837 ✓ ✓ ✓
Anthem Blue Cross Blue Shield of Kentucky
SB660 835 ✓ ✓
Anthem Blue Cross Blue Shield of Kentucky
SB660 837 ✓ ✓ ✓
Anthem Blue Cross Blue Shield of Maine
12B13 835 ✓ ✓
Anthem Blue Cross Blue Shield of Maine
12B13 837 ✓ ✓ ✓
Anthem Blue Cross Blue Shield of Maine
SB680 835 ✓ ✓
Anthem Blue Cross Blue Shield of Maine
SB680 837 ✓ ✓ ✓
Anthem Blue Cross Blue Shield of Missouri
12B65 835 ✓ ✓
Anthem Blue Cross Blue Shield of Missouri
12B65 837 ✓ ✓ ✓
Anthem Blue Cross Blue Shield of Missouri
SB741 835 ✓ ✓
Anthem Blue Cross Blue Shield of Missouri
SB741 837 ✓ ✓ ✓
Anthem Blue Cross Blue Shield of Nevada
12B20 835 ✓ ✓
Anthem Blue Cross Blue Shield of Nevada
12B20 837 ✓ ✓ ✓
Anthem Blue Cross Blue Shield of Nevada
SB765 835 ✓ ✓
Anthem Blue Cross Blue Shield of Nevada
SB765 837 ✓ ✓ ✓
Anthem Blue Cross Blue Shield of New Hampshire
12B21 835 ✓ ✓
Anthem Blue Cross Blue Shield of New Hampshire
12B21 837 ✓ ✓ ✓
Anthem Blue Cross Blue Shield of New Hampshire
SB770 835 ✓ ✓
Anthem Blue Cross Blue Shield of New Hampshire
SB770 837 ✓ ✓ ✓
Anthem Blue Cross Blue Shield of Ohio
12B24 835 ✓ ✓
Anthem Blue Cross Blue Shield of Ohio
12B24 837 ✓ ✓ ✓
Anthem Blue Cross Blue Shield of Ohio
SB338 835 ✓ ✓
Anthem Blue Cross Blue Shield of Ohio
SB338 837 ✓ ✓ ✓
Experian Health Payer List Page 14 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Anthem Blue Cross Blue Shield of Ohio Dental
AD332 835 ✓ ✓
Anthem Blue Cross Blue Shield of Ohio Dental
AD332 837 ✓
Anthem Blue Cross Blue Shield of Virginia
12002 835 ✓ ✓
Anthem Blue Cross Blue Shield of Virginia
12002 837 ✓ ✓ ✓
Anthem Blue Cross Blue Shield of Virginia
SB923 835 ✓ ✓
Anthem Blue Cross Blue Shield of Virginia
SB923 837 ✓ ✓ ✓
Anthem Blue Cross Blue Shield of Wisconsin
00450 835 ✓ ✓
Anthem Blue Cross Blue Shield of Wisconsin
00950 835 ✓ ✓
Anthem Blue Cross Blue Shield of Wisconsin
12B29 837 ✓ ✓ ✓
ERA Payer Code 00450
Anthem Blue Cross Blue Shield of Wisconsin
AD450 835 ✓ ✓
Anthem Blue Cross Blue Shield of Wisconsin
AD450 837 ✓
Anthem Blue Cross Blue Shield of Wisconsin
SB950 837 ✓ ✓ ✓
ERA Payer Code 00950
Anthem Maine Health
00958 835 ✓ ✓ ✓ ✓
Anthem Maine Health
00958 837 ✓ ✓ ✓ ✓ ✓ ✓
Anthem Ohio Medicaid
29370 837 ✓ ✓
Anthem Ohio Medicaid
SKOH0 835 ✓ ✓ ✓ ✓
Effective 2/1/2023, remittance returned under
Ohio Medicaid
Anthem Ohio Medicaid Vision
2937V 837 ✓ ✓
Anthem Ohio Medicaid Vision
SKOH0 835 ✓ ✓ ✓ ✓
Effective 2/1/2023, remittance returned under
Ohio Medicaid
Apex Benefit Services
34196 835 ✓ ✓ ✓ ✓
Apex Benefit Services
34196 837 ✓ ✓
AppleCare Medical Management
APP01 835 ✓ ✓
Payer Returns ERA Automatically
AppleCare Medical Management
APP01 835 ✓ ✓
Payer Returns ERA Automatically
AppleCare Medical Management
APP01 837 ✓ ✓ ✓ ✓
AppleCare Medical Management
APP01 837 ✓ ✓ ✓ ✓
ARC Administrators
CXARC 837 ✓ ✓
Arcadia Healthcare Solutions
37105 835 ✓ ✓ ✓ ✓
aka Amita Health Medical Care Group
Arcadia Healthcare Solutions
37105 837 ✓ ✓
Arcadia Healthcare Solutions - IPG
11081 837 ✓ ✓
Arcadia Healthcare Solutions - NPA
36364 835 ✓ ✓ ✓ ✓
Arcadia Healthcare Solutions - NPA
36364 837 ✓ ✓
Arcadian Management Services Inc
77045 837 ✓ ✓
Arch Health Partners
ARCH1 835 ✓ ✓ ✓ ✓
Arch Health Partners
ARCH1 837 ✓ ✓
Argus Dental Plans
ARG01 835 ✓ ✓
Experian Health Payer List Page 15 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Argus Dental Plans
ARG01 837 ✓
Argus Vision and Dental Plans, Inc.
ARGUS 837 ✓ ✓
ARISE
39185 835 ✓ ✓ ✓ ✓
ARISE
39185 837 ✓ ✓
Arizona Medicaid
AZMCD 837 ✓ ✓ ✓ ✓
ERA Payer Code MCDAZ
Arizona Medicaid
MCDAZ 835 ✓ ✓ ✓ ✓
Arizona Medicare
SMAZ0 835 ✓ ✓
Arizona Medicare
SMAZ0 837 ✓ ✓ ✓
Arizona Medicare Part A \ Jurisdiction JF
03101 835 ✓ ✓
Arizona Medicare Part A \ Jurisdiction JF
03101 837 ✓ ✓
Arizona Priority Care Plus
27154 837 ✓ ✓
Arkansas Best Corporation - Choice Benefits
62308 835 ✓ ✓ ✓ ✓
Arkansas Best Corporation - Choice Benefits
62308 837 ✓ ✓ ✓ ✓
Arkansas Medicaid
12023 835 ✓ ✓
Arkansas Medicaid
12023 837 ✓ ✓
Arkansas Medicaid
SKAR0 835 ✓ ✓
Arkansas Medicaid
SKAR0 837 ✓ ✓
Arkansas Medicare
07101 835 ✓ ✓
Arkansas Medicare
07101 837 ✓ ✓ ✓
Arkansas Medicare
SMAR0 835 ✓ ✓
Arkansas Medicare
SMAR0 837 ✓ ✓ ✓
Arkansas Superior Select
61184 837 ✓ ✓
Arkansas Superior Select
61184 837 ✓ ✓
ARM, Group
88035 837 ✓ ✓ ✓ ✓
ARM, Ltd
63240 835 ✓ ✓ ✓ ✓
ARM, Ltd
63240 837 ✓ ✓
Arta Health Network
WMM01 837 ✓ ✓
ASAGEHA
06603 837 ✓ ✓
Ascension Complete
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Ascension Complete
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Asian American Medical Group
AAMG1 835 ✓ ✓ ✓ ✓
Asian American Medical Group
AAMG1 837 ✓ ✓
Asian Community Medical Group, Inc.
HSM01 837 ✓ ✓
Experian Health Payer List Page 16 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
ASONET
CX076 837 ✓ ✓
Aspen Medical Associates
16180 837 ✓ ✓ ✓ ✓
Aspire Health Plan
46156 835 ✓ ✓ ✓ ✓
Aspire Health Plan
46156 837 ✓ ✓
Aspirion
99999-0ASU 837 ✓ ✓
Aspirus Medicare Advantage
36483 835 ✓ ✓ ✓ ✓
Aspirus Medicare Advantage
36483 837 ✓ ✓
ASRM LLC
ASRM1 837 ✓ ✓
ASRM LLC
TLU02 835 ✓ ✓ ✓ ✓
ASSOCIATED ADMINISTRATORS, LLC (ERA ONLY)
13788 835 ✓ ✓ ✓ ✓
ERA ONLY
Associated Dignity Medical Group Professional Corp
HSM01 837 ✓ ✓
Associated Hispanic Physicians of Southern CA
MPM44 837 ✓ ✓ ✓ ✓
Associates for Health Care Inc. (AHC)
36326 837 ✓ ✓
Assurant Health
70408 837 ✓ ✓
Assurant Health Self Funded
75068 835 ✓ ✓ ✓ ✓
Assurant Health Self Funded
75068 837 ✓ ✓ ✓ ✓
Assurecare, Inc
88035 837 ✓ ✓ ✓ ✓
Assured Benefits Administrators
74240 835 ✓ ✓ ✓ ✓
Assured Benefits Administrators
74240 837 ✓ ✓
Astiva Health
84320 837 ✓ ✓
Asuris NW Health
93221 835 ✓ ✓ ✓ ✓
Asuris NW Health
93221 837 ✓ ✓ ✓ ✓
Athens Area Health Plan Select
95691 837 ✓ ✓
Atlantic Coast Life
87020 835 ✓ ✓ ✓ ✓
Atlantic Coast Life
87020 837 ✓ ✓ ✓ ✓
Atlantic Medical Insurance
22285 837 ✓ ✓
Atlas Life Insurance Company
90956 837 ✓
ATRIO Health Plans
ATRIO 835 ✓ ✓ ✓ ✓
ATRIO Health Plans
ATRIO 837 ✓ ✓
Aultcare
341488123 835 ✓ ✓ ✓ ✓
Aultcare
341488123 837 ✓ ✓
Aultra Administrative Group
37242 835 ✓ ✓ ✓ ✓
Aultra Administrative Group
37242 837 ✓ ✓
Automated Benefit Services
38259 835 ✓ ✓ ✓ ✓
Automated Benefit Services
38259 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 17 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Automated Benefit Services, Inc
38260 837 ✓ ✓
Automated Group Administration Inc.
37280 837 ✓ ✓
Auxiant
AUX01 835 ✓ ✓ ✓ ✓
Auxiant
AUX01 837 ✓ ✓ ✓ ✓
Auxiant (Wisconsin)
CX024 837 ✓
Avalon Administrative Services
AVA01 835 ✓ ✓
Avalon Administrative Services
AVA01 837 ✓
Avante Health
AH001 837 ✓ ✓
Avera Health Plans
46045 835 ✓ ✓ ✓ ✓
Avera Health Plans
46045 837 ✓ ✓
AveraAdvantage
48055 837 ✓ ✓
Avesis (Vision)
87098 835 ✓ ✓
Avesis (Vision)
87098 837 ✓
Avesis Dental
86098 837 ✓ ✓ ✓
AvMed Inc.
59274 835 ✓ ✓ ✓ ✓
AvMed Inc.
59274 837 ✓ ✓
AXA Assistance_USA
65101 837 ✓ ✓
Axminster Medical Group
AXM01 837 ✓ ✓
AZ Complete Health (for claim DOS on or after 10/01/18)
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
AZ Complete Health (for claim DOS on or after 10/01/18)
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Azeros Health Plans Inc.
16644 835 ✓ ✓ ✓ ✓
Azeros Health Plans Inc.
16644 837 ✓ ✓
Bakersfield Family Medical Center
BKRFM 837 ✓ ✓ ✓ ✓
Bakersfield Family Medical Group
77005 837 ✓ ✓
Bakery & Confectionery Union and Industry International Health
BCTF1 837 ✓ ✓
Banker's Life
36066 835 ✓ ✓
Banker's Life
99999-0178 837 ✓
Banker's Life & Casualty (ERA Only)
36066 835 ✓ ✓
Banner - University Family Care
66901 835 ✓ ✓ ✓ ✓
Banner - University Family Care
66901 837 ✓ ✓ ✓ ✓
Banner Aetna
67895 835 ✓ ✓ ✓ ✓
Banner Aetna
67895 837 ✓ ✓ ✓ ✓
Banner Health
12X42 835 ✓ ✓ ✓ ✓
Experian Health Payer List Page 18 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Banner Health
12X42 837 ✓ ✓ ✓ ✓
Banner Health AZ
SX145 835 ✓ ✓
aka Banner Health Network
Banner Health AZ
SX145 837 ✓ ✓
aka Banner Health Network
Banner Health Co - ROCKY MOUNTAIN HMO GREELEY
SX145 835 ✓ ✓
aka Banner Health Network
Banner Health Co - ROCKY MOUNTAIN HMO GREELEY
SX145 837 ✓ ✓
aka Banner Health Network
Banner Health Co. - ANTERO GREELEY
SX145 835 ✓ ✓
aka Banner Health Network
Banner Health Co. - ANTERO GREELEY
SX145 837 ✓ ✓
aka Banner Health Network
Banner Health Co. - ANTERO HIGH PLAINS
SX145 835 ✓ ✓
aka Banner Health Network
Banner Health Co. - ANTERO HIGH PLAINS
SX145 837 ✓ ✓
aka Banner Health Network
Banner Health Co. - ANTERO MOUNTAIN SHADOWS
SX145 835 ✓ ✓
aka Banner Health Network
Banner Health Co. - ANTERO MOUNTAIN SHADOWS
SX145 837 ✓ ✓
aka Banner Health Network
Banner Health Co. - CHOICE PLUS
SX145 835 ✓ ✓
aka Banner Health Network
Banner Health Co. - CHOICE PLUS
SX145 837 ✓ ✓
aka Banner Health Network
Banner Health Co. - HMO GREELEY
SX145 835 ✓ ✓
aka Banner Health Network
Banner Health Co. - HMO GREELEY
SX145 837 ✓ ✓
aka Banner Health Network
Banner Health Co. - HMO HIGH PLAINS
SX145 835 ✓ ✓
aka Banner Health Network
Banner Health Co. - HMO HIGH PLAINS
SX145 837 ✓ ✓
aka Banner Health Network
Banner Health Co. - HMO MOUNTAIN SHADOWS
SX145 835 ✓ ✓
aka Banner Health Network
Banner Health Co. - HMO MOUNTAIN SHADOWS
SX145 837 ✓ ✓
aka Banner Health Network
Banner Health Co. - PACIFICARE GREELEY
SX145 835 ✓ ✓
aka Banner Health Network
Banner Health Co. - PACIFICARE GREELEY
SX145 837 ✓ ✓
aka Banner Health Network
Banner Health Co. - PACIFICARE HIGH PLAINS
SX145 835 ✓ ✓
aka Banner Health Network
Banner Health Co. - PACIFICARE HIGH PLAINS
SX145 837 ✓ ✓
aka Banner Health Network
Banner Health Co. - PACIFICARE MOUNTAIN SHADOWS
SX145 835 ✓ ✓
aka Banner Health Network
Banner Health Co. - PACIFICARE MOUNTAIN SHADOWS
SX145 837 ✓ ✓
aka Banner Health Network
Banner Health Co. - ROCKY MOUNTAIN HMO HIGH PLAINS
SX145 835 ✓ ✓
aka Banner Health Network
Banner Health Co. - ROCKY MOUNTAIN HMO HIGH PLAINS
SX145 837 ✓ ✓
aka Banner Health Network
Banner Health Co. - SECURE HORIZONS GREELEY
SX145 835 ✓ ✓
aka Banner Health Network
Banner Health Co. - SECURE HORIZONS GREELEY
SX145 837 ✓ ✓
aka Banner Health Network
Banner Health Co. - SECURE HORIZONS HIGH PLAINS
SX145 835 ✓ ✓
aka Banner Health Network
Banner Health Co. - SECURE HORIZONS HIGH PLAINS
SX145 837 ✓ ✓
aka Banner Health Network
Banner Health Co. - SECURE HORIZONS MOUNTAIN SHADOWS
SX145 835 ✓ ✓
aka Banner Health Network
Banner Health Co. - SECURE HORIZONS MOUNTAIN SHADOWS
SX145 837 ✓ ✓
aka Banner Health Network
Banner Medicare Advantage Plus PPO
84324 835 ✓ ✓ ✓ ✓
Banner Medicare Advantage Plus PPO
84324 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 19 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Banner Medicare Advantage Prime HMO
84323 835 ✓ ✓ ✓ ✓
Banner Medicare Advantage Prime HMO
84323 837 ✓ ✓ ✓ ✓
BARInet
CB369 837 ✓ ✓
Basic Plus
41204 837 ✓ ✓ ✓ ✓
Bay Bridge Administrators
06941 837 ✓ ✓
BayCare Select Health Plans
81079 835 ✓ ✓ ✓ ✓
BayCare Select Health Plans
81079 837 ✓ ✓
Baylor Scott & White Health Plan
88030 837 ✓ ✓ ✓ ✓
Per EDI Gateway, effective 07/01/2020, claims for
date of service 07/01/2020 and after for Texas
A&M (TAMU) and Health Plus members will need
to be submitted to FirstCare using Payer ID 94999.
BCBS Texas Medicaid Star Chip
66002 835 ✓ ✓ ✓ ✓
BCBS Texas Medicaid Star Chip
66002 837 ✓ ✓ ✓ ✓
BCBSMI Medicare Plus Blue PPO (JVHL)
KCJVH 835 ✓ ✓ ✓ ✓
BCBSMI Medicare Plus Blue PPO (JVHL)
KCJVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
BCBSMN Blue Plus Medicaid
00562 835 ✓ ✓ ✓ ✓
BCBSMN Blue Plus Medicaid
00562 837 ✓ ✓ ✓ ✓ ✓ ✓
As of January 1, 2024, use new payer code 00726
regardless of date of service
BCBSMN Blue Plus Medicaid
00726 835 ✓ ✓ ✓ ✓
BCBSMN Blue Plus Medicaid
00726 837 ✓ ✓ ✓ ✓ ✓ ✓
BCBSMN Blue Plus Medicaid Waiver
FS802 835 ✓ ✓
aka Bridgeview
BCBSMN Blue Plus Medicaid Waiver
FS802 837 ✓ ✓
aka Bridgeview
BCBSMN Non-Emergent Transportation
A5143 835 ✓ ✓
BCBSMN Non-Emergent Transportation
A5143 837 ✓
Beacon of Life
65432 837 ✓ ✓
Beaumont Employee Health Plan (JVHL)
JEJVH 835 ✓ ✓ ✓ ✓
Beaumont Employee Health Plan (JVHL)
JEJVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
Beaver Medical Group
45967 835 ✓ ✓ ✓ ✓
Beaver Medical Group
45967 837 ✓ ✓
Behavioral Health Systems
63100 837 ✓ ✓
Bella Vista Medical Group
MPM10 837 ✓ ✓ ✓ ✓
Ben-e-lect (ERA Only)
EDHP1 835 ✓ ✓ ✓ ✓
ERA Only
BeneBay
23243 837 ✓ ✓ ✓ ✓
BeneCare Dental Plan
23210 837 ✓ ✓
Benefit & Risk Management Services
99320 835 ✓ ✓ ✓ ✓
Benefit & Risk Management Services
99320 837 ✓ ✓
Experian Health Payer List Page 20 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Benefit Administration Services
41205 835 ✓ ✓ ✓ ✓
Benefit Administration Services
41205 837 ✓ ✓ ✓ ✓
Benefit Administrative Systems
36149 835 ✓ ✓ ✓ ✓
Benefit Administrative Systems
36149 837 ✓ ✓
Benefit Coordinators Corporation (Pittsburgh PA)
25145 837 ✓ ✓
Benefit Management Admin (BMA)
BMATP 835 ✓ ✓
Benefit Management Admin (BMA)
BMATP 837 ✓
Benefit Management Group-NV
36459 837 ✓ ✓ ✓
Benefit Management Inc. of KS
48611 835 ✓ ✓ ✓ ✓
Benefit Management Inc. of KS
48611 837 ✓ ✓
Benefit Management LLC/VBA
88092 837 ✓ ✓ ✓ ✓
Benefit Management Systems Inc
37212 837 ✓ ✓
Benefit Plan Administrators
88052 837 ✓ ✓
Benefit Plan Administrators Co. (Eau Claire WI)
39081 835 ✓ ✓ ✓ ✓
Benefit Plan Administrators Co. (Eau Claire WI)
39081 837 ✓ ✓
Benefit Plan Administrators Co. (Eau Claire WI)/UCS
46891 835 ✓ ✓ ✓ ✓
Benefit Plan Administrators Co. (Eau Claire WI)/UCS
46891 837 ✓ ✓ ✓ ✓
Benefit Plan Administrators Inc.
37118 837 ✓ ✓
Benefit Solutions, Inc.
60338 837 ✓ ✓ ✓ ✓
Claims previously submitted to payer code 88057.
Effective June 30th, 2023, please submit all claims
to 60338.
Benefit Systems & Services Inc.
36342 835 ✓ ✓ ✓ ✓
Benefit Systems & Services Inc.
36342 837 ✓ ✓
Benesight
87265 837 ✓ ✓ ✓ ✓
Benesys
37248 835 ✓ ✓ ✓ ✓
Benesys
37248 837 ✓ ✓
Benesys Inc.
37248 835 ✓ ✓ ✓ ✓
Benesys Inc.
37248 837 ✓ ✓
BeneSys, Inc.
38238 835 ✓ ✓ ✓ ✓
BeneSys, Inc.
38238 837 ✓ ✓
BeniComp
18151 837 ✓ ✓
Benveo - MultiPlan
76253 837 ✓ ✓
aka One Share Health
Berkshire Intergroup
10956 837 ✓ ✓ ✓ ✓
Berkshire Lehigh Partners
95606 837 ✓ ✓
Best Life & Health Insurance Co.
95604 837 ✓ ✓ ✓ ✓ ✓
Experian Health Payer List Page 21 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Better Health Plan of Florida
20488 835 ✓ ✓ ✓ ✓
Better Health Plan of Florida
20488 837 ✓ ✓
Better Health Plans of South Carolina
32006 837 ✓ ✓
BEVERLY ALIANZA IPA
NMM06 837 ✓ ✓
Beverly Hospital BEVAHISP
MPM42 837 ✓ ✓ ✓ ✓
Bienvivir Senior Health Plan
BSHS1 837 ✓
Black Hawk
CB987 837 ✓ ✓
Block Vision, Inc.
BV001 837 ✓ ✓
Blue Benefit Administrators of MA
03036 835 ✓ ✓ ✓ ✓
Blue Benefit Administrators of MA
03036 837 ✓ ✓
Blue Care Network (BCN Commercial Labs) (JVHL)
JJJVH 835 ✓ ✓ ✓ ✓
Blue Care Network (BCN Commercial Labs) (JVHL)
JJJVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
Blue Care Network (BCN Reimbursable Labs) (JVHL)
JQJVH 835 ✓ ✓ ✓ ✓
Blue Care Network (BCN Reimbursable Labs) (JVHL)
JQJVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
Blue Care Network (JVHL Network)
J9JVH 835 ✓ ✓ ✓ ✓
Blue Care Network (JVHL Network)
J9JVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
Blue Care Network Advantage of Michigan
00210 835 ✓ ✓
Blue Care Network Advantage of Michigan
00210 837 ✓
Blue Care Network Advantage of Michigan
00710 835 ✓ ✓
Blue Care Network Advantage of Michigan
00710 837 ✓
Blue Care Network of Michigan
00210 835 ✓ ✓
Blue Care Network of Michigan
00210 837 ✓
Blue Care Network of Michigan
00710 835 ✓ ✓
Blue Care Network of Michigan
00710 837 ✓
Blue Cross Blue Shield of Alabama
12B54 835 ✓ ✓
Blue Cross Blue Shield of Alabama
12B54 837 ✓ ✓
Blue Cross Blue Shield of Alabama
SB510 835 ✓ ✓
Blue Cross Blue Shield of Alabama
SB510 837 ✓ ✓
Blue Cross Blue Shield of Arizona
53589 835 ✓ ✓ ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Arizona
53589 837 ✓ ✓ ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Arizona Advantage
77078 835 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Arizona Advantage
77078 837 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Arkansas
00520 835 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Arkansas
12021 837 ✓ ✓
Blue Cross Blue Shield of Arkansas
SB520 837 ✓ ✓
Experian Health Payer List Page 22 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Blue Cross Blue Shield of Delaware
12B76 835 ✓ ✓
Blue Cross Blue Shield of Delaware
12B76 837 ✓ ✓ ✓
Blue Cross Blue Shield of Delaware
SB570 835 ✓ ✓
Blue Cross Blue Shield of Delaware
SB570 837 ✓ ✓ ✓
Blue Cross Blue Shield of District of Columbia (Carefirst)
12000 835 ✓ ✓
Blue Cross Blue Shield of District of Columbia (Carefirst)
12000 837 ✓
Blue Cross Blue Shield of District of Columbia (Carefirst)
SB580 835 ✓ ✓
Blue Cross Blue Shield of District of Columbia (Carefirst)
SB580 837 ✓
Blue Cross Blue Shield of Florida (Florida Blue)
00590 835 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Florida (Florida Blue)
00590 837 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Hawaii (HMSA)
12B62 837 ✓
Blue Cross Blue Shield of Hawaii (HMSA)
HMSA1 835 ✓ ✓ ✓ ✓
ERA Payer Code HMSA1
Blue Cross Blue Shield of Hawaii (HMSA)
SB971 837 ✓ ✓
Blue Cross Blue Shield of Illinois
00621 835 ✓ ✓ ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Illinois
00621 837 ✓
Blue Cross Blue Shield of Illinois
12B08 837 ✓ ✓
ERA Payer Code 00621
Blue Cross Blue Shield of Illinois
SB621 837 ✓ ✓
ERA Payer Code 00621
Blue Cross Blue Shield of Iowa (Wellmark)
88848 835 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Iowa (Wellmark)
88848 837 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Kansas
47163 835 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Kansas
47163 837 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Kansas
CBKS1 835 ✓ ✓
Blue Cross Blue Shield of Kansas
CBKS1 837 ✓ ✓
Blue Cross Blue Shield of Kansas City
47171 835 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Kansas City
47171 837 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Louisiana
53120 835 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Louisiana
53120 837 ✓ ✓ ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Maryland (Carefirst)
12011 837 ✓
Blue Cross Blue Shield of Maryland (Carefirst)
SB690 835 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Maryland (Carefirst)
SB690 837 ✓
Blue Cross Blue Shield of Massachusetts
12B14 835 ✓ ✓
Blue Cross Blue Shield of Massachusetts
12B14 837 ✓ ✓
Blue Cross Blue Shield of Massachusetts
CBMA1 835 ✓ ✓
Blue Cross Blue Shield of Massachusetts
CBMA1 837 ✓ ✓
Blue Cross Blue Shield of Massachusetts
SB700 835 ✓ ✓
Experian Health Payer List Page 23 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Blue Cross Blue Shield of Massachusetts
SB700 837 ✓ ✓
Blue Cross Blue Shield of Michigan
00210 835 ✓ ✓
Blue Cross Blue Shield of Michigan
00210 837 ✓
Blue Cross Blue Shield of Michigan
00710 835 ✓ ✓
Blue Cross Blue Shield of Michigan
00710 837 ✓
Blue Cross Blue Shield of Minnesota
00720 835 ✓ ✓ ✓ ✓
Payer Requires Copy of EOB for Missing ERAs
Blue Cross Blue Shield of Minnesota
00720 837 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Mississippi
12B17 835 ✓ ✓
Blue Cross Blue Shield of Mississippi
12B17 837 ✓ ✓ ✓
Blue Cross Blue Shield of Mississippi
CBMS1 837 ✓ ✓ ✓
Blue Cross Blue Shield of Mississippi
SB730 835 ✓ ✓
Blue Cross Blue Shield of Mississippi
SB730 837 ✓ ✓ ✓
Blue Cross Blue Shield of Montana
00751 835 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Montana
00751 837 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Nebraska
00760 835 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Nebraska
00760 837 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Nebraska
CBNE1 835 ✓ ✓
Blue Cross Blue Shield of Nebraska
CBNE1 837 ✓ ✓
Blue Cross Blue Shield of New Mexico
00790 835 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of New Mexico
00790 837 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of North Carolina
12B23 835 ✓ ✓
Blue Cross Blue Shield of North Carolina
12B23 837 ✓ ✓
Blue Cross Blue Shield of North Carolina
61473 837 ✓
Blue Cross Blue Shield of North Carolina
SB810 835 ✓ ✓
Blue Cross Blue Shield of North Carolina
SB810 837 ✓ ✓
Blue Cross Blue Shield of North Dakota
12B78 837 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of North Dakota
55891 835 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Oklahoma
00840 835 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Oklahoma
00840 837 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Oklahoma
SB840 837 ✓
Blue Cross Blue Shield of Rhode Island
12B74 835 ✓ ✓
Blue Cross Blue Shield of Rhode Island
12B74 837 ✓ ✓
Blue Cross Blue Shield of Rhode Island
SB870 835 ✓ ✓
Blue Cross Blue Shield of Rhode Island
SB870 837 ✓ ✓
Blue Cross Blue Shield of South Carolina
12B55 835 ✓ ✓
Experian Health Payer List Page 24 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Blue Cross Blue Shield of South Carolina
12B55 837 ✓ ✓
Blue Cross Blue Shield of South Carolina
SB880 835 ✓ ✓
Blue Cross Blue Shield of South Carolina
SB880 837 ✓ ✓
Blue Cross Blue Shield of South Carolina - Dental
38520 835 ✓ ✓
Blue Cross Blue Shield of South Carolina - Dental
38520 837 ✓
Blue Cross Blue Shield of South Dakota (Wellmark)
88848 835 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of South Dakota (Wellmark)
88848 837 ✓ ✓ ✓ ✓
Blue Cross Blue Shield Of Tennessee
00390 835 ✓ ✓ ✓ ✓
Blue Cross Blue Shield Of Tennessee
00390 837 ✓ ✓ ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Texas
84980 835 ✓ ✓ ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Texas
84980 837 ✓ ✓ ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Texas - Medicaid STAR Kids
66001 835 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Texas - Medicaid STAR Kids
66001 837 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Texas - Medicaid STAR/CHIP
66001 835 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Texas - Medicaid STAR/CHIP
66001 837 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Vermont
BCSVT 835 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Vermont
BCSVT 837 ✓ ✓
Blue Cross Blue Shield of Wyoming
53767 835 ✓ ✓ ✓ ✓
Blue Cross Blue Shield of Wyoming
53767 837 ✓ ✓ ✓ ✓
Inst: Former payer code 12B30; Prof: Former
payer code SB960;
Blue Cross Community Health Plans
66005 837 ✓ ✓
Blue Cross Community Health Plans
MCDIL 835 ✓ ✓ ✓ ✓
Equivalent to payer code 66005
Blue Cross Community Health Plans
MCDIL 837 ✓ ✓ ✓ ✓
Equivalent to payer code 66005
Blue Cross Complete (JVHL)
KPJVH 835 ✓ ✓ ✓ ✓
Blue Cross Complete (JVHL)
KPJVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
Blue Cross Medicare Advantage (IL, MT, NM, OK, TX)
66006 835 ✓ ✓ ✓ ✓
Blue Cross Medicare Advantage (IL, MT, NM, OK, TX)
66006 837 ✓ ✓
Blue Cross Personal Choice
54704 835 ✓ ✓ ✓ ✓
Blue Cross Personal Choice
54704 837 ✓ ✓ ✓ ✓
Blue Shield of California
BSCA1 837 ✓
As of As of November 09, 2023, Electronic Remits
Advice (ERA) is not available for this payer at this
time.
Blue Shield Of California (Claims and Encounters)
BS001 835 ✓ ✓
Blue Shield Of California (Claims and Encounters)
BS001 837 ✓ ✓
Blue Shield Of California (Claims and Encounters)
BSCAI 835 ✓ ✓
Blue Shield Of California (Claims and Encounters)
BSCAI 837 ✓ ✓
Experian Health Payer List Page 25 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Blue Shield of California Promise Health Plan
C1SCA 835 ✓ ✓ ✓ ✓
Formerly Care1st HP of California
Blue Shield of California Promise Health Plan
C1SCA 837 ✓ ✓ ✓ ✓
Formerly Care1st HP of California
BlueChoice Health Plan of South Carolina (Medicaid)
00403 835 ✓ ✓ ✓ ✓
BlueChoice Health Plan of South Carolina (Medicaid)
00403 837 ✓ ✓ ✓ ✓
For claims with DOS on or after 1/1/2024.
BlueChoice Health Plan of South Carolina (Medicaid)
EH403 835 ✓ ✓ ✓ ✓
BlueChoice Health Plan of South Carolina (Medicaid)
EH403 837 ✓ ✓ ✓ ✓ ✓ ✓
For claims with date of service before 1/1/2024.
BlueChoice HealthPlan
00922 835 ✓ ✓ ✓ ✓
BlueChoice HealthPlan
00922 837 ✓ ✓ ✓ ✓
BlueCross BlueShield of Western New York Medicaid/CHP
00246 835 ✓ ✓ ✓ ✓
BlueCross BlueShield of Western New York Medicaid/CHP
00246 837 ✓ ✓ ✓ ✓ ✓ ✓
Boilermakers National Health & Welfare
36609 837 ✓ ✓
Bollinger, Inc.
BOLL1 835 ✓ ✓ ✓ ✓
Bollinger, Inc.
BOLL1 837 ✓ ✓
Boncura Health Solution
66727 835 ✓ ✓ ✓ ✓
Boncura Health Solution
66727 837 ✓ ✓
BookMD Inc
47405 837 ✓ ✓ ✓ ✓
Boon Administrative Services
BOONG 835 ✓ ✓ ✓ ✓
Boon Administrative Services
BOONG 837 ✓ ✓
Boon-Chapman Benefit Administrators Inc.
74238 835 ✓ ✓ ✓ ✓
Boon-Chapman Benefit Administrators Inc.
74238 837 ✓ ✓
Boston Medical Center HealthNet Plan
13337 835 ✓ ✓ ✓ ✓
Boston Medical Center HealthNet Plan
13337 837 ✓ ✓ ✓ ✓
Boulder Administration Services
18768 835 ✓ ✓ ✓ ✓
Boulder Administration Services
18768 837 ✓ ✓ ✓ ✓
BPS First Health
67707 837 ✓ ✓
Brain and Spine Network
BSN01 835 ✓ ✓
Brain and Spine Network
BSN01 837 ✓ ✓
Brand New Day (Encounters)
UC002 837 ✓ ✓
For Encounter Submissions Only
Brand New Day (FFS)
UC001 837 ✓ ✓
Braven Health
84367 835 ✓ ✓ ✓ ✓
Braven Health
84367 837 ✓ ✓ ✓ ✓
Bravo Health
52192 835 ✓ ✓ ✓ ✓
Bravo Health
52192 837 ✓ ✓
Bravo Health Star Plus
52192 835 ✓ ✓ ✓ ✓
Bravo Health Star Plus
52192 837 ✓ ✓
Experian Health Payer List Page 26 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Breckpoint
BRKPNT 837 ✓ ✓ ✓
BridgeSpan
BRIDG 835 ✓ ✓ ✓ ✓
BridgeSpan
BRIDG 837 ✓ ✓ ✓ ✓
Bridgeway Arizona
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Bridgeway Arizona
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Bright Healthcare
BRGHT 835 ✓ ✓ ✓ ✓
Effective 1/1/22, Bright Health Medicare
Advantage and Commercial plans have merged
into one payer code, 'BRGHT'. In order to receive
remittance files for all MCR Advantage and
Commercial plans, ERA/EFT enrollment must be
completed via both Instamed and through V-Pay
(SDS).
Bright Healthcare
BRGHT 837 ✓ ✓ ✓ ✓
BritCay
22286 837 ✓ ✓
Brodart
35182 837 ✓ ✓ ✓
Brokerage Concepts
51037 835 ✓ ✓ ✓ ✓
Brokerage Concepts
51037 837 ✓ ✓
Brookshire IPA
BIPAZ 837 ✓ ✓ ✓ ✓
For DOS Prior to 5/1/2020. Claims with DOS
5/1/20 and after use payer code CAPMN.
Brookshire IPA
CAPMN 837 ✓ ✓ ✓ ✓
Broward Health
37314 837 ✓ ✓ ✓ ✓
Brown & Toland Medical Group
94316 835 ✓ ✓ ✓ ✓
Brown & Toland Medical Group
94316 837 ✓ ✓
Brown and Toland Health Services
BTHS1 837 ✓ ✓
Brown and Toland Sutter Select
BTSS1 837 ✓
BSI Companies
25916 837 ✓ ✓ ✓
Buckeye Community Health
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Buckeye Community Health
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Buckeye Ohio Medicaid
42020 837 ✓ ✓
Buckeye Ohio Medicaid
SKOH0 835 ✓ ✓ ✓ ✓
Effective 2/1/2023, remittance returned under
Ohio Medicaid
Buckeye Ohio Medicaid Transportation
4202T 837 ✓ ✓
Use for Medicaid claims with a DOS of 2/1/2023 or
after
Buckeye Ohio Medicaid Transportation
SKOH0 835 ✓ ✓ ✓ ✓
Effective 2/1/2023, remittance returned under
Ohio Medicaid
Experian Health Payer List Page 27 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Buckeye Ohio Medicaid Vision
4202V 837 ✓ ✓
Buckeye Ohio Medicaid Vision
SKOH0 835 ✓ ✓ ✓ ✓
Effective 2/1/2023, remittance returned under
Ohio Medicaid
Business Administrators & Consultants
49984 837 ✓ ✓ ✓
Butler Benefit
42150 837 ✓ ✓ ✓ ✓
Bywater
12090 837 ✓ ✓
C&O Employees Hospital Association
23708 835 ✓ ✓
C&O Employees Hospital Association
23708 837 ✓
Cal Care IPA
PROSP 835 ✓ ✓ ✓ ✓
Cal Care IPA
PROSP 837 ✓ ✓ ✓ ✓
Cal Care IPA Encounters
PPM02 837 ✓ ✓ ✓ ✓
Encounters
Cal Viva Health
95567 835 ✓ ✓ ✓ ✓
Cal Viva Health
95567 837 ✓ ✓ ✓ ✓ ✓ ✓
California Health and Wellness
68047 837 ✓ ✓ ✓ ✓ ✓ ✓
California Health and Wellness
68069 835 ✓ ✓ ✓ ✓
California Hospital Medical Center
HSM01 837 ✓ ✓
California IPA
CAIPA 837 ✓ ✓
California Kids Care (CKC)
CKC01 835 ✓ ✓
Payer returns ERAs automatically once electronic
claim submission begins.
California Kids Care (CKC)
CKC01 837 ✓ ✓
California Medicaid - Medi-Cal
57016 837 ✓ ✓
California Medicaid (Medi-Cal)
CAMC1 835 ✓ ✓
California Medicaid (Medi-Cal)
CAMC1 837 ✓ ✓ ✓
California Medicaid (Medi-Cal)
SKCA0 835 ✓ ✓
California Medicaid (Medi-Cal)
SKCA0 837 ✓ ✓ ✓ ✓
California Medicare
12M64 835 ✓ ✓
California Medicare
12M64 837 ✓ ✓ ✓
California Medicare - Northern Region
SMCA1 835 ✓ ✓
California Medicare - Northern Region
SMCA1 837 ✓ ✓ ✓
California Medicare - Southern Region
SMCA2 835 ✓ ✓
California Medicare - Southern Region
SMCA2 837 ✓ ✓ ✓
California Pacific Medical Center
94056 837 ✓ ✓ ✓ ✓
California Pacific Physicians Medical Group, Inc.
HSM01 837 ✓ ✓
CalOptima Direct
CALOP 835 ✓ ✓ ✓ ✓
CalOptima Direct
CALOP 837 ✓ ✓ ✓ ✓
Camp Lejeune Family Member Program
CLFM1 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 28 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Cannon Cochran Management Services Inc. Metairie LA
71057 837 ✓ ✓
CAP Management Systems
15821 835 ✓ ✓ ✓
ERA Payer Code 15821
CAP Management Systems
95399 837 ✓ ✓ ✓ ✓
Capital Blue Cross Dental
CBC01 837 ✓ ✓
Capital Blue Cross of Pennsylvania
23045 835 ✓ ✓ ✓ ✓
Capital Blue Cross of Pennsylvania
23045 837 ✓ ✓ ✓ ✓ ✓ ✓
Capital District Physicians Health Plan
SX065 835 ✓ ✓ ✓ ✓
Capital District Physicians Health Plan
SX065 837 ✓ ✓
Capital Health Plan
95112 835 ✓ ✓ ✓ ✓
Capital Health Plan
95112 837 ✓ ✓
Capitol Administrators
68011 835 ✓ ✓ ✓ ✓
Capitol Administrators
68011 837 ✓ ✓
Caprock Health Plans
CAPHP 835 ✓ ✓ ✓ ✓
Caprock Health Plans
CAPHP 837 ✓ ✓
Cardinal Innovations
13010 835 ✓ ✓ ✓ ✓
ERA's are activated as soon as the provider is
approved for EDI submissions.
Cardinal Innovations
13010 837 ✓ ✓
ERA's are activated as soon as the provider is
approved for EDI submissions.
Cardon Outreach
99999-0911 837 ✓ ✓ ✓ ✓
Care 1ST Health Plan of CA
57115 837 ✓ ✓
Care Access Health Plan (CAHP)
12K89 837 ✓
Care Access Health Plan (CAHP)
65062 835 ✓ ✓ ✓ ✓
Care Access Health Plan (CAHP)
65062 837 ✓
Care Access PSN
65063 837 ✓
Care Around the Clock (CAREATC)
57721 837 ✓ ✓ ✓ ✓
Care Improvement Plus
77082 835 ✓ ✓
ERA Payer Code 87726.
Care Improvement Plus
77082 837 ✓ ✓
Care Improvement Plus (For DOS on or after 1/1/16.)
87726 835 ✓ ✓ ✓ ✓
Care Improvement Plus (For DOS on or after 1/1/16.)
87726 837 ✓ ✓ ✓ ✓
Care N' Care
66010 835 ✓ ✓ ✓ ✓
Care N' Care
66010 837 ✓ ✓
Care To Care
41222 837 ✓ ✓
Care1st Health Plan Arizona - Medicaid (DOS > 12/2/22)
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Care1st Health Plan Arizona - Medicaid (DOS > 12/2/22)
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Experian Health Payer List Page 29 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Care1st Health Plan Arizona - Medicare
14163 835 ✓ ✓ ✓ ✓
Care1st Health Plan Arizona - Medicare
14163 837 ✓ ✓ ✓ ✓ ✓ ✓
Care1st Health Plan of Arizona - Medicaid (DOS < 11/30/22)
57116 835 ✓ ✓ ✓ ✓
Care1st Health Plan of Arizona - Medicaid (DOS < 11/30/22)
57116 837 ✓ ✓
Care4Kids (WI Medicaid)
39113 835 ✓ ✓ ✓ ✓
Care4Kids (WI Medicaid)
39113 837 ✓ ✓ ✓ ✓
CareCentrix
11345 835 ✓ ✓ ✓ ✓
CareCentrix
11345 837 ✓ ✓
CareCore National
14182 837 ✓ ✓
CareCore National LLC (Aetna Radiology Claims)
14179 837 ✓ ✓
CareCore National LLC (Oxford Radiology Claims)
14180 837 ✓ ✓
CareCore/WCNY RAD
14188 837 ✓ ✓
CareFirst Administrators/NCAS (Charlotte, NC)
75191 835 ✓ ✓ ✓ ✓
CareFirst Administrators/NCAS (Charlotte, NC)
75191 837 ✓ ✓
CareFirst Administrators/NCAS (Fairfax, VA)
75190 835 ✓ ✓ ✓ ✓
CareFirst Administrators/NCAS (Fairfax, VA)
75190 837 ✓ ✓
CareFlorida
65088 835 ✓ ✓ ✓ ✓
CareFlorida
65088 837 ✓ ✓ ✓ ✓
Careington Benefit Solutions
60601 837 ✓ ✓
Carelon Aetna Home Health
34010 835 ✓ ✓ ✓ ✓
Carelon Aetna Home Health
34010 837 ✓ ✓ ✓ ✓
Carelon Anthem Home Health
34009 835 ✓ ✓ ✓ ✓
Carelon Anthem Home Health
34009 837 ✓ ✓
Carelon Behavioral Health
BHOVO 835 ✓ ✓ ✓ ✓
Previously known as Beacon Health Options /
Value Options
Carelon Behavioral Health
BHOVO 837 ✓ ✓ ✓ ✓
Previously known as Beacon Health Options /
Value Options
Caremore (ERA Only)
CM001 835 ✓ ✓ ✓ ✓
ERA Only
Caremore Health Plan
CARMO 837 ✓ ✓ ✓ ✓
CareOregon Behavioral Health
VMMH1 837 ✓ ✓ ✓ ✓
CareOregon Inc.
93975 835 ✓ ✓ ✓ ✓
CareOregon Inc.
93975 837 ✓ ✓
CarePartners of Connecticut
16307 835 ✓ ✓ ✓ ✓
CarePartners of Connecticut
16307 837 ✓ ✓
CarePlus Health Plans, Inc.
95092 835 ✓ ✓ ✓ ✓
CarePlus Health Plans, Inc.
95092 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 30 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
CareSource Arkansas
ARCS1 835 ✓ ✓ ✓ ✓
CareSource Arkansas
ARCS1 837 ✓ ✓ ✓ ✓
Caresource GA
GACS1 835 ✓ ✓ ✓ ✓
Caresource GA
GACS1 837 ✓ ✓ ✓ ✓
CareSource Indiana
INCS1 835 ✓ ✓ ✓ ✓
CareSource Indiana
INCS1 837 ✓ ✓ ✓ ✓
Caresource Kentucky
KYCS1 835 ✓ ✓ ✓ ✓
Caresource Kentucky
KYCS1 837 ✓ ✓ ✓ ✓
CareSource NC
NCCS1 835 ✓ ✓ ✓ ✓
CareSource NC
NCCS1 837 ✓ ✓ ✓ ✓
CareSource of Michigan Medicaid
MIMCDCS1 835 ✓ ✓ ✓ ✓
CareSource of Michigan Medicaid
MIMCDCS1 837 ✓ ✓
Effective for dates of service starting on October 1,
2023, and forward.
CareSource OH
31114 835 ✓ ✓ ✓ ✓
CareSource OH
31114 837 ✓ ✓ ✓ ✓
As of 2/1/23, all Medicaid claims should be
submitted to payer code 31500.
CareSource Ohio Medicaid
31500 837 ✓ ✓
CareSource Ohio Medicaid
SKOH0 835 ✓ ✓ ✓ ✓
Effective 2/1/2023, remittance returned under
Ohio Medicaid
CareSource Ohio Medicaid Vision
3150V 837 ✓ ✓
CareSource Ohio Medicaid Vision
SKOH0 835 ✓ ✓ ✓ ✓
Effective 2/1/2023, remittance returned under
Ohio Medicaid
CareSource West Virginia
WVCS1 835 ✓ ✓ ✓ ✓
CareSource West Virginia
WVCS1 837 ✓ ✓ ✓ ✓
Cariten Senior Health
61101 835 ✓ ✓ ✓ ✓
Cariten Senior Health
62072 837 ✓ ✓ ✓ ✓
ERA Payer Code 61101
Carolina Behavioral Health Alliance
56215 837 ✓ ✓
Carolina Benefit Administrators
00498 837 ✓ ✓
Carolina Care Plan
29076 835 ✓ ✓ ✓ ✓
Carolina Care Plan
29076 837 ✓ ✓ ✓ ✓
Carolina Complete Health
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Carolina Complete Health
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Carolina SeniorCare
71499 837 ✓ ✓
Carpenters Health and Welfare Fund of Philadelphia
CX101 837 ✓
Cascade Health Alliance, LLC
CHA01 835 ✓ ✓ ✓ ✓
Experian Health Payer List Page 31 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Cascade Health Alliance, LLC
CHA01 837 ✓ ✓
Catholic Life Insurance
87020 835 ✓ ✓ ✓ ✓
Catholic Life Insurance
87020 837 ✓ ✓ ✓ ✓
Catholic United Financial
87020 835 ✓ ✓ ✓ ✓
Catholic United Financial
87020 837 ✓ ✓ ✓ ✓
CBA Blue
03036 835 ✓ ✓ ✓ ✓
CBA Blue
03036 837 ✓ ✓
CBHNP - HealthChoices
65391 835 ✓ ✓ ✓ ✓
CBHNP - HealthChoices
65391 837 ✓ ✓
CCA Health California FFS Claims
TU127 837 ✓ ✓
formerly known as Vitality Health Plan of
California
CCA-Reliance
MKJVH 835 ✓ ✓ ✓ ✓
CCA-Reliance
MKJVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider has been approved per JVHL lab
Cedar Valley Community HealthCare (CVCH)
42558 835 ✓ ✓ ✓ ✓
Cedar Valley Community HealthCare (CVCH)
42558 837 ✓ ✓ ✓ ✓
Cedars Sinai Medical
95164 835 ✓ ✓ ✓ ✓
Cedars Sinai Medical
95164 837 ✓ ✓
Cedars Towers Surgical Medical Group (Encounters Only)
HPIPA 837 ✓
Cedars-Sinai Medical Network Services
95166 835 ✓ ✓ ✓ ✓
Cedars-Sinai Medical Network Services
95166 837 ✓ ✓
Cedars-Sinai Medical Network Services
95167 837 ✓ ✓
Celtic Insurance
68063 835 ✓ ✓ ✓ ✓
Celtic Insurance
68063 837 ✓ ✓ ✓ ✓
CeltiCare
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
CeltiCare
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Cement Masons & Plasterers Health & Welfare Trust
91136 837 ✓ ✓
Cencal Health
95386 835 ✓ ✓ ✓ ✓
ERA Payer Code 95386
Cencal Health
99111 837 ✓ ✓ ✓ ✓
Cenpatico - Arizona (for DOS prior to 10/01/18)
68068 835 ✓ ✓ ✓ ✓
Cenpatico - Arizona (for DOS prior to 10/01/18)
68068 837 ✓ ✓ ✓ ✓
Cenpatico - Florida
68068 835 ✓ ✓ ✓ ✓
Cenpatico - Florida
68068 837 ✓ ✓ ✓ ✓
Cenpatico - Georgia
68068 835 ✓ ✓ ✓ ✓
Experian Health Payer List Page 32 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Cenpatico - Georgia
68068 837 ✓ ✓ ✓ ✓
Cenpatico - Illinois
68068 835 ✓ ✓ ✓ ✓
Cenpatico - Illinois
68068 837 ✓ ✓ ✓ ✓
Cenpatico - Indiana
68068 835 ✓ ✓ ✓ ✓
Cenpatico - Indiana
68068 837 ✓ ✓ ✓ ✓
Cenpatico - Kansas
68068 835 ✓ ✓ ✓ ✓
Cenpatico - Kansas
68068 837 ✓ ✓ ✓ ✓
Cenpatico - Kentucky
68068 835 ✓ ✓ ✓ ✓
Cenpatico - Kentucky
68068 837 ✓ ✓ ✓ ✓
Cenpatico - Massachuetts
68068 835 ✓ ✓ ✓ ✓
Cenpatico - Massachuetts
68068 837 ✓ ✓ ✓ ✓
Cenpatico - Mississippi
68068 835 ✓ ✓ ✓ ✓
Cenpatico - Mississippi
68068 837 ✓ ✓ ✓ ✓
Cenpatico - Missouri
68068 835 ✓ ✓ ✓ ✓
Cenpatico - Missouri
68068 837 ✓ ✓ ✓ ✓
Cenpatico - Ohio
68068 835 ✓ ✓ ✓ ✓
Cenpatico - Ohio
68068 837 ✓ ✓ ✓ ✓
Cenpatico - South Carolina
68068 835 ✓ ✓ ✓ ✓
Cenpatico - South Carolina
68068 837 ✓ ✓ ✓ ✓
Cenpatico - Texas
68068 835 ✓ ✓ ✓ ✓
Cenpatico - Texas
68068 837 ✓ ✓ ✓ ✓
Cenpatico - Wisconsin
68068 835 ✓ ✓ ✓ ✓
Cenpatico - Wisconsin
68068 837 ✓ ✓ ✓ ✓
Cenpatico Behavioral Health
68068 835 ✓ ✓ ✓ ✓
Cenpatico Behavioral Health
68068 837 ✓ ✓ ✓ ✓
Centauri Health Solutions
14043 837 ✓ ✓
Formerly NHI Billing Services. Claims enrollment
not required; however, payer must be notified
prior to sending claims to a new provider.
Centene Medical
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Centene Medical
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Center for Elders Independence
94312 837 ✓ ✓ ✓ ✓
Center IPA
POP01 837 ✓
CenterLight Healthcare
13360 837 ✓ ✓
Centers Plan for Healthy Living
CPHL1 835 ✓ ✓ ✓ ✓
Experian Health Payer List Page 33 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Centers Plan for Healthy Living
CPHL1 837 ✓ ✓ ✓ ✓
Centinela Valley IPA
MPM03 837 ✓ ✓ ✓ ✓
Centivo
45564 835 ✓ ✓ ✓ ✓
Centivo
45564 837 ✓ ✓
CentraCare
66698 837 ✓ ✓
Central & Southwest Services
75177 837 ✓ ✓
Central California Alliance for Health (CCAH)
CCA01 835 ✓ ✓ ✓ ✓
Central California Alliance for Health (CCAH)
CCA01 837 ✓ ✓ ✓ ✓ ✓ ✓
Central DuPage Physician Group
36314 837 ✓ ✓
Central Health Medicare Plan
CHCPI 837 ✓ ✓ ✓ ✓
Central Health MSO
CHCPI 837 ✓ ✓ ✓ ✓
Central Mass Heath Care
02041 837 ✓ ✓
Central Pennsylvania Teamsters Fund
23626 835 ✓ ✓ ✓ ✓
Central Pennsylvania Teamsters Fund
23626 837 ✓ ✓
Central Reserve Life Ins Co-Medicare Supplement
13193 835 ✓ ✓ ✓ ✓
Central Reserve Life Ins Co-Medicare Supplement
13193 837 ✓ ✓ ✓ ✓
Central SeniorCare
62218 837 ✓ ✓
Payer code is no longer active … please send
claims to Wellcare payer id 14163
Central States Health & Welfare Funds
36215 835 ✓ ✓ ✓ ✓ ✓ ✓
Central States Health & Welfare Funds
36215 837 ✓ ✓ ✓ ✓
Central States Health & Welfare Funds
36215 837 ✓ ✓
Central States Indemnity (ERA Only)
IAS02 835 ✓ ✓ ✓ ✓
ERA Only
Central Susquehanna Healthcare Providers (CSHP)
55731 837 ✓ ✓ ✓ ✓
Central Valley Medical Group
CVH01 837 ✓ ✓ ✓ ✓
As of 03/26/2024, this payer does not offer
Electronic Remittance Advice (ERA) at this time.
Central Valley Medical Providers CVMEDPRO
MPM59 837 ✓ ✓ ✓ ✓
New payer effective 1/1/23
Centurion
42140 835 ✓ ✓ ✓ ✓
Centurion
42140 837 ✓ ✓
Centurion Health of Indiana, LLC
IHS11 837 ✓ ✓
For claims with DOS on or after December 1, 2023
(IN Only)
Century PHO
36393 837 ✓ ✓ ✓ ✓
Cerner HealthPlan Services
20356 835 ✓ ✓ ✓ ✓
Cerner HealthPlan Services
20356 837 ✓ ✓
Chaffey Medical Group
49533 835 ✓ ✓ ✓ ✓
EFT enrollment is required in order to obtain ERA’s
Chaffey Medical Group
49533 837 ✓ ✓
Champion Payer Solutions
CPS01 835 ✓ ✓
Experian Health Payer List Page 34 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Champion Payer Solutions
CPS01 837 ✓ ✓
CHAMPVA HAC MEDICARE CROSSOVER (ERA Only)
80214 835 ✓ ✓ ✓ ✓
CHAMPVA - HAC
84146 835 ✓ ✓ ✓ ✓
CHAMPVA - HAC
84146 837 ✓ ✓
Change Healthcare Accident Claims Solution
88446 837 ✓ ✓
Chautauqua County Healthcare Plan (Mayville NY)
16600 837 ✓ ✓
CHCS Services, Inc (ERA Only)
75895 835 ✓ ✓ ✓ ✓
ERA Only
Cherokee Nation Comprehensive Care Agency
CHERO 837 ✓ ✓
Chesterfield Resources Inc.
34154 835 ✓ ✓ ✓ ✓
Chesterfield Resources Inc.
34154 837 ✓ ✓ ✓ ✓
Childhealth Plus by Healthfirst (CHP)
80141 837 ✓
Children First Medical Group
94321 837 ✓
Children of Women Vietnam Veterans-VA HAC
84146 835 ✓ ✓ ✓ ✓
Children of Women Vietnam Veterans-VA HAC
84146 837 ✓ ✓
Children's Community Health Plan
39113 837 ✓ ✓ ✓ ✓
Children's Community Health Plan - Wisconsin
39113 835 ✓ ✓ ✓ ✓
Children's Community Health Plan - Wisconsin
39113 837 ✓ ✓ ✓ ✓
Children's Hospital Orange County (CHOC) Health Alliance
CHOC1 835 ✓ ✓ ✓ ✓
Children's Hospital Orange County (CHOC) Health Alliance
CHOC1 837 ✓ ✓
Children's Medical Security Plan of Massachusetts
12K14 835 ✓ ✓
Children's Medical Security Plan of Massachusetts
12K14 837 ✓ ✓ ✓
Children's Medical Security Plan of Massachusetts
SKMA0 835 ✓ ✓
Children's Medical Security Plan of Massachusetts
SKMA0 837 ✓ ✓ ✓
Childrens Medical Center Health Plan
CMCHP 835 ✓ ✓ ✓ ✓
Childrens Medical Center Health Plan
CMCHP 837 ✓ ✓
Chinese Community Health Plan
94302 835 ✓ ✓ ✓ ✓
Chinese Community Health Plan
94302 837 ✓ ✓
CHOC - Children's Hospital Of Orange County Health Alliance
33065 837 ✓ ✓
Choice Medical Group
CMG01 835 ✓
Choice Medical Group
CMG01 837 ✓ ✓ ✓ ✓
Choice Physicians Net First Choice
CPNFC 837 ✓ ✓ ✓ ✓
Choice Physicians Network
CPN01 837 ✓ ✓ ✓ ✓
Chorus Community Health Plans
39113 835 ✓ ✓ ✓ ✓
Chorus Community Health Plans
39113 837 ✓ ✓ ✓ ✓
Christian Brothers Services
38308 835 ✓ ✓ ✓ ✓
Experian Health Payer List Page 35 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Christian Brothers Services
38308 837 ✓ ✓
Christian Care Ministries
59355 837 ✓ ✓
Christian Health Aid
98628 837 ✓ ✓
Christiana Care VBR
VB002 837 ✓ ✓ ✓ ✓
Christus Health Medicare Advantage
10629 835 ✓ ✓ ✓ ✓
Christus Health Medicare Advantage
10629 837 ✓ ✓
Christus Health TX HIX
52106 837 ✓ ✓
Christus Spohn Health Network
SPOHN 837 ✓ ✓
Christus Texas Medicaid
45210 837 ✓ ✓ ✓ ✓
CIGNA
62308 835 ✓ ✓ ✓ ✓ ✓ ✓
CIGNA
62308 837 ✓ ✓ ✓ ✓ ✓ ✓
CIGNA - PPA
62308 835 ✓ ✓ ✓ ✓
CIGNA - PPA
62308 837 ✓ ✓ ✓ ✓
CIGNA - PPO
62308 835 ✓ ✓ ✓ ✓
CIGNA - PPO
62308 837 ✓ ✓ ✓ ✓
CIGNA – (Health Partners)
KQJVH 835 ✓ ✓ ✓ ✓
CIGNA – (Health Partners)
KQJVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
CIGNA (Non-HAP & CIGNA-HAP)
KDJVH 835 ✓ ✓ ✓ ✓
CIGNA (Non-HAP & CIGNA-HAP)
KDJVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
CIGNA Behavioral Health
62308 835 ✓ ✓ ✓ ✓
ERA Payer Code 62308
CIGNA Behavioral Health
MCCBV 837 ✓
ERA Payer Code 62308
CIGNA Behavioral Health
SX071 837 ✓ ✓
ERA Payer Code 62308
CIGNA Dental
62308 835 ✓ ✓
CIGNA Dental
62308 837 ✓ ✓
Cigna Encounters
99139 837 ✓ ✓
CIGNA Health Plan - HMO
62308 835 ✓ ✓ ✓ ✓
CIGNA Health Plan - HMO
62308 837 ✓ ✓ ✓ ✓
CIGNA Medicare Advantage
62308 835 ✓ ✓ ✓ ✓
CIGNA Medicare Advantage
86033 837 ✓ ✓
ERA Payer Code 62308
Cigna-Healthspring
52192 835 ✓ ✓ ✓ ✓
Cigna-Healthspring
52192 837 ✓ ✓
Cincinnati Financial Corporation
46871 837 ✓ ✓ ✓ ✓
Payer code being deactivated; send claims to
payer code 37283
CITIZENS CHOICE HEALTH PLAN
CCHPC 835 ✓ ✓ ✓ ✓
CITIZENS CHOICE HEALTH PLAN
CCHPC 837 ✓ ✓
Experian Health Payer List Page 36 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Citrust Health Plan
10207 837 ✓ ✓ ✓ ✓
City Of New Orleans (LA)
J2309 837 ✓
ClaimChoice Administrators
83063 835 ✓ ✓ ✓ ✓
ClaimChoice Administrators
83063 837 ✓ ✓
ClaimChoice Administrators (DOS >1.1.21)
38219 835 ✓ ✓ ✓ ✓
formerly known as AmeraPlan
ClaimChoice Administrators (DOS >1.1.21)
38219 837 ✓ ✓
formerly known as AmeraPlan
Claims Development Corporation
43056 837 ✓
ClaimsBridge HPN
11752 837 ✓ ✓
Claimshop- Employers Coalition on Health - MULTIPLAN PHCS/ECOH
27008 837 ✓ ✓
Clear Health Alliance
CLEAR 835 ✓ ✓ ✓ ✓
Clear Health Alliance
CLEAR 837 ✓ ✓ ✓ ✓ ✓ ✓
Clear Spring Heath
85468 835 ✓ ✓ ✓ ✓
Clear Spring Heath
85468 837 ✓ ✓ ✓ ✓
Clearchoice Health Plan / COIHS
77201 837 ✓ ✓
Clearwater Benefit Administrators
DCRSS 837 ✓ ✓ ✓ ✓
Clever Care Health Plan
CC168 837 ✓ ✓
Client First
41201 837 ✓ ✓
Clinicas del Camino Real
CDCR1 835 ✓ ✓ ✓ ✓
Clinicas del Camino Real
CDCR1 837 ✓ ✓ ✓ ✓
Clover Health
13285 835 ✓ ✓ ✓ ✓
Clover Health
13285 837 ✓ ✓
CMHC
02041 837 ✓ ✓
Coachella Valley Physicians
IP079 835 ✓ ✓ ✓ ✓
Coachella Valley Physicians
IP079 837 ✓ ✓
Coastal Administrative Services
77052 835 ✓ ✓ ✓ ✓
Coastal Administrative Services
77052 837 ✓ ✓
Coastal Care Services Inc
47394 837 ✓
Coastal Communities Physician Network
51579 837 ✓ ✓
Coeur Plan Services, LLC
11854 837 ✓ ✓ ✓
Cofinity - Group Resources
42049 837 ✓ ✓
Colonial Life (ERA Only)
37077 835 ✓ ✓ ✓ ✓
Colonial Medical
22284 837 ✓ ✓
Colorado Access
84129 835 ✓ ✓ ✓ ✓
Colorado Access
84129 837 ✓ ✓ ✓ ✓
Colorado Community Health Alliance
COCHA 835 ✓ ✓ ✓ ✓
Experian Health Payer List Page 37 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Colorado Community Health Alliance
COCHA 837 ✓ ✓ ✓ ✓
Colorado Health OP
49718 837 ✓ ✓
Colorado Medicaid
77016 835 ✓ ✓ ✓ ✓
Colorado Medicaid
77016 837 ✓ ✓ ✓ ✓ ✓ ✓
Colorado Medicare
12M03 835 ✓ ✓
Colorado Medicare
12M03 837 ✓ ✓ ✓
Colorado Medicare
SMCO0 835 ✓ ✓
Colorado Medicare
SMCO0 837 ✓ ✓ ✓
Commerce Benefits Group
34181 835 ✓ ✓ ✓ ✓
Commerce Benefits Group
34181 837 ✓ ✓
Commercial Travelers/PHX
88091 835 ✓ ✓ ✓ ✓
Commercial Travelers/PHX
88091 837 ✓ ✓
Common Ground Health Cooperative
77170 835 ✓ ✓ ✓ ✓
Common Ground Health Cooperative
77170 837 ✓ ✓
Commonwealth Care Alliance
14315 835 ✓ ✓ ✓ ✓
Commonwealth Care Alliance
14315 837 ✓ ✓
Commonwealth Care Alliance - Medicare Advantage
14316 837 ✓ ✓
Commonwealth Care Alliance (DOS > 4/1/23)
A2793 835 ✓ ✓ ✓ ✓
Commonwealth Care Alliance (DOS > 4/1/23)
A2793 837 ✓ ✓
Effective 4/1/23, claims with DOS after April 1st
should be submitted to new payer code A2793.
For transactions prior to 4/1/23, use 14315 and
14316.
CommuniCare Advantage
34525 837 ✓ ✓ ✓ ✓
Community Care Alliance of Illinois
85468 837 ✓ ✓ ✓ ✓
Community Care Associates (Healthchoice)
JWJVH 835 ✓ ✓ ✓ ✓
Community Care Associates (Healthchoice)
JWJVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
Community Care Associates.(HealthChoice)
17902 837 ✓ ✓
Community Care BHO
23282 835 ✓ ✓ ✓ ✓
Community Care BHO
23282 837 ✓ ✓
Community Care Inc. - Family Care (Wisconsin)
60995 835 ✓ ✓ ✓ ✓
Community Care Inc. - Family Care (Wisconsin)
60995 837 ✓ ✓
Community Care Inc. (Wisconsin)
39126 835 ✓ ✓ ✓ ✓
Community Care Inc. (Wisconsin)
39126 837 ✓ ✓ ✓ ✓
Community Care IPA
MPM48 837 ✓ ✓ ✓ ✓
Former payer code CCI01
Community Care Managed Health Care Plans of Oklahoma
73143 835 ✓ ✓ ✓ ✓
Community Care Managed Health Care Plans of Oklahoma
73143 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 38 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Community Care Plan
59064 835 ✓ ✓ ✓ ✓
formerly known as South Florida Community Care
Network - SFCCN
Community Care Plan
59064 837 ✓ ✓ ✓ ✓
formerly known as South Florida Community Care
Network - SFCCN
Community Care Plan (Florida Health Kids)
FHKC1 835 ✓ ✓ ✓ ✓
Community Care Plan (Florida Health Kids)
FHKC1 837 ✓ ✓
Community Care Plan (Medicaid)
59065 835 ✓ ✓ ✓ ✓
Formerly known as South FL Community Care
Network - SFCCN (Medicaid)
Community Care Plan (Medicaid)
59065 837 ✓ ✓ ✓ ✓
Formerly known as South FL Community Care
Network - SFCCN (Medicaid)
COMMUNITY CARE PLAN (PALM BEACH HEALTH DISTRICT)
PBHD1 835 ✓ ✓ ✓ ✓
COMMUNITY CARE PLAN (PALM BEACH HEALTH DISTRICT)
PBHD1 837 ✓ ✓ ✓ ✓
Community Eye Care
CECVP 837 ✓
Community Family Care
NMM05 835 ✓ ✓ ✓ ✓
Community Family Care
NMM05 837 ✓ ✓ ✓ ✓
Community First Claims
COMMF 835 ✓ ✓ ✓ ✓
Community First Claims
COMMF 837 ✓ ✓
Community First Health Plan, Inc.
42723 835 ✓ ✓ ✓ ✓
ERA Payer Code 42723
Community Health Alliance
35193 835 ✓ ✓ ✓ ✓
Community Health Alliance
35193 837 ✓ ✓ ✓ ✓
Community Health Center Network
CHCN1 835 ✓ ✓
Community Health Center Network
CHCN1 837 ✓
Community Health Choice
48145 835 ✓ ✓ ✓ ✓
Community Health Choice
48145 837 ✓ ✓
Community Health Electronic Claims/CHEC/webTPA
75261 835 ✓ ✓ ✓ ✓
Per the payer's request, the payer's name has
been updated to WebTPA Employer Services LLC.
Community Health Electronic Claims/CHEC/webTPA
75261 837 ✓ ✓
Electronic Remittance Advice (ERA) will continue
to be routed through SDS
Community Health Group
66170 835 ✓ ✓ ✓ ✓
Community Health Group
66170 837 ✓ ✓ ✓ ✓
All providers must be entered into CHG's Claims
system before EDI claims can be submitted.
Community Health Group
CHGRI 835 ✓ ✓
Community Health Group
CHGRI 837 ✓ ✓
Community Health Plan of Washington
CHPWA 835 ✓ ✓ ✓ ✓
Community Health Plan of Washington
CHPWA 837 ✓ ✓ ✓ ✓
Community Health Plan, Inc.
60495 837 ✓ ✓ ✓ ✓
Community Medical Group of the West Valley Inc.
66121 837 ✓ ✓
CommunityConnect HealthPlan
95192 835 ✓ ✓ ✓ ✓
Experian Health Payer List Page 39 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
CommunityConnect HealthPlan
95192 837 ✓ ✓ ✓ ✓
Comp - Ohio (Austintown OH)
34177 837 ✓ ✓
Companion Life
37322 835 ✓ ✓ ✓ ✓
Companion Life
37322 837 ✓ ✓
Compcare (Wisconsin BadgerCare only)
95192 835 ✓ ✓ ✓ ✓
Compcare (Wisconsin BadgerCare only)
95192 837 ✓ ✓ ✓ ✓
Compsych
37363 835 ✓ ✓ ✓ ✓
Compsych
37363 837 ✓ ✓ ✓ ✓
Compusys of Colorado
COMPU 837 ✓
Concierge HMO IPA
CHHMO 837 ✓ ✓
Concierge TPA
CAS01 837 ✓ ✓
CONCORDIA CARE INCORPORATED
33632 837 ✓ ✓
Conifer Health Solutions (Adventist)
CAPMN 835 ✓ ✓ ✓ ✓
Conifer Health Solutions (Adventist)
CAPMN 837 ✓ ✓ ✓ ✓
Connected Senior Care Advantage
AGL03 837 ✓ ✓ ✓ ✓
Connecticare - Medicare
78375 835 ✓ ✓ ✓ ✓
Connecticare - Medicare
78375 837 ✓ ✓ ✓ ✓
ConnectiCare Inc
06105 835 ✓ ✓ ✓ ✓
ConnectiCare Inc
06105 837 ✓ ✓
Connecticut Carpenters Health Fund
37307 835 ✓ ✓ ✓ ✓
Connecticut Carpenters Health Fund
37307 837 ✓ ✓
Connecticut General (CIGNA)
62308 835 ✓ ✓ ✓ ✓
Connecticut General (CIGNA)
62308 837 ✓ ✓ ✓ ✓
Connecticut Medicaid
12K04 835 ✓ ✓
Connecticut Medicaid
12K04 837 ✓ ✓
Connecticut Medicaid
SKCT0 835 ✓ ✓
Connecticut Medicaid
SKCT0 837 ✓ ✓
Connecticut Medicare
12M04 835 ✓ ✓
Connecticut Medicare
12M04 837 ✓ ✓ ✓
Connecticut Medicare
SMCT0 835 ✓ ✓
Connecticut Medicare
SMCT0 837 ✓ ✓ ✓
Conseco Services LLC (ERA Only)
11285 835 ✓ ✓ ✓ ✓
ERA Only
Consociate Group
37135 835 ✓ ✓ ✓ ✓
Consociate Group
37135 837 ✓ ✓ ✓ ✓
Consolidated Associates Railroad
75284 837 ✓ ✓
Experian Health Payer List Page 40 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Consolidated Health Plans
87843 835 ✓ ✓ ✓ ✓
Consolidated Health Plans
87843 837 ✓ ✓
Consumer's Mutual Insurance
KWJVH 835 ✓ ✓ ✓ ✓
Consumer's Mutual Insurance
KWJVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
Consumers Choice Health SC
45321 835 ✓ ✓ ✓ ✓
Consumers Choice Health SC
45321 837 ✓ ✓ ✓ ✓
Consumers Life Insurance Company
29076 835 ✓ ✓ ✓ ✓
Consumers Life Insurance Company
29076 837 ✓ ✓ ✓ ✓
Container Graphics Corporation
08680 837 ✓ ✓ ✓ ✓
Contessa Health
99433 835 ✓ ✓ ✓ ✓
Contessa Health
99433 837 ✓ ✓
Contigo Health
34158 837 ✓ ✓
Continental General Ins Co-Medicare Supplement
13193 835 ✓ ✓ ✓ ✓
Continental General Ins Co-Medicare Supplement
13193 837 ✓ ✓ ✓ ✓
Continental General Insurance Company
71404 835 ✓ ✓ ✓ ✓
Continental General Insurance Company
71404 837 ✓ ✓
Claim Address: PO Box 21670 Eagan MN 55121
Continuum (formerly Marrick WRx)
46478 837 ✓ ✓
Continuum Health Solutions (Workers Comp)
59557 837 ✓ ✓ ✓ ✓
CONTRA COSTA BEHAVIORAL HEALTH PLAN
CCMHP 837 ✓
CONTRA COSTA HEALTH PLAN
CCHS 835 ✓ ✓ ✓ ✓
CONTRA COSTA HEALTH PLAN
CCHS 837 ✓ ✓
Contractors, Laborers, Teamsters & Engineers (Local 14B)
47046 837 ✓ ✓ ✓ ✓
Conversion Plan-APWU
55544 837 ✓ ✓
Cook Children STAR Plan
THCP9 837 ✓ ✓
Cook Children's Health
12T58 837 ✓
Cook Children's Health
TH104 837 ✓
Cook Childrens Health Plan Star
CCHP9 835 ✓ ✓ ✓ ✓
Cook Childrens Health Plan Star
CCHP9 837 ✓ ✓ ✓ ✓
Cook Group Health Plan
35149 837 ✓ ✓ ✓ ✓
Cook Medical Group
60065 837 ✓ ✓
Cooks Children's Health Plan
CCHP1 835 ✓ ✓ ✓ ✓
Cooks Children's Health Plan
CCHP1 837 ✓ ✓
Cooperative Benefit Administrators (CBA)
39026 835 ✓ ✓ ✓ ✓
Cooperative Benefit Administrators (CBA)
39026 837 ✓ ✓ ✓ ✓
Coordinated Benefit Plan
14829 835 ✓ ✓ ✓ ✓
Experian Health Payer List Page 41 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Coordinated Benefit Plan
14829 837 ✓ ✓ ✓ ✓
Coordinated Medical Specialists
58204 837 ✓ ✓
COPC - Senior Care Advantage
AGL02 835 ✓ ✓ ✓ ✓
Payer returns ERA's automatically once electronic
claim submission begins.
COPC - Senior Care Advantage
AGL02 837 ✓ ✓ ✓ ✓
Payer returns ERA's automatically once electronic
claim submission begins.
Core Administrative Services
58231 835 ✓ ✓ ✓ ✓
Core Administrative Services
58231 837 ✓ ✓
CoreCivic
55962 837 ✓ ✓
CoreSource AZ MN
35182 835 ✓ ✓ ✓ ✓
Claim Mailing Address: PO Box 2920, Clinton,
IAaka Health Options Program
CoreSource AZ MN
35182 837 ✓ ✓ ✓
CoreSource NC IN
35182 835 ✓ ✓ ✓ ✓
Claim Mailing Address: PO Box 2920, Clinton,
IAaka Health Options Program
CoreSource NC IN
35182 837 ✓ ✓ ✓
Corizon Health Inc.
CORIZ 837 ✓ ✓
Corizon Inc.
43160 837 ✓ ✓
Cornerstone Benefit Adminstrators
35202 835 ✓ ✓ ✓ ✓
Cornerstone Benefit Adminstrators
35202 837 ✓ ✓
Cornerstone Preferred Resources
CB268 835 ✓ ✓ ✓ ✓
Cornerstone Preferred Resources
CB268 837 ✓ ✓
Corporate Benefits Service
56116 835 ✓ ✓ ✓ ✓
Corporate Benefits Service
56116 837 ✓ ✓
Corporate Plan Management, Inc.
64270 837 ✓ ✓ ✓ ✓
CorrectCare - Integrated Health
CCIH 837 ✓ ✓
CorrectCare Integrated Health - Jail
CCIHJAIL 837 ✓ ✓ ✓ ✓
Non-Louisiana Jails
CorrectCare Integrated Health (CA Prison Health Care Services)
CCIH1 837 ✓ ✓
Correctional Health Partners (ERA Only)
EHCHP 835 ✓ ✓ ✓ ✓
ERA Only
Country Financial (ERA Only)
IAS03 835 ✓ ✓ ✓ ✓
ERA Only
County of Fresno
AMM21 837 ✓ ✓
County of Riverside
EC999 837 ✓ ✓
County of Sacramento - EMSF
AMM20 837 ✓ ✓
COUNTY OF SANTA CLARA
CB178 837 ✓ ✓
County Services Medical Program
CMSP1 837 ✓ ✓
CountyCare
06541 835 ✓ ✓ ✓ ✓
CountyCare
06541 837 ✓ ✓
Covenant Administrators, Inc.
58102 835 ✓ ✓ ✓ ✓
Experian Health Payer List Page 42 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Covenant Administrators, Inc.
58102 837 ✓ ✓
Covenant Management System Employee Benefit Plan
CMSEB 835 ✓ ✓
Covenant Management System Employee Benefit Plan
CMSEB 837 ✓
Covenant Management System Employee Benefit Plan
UMSEB 835 ✓ ✓
Covenant Management System Employee Benefit Plan
UMSEB 837 ✓
CoventryCares - Aetna Better Health of Michigan
J8JVH 835 ✓ ✓ ✓ ✓
CoventryCares - Aetna Better Health of Michigan
J8JVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
CoventryCares of Michigan
60054 835 ✓ ✓ ✓ ✓
CoventryCares of Pennsylvania
23228 835 ✓ ✓ ✓ ✓
CoventryCares of Pennsylvania
23228 837 ✓ ✓
Cox Health Plan
00019 835 ✓ ✓
Cox Health Plan
00019 837 ✓
Cox Health Plan
00119 835 ✓ ✓
Cox Health Plan
00119 837 ✓
CPR Share Plans
CB695 837 ✓ ✓ ✓ ✓
Create Health Plans
CREA8 837 ✓ ✓
Creative Medical Systems
64068 837 ✓ ✓
Creative Plan Administrators
37320 837 ✓ ✓
Crescent Health Solutions
56213 837 ✓ ✓
Crossway Health Share
33213 837 ✓ ✓
Crown City Medical Group
MPM35 837 ✓ ✓ ✓ ✓
Croy-Hall Mgmt. Inc.
37266 837 ✓ ✓
CSEA DENTAL
CX054 837 ✓ ✓
CSI Life (ERA Only)
IAS04 835 ✓ ✓ ✓ ✓
ERA Only
CSI Network Services
34186 837 ✓ ✓ ✓ ✓
CSO Omaha (ERA Only)
IAS05 835 ✓ ✓ ✓ ✓
ERA Only
Culinary Las Vegas - Unite HERE Health
59144 835 ✓ ✓ ✓ ✓
Culinary Las Vegas - Unite HERE Health
59144 837 ✓ ✓
Curaechoice
CC304 835 ✓ ✓ ✓ ✓
Curaechoice
CC304 837 ✓ ✓
Current Health Solutions
77153 837 ✓ ✓ ✓ ✓
Custom Design Benefits
82056 835 ✓ ✓ ✓ ✓
Custom Design Benefits
82056 837 ✓ ✓
CVS Accountable Care
CVSACO 835 ✓ ✓ ✓ ✓
Davis Vision
00157 835 ✓ ✓
Experian Health Payer List Page 43 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Davis Vision
00157 837 ✓
DC Risk Solutions
DCRSS 837 ✓ ✓ ✓ ✓
Dean Health Plan
39113 835 ✓ ✓ ✓ ✓
Dean Health Plan
39113 837 ✓ ✓ ✓ ✓
Dean Health Plan by Medica
41822 837 ✓ ✓ ✓ ✓
Inst: As of January 1, 2024, this payer does not
offer Electronic Remittance Advice (ERA) at this
time. ; Prof: As of January 1, 2024, this payer does
not offer Electronic Remittance Advice (ERA) at
this time.;
DELANO IPA
77124 835 ✓ ✓
DELANO IPA
77124 837 ✓
Delaware First Health
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Delaware First Health
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Delaware Medicaid
12K87 835 ✓ ✓
Delaware Medicaid
12K87 837 ✓ ✓
Delaware Medicaid
SKDE0 835 ✓ ✓
Delaware Medicaid
SKDE0 837 ✓ ✓
Delaware Medicare
12M76 835 ✓ ✓
Delaware Medicare
12M76 837 ✓ ✓ ✓
Delaware Medicare
SMDE0 835 ✓ ✓
Delaware Medicare
SMDE0 837 ✓ ✓ ✓
Dell Children's Health Plan (DCHP)
38261 835 ✓ ✓ ✓ ✓
Dell Children's Health Plan (DCHP)
38261 837 ✓ ✓
Delta Dental (DDIC)
94276 835 ✓ ✓
Delta Dental (DDIC)
94276 837 ✓ ✓
Delta Dental CA FedVIP
CDCA1 835 ✓ ✓
Delta Dental CA FedVIP
CDCA1 837 ✓ ✓
Delta Dental Northeast
02027 835 ✓ ✓
Delta Dental Northeast
02027 837 ✓ ✓ ✓
Delta Dental of Alabama
DDAL1 835 ✓
Delta Dental of Alabama
DDAL1 837 ✓ ✓ ✓
Delta Dental of Alaska
DDAK1 835 ✓ ✓
Delta Dental of Alaska
DDAK1 837 ✓ ✓
Delta Dental of Arizona
86027 835 ✓ ✓
Experian Health Payer List Page 44 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Delta Dental of Arizona
86027 837 ✓ ✓ ✓
Delta Dental of Arkansas
DDPAR 835 ✓ ✓
Delta Dental of Arkansas
DDPAR 837 ✓ ✓ ✓
Delta Dental of California
77777 835 ✓ ✓
Delta Dental of California
77777 837 ✓ ✓
Delta Dental of Colorado
DDPCO 835 ✓ ✓
Delta Dental of Colorado
DDPCO 837 ✓ ✓ ✓
Delta Dental of Connecticut
22189 835 ✓ ✓
Delta Dental of Connecticut
22189 837 ✓ ✓ ✓
Delta Dental of Delaware
51022 835 ✓ ✓
Delta Dental of Delaware
51022 837 ✓ ✓
Delta Dental of Florida
DDFL1 835 ✓ ✓
Delta Dental of Florida
DDFL1 837 ✓ ✓ ✓
Delta Dental of Georgia
DDGA1 835 ✓ ✓
Delta Dental of Georgia
DDGA1 837 ✓ ✓
Delta Dental of Idaho
82029 835 ✓ ✓
Delta Dental of Idaho
82029 837 ✓ ✓ ✓
Delta Dental of Illinois
05030 835 ✓ ✓
Delta Dental of Illinois
05030 837 ✓ ✓ ✓
Delta Dental of Illinois - Individual
IDIND 835 ✓ ✓
Delta Dental of Illinois - Individual
IDIND 837 ✓ ✓ ✓
Delta Dental of Indiana
DDPI 835 ✓ ✓
Delta Dental of Indiana
DDPI 837 ✓ ✓ ✓
Delta Dental of Iowa
CDIA1 835 ✓ ✓
Delta Dental of Iowa
CDIA1 837 ✓ ✓ ✓
Delta Dental of Kansas
CDKS1 835 ✓ ✓
Delta Dental of Kansas
CDKS1 837 ✓ ✓
Delta Dental of Kentucky
CDKY1 835 ✓ ✓
Delta Dental of Kentucky
CDKY1 837 ✓ ✓ ✓
Delta Dental of Louisiana
DDLA1 835 ✓ ✓
Delta Dental of Louisiana
DDLA1 837 ✓ ✓ ✓
Delta Dental of Maryland
DDMD1 835 ✓ ✓
Delta Dental of Maryland
DDMD1 837 ✓ ✓
Delta Dental of Massachusetts
04614 835 ✓ ✓
Delta Dental of Massachusetts
04614 837 ✓ ✓ ✓
Experian Health Payer List Page 45 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Delta Dental of Michigan
DDPM 835 ✓ ✓
Delta Dental of Michigan
DDPM 837 ✓ ✓ ✓
Delta Dental of Minnesota
07000 835 ✓ ✓
Delta Dental of Minnesota
07000 837 ✓ ✓ ✓
Delta Dental of Mississippi
DDMS1 835 ✓ ✓
Delta Dental of Mississippi
DDMS1 837 ✓ ✓ ✓
Delta Dental of Missouri
43090 835 ✓ ✓
Delta Dental of Missouri
43090 837 ✓ ✓ ✓
Delta Dental of Montana
DDMT1 835 ✓ ✓
Delta Dental of Montana
DDMT1 837 ✓ ✓ ✓
Delta Dental of Nebraska
07027 835 ✓ ✓
Delta Dental of Nebraska
07027 837 ✓ ✓ ✓
Delta Dental of Nevada
DDNV1 835 ✓ ✓
Delta Dental of Nevada
DDNV1 837 ✓ ✓ ✓
Delta Dental of New Jersey
22189 835 ✓ ✓
Delta Dental of New Jersey
22189 837 ✓ ✓ ✓
Delta Dental of New Mexico
DDPNM 835 ✓ ✓
Delta Dental of New Mexico
DDPNM 837 ✓ ✓ ✓
Delta Dental of New York
11198 835 ✓ ✓
Delta Dental of New York
11198 837 ✓ ✓
Delta Dental of North Carolina
56101 835 ✓ ✓
Delta Dental of North Carolina
56101 837 ✓ ✓ ✓
Delta Dental of North Dakota
07029 835 ✓ ✓
Delta Dental of North Dakota
07029 837 ✓ ✓ ✓
Delta Dental of Ohio
DDPO 835 ✓ ✓
Delta Dental of Ohio
DDPO 837 ✓ ✓ ✓
Delta Dental of Oklahoma
DDPOK 835 ✓ ✓
Delta Dental of Oklahoma
DDPOK 837 ✓ ✓ ✓
Delta Dental of Oregon
CDOR1 835 ✓ ✓
Delta Dental of Oregon
CDOR1 837 ✓ ✓
Delta Dental of Pennsylvania
23166 835 ✓ ✓
Delta Dental of Pennsylvania
23166 837 ✓ ✓
Delta Dental of Puerto Rico
66043 835 ✓ ✓
Delta Dental of Puerto Rico
66043 837 ✓ ✓ ✓
Delta Dental of Rhode Island
05029 835 ✓ ✓
Experian Health Payer List Page 46 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Delta Dental of Rhode Island
05029 837 ✓ ✓
Delta Dental of South Carolina
43091 835 ✓ ✓
Delta Dental of South Carolina
43091 837 ✓ ✓ ✓
Delta Dental of South Dakota
54097 837 ✓ ✓ ✓
Delta Dental of Tennessee
DDPTN 835 ✓ ✓
Delta Dental of Tennessee
DDPTN 837 ✓ ✓ ✓
Delta Dental of Texas
DDTX1 835 ✓ ✓
Delta Dental of Texas
DDTX1 837 ✓ ✓ ✓
Delta Dental of Utah
DDUT1 835 ✓ ✓
Delta Dental of Utah
DDUT1 837 ✓ ✓ ✓
Delta Dental of Virginia
54084 835 ✓ ✓
Delta Dental of Virginia
54084 837 ✓ ✓
Delta Dental of Washington
91062 835 ✓ ✓
Delta Dental of Washington
91062 837 ✓ ✓
Delta Dental of Washington DC
52147 835 ✓ ✓
Delta Dental of Washington DC
52147 837 ✓ ✓
Delta Dental of West Virginia
31096 835 ✓ ✓
Delta Dental of West Virginia
31096 837 ✓ ✓ ✓
Delta Dental of Wisconsin
39069 835 ✓ ✓
Delta Dental of Wisconsin
39069 837 ✓ ✓ ✓
Delta Dental of Wisconsin - Individual
WDENC 835 ✓
Delta Dental of Wisconsin - Individual
WDENC 837 ✓
Delta Dental of Wyoming
CDWY1 835 ✓ ✓
Delta Dental of Wyoming
CDWY1 837 ✓ ✓ ✓
Delta Dental Wisconsin Medicare Advantage
WIMAN 837 ✓ ✓ ✓
Delta Health Systems
DHS01 835 ✓ ✓ ✓ ✓
Delta Health Systems
DHS01 837 ✓ ✓ ✓ ✓
Delta Minnesota M.A. Public Programs
07031 837 ✓ ✓ ✓
DELTACARE USA
DDCA2 835 ✓ ✓
DELTACARE USA
DDCA2 837 ✓ ✓
Dental Professionals of Wisconsin
39148 837 ✓ ✓
DentaQuest Government Plans
CX014 835 ✓ ✓
DentaQuest Government Plans
CX014 837 ✓
DentaQuest Vision
63740 835 ✓ ✓
Also known as EyeQuest
DentaQuest Vision
63740 837 ✓
Also known as EyeQuest
Experian Health Payer List Page 47 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Dentegra
88888 835 ✓ ✓
Dentegra
88888 837 ✓
Denti-Cal Encounters
DTCA7 837 ✓
Encounter Claims Only (not FFS)
Denver Health - Indigent
84134 837 ✓
Denver Health and Hospital Authority
84133 837 ✓ ✓
Denver Health Medical Plan
84135 835 ✓ ✓ ✓ ✓
Denver Health Medical Plan
84135 837 ✓ ✓
Denver Health Medical Plan - FHN
65456 837 ✓ ✓
Denver Health Medical Plan Inc. - Medicare Choice
84131 837 ✓ ✓
Deseret Mutual
12X35 837 ✓ ✓
ERA Payer Code SX105
Deseret Mutual
SX105 835 ✓ ✓ ✓ ✓
Deseret Mutual
UH105 837 ✓ ✓
ERA Payer Code SX105
Desert Medical Group
DESRT 837 ✓ ✓
Desert Oasis Healthcare
44006 837 ✓
Desert Valley Medical Group
DVMC1 837 ✓ ✓
Detego Health
62599 837 ✓ ✓
Devoted Health
DEVOT 835 ✓ ✓ ✓ ✓
Devoted Health
DEVOT 837 ✓ ✓
DHMN Preferred IPA Hospital Risk
DHM02 835 ✓ ✓
DHMN Preferred IPA Hospital Risk
DHM02 837 ✓ ✓ ✓ ✓
Dialysis TPA
82435 837 ✓ ✓
Dignity Global
MPM27 837 ✓ ✓ ✓ ✓
Also known as CALMED GLOBAL
Dignity HCLA
MPM28 837 ✓ ✓ ✓ ✓
Also known as CALMED HCLA
Dignity Health - Mercy Medical Group / Woodland Clinic
PROH1 835 ✓ ✓ ✓ ✓
Dignity Health - Mercy Medical Group / Woodland Clinic
PROH1 837 ✓ ✓
Dignity Health - Sacramento Hospital
HOSH1 835 ✓ ✓ ✓ ✓
Dignity Health - Sacramento Hospital
HOSH1 837 ✓ ✓ ✓ ✓
Dignity Health Management Services
DHM02 835 ✓ ✓
Dignity Health Management Services
DHM02 837 ✓ ✓ ✓ ✓
Dignity Health Medical Group - Inland Empire
DHFIE 837 ✓ ✓
Dignity Health MSO
27133 837 ✓ ✓
Dignity Health MSO
MCS03 835 ✓ ✓ ✓ ✓
Direct Care Administrators
DCA62 837 ✓ ✓
District 9 Machinists Wel
MWELT 835 ✓ ✓ ✓ ✓ ✓ ✓
ERA Only for 837I, 837P, and 837D
District of Columbia Medicaid
12001 835 ✓ ✓
Experian Health Payer List Page 48 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
District of Columbia Medicaid
12001 837 ✓ ✓ ✓
District of Columbia Medicaid
SKDC0 835 ✓ ✓
District of Columbia Medicaid
SKDC0 837 ✓ ✓ ✓
District of Columbia Medicare
12M63 837 ✓ ✓
District of Columbia Medicare
SMDC0 835 ✓ ✓
District of Columbia Medicare
SMDC0 837 ✓ ✓ ✓
Diversified Administration Corporation
06102 837 ✓ ✓
Diversified Benefit Administrators
DBA20 837 ✓ ✓ ✓ ✓
DMC Care
JSJVH 835 ✓ ✓ ✓ ✓
DMC Care
JSJVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
Doctors Healthcare Plans
DRHCP 835 ✓ ✓ ✓ ✓
Doctors Healthcare Plans
DRHCP 837 ✓ ✓
Dolton Medical Group
DOLMG 837 ✓ ✓ ✓ ✓
Downey Select IPA
APP01 835 ✓ ✓
Payer Returns ERA Automatically
Downey Select IPA
APP01 837 ✓ ✓ ✓ ✓
Dreyer Health
DREYR 837 ✓ ✓
Driscoll Children's Health Plan
74284 835 ✓ ✓ ✓ ✓
Driscoll Children's Health Plan
74284 837 ✓ ✓
Dunn and Associates Benefits Administrators Inc.
35186 835 ✓ ✓ ✓ ✓
Dunn and Associates Benefits Administrators Inc.
35186 837 ✓ ✓
E-V Benefits Management Inc (Columbus OH)
34159 837 ✓ ✓
E.S. BEVERIDGE & ASSOCIATES
34108 837 ✓ ✓
Early Intervention Central
TH084 837 ✓
East Boston Neighborhood Pace
25849 835 ✓ ✓ ✓ ✓
East Boston Neighborhood Pace
25849 837 ✓ ✓
East Pointe Behavioral Health
08044 835 ✓ ✓
Payer returns ERA automatically upon claim
submission.
East Pointe Behavioral Health
08044 837 ✓ ✓ ✓ ✓ ✓ ✓
For claims with date of service on or after
7/1/2023.
Eastern Iowa Community Healthcare (EICH)
23861 837 ✓ ✓ ✓ ✓
Eastland Medical Group
66122 837 ✓ ✓
Easy Access Care IPA
EAIPA 837 ✓ ✓ ✓ ✓
Easy Care MSO
ECMSO 837 ✓ ✓
Easy Choice Health Plan of California
20532 837 ✓ ✓ ✓ ✓
Easy Choice Health Plan of New York
24770 837 ✓ ✓
EBIX HEALTH ADMINISTRATION EXCHANGE (EHAE)
IAC01 837 ✓ ✓
Experian Health Payer List Page 49 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
EBMC
31074 835 ✓ ✓ ✓ ✓
EBMC
31074 837 ✓ ✓
EBMS (Employee Benefit Management Services Inc.)
12X44 837 ✓ ✓
ERA Payer Code 81039
EBMS (Employee Benefit Management Services Inc.)
81039 835 ✓ ✓ ✓ ✓
EBMS (Employee Benefit Management Services Inc.)
81039 837 ✓ ✓
ERA Payer Code 81039
Edison Health
66456 835 ✓ ✓ ✓ ✓
Edison Health
66456 837 ✓ ✓
Educator's Mutual (EMIA)
SX110 837 ✓ ✓
EGID (Employees Group Insurance Division)
22521 837 ✓ ✓
EHS Medical Group - Fresno
SYMED 837 ✓ ✓
El Paso First - CHIP
12T27 837 ✓
El Paso First - CHIP
TH090 837 ✓
El Proyecto Del Barrio
MPM04 837 ✓ ✓ ✓ ✓
Elderhaus Inc.
64192 837 ✓ ✓
ElderPlan Inc.
31625 835 ✓ ✓ ✓ ✓
ElderPlan Inc.
31625 837 ✓ ✓
Elderwood Health
03964 837 ✓ ✓
Element Care Inc.
04326 835 ✓ ✓ ✓ ✓
Element Care Inc.
04326 837 ✓ ✓
elipsLife (ERA Only)
IAS20 835 ✓ ✓ ✓ ✓
ERA Only
Emanate Health IPA
MPM62 837 ✓ ✓ ✓ ✓
New payer effective 1/1/23
Emanate Health Med Center NMM
MPM46 837 ✓ ✓ ✓ ✓
Emanate Health Med Center PDT MSO
MPM47 837 ✓ ✓ ✓ ✓
Emblem Dental
11271 837 ✓ ✓ ✓
Emblem Dental
EMBDQ 837 ✓ ✓ ✓
Emerald Health Network Inc. (All PPO Business)
34167 837 ✓ ✓
Emergency Medical Services Fund - Orange County CA
95600 837 ✓
EMHS Employee Health Plan
16565 835 ✓ ✓ ✓ ✓
EMHS Employee Health Plan
16565 837 ✓ ✓ ✓ ✓
EMI Health
SX110 835 ✓ ✓ ✓ ✓
EMI Health
SX110 837 ✓ ✓ ✓ ✓
EMI-KP Ambulance Claims
59299 837 ✓
Empire Dental
55093 835 ✓ ✓
Empire Dental
55093 837 ✓ ✓ ✓
Empire Healthcare IPA
EHI01 835 ✓ ✓ ✓ ✓
Experian Health Payer List Page 50 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Empire Healthcare IPA
EHI01 837 ✓ ✓ ✓ ✓
Empire Omnipro (BC NY City)
12B36 837 ✓ ✓
Empire Omnipro (BC NY State)
12B35 837 ✓ ✓
Empire Physician's Medical Group
EMP01 837 ✓
Employee Benefit Concepts (Farmington Hills MI)
38241 837 ✓ ✓
Employee Benefit Consultants, Inc.
37257 835 ✓ ✓ ✓ ✓
Employee Benefit Consultants, Inc.
37257 837 ✓ ✓ ✓ ✓
Employee Benefit Logistics
92135 835 ✓ ✓ ✓ ✓
Employee Benefit Logistics
92135 837 ✓ ✓ ✓ ✓
Employee Benefit Services
37216 835 ✓ ✓ ✓ ✓
Employee Benefit Services
37216 837 ✓ ✓ ✓ ✓
Employee Benefit Services Inc. (EBSI)
60221 837 ✓ ✓
Employee Benefit Systems
42149 837 ✓ ✓
Employee Benefits Administration & Management Company
22262 835 ✓ ✓
Employee Benefits Administration & Management Company
22262 837 ✓
Employee Benefits Plan Administration Inc. (E.B.P.A.)
03036 835 ✓ ✓ ✓ ✓
Employee Benefits Plan Administration Inc. (E.B.P.A.)
03036 837 ✓ ✓
Employee Health Systems
SYMED 837 ✓ ✓
Employee Plans LLC
35112 837 ✓ ✓
Employee Security, Inc.
54098 837 ✓ ✓
Employer Direct Healthcare
48888 837 ✓ ✓
Employer Plan Services, Inc.
74212 835 ✓ ✓ ✓ ✓
aka Fringe Benefit Group - Houston
Employer Plan Services, Inc.
74212 837 ✓ ✓ ✓ ✓
aka Fringe Benefit Group - Houston
Employer's Direct Health - Employee Plan
75236 837 ✓ ✓
Employer's Direct Health - FI
75235 837 ✓ ✓
Employer's Direct Health - SF
75233 837 ✓ ✓
Employers Direct Health
75232 837 ✓ ✓
Employers Mutual Inc (Jacksonville Florida)
59298 837 ✓ ✓
Employers Mutual Inc. (Stuart Florida)
59331 837 ✓ ✓
Empower 360
IHS01 837 ✓ ✓ ✓ ✓
Empower Healthcare Solutions
12956 835 ✓ ✓ ✓ ✓
Empower Healthcare Solutions
12956 837 ✓ ✓ ✓ ✓
EnableComp MVA
ENCMV 837 ✓ ✓ ✓ ✓ ✓ ✓
Client must be contracted with EnableComp
EnableComp OOS Medicaid
ENCMD 837 ✓ ✓ ✓ ✓ ✓ ✓
Client must be contracted with EnableComp
EnableComp VA
ENCVA 837 ✓ ✓ ✓ ✓ ✓ ✓
Client must be contracted with EnableComp
Experian Health Payer List Page 51 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
EnableComp WC
ENCMP 837 ✓ ✓ ✓ ✓
Client must be contracted with EnableComp
Encircle PPO
35206 837 ✓ ✓
Encore Health Network
35206 837 ✓ ✓
Enstar Natural Gas
91136 837 ✓ ✓
Enterprise Group Planning, Inc.
EGPIN 835 ✓ ✓ ✓ ✓
Enterprise Group Planning, Inc.
EGPIN 837 ✓ ✓
Enterprise Life Insurance Company
62325 837 ✓ ✓
Enterprise Life Insurance Company
USHA1 835 ✓ ✓ ✓ ✓
Entrust, Inc
36878 837 ✓ ✓ ✓ ✓
Envolve Dental
46278 835 ✓ ✓
Envolve Dental
46278 837 ✓ ✓ ✓
Envolve Vision
56190 837 ✓
Eon Health
85468 837 ✓ ✓ ✓ ✓
Epic Assistance
49578 837 ✓ ✓ ✓ ✓
EQUICOR
62308 835 ✓ ✓ ✓ ✓
EQUICOR
62308 837 ✓ ✓ ✓ ✓
EQUICOR - PPO
62308 835 ✓ ✓ ✓ ✓
EQUICOR - PPO
62308 837 ✓ ✓ ✓ ✓
Erie Insurance Medicare Supplement (ERA Only)
IAS06 835 ✓ ✓ ✓ ✓
ERA Only
ERISA
TH110 837 ✓ ✓
Essence Healthcare
20818 835 ✓ ✓ ✓ ✓
Essence Healthcare
20818 837 ✓ ✓ ✓ ✓
Essential Health Partners
EHPSC 835 ✓ ✓ ✓ ✓
Essential Health Partners
EHPSC 837 ✓ ✓
For claims with DOS 7/1/19 and after.
Essential Health Partners IPA
EIPA9 837 ✓ ✓
Eternal Health
RP037 837 ✓ ✓
Everence I & P
35605 835 ✓ ✓ ✓ ✓
Everence I & P
35605 837 ✓ ✓
Everest Reinsurance (ERA Only)
IAS07 835 ✓ ✓ ✓ ✓
ERA Only
Evernorth Behavioral Health, Inc
62308 835 ✓ ✓ ✓ ✓
Evernorth Behavioral Health, Inc
62308 837 ✓ ✓ ✓ ✓
Everpointe
32052 837 ✓ ✓
eviCore
62160 835 ✓ ✓ ✓ ✓
eviCore
62160 837 ✓ ✓
EVOLENT SOMOS ANTHEM NY
81508 835 ✓ ✓ ✓ ✓
Experian Health Payer List Page 52 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
EVOLENT SOMOS ANTHEM NY
81508 837 ✓ ✓ ✓ ✓
Evolent Specialty (formerly New Century Health)
NCHCA 837 ✓ ✓ ✓ ✓
As of January 29, 2024, Electronic Remits Advice
(ERA) is not available for this payer at this time.
Evolent Specialty (formerly New Century Health)
NCHINS 837 ✓ ✓ ✓ ✓
As of January 29, 2024, Electronic Remits Advice
(ERA) is not available for this payer at this time.
Evolent Specialty (formerly New Century Health)
NCHON 837 ✓ ✓ ✓ ✓
As of January 29, 2024, Electronic Remits Advice
(ERA) is not available for this payer at this time.
Evolent Specialty (formerly New Century Health)
NCHOR 837 ✓ ✓ ✓ ✓
As of January 29, 2024, Electronic Remits Advice
(ERA) is not available for this payer at this time.
Evolent Specialty (formerly New Century Health)
NCHUR 837 ✓ ✓ ✓ ✓
Inst: As of January 29, 2024, Electronic Remits
Advice (ERA) is not available for this payer at this
time. ; Prof: As of January 29, 2024, Electronic
Remits Advice (ERA) is not available for this payer
at this time.;
Evolutions Healthcare Systems (New Port Richey FL)
59313 835 ✓ ✓ ✓ ✓
Evolutions Healthcare Systems (New Port Richey FL)
59313 837 ✓ ✓
Exceedent LLC
22344 837 ✓ ✓ ✓ ✓
Excellus - BCBS Utica Watertown
12B38 835 ✓ ✓
Excellus - BCBS Utica Watertown
12B38 837 ✓ ✓
Excellus - BCBS Utica Watertown
SB806 835 ✓ ✓
Excellus - BCBS Utica Watertown
SB806 837 ✓ ✓
Excellus - Blue Cross Blue Shield Central NY
12B37 835 ✓ ✓
Excellus - Blue Cross Blue Shield Central NY
12B37 837 ✓ ✓
Excellus - Blue Cross Blue Shield Central NY
SB805 835 ✓ ✓
Excellus - Blue Cross Blue Shield Central NY
SB805 837 ✓ ✓
Excellus - Blue Cross Blue Shield Rochester Area
12B40 835 ✓ ✓
Excellus - Blue Cross Blue Shield Rochester Area
12B40 837 ✓
Excellus - Blue Cross Blue Shield Rochester Area
SB804 835 ✓ ✓
Excellus - Blue Cross Blue Shield Rochester Area
SB804 837 ✓ ✓
ExclusiCare
71412 835 ✓ ✓ ✓ ✓
ExclusiCare
71412 837 ✓ ✓
Exemplar Health
83383 837 ✓ ✓ ✓ ✓
Extended Care MLTC
46166 837 ✓ ✓ ✓ ✓
Eye Management, Inc. (EMI)
65062 837 ✓
EyeMed
31165 835 ✓ ✓
EyeMed
31165 837 ✓ ✓
F40 Alaska Carpenters Trust
91136 837 ✓
FABOH(CHP/RPU)
39112 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 53 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Facey Medical Foundation
95432 835 ✓ ✓
Payer returns ERA automatically upon claim
submission
Facey Medical Foundation
95432 837 ✓
FACS Group
37300 837 ✓ ✓
Fallon Community Health Plan
22254 835 ✓ ✓ ✓ ✓
Fallon Community Health Plan
22254 837 ✓ ✓
Family Care Specialists (FCS)
MPM40 837 ✓ ✓ ✓ ✓
Formerly payer code FCS01
Family Choice Medical Group
CAPMN 835 ✓ ✓ ✓ ✓
Family Choice Medical Group
CAPMN 837 ✓ ✓ ✓ ✓
Family Practice Medical Group
10145 835 ✓ ✓ ✓ ✓
Family Practice Medical Group
10145 837 ✓ ✓
Family Seniors Medical Group
HCMG1 837 ✓ ✓ ✓ ✓
Farm Bureau Health Plans (ERA Only)
62045 835 ✓ ✓ ✓ ✓
ERA Only
FCE Benefit Administrators
33033 835 ✓ ✓ ✓ ✓
FCE Benefit Administrators
33033 837 ✓ ✓ ✓ ✓
FCL Dental
CX090 837 ✓ ✓ ✓
FDNY World Trade Center Health Plan
FDNYP 837 ✓ ✓
FDNY World Trade Center Health Plan
FDNYU 837 ✓ ✓
Federal Employee Plan of South Carolina (BCBS SC)
00402 835 ✓ ✓ ✓ ✓
Federal Employee Plan of South Carolina (BCBS SC)
00402 837 ✓ ✓
Federated Benefits
37300 837 ✓ ✓
Federated HR Services
37300 837 ✓ ✓
Fenix Medical Group
60818 835 ✓ ✓ ✓ ✓
EFT enrollment required to obtain ERA’s
Fenix Medical Group
60818 837 ✓ ✓
Fidelis Care EVV
EVVNY 837 ✓ ✓
Use only for Fidelis Care New York Electronic Visit
Verification claims.
Fidelis Care New York
11315 835 ✓ ✓ ✓ ✓
Fidelis Care New York
11315 837 ✓ ✓ ✓ ✓
First Agency
88055 837 ✓ ✓
FIRST CARE
94999 835 ✓ ✓ ✓ ✓
FIRST CARE
94999 837 ✓ ✓
First Carolina Care
FCC01 835 ✓ ✓ ✓ ✓
First Carolina Care
FCC01 837 ✓ ✓
First Choice Health Administrators
91131 835 ✓ ✓ ✓ ✓
First Choice Health Administrators
91131 837 ✓ ✓
First Choice MA Plans
FCMA1 835 ✓ ✓ ✓ ✓
Experian Health Payer List Page 54 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
First Choice MA Plans
FCMA1 837 ✓ ✓
First Choice Medical Group
FCMG1 837 ✓ ✓ ✓ ✓
For claims with DOS prior to 4/1/21
First Choice Medical Group/Meritage
FC001 835 ✓ ✓ ✓ ✓
Payer returns ERA's automatically once electronic
claim submission begins.
First Choice Medical Group/Meritage
FC001 837 ✓ ✓
For claims with DOS on or after 4/1/21
First Choice Next (SC)
57103 835 ✓ ✓ ✓ ✓
First Choice Next (SC)
57103 837 ✓ ✓ ✓ ✓
First Choice of Midwest
75138 837 ✓ ✓ ✓ ✓
First Choice VIP Care (SC - DSNP)
32456 835 ✓ ✓ ✓ ✓
First Choice VIP Care (SC - DSNP)
32456 837 ✓ ✓ ✓ ✓
First Choice VIP Care Plus by Select Health of South Carolina
77009 835 ✓ ✓ ✓ ✓
First Choice VIP Care Plus by Select Health of South Carolina
77009 837 ✓ ✓
First Health Network
73159 837 ✓ ✓ ✓ ✓
First Medical Network (FMN) - Atlanta GA
29076 835 ✓ ✓ ✓ ✓
First Medical Network (FMN) - Atlanta GA
29076 837 ✓ ✓ ✓ ✓
First Source/Arkansas Blue Cross
12047 837 ✓ ✓ ✓
FirstNation Health
65418 837 ✓ ✓ ✓ ✓
Flex Compensation Dental
R7004 837 ✓ ✓ ✓
Florida Blue Medicare
FBM01 835 ✓ ✓ ✓ ✓
Florida Blue Medicare
FBM01 837 ✓ ✓
Florida Community Care
FLCCR 835 ✓ ✓ ✓ ✓
Florida Community Care
FLCCR 837 ✓ ✓ ✓ ✓
Florida Complete Care
FLCPC 835 ✓ ✓ ✓ ✓
Florida Complete Care
FLCPC 837 ✓ ✓
Florida First
59276 837 ✓
Florida Health Administrators
86753 835 ✓ ✓ ✓ ✓
Florida Health Administrators
86753 837 ✓ ✓ ✓ ✓
Florida Health Care Plan
59322 837 ✓ ✓
Florida Hospital Orlando VBR
VB001 837 ✓ ✓ ✓ ✓
Florida Medicaid
77027 835 ✓ ✓ ✓ ✓
Florida Medicaid
77027 837 ✓ ✓ ✓ ✓ ✓ ✓
Florida Medicare
09101 835 ✓ ✓
Florida Medicare
09101 837 ✓ ✓
Florida Medicare
09102 835 ✓ ✓
Florida Medicare
09102 837 ✓ ✓ ✓
Experian Health Payer List Page 55 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Florida PACE Center
FLPAC 837 ✓ ✓
Flume Health
FH205 837 ✓ ✓
FMH Benefit Services Inc.
48117 835 ✓ ✓ ✓ ✓
FMH Benefit Services Inc.
48117 837 ✓ ✓
Forest County Potawatomi Insurance
25059 835 ✓ ✓ ✓ ✓
Forest County Potawatomi Insurance
25059 837 ✓ ✓ ✓ ✓
Foundation for Medical Care of Tulare & Kings County
TKFMC 837 ✓ ✓
Fountain Valley IPA
CAPMN 837 ✓ ✓ ✓ ✓
Fox Valley Medicine Site 199
FVMCH 837 ✓ ✓
Fox-Everett Inc.
64069 835 ✓ ✓ ✓ ✓
Fox-Everett Inc.
64069 837 ✓ ✓ ✓ ✓
Franciscan Purdue
FAIPUR 835 ✓ ✓ ✓ ✓
Franciscan Purdue
FAIPUR 837 ✓ ✓
Freedom Claims Management
67136 837 ✓ ✓ ✓ ✓
Freedom Health Plan
41212 835 ✓ ✓ ✓ ✓
Freedom Health Plan
41212 837 ✓ ✓
Freedom Life Insurance
62324 837 ✓ ✓
Freedom Life Insurance
USHA1 835 ✓ ✓ ✓ ✓
Fresno PACE
99660 837 ✓ ✓
Friant Water Users
TKFMC 837 ✓ ✓
Friday Health Plans
H0657 835 ✓ ✓ ✓ ✓
Formerly known as Colorado Choice Health Plans
Friday Health Plans
H0657 837 ✓ ✓ ✓ ✓
Formerly known as Colorado Choice Health Plans
Fringe Benefit Coordinators
59204 835 ✓ ✓ ✓ ✓
Fringe Benefit Coordinators
59204 837 ✓ ✓ ✓ ✓
Fringe Benefit Group
45289 835 ✓ ✓ ✓ ✓
Fringe Benefit Group
45289 837 ✓ ✓
Fringe Benefit Management
59069 837 ✓ ✓
FrontPath Health Coalition
34171 837 ✓ ✓
Galveston County Indigent Health Care
30005 837 ✓ ✓
Garden State Life Insurance Company (ERA Only)
IAS24 835 ✓ ✓ ✓ ✓
ERA Only
Gardena Memorial Medical Center
SYMED 837 ✓ ✓
Gateway
SX078 837 ✓ ✓
Gateway Health Plan - Medicare Assured
60550 835 ✓ ✓ ✓ ✓
Gateway Health Plan - Medicare Assured
60550 837 ✓ ✓
Experian Health Payer List Page 56 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Gateway Health Plan Medicaid PA
25169 835 ✓ ✓ ✓ ✓
Gateway Health Plan Medicaid PA
25169 837 ✓ ✓
Gateway IPA (Pinnacle Health Resources) (Prospect Medical Group)
PROSP 835 ✓ ✓
Gateway IPA (Pinnacle Health Resources) (Prospect Medical Group)
PROSP 837 ✓ ✓
GBS Group Benefit Services, Inc
80241 837 ✓ ✓
Geisinger Health Plan
75273 835 ✓ ✓ ✓ ✓
Geisinger Health Plan
75273 837 ✓ ✓ ✓
Geisinger Health Plan
GHP22 835 ✓ ✓
Geisinger Health Plan
GHP22 837 ✓ ✓
GEMCare (Golden Empire Managed Care System)
MCS01 835 ✓ ✓
GEMCare (Golden Empire Managed Care System)
MCS01 837 ✓
Gemcare Health Plan
20376 837 ✓ ✓
GemCare Health Plan, Kern County EPO
MCS03 835 ✓ ✓ ✓ ✓
Gemcare IPA
27133 837 ✓ ✓
General Vision Services
GVS01 837 ✓
Generations Healthcare
46050 837 ✓ ✓
Generations-Hillcrest
46051 835 ✓ ✓ ✓ ✓
Generations-Hillcrest
46051 837 ✓ ✓
Genesee Health Plan (JVHL)
MBJVH 835 ✓ ✓ ✓ ✓
Genesee Health Plan (JVHL)
MBJVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
Genesis Healthcare
PROSP 835 ✓ ✓ ✓ ✓
Genesis Healthcare
PROSP 837 ✓ ✓ ✓ ✓
Georgia Health Advantage
31140 837 ✓ ✓ ✓ ✓
Georgia Medicaid
12K05 835 ✓ ✓
Georgia Medicaid
12K05 837 ✓ ✓ ✓
Georgia Medicaid
SKGA0 835 ✓ ✓
Georgia Medicaid
SKGA0 837 ✓ ✓ ✓
Georgia Medicare
12M05 835 ✓ ✓
Georgia Medicare
12M05 837 ✓ ✓ ✓
Georgia Medicare
SMGA0 835 ✓ ✓
Georgia Medicare
SMGA0 837 ✓ ✓ ✓
GHI - New York (Group Health Inc.)
13551 835 ✓ ✓ ✓ ✓
GHI - New York (Group Health Inc.)
13551 837 ✓ ✓ ✓ ✓
GHI HMO
25531 835 ✓ ✓ ✓ ✓
GHI HMO
25531 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 57 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
GHP (Group Health Plan) - MULTIPLAN PHCS/GROUP HEALTH
25141 837 ✓
Gilsbar Inc.
07205 835 ✓ ✓ ✓ ✓
Gilsbar Inc.
07205 837 ✓ ✓
Global Benefits Group
68251 837 ✓ ✓ ✓
Global Care Inc.
07689 835 ✓ ✓ ✓ ✓
Global Care Inc.
07689 837 ✓ ✓ ✓ ✓
Global Care Medical Group IPA
MPM05 837 ✓ ✓ ✓ ✓
Global Excel Management
GEM01 835 ✓ ✓ ✓ ✓
Global Excel Management
GEM01 837 ✓ ✓
Global Health
GHOKC 837 ✓ ✓ ✓ ✓
Global Healthcare Alliance
12X59 837 ✓
Global Medical Management
GMICC 837 ✓ ✓
Global TBSP
MPM64 837 ✓ ✓ ✓ ✓
As of October 12, 2023, ERA is not available for
this payer.
Globe Life and Accident Insurance Company (ERA Only)
91472 835 ✓ ✓ ✓ ✓
GMP - Employers Retiree Trust
GMPER 835 ✓ ✓ ✓ ✓
GMR Healthcare
85664 837 ✓ ✓
GMS Inc.
47083 835 ✓ ✓ ✓ ✓
GMS Inc.
47083 837 ✓ ✓ ✓ ✓
Gold Coast Health Plan
77160 835 ✓ ✓ ✓ ✓
Gold Coast Health Plan
77160 837 ✓ ✓
Gold Kidney Health Plan
A6865 835 ✓ ✓ ✓ ✓
Gold Kidney Health Plan
A6865 837 ✓ ✓
Golden Bay Health Plan
GBHP1 837 ✓ ✓ ✓ ✓
Golden Coast MSO
GCMSO 837 ✓ ✓ ✓ ✓
Golden Shore Medical Group (GSMG)
NMM03 835 ✓ ✓ ✓ ✓
Golden Shore Medical Group (GSMG)
NMM03 837 ✓ ✓ ✓ ✓
Golden State Medical Group
MBA01 837 ✓ ✓ ✓ ✓
Golden Triangle Physician Alliance/SelectCare of Texas (GTPA)
72189 837 ✓ ✓
Payer code is no longer active … please send
claims to Wellcare payer id 14163
Gonzaba Medical Group
GMGSA 835 ✓ ✓ ✓ ✓
Gonzaba Medical Group
GMGSA 837 ✓ ✓
Good Samaritan Medical Practice Association
IP086 837 ✓ ✓
Good Samaritan Medical Practice Association
PROSP 837 ✓ ✓ ✓ ✓
Good Shephard Hospice Inc.
76923 837 ✓ ✓ ✓ ✓
Government Employees Health Association (GEHA)
44054 835 ✓ ✓ ✓ ✓
Experian Health Payer List Page 58 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Government Employees Health Association (GEHA)
44054 837 ✓ ✓ ✓ ✓ ✓
Government Employees Health Association (Multiplan)
45235 837 ✓ ✓
As of 2/10/16, this payer will no longer process
claims with dates of service on or after 1/1/16.
Claims submitted to this payer id for dates of
service on or after 1/1/16 will be rejected by the
payer.
Grand Valley Health Plan
95453 837 ✓
Gravie Inc.
GRV01 835 ✓ ✓ ✓ ✓
Gravie Inc.
GRV01 837 ✓ ✓
Great American Life Ins. Co-Medicare Supplement
13193 835 ✓ ✓ ✓ ✓
Great American Life Ins. Co-Medicare Supplement
13193 837 ✓ ✓ ✓ ✓
Great Plains Medicare Advantage of Nebraska
GPNE1 835 ✓ ✓
Payer returns ERA automatically.
Great Plains Medicare Advantage of Nebraska
GPNE1 837 ✓ ✓
Great Plains Medicare Advantage of North Dakota
GPND1 835 ✓ ✓
Payer returns ERA automatically.
Great Plains Medicare Advantage of North Dakota
GPND1 837 ✓ ✓
Great Plains Medicare Advantage of South Dakota
GPSD1 835 ✓ ✓
Payer returns ERA's automatically once electronic
claim submission begins.
Great Plains Medicare Advantage of South Dakota
GPSD1 837 ✓ ✓
Payer returns ERA's automatically once electronic
claim submission begins.
Great Southern Life (ERA Only)
IAS09 835 ✓ ✓ ✓ ✓
ERA Only
Great States Health IICT
GSHTX 837 ✓ ✓ ✓ ✓
Great-West Healthcare
62308 835 ✓ ✓ ✓ ✓
Great-West Healthcare
80705 837 ✓ ✓
Great-West Healthcare (formerly American General)
63665 837 ✓ ✓
Greater Covina Medical Group
GCMG1 837 ✓
Greater Newport Physicians
GNPMG 835 ✓ ✓ ✓ ✓
Greater Newport Physicians
GNPMG 837 ✓ ✓ ✓ ✓
Greater Newport Physicians Medical Group
33010 837 ✓ ✓ ✓ ✓
Greater Orange County Medical Group
NMM01 835 ✓ ✓ ✓ ✓
Greater Orange County Medical Group
NMM01 837 ✓ ✓
Greater San Gabriel Med Grp
NMM01 835 ✓ ✓ ✓ ✓
Greater San Gabriel Med Grp
NMM01 837 ✓ ✓
Greater Valley
HCP01 837 ✓ ✓
This payer is now part of OptumCare Network.
Please submit claims using payer code OCN01.
Group Administrators Ltd.
36338 835 ✓ ✓ ✓ ✓
Group Administrators Ltd.
36338 837 ✓ ✓ ✓
Group and Pension Administrators
48143 835 ✓ ✓ ✓ ✓ ✓ ✓
Group and Pension Administrators
48143 837 ✓ ✓ ✓
Experian Health Payer List Page 59 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Group Benefit Services Inc.
CB951 835 ✓ ✓ ✓ ✓
Group Benefit Services Inc.
CB951 837 ✓ ✓
Group Benefits – Louisiana
72087 837 ✓
Group Health Co-op
12X16 837 ✓
Group Health Cooperative of South Central Wisconsin
39167 835 ✓ ✓ ✓ ✓
Group Health Cooperative of South Central Wisconsin
39167 837 ✓ ✓
Group Insurance Service Center Inc.
37276 837 ✓ ✓
Group Management Services Inc
OBA16 837 ✓ ✓
Group Marketing Services, Inc.
66701 835 ✓ ✓ ✓ ✓
Group Marketing Services, Inc.
66701 837 ✓ ✓
Group Resources
28680 837 ✓ ✓ ✓ ✓
Guarantee Trust Life Insurance
TLW81 835 ✓ ✓ ✓ ✓
Guardian Life Insurance Company of America
64246 835 ✓ ✓ ✓ ✓ ✓ ✓
Guardian Life Insurance Company of America
64246 837 ✓ ✓ ✓ ✓ ✓
Guidant Health Plan
GHP01 837 ✓ ✓
Gulf Guaranty
99943 837 ✓ ✓ ✓ ✓
Gulf Guaranty
99953 835 ✓ ✓ ✓ ✓
Gulf Stream-General Dynamics
CB624 837 ✓ ✓ ✓ ✓
Gundersen Health Plan
39180 835 ✓ ✓ ✓ ✓
Gundersen Health Plan
39180 837 ✓ ✓ ✓ ✓
H.E.R.E.I.U Welfare Pension Funds
37114 837 ✓ ✓
HAA Preferred Partners
65101 837 ✓ ✓
Halcyon Behavioral Health
HALCY 837 ✓ ✓ ✓ ✓
Hamaspik Choice
47738 835 ✓ ✓ ✓ ✓
Hamaspik Choice
47738 837 ✓ ✓
Hammerman and Gainer, Inc
97258 837 ✓ ✓
HAP CareSource Michigan Dual Medicare Medicaid
MIMCRCS1 837 ✓ ✓
HAP Midwest Health Plan (JVHL)
JBJVH 835 ✓ ✓ ✓ ✓
HAP Midwest Health Plan (JVHL)
JBJVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
HAP/AHL/Curanet
38224 835 ✓ ✓ ✓ ✓
HAP/AHL/Curanet
38224 837 ✓ ✓
Harbor Health Plan
M1JVH 835 ✓ ✓ ✓ ✓
Harbor Health Plan
M1JVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
Harmony Health Plan of Illinois
14163 835 ✓ ✓ ✓ ✓
Harmony Health Plan of Illinois
36406 837 ✓ ✓ ✓ ✓
ERA Payer Code 14163
Experian Health Payer List Page 60 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Harmony Health Plan of Indiana
36405 835 ✓ ✓ ✓ ✓
Harmony Health Plan of Indiana
36405 837 ✓ ✓ ✓
ERA Payer Code 14163
Harpeth IPA - Amerivantage
75126 837 ✓ ✓
Harrimon Jones
HCP01 837 ✓ ✓
This payer is now part of OptumCare Network.
Please submit claims using payer code OCN01.
Harrington Health Non-EPO
59143 837 ✓ ✓
Harrington Health-Kansas (formerly known as Fiserv Health-Kansas)
62061 837 ✓ ✓
Harris Methodist Health Plan
75201 837 ✓
Harvard Community Health Plan
04245 835 ✓ ✓ ✓ ✓
Harvard Community Health Plan
04245 837 ✓ ✓ ✓ ✓
Harvard Pilgrim
04271 835 ✓ ✓ ✓ ✓
Harvard Pilgrim
04271 837 ✓ ✓ ✓ ✓
Hawaii Dental Service
99010 835 ✓ ✓
Hawaii Dental Service
99010 837 ✓ ✓
Hawaii Medicaid
12K62 837 ✓ ✓ ✓
Hawaii Medicaid
SKHI0 837 ✓ ✓ ✓
Hawaii Medical Assurance Association (HMAA/HWMG)
48330 835 ✓ ✓ ✓ ✓
Hawaii Medical Assurance Association (HMAA/HWMG)
48330 837 ✓ ✓
Hawaii Medicare
SMHI0 835 ✓ ✓
Hawaii Medicare
SMHI0 837 ✓ ✓ ✓
HCC Life Insurance
HCCMI 837 ✓
HCC Life Insurance
UCCMI 837 ✓
HCH Administration
37111 837 ✓ ✓
HCS - Health Claims Service (Boise ID)
82018 837 ✓ ✓
Health Alliance Medical Plans of Illinois
77950 835 ✓ ✓ ✓ ✓
Health Alliance Medical Plans of Illinois
77950 837 ✓ ✓ ✓ ✓
Health Alliance Plan (Capitated Contracts)
JGJVH 835 ✓ ✓ ✓ ✓
Health Alliance Plan (Capitated Contracts)
JGJVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
Health Alliance Plan (Fee for Service Contracts)
JHJVH 835 ✓ ✓ ✓ ✓
Health Alliance Plan (Fee for Service Contracts)
JHJVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
Health Care LA IPA (HCLA)
MPM06 835 ✓ ✓ ✓ ✓
Health Care LA IPA (HCLA)
MPM06 837 ✓ ✓ ✓ ✓
Health Care Network of Wisconsin (HCN)
42102 837 ✓ ✓
Health Care Savings - Institutional
56142 837 ✓
Health Change Pathway
62180 835 ✓ ✓ ✓ ✓
Formerly known as Health Choice Generations
Experian Health Payer List Page 61 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Health Change Pathway
62180 837 ✓ ✓
Health Choice Arizona
62179 835 ✓ ✓ ✓ ✓
Health Choice Arizona
62179 837 ✓ ✓
Health Choice Generations Utah
13054 837 ✓ ✓
Health Choice Generations Utah
45399 835 ✓ ✓ ✓ ✓
Health Choice Insurance Co
46221 835 ✓ ✓ ✓ ✓
Health Choice Insurance Co
46221 837 ✓ ✓ ✓ ✓
Health Choice Utah
45399 837 ✓ ✓ ✓ ✓
Health Cost Solutions
62111 835 ✓ ✓ ✓ ✓
Health Cost Solutions
62111 837 ✓ ✓
Health Design Plus (Hudson OH)
34158 837 ✓ ✓
Health Economics Corp
39026 835 ✓ ✓ ✓ ✓
Health Economics Corp
39026 837 ✓ ✓ ✓ ✓
Health First Health Plan Inc. (ERA Only)
15064 835 ✓ ✓ ✓ ✓
ERA Only. EFT also required.
Health First Health Plan Inc. (ERA Only)
A5234 835 ✓ ✓ ✓ ✓
ERA Only
Health First Health Plans
95019 837 ✓ ✓
For claims with a DOS prior to 01/01/22 and on or
after 01/01/2023.
Health First Health Plans
RP039 835 ✓ ✓ ✓ ✓
Health First Health Plans
RP039 837 ✓ ✓
Health First TPA Austin
75289 837 ✓ ✓
Health Management Administrators (HMA)
TH049 837 ✓
Health Net of California and Oregon
95567 835 ✓ ✓ ✓ ✓
Health Net of California and Oregon
95567 837 ✓ ✓ ✓ ✓ ✓ ✓
Health Network One
65062 837 ✓
Health New England
04286 835 ✓ ✓ ✓ ✓
Health New England
04286 837 ✓ ✓
Health Options Inc (FL - BCBS HMO)
12B26 837 ✓
Health Options Inc (FL - BCBS HMO)
SX030 837 ✓ ✓
Health Partners - Jackson TN
62157 837 ✓ ✓
Health Partners of Philadelphia
80142 835 ✓ ✓ ✓ ✓
Health Partners of Philadelphia
80142 837 ✓ ✓
Health Payment Systems Inc.
20270 835 ✓ ✓ ✓ ✓
Health Payment Systems Inc.
20270 837 ✓ ✓
Health Plan of Michigan
83253 835 ✓ ✓ ✓ ✓
Health Plan of Michigan
83253 837 ✓ ✓
Experian Health Payer List Page 62 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Health Plan of Nevada
76342 835 ✓ ✓ ✓ ✓
Health Plan of Nevada
76342 837 ✓ ✓ ✓ ✓
Health Plan of San Joaquin
68035 835 ✓ ✓ ✓ ✓
Health Plan of San Joaquin
68035 837 ✓ ✓ ✓ ✓
Health Plan of San Mateo
HPSM1 835 ✓ ✓ ✓ ✓
Health Plan of San Mateo
HPSM1 837 ✓ ✓
Health Plan of San Mateo Dental
HPSMD 837 ✓ ✓ ✓
Health Plans Inc.
44273 835 ✓ ✓ ✓ ✓
Health Plans Inc.
44273 837 ✓ ✓
Health Plus
KEJVH 835 ✓ ✓ ✓ ✓
Health Plus
KEJVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
Health Risk Management
41170 837 ✓ ✓
Health Safety Net (HSN)
CKMA1 835 ✓ ✓
Health Safety Net (HSN)
CKMA1 837 ✓ ✓ ✓
Health Services for Children with Special Needs
37290 835 ✓ ✓ ✓ ✓
Health Services for Children with Special Needs
37290 837 ✓ ✓
Health Services Management
41150 837 ✓
Health Services Preferred (HSP) by Emerald Health
34167 837 ✓ ✓
Health Source MSO
HSMSO 837 ✓ ✓ ✓ ✓
Health Special Risk, Inc
65449 837 ✓ ✓ ✓ ✓
Health Texas Medical Group
HTHTX 837 ✓ ✓ ✓ ✓
Health2Business Inc
55213 837 ✓ ✓
HealthBridge
74853 835 ✓ ✓ ✓ ✓ ✓ ✓
HealthBridge
74853 837 ✓ ✓ ✓
Healthcare Highways
HCH01 835 ✓ ✓ ✓ ✓
Healthcare Highways
HCH01 837 ✓ ✓ ✓ ✓
Healthcare Highways Health Plan
HCHHP 837 ✓ ✓ ✓ ✓
Effective for dates of service on or after 1/1/2020
Healthcare In Action
MPM56 837 ✓ ✓
Healthcare Management Administrators (HMA)
HMA01 835 ✓ ✓ ✓ ✓
Healthcare Management Administrators (HMA)
HMA01 837 ✓ ✓ ✓ ✓
Healthcare Partners
HCP01 837 ✓ ✓ ✓ ✓
This payer is now part of OptumCare Network.
Please submit claims using payer code OCN01.
Healthcare Partners
OCN01 835 ✓ ✓
HealthCare Partners IPA
11328 835 ✓ ✓ ✓ ✓
HealthCare Partners IPA
11328 837 ✓ ✓
Experian Health Payer List Page 63 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Healthcare Partners of Nevada
20501 835 ✓ ✓ ✓ ✓
Healthcare Partners of Nevada
20501 837 ✓ ✓ ✓ ✓
Healthcare Resources NW
56731 837 ✓ ✓
Healthcare Solutions Group
73147 835 ✓ ✓ ✓ ✓
Healthcare Solutions Group
73147 837 ✓ ✓ ✓ ✓
Healthcare Strategic Initiatives
HSICS 837 ✓ ✓
Payer returns ERA automatically.
HealthChoice Oklahoma
39026 835 ✓ ✓ ✓ ✓
HealthChoice Oklahoma
71064 837 ✓ ✓
Healthcomp Inc.
85729 835 ✓ ✓ ✓ ✓
Healthcomp Inc.
85729 837 ✓ ✓
HealthCosmos Medical Group LLC
COSAZ 837 ✓ ✓ ✓ ✓
Healthease
59608 835 ✓ ✓ ✓ ✓
Healthease
59608 837 ✓ ✓
HealthEdge Administrators
95213 837 ✓ ✓
HealthEZ
41178 835 ✓ ✓ ✓ ✓
HealthEZ
41178 837 ✓ ✓ ✓ ✓
Healthfirst 65 Plus
80141 837 ✓
Healthfirst Family Health Plus (FHP)
80141 837 ✓
Healthfirst Health Plan of New Jersey
80141 835 ✓ ✓ ✓ ✓
Healthfirst Health Plan of New Jersey
80141 837 ✓ ✓
Healthfirst Inc. (New York)
80141 835 ✓ ✓ ✓ ✓
Healthfirst Inc. (New York)
80141 837 ✓ ✓
Healthfirst PHSP
80141 837 ✓
HealthFirst TPA
34185 837 ✓
Healthfirst Tyler TX
75234 835 ✓ ✓ ✓ ✓
Healthfirst Tyler TX
75234 837 ✓ ✓ ✓ ✓
Healthgram Inc.
56144 835 ✓ ✓ ✓ ✓
Healthgram Inc.
56144 837 ✓ ✓
HealthGroup Limited
23274 837 ✓ ✓ ✓ ✓
HealthGuard of Lancaster
23226 837 ✓ ✓ ✓ ✓
Healthlink PPO
90001 837 ✓ ✓ ✓ ✓
HealthNow - BCBS Northeastern NY
12B68 835 ✓ ✓
HealthNow - BCBS Northeastern NY
12B68 837 ✓ ✓
HealthNow - BCBS Northeastern NY
SB800 835 ✓ ✓
HealthNow - BCBS Northeastern NY
SB800 837 ✓ ✓
Experian Health Payer List Page 64 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
HealthNow - Blue Cross Blue Shield of Western NY
12B39 835 ✓ ✓
HealthNow - Blue Cross Blue Shield of Western NY
12B39 837 ✓ ✓
HealthNow - Blue Cross Blue Shield of Western NY
SB801 835 ✓ ✓
HealthNow - Blue Cross Blue Shield of Western NY
SB801 837 ✓ ✓
Healthnow Division
55204 835 ✓ ✓
Healthnow Division
55204 837 ✓
Healthpartners
94267 835 ✓ ✓ ✓ ✓ ✓ ✓
Healthpartners
94267 837 ✓ ✓ ✓ ✓ ✓
HealthPartners MN Dental
HP001 835 ✓ ✓
HealthPlan Services
59140 835 ✓ ✓ ✓ ✓
HealthPlan Services
59140 837 ✓ ✓
HealthPlex Dental
11271 835 ✓ ✓
HealthPlex Dental
11271 837 ✓ ✓ ✓
HealthPlus Managed Long Term Care
45302 837 ✓ ✓ ✓ ✓
Healthscope Benefits - EHC Repricing
52429 837 ✓ ✓
HealthScope Benefits (UMR)
40026 835 ✓ ✓ ✓ ✓
HealthScope Benefits (UMR)
40026 837 ✓ ✓ ✓ ✓
Only for claims whose patient ID card shows
40026 as the payer ID.
HealthSelect IPA (IL)
SB621 837 ✓ ✓
ERA Payer Code 00621
HealthSmart -Noble Mid Orange
HSM01 837 ✓ ✓
Healthsmart Accel
75237 837 ✓ ✓ ✓ ✓
HealthSmart Benefit Solutions
37272 835 ✓ ✓ ✓ ✓
HealthSmart Benefit Solutions
37272 837 ✓ ✓
HealthSmart Benefit Solutions
37283 835 ✓ ✓ ✓ ✓
HealthSmart Benefit Solutions
37283 837 ✓ ✓ ✓ ✓
HealthSmart Benefit Solutions fka Wells Fargo TPA.Inc.
87815 835 ✓ ✓ ✓ ✓
HealthSmart Benefit Solutions fka Wells Fargo TPA.Inc.
87815 837 ✓ ✓ ✓ ✓
HealthSmart Preferred Care Inc.
75250 837 ✓ ✓ ✓ ✓
Healthsource AR (Med) (CIGNA)
71075 837 ✓ ✓ ✓ ✓
Healthsource CMHC
02041 837 ✓ ✓ ✓ ✓
Healthsource GA (CIGNA)
58210 837 ✓ ✓ ✓ ✓
Healthsource KY
61127 837 ✓ ✓ ✓ ✓
Healthsource Massachusetts Inc.
02041 837 ✓ ✓ ✓ ✓
Healthsource ME
01041 837 ✓ ✓
Healthsource N. TX (CIGNA)
75255 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 65 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Healthsource NC (CIGNA)
56147 837 ✓ ✓ ✓ ✓
Healthsource NH
02038 837 ✓ ✓
Healthsource OH
31141 837 ✓ ✓ ✓ ✓
Healthsource Provident
68195 837 ✓ ✓ ✓ ✓
Healthsource SC
06119 837 ✓ ✓ ✓ ✓
Healthsource TN (CIGNA)
62129 837 ✓ ✓ ✓ ✓
HealthSpring HMO/HealthSpring Medicare+Choice
63092 835 ✓ ✓ ✓ ✓
HealthSpring HMO/HealthSpring Medicare+Choice
63092 837 ✓ ✓
Healthsun Health Plans
HESUN 837 ✓ ✓
HealthTeam Advantage
88250 835 ✓ ✓ ✓ ✓
HealthTeam Advantage
88250 837 ✓ ✓
HealthTeam Advantage Diabetes and Heart Care Plan (DOS < 1/1/23)
88350 837 ✓ ✓
Effective 1/1/23, claims with 2023 DOS need to be
submitted to payer code 88250
Healthways WholeHealth Networks
58213 837 ✓
Healthy Blue Missouri
00541 835 ✓ ✓ ✓ ✓
Healthy Blue Missouri
00541 837 ✓ ✓
Healthy Blue Nebraska
00544 835 ✓ ✓ ✓ ✓
Healthy Blue Nebraska
00544 837 ✓ ✓
Healthy Blue North Carolina
00602 835 ✓ ✓ ✓ ✓
Healthy Blue North Carolina
00602 837 ✓ ✓ ✓ ✓
Healthy San Francisco
HSF01 837 ✓ ✓
Healthy York Network
22251 837 ✓ ✓ ✓ ✓
HealthyBlue LA
00661 835 ✓ ✓ ✓ ✓
HealthyBlue LA
00661 837 ✓ ✓ ✓ ✓
Hemet Community Medical Group (HCMG)
HCMG1 837 ✓ ✓ ✓ ✓
Hennepin Health
60058 835 ✓ ✓ ✓ ✓
Hennepin Health
60058 837 ✓ ✓ ✓ ✓
Heritage Consultants
59230 837 ✓
Heritage Provider Network
DESRT 837 ✓
Heritage Victor Valley
VVMG1 837 ✓
Heritage Victor Valley Medical Group
30862 837 ✓ ✓
Heritage Vision Plans
96462 837 ✓
HFN Inc.
36335 835 ✓ ✓ ✓ ✓
HFN Inc.
36335 837 ✓ ✓
High Desert Medical Group
95393 837 ✓ ✓
Experian Health Payer List Page 66 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Highmark BCBS Delaware Health Options
47181 835 ✓ ✓ ✓ ✓
Highmark BCBS Delaware Health Options
47181 837 ✓ ✓ ✓ ✓
Highmark Blue Cross & Blue Shield of Pennsylvania
54771 835 ✓ ✓
Highmark Blue Cross & Blue Shield of Pennsylvania
54771 837 ✓ ✓ ✓
Highmark Blue Cross & Blue Shield of Pennsylvania Central
54771C 835 ✓ ✓
Highmark Blue Cross & Blue Shield of Pennsylvania Central
54771C 837 ✓ ✓ ✓
Highmark Blue Cross & Blue Shield of Pennsylvania Southeastern
54771S 835 ✓ ✓
Highmark Blue Cross & Blue Shield of Pennsylvania Southeastern
54771S 837 ✓ ✓ ✓
For claims with DOS on or after 1/1/2024.
Highmark Blue Cross & Blue Shield of Pennsylvania Western
54771W 835 ✓ ✓
Highmark Blue Cross & Blue Shield of Pennsylvania Western
54771W 837 ✓ ✓ ✓
Highmark Health Options West Virginia
RP118 837 ✓ ✓
This payer is not available for production until
August 1, 2024.
Highmark Senior Solutions (PA)
95462 835 ✓ ✓ ✓ ✓
Highmark Senior Solutions (PA)
95462 837 ✓ ✓ ✓ ✓ ✓ ✓
(aka Freedom Blue Medicare Advantage)
Highmark Senior Solutions (WV)
95461 835 ✓ ✓ ✓ ✓
Highmark Senior Solutions (WV)
95461 837 ✓ ✓ ✓ ✓ ✓ ✓
(aka Freedom Blue Medicare Advantage)
Hill Physicians Medical Group
00046 837 ✓ ✓
Hill Physicians Medical Group
HIL01 835 ✓ ✓ ✓ ✓
HIP - Health Insurance Plan of Greater New York
55247 835 ✓ ✓ ✓ ✓
HIP - Health Insurance Plan of Greater New York
55247 837 ✓ ✓ ✓ ✓
Hispanic Physicians IPA
HPFFS 837 ✓
Hispanic Physicians IPA (Encounters Only)
HPIPA 837 ✓
HMA - Health Management Admin
12T11 837 ✓
HMA Hawaii
86066 835 ✓ ✓ ✓ ✓
HMA Hawaii
86066 837 ✓ ✓
HMC HealthWorks aka Health Management Co
75318 837 ✓ ✓
HMO Louisiana Inc
84555 835 ✓ ✓ ✓ ✓
HMO Louisiana Inc
84555 837 ✓ ✓
HMSO-Highline Medical Service Organization
91164 837 ✓ ✓
HN1 Therapy Network (HN1TN)
65062 837 ✓
Hoag Physician Partners
HPPZZ 835 ✓ ✓ ✓ ✓
Hoag Physician Partners
HPPZZ 837 ✓ ✓
Holista (Novant Health Direct to Employer)
HLSTA 835 ✓ ✓ ✓ ✓
Holista (Novant Health Direct to Employer)
HLSTA 837 ✓ ✓
Holista, LLC
ATHAL 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 67 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Hollywood Presbyterian Global
MPM29 837 ✓ ✓ ✓ ✓
Hollywood Presbyterian Medical Center - Preferred
AMM18 837 ✓ ✓
Hollywood Presbyterian Medical Center - San Judas IPA
AMM17 837 ✓ ✓
Hollywood Presbyterian San Judas
MPM49 837 ✓ ✓ ✓ ✓
Home Health & Hospice J10 Cahaba
12M53 835 ✓ ✓
Home Health & Hospice J10 Cahaba
12M53 837 ✓ ✓ ✓
Home Health & Hospice J6 NGS - Wisconsin (06001)
RHHWI 835 ✓ ✓
J6 Part A HHH – Contractor Code 06001. For any
neighboring states, please reference the NGS
Crosswalk to confirm contractor code.
Home Health & Hospice J6 NGS - Wisconsin (06001)
RHHWI 837 ✓ ✓
J6 Part A HHH – Contractor Code 06001. For any
neighboring states, please reference the NGS
Crosswalk to confirm contractor code.
Home Health & Hospice JK NGS
JKHHH 835 ✓ ✓
Home Health & Hospice JK NGS
JKHHH 837 ✓ ✓ ✓
Home Health & Hospice Jurisdiction M
12M80 835 ✓ ✓
Home Health & Hospice Jurisdiction M
12M80 837 ✓ ✓ ✓
Home Health Hospice J6 NGS (06014)
12M98 835 ✓ ✓
J6 Part A HHH - Contractor Code 06014. For any
neighboring states, please reference the NGS
Crosswalk to confirm contractor code.
Home Health Hospice J6 NGS (06014)
12M98 837 ✓ ✓ ✓
J6 Part A HHH - Contractor Code 06014. For any
neighboring states, please reference the NGS
Crosswalk to confirm contractor code.
Homelink
30750 837 ✓ ✓ ✓ ✓
Hometown Health Plan Nevada
88023 835 ✓ ✓ ✓ ✓
Hometown Health Plan Nevada
88023 837 ✓ ✓
HOMETOWN HEALTH PLAN NV SENIOR CARE PLUS COMPLETE P3 MCR
58379 837 ✓ ✓
HORACE MANN LIFE INSURANCE COMPANY
HMLIC 837 ✓ ✓ ✓ ✓
Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ)
22099 835 ✓ ✓ ✓ ✓ ✓ ✓
Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ)
22099 837 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
Horizon Healthcare of NY
22099 837 ✓ ✓ ✓ ✓ ✓ ✓ ✓
Horizon New Jersey Health
22326 835 ✓ ✓ ✓ ✓
Horizon New Jersey Health
22326 837 ✓ ✓ ✓ ✓
Horizon New Jersey Health
HNJ01 835 ✓ ✓
Horizon New Jersey Health
HNJ01 837 ✓ ✓
Horizon PACE
R4569 837 ✓ ✓
Horizon Valley Medical Group
HVMG1 835 ✓ ✓ ✓ ✓
Horizon Valley Medical Group
HVMG1 837 ✓ ✓ ✓ ✓
Hotel Employees & Restaurant Employees Health Trust
91136 835 ✓ ✓ ✓ ✓
Experian Health Payer List Page 68 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Hotel Employees & Restaurant Employees Health Trust
91136 837 ✓ ✓
HS1 Medical Management
65062 837 ✓
HSA Health Insurance Company
U7632 835 ✓ ✓ ✓ ✓
HSA Health Insurance Company
U7632 837 ✓ ✓
HSBS Memphis
37224 835 ✓ ✓ ✓ ✓
HSBS Memphis
37224 837 ✓ ✓
HSBS Oklahoma City
37256 835 ✓ ✓ ✓ ✓
HSBS Oklahoma City
37256 837 ✓ ✓
HSBS World Trade Center Health Program
31172 837 ✓ ✓ ✓ ✓
HSBS World Trade Center Health Program
58605 835 ✓ ✓ ✓ ✓
HSHS Medical Group IPA
37137 835 ✓ ✓ ✓ ✓
HSHS Medical Group IPA
37137 837 ✓ ✓
Humana (JVHL)
KVJVH 835 ✓ ✓ ✓ ✓
Humana (JVHL)
KVJVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
Humana Choice Care Network
61101 835 ✓ ✓ ✓ ✓
ERA Payer Code 61101
Humana Choice Care Network
61101 837 ✓ ✓ ✓ ✓
Humana CompBenefits
CX021 835 ✓ ✓
Humana CompBenefits
CX021 837 ✓ ✓
Humana Dental
73288 835 ✓ ✓
Humana Dental
73288 837 ✓ ✓ ✓
Humana Dermatology - New Century Health
NCH02 837 ✓
Humana Emphesys
61101 835 ✓ ✓ ✓ ✓
ERA Payer Code 61101
Humana Emphesys
61101 837 ✓ ✓ ✓ ✓
Humana Employers Health Insurance
61101 835 ✓ ✓ ✓ ✓
ERA Payer Code 61101
Humana Employers Health Insurance
61101 837 ✓ ✓ ✓ ✓
Humana Inc.
61101 835 ✓ ✓ ✓ ✓
ERA Payer Code 61101
Humana Inc.
61101 837 ✓ ✓ ✓ ✓
Humana Long Term Care
61115 837 ✓ ✓
Humana of Puerto Rico
65018 837 ✓ ✓
Humana Ohio Medicaid
61103 837 ✓ ✓
Humana Ohio Medicaid
SKOH0 835 ✓ ✓ ✓ ✓
Effective 2/1/2023, remittance returned under
Ohio Medicaid
Humana Ohio Medicaid Vision
6110V 837 ✓ ✓
Humana Ohio Medicaid Vision
SKOH0 835 ✓ ✓ ✓ ✓
Effective 2/1/2023, remittance returned under
Ohio Medicaid
Humboldt-Del Norte Foundation for Medical Care
94154 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 69 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Huron PACE
54750 837 ✓ ✓
Hylton Payroll (Benefit Plan Administrators)
19753 837 ✓ ✓
I. E. Shaffer (West Trenton NJ)
22175 835 ✓ ✓ ✓ ✓
I. E. Shaffer (West Trenton NJ)
22175 837 ✓ ✓
I'Mcare
41600 835 ✓ ✓ ✓ ✓
I'Mcare
41600 837 ✓ ✓
IAA
37279 835 ✓ ✓ ✓ ✓
IAA
37279 837 ✓ ✓
IBC Personal Choice
12X26 837 ✓ ✓
ERA Payer Code SX055
IBC Personal Choice
SX055 835 ✓ ✓ ✓ ✓
IBC Personal Choice
SX083 837 ✓ ✓
ERA Payer Code SX055
IBEW Local 1
44602 835 ✓ ✓ ✓ ✓
IBEW Local 1
44602 837 ✓ ✓ ✓ ✓
IBEW Local 640 & Arizona Chapter NECA Health & Welfare Trust
74234 837 ✓ ✓
IBG Administrators, LLC
81810 837 ✓ ✓
IBM Business Transformation Outsourcing Insurance Services Corporate
19028 837 ✓ ✓
iCare Health Solutions
26054 835 ✓ ✓
iCare Health Solutions
26054 837 ✓ ✓
ICE Health Services (Immigration)
VAICE 835 ✓ ✓ ✓ ✓
ICE Health Services (Immigration)
VAICE 837 ✓ ✓
iCircle Care of New York
ICRCL 835 ✓ ✓ ✓ ✓
iCircle Care of New York
ICRCL 837 ✓ ✓
Idaho Medicaid
12K07 835 ✓ ✓
Idaho Medicaid
12K07 837 ✓ ✓
Idaho Medicaid
SKID0 835 ✓ ✓
Idaho Medicaid
SKID0 837 ✓ ✓
Idaho Medicare
12M07 835 ✓ ✓
Idaho Medicare
12M07 837 ✓ ✓ ✓
Idaho Medicare
SMID0 835 ✓ ✓
Idaho Medicare
SMID0 837 ✓ ✓ ✓
IEC Group - AmeriBen
97661 837 ✓ ✓
IHG Direct
75274 837 ✓ ✓
Illinois Complete
MHPIL 835 ✓ ✓ ✓ ✓
ERA enrollment is done under payer name
"CENTENE". Payer Requires EFT in order to receive
ERA
Experian Health Payer List Page 70 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Illinois Complete
MHPIL 837 ✓ ✓ ✓ ✓ ✓ ✓
For DOS on or after 1/1/21
Illinois Health Partners
36364 835 ✓ ✓ ✓ ✓
Illinois Health Partners
36364 837 ✓ ✓
Illinois Health Partners (DOS < 1/1/23)
66727 835 ✓ ✓ ✓ ✓
Illinois Health Partners (DOS < 1/1/23)
DMG01 837 ✓ ✓
Claims with DOS after Jan 1 2023, please submit to
payer code 36364
Illinois Medicaid
CKIL1 835 ✓ ✓
Illinois Medicaid
CKIL1 837 ✓ ✓
Illinois Medicaid
SKIL0 837 ✓ ✓ ✓ ✓
Illinois Medicare
12M08 835 ✓ ✓
Illinois Medicare
12M08 837 ✓ ✓ ✓
Illinois Medicare
SMIL0 835 ✓ ✓
Illinois Medicare
SMIL0 837 ✓ ✓ ✓
Illinois Physicians Alliance IPA
IPA99 837 ✓ ✓
IMA, Inc
64556 837 ✓ ✓
Imagine Health
43123 837 ✓ ✓
IMPACT HEALTH SHARE INC
IH400 837 ✓ ✓ ✓ ✓
Imperial County Physicians Med Group (SCPMCS)
SCP01 837 ✓ ✓
Imperial County Physicians Medical Group
MPM68 837 ✓ ✓ ✓ ✓
As of April 23rd, 2024 Electronic Remittance
Advice (ERA) is not available at this time.
Imperial Health Holdings Medical Group
IHHMG 837 ✓ ✓ ✓ ✓
Imperial Health Plan of California, Inc.
IHP01 837 ✓ ✓ ✓ ✓
Imperial Insurance Companies
IICTX 837 ✓ ✓ ✓ ✓
Formerly known as Imperial Insurance Company of
Texas
Imperial Insurance Inc Exchange TX
IEXTX 837 ✓ ✓
IMS Management Services
TH099 837 ✓
IMS Management Svcs - Texas
12T64 837 ✓
IMS TrialCard
56155 835 ✓ ✓ ✓ ✓
IMS TrialCard
56155 837 ✓ ✓ ✓ ✓
IMX Easy
86070 837 ✓ ✓
IN Physicians Associates – ACTY
INP12 837 ✓ ✓
IncentiCare
18151 837 ✓ ✓
INDECS Corporation
40585 835 ✓ ✓ ✓ ✓
INDECS Corporation
40585 837 ✓ ✓
Independence Administrators
TA720 835 ✓ ✓
Independence Administrators
TA720 837 ✓ ✓
Experian Health Payer List Page 71 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Independence American Insurance Company
CB231 837 ✓ ✓
Independence Medical
IMG02 837 ✓ ✓ ✓ ✓
For DOS prior to 07/01/2019
Independence Medical Group
MHM01 837 ✓
Independence Medical Group - Kern County
IMG01 837 ✓ ✓ ✓ ✓
For DOS prior to 07/01/2019
Independent Health Association
95308 835 ✓ ✓ ✓ ✓
Independent Health Association
95308 837 ✓ ✓ ✓ ✓ ✓ ✓
Independent Health Care Plan(ICARE)
11695 835 ✓ ✓ ✓ ✓
Independent Health Care Plan(ICARE)
11695 837 ✓ ✓ ✓ ✓
Independent Physicians at Mercy
37105 835 ✓ ✓ ✓ ✓
aka Amita Health Medical Care Group
Independent Physicians at Mercy
37105 837 ✓ ✓
Independent Physicians at Mercy
INDPM 837 ✓ ✓
Indian Health Services
12X75 837 ✓
Indian Health Services
SX171 837 ✓
Indiana Childrens Special Health Care Services
35600 835 ✓ ✓ ✓ ✓
Indiana Childrens Special Health Care Services
35600 837 ✓ ✓ ✓ ✓
Indiana Medicaid
12K09 835 ✓ ✓
Indiana Medicaid
12K09 837 ✓ ✓
Indiana Medicaid
SKIN0 835 ✓ ✓
Indiana Medicaid
SKIN0 837 ✓ ✓
Indiana Medicare
12M09 835 ✓ ✓
Indiana Medicare
12M09 837 ✓ ✓ ✓
Indiana Medicare
SMIN0 835 ✓ ✓
Indiana Medicare
SMIN0 837 ✓ ✓ ✓
Indiana ProHealth aka Community Health Network
35161 835 ✓ ✓ ✓ ✓
Indiana Teamsters Health Benefits Fund (Indianapolis IN)
35107 837 ✓ ✓
Indiana University Health Plan
95444 835 ✓ ✓ ✓ ✓
Indiana University Health Plan
95444 837 ✓ ✓
Indiana University Health Plan (Commercial)
23253 835 ✓ ✓ ✓ ✓
Indiana University Health Plan (Commercial)
26212 837 ✓ ✓
Individual Assurance Company
30360 835 ✓ ✓ ✓ ✓
Individual Assurance Company
30360 837 ✓ ✓ ✓ ✓
Individual Health Insurance Companies
31053 835 ✓ ✓ ✓ ✓
Individual Health Insurance Companies
31053 837 ✓ ✓
Inetico Inc.
43471 835 ✓ ✓ ✓ ✓
Inetico Inc.
43471 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 72 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Informed LLC
52196 837 ✓ ✓
Ingham Health Plan Corporation
38343 835 ✓ ✓ ✓ ✓
Ingham Health Plan Corporation
38343 837 ✓ ✓ ✓
Inland Empire Health Plan
IEHP1 835 ✓ ✓ ✓ ✓
Inland Empire Health Plan
IEHP1 837 ✓ ✓ ✓ ✓
Payer now accepts Secondary claims
electronically.
Inland Empire health Plan (Covered California)
IECCA 835 ✓ ✓ ✓ ✓
Inland Empire health Plan (Covered California)
IECCA 837 ✓ ✓
Inland Faculty Medical Group
MVMM1 835 ✓ ✓ ✓ ✓
Inland Faculty Medical Group
MVMM1 837 ✓ ✓
Inland Valley - (Redlands IPA)
SYMED 837 ✓ ✓
InnovAge
31182 835 ✓ ✓ ✓ ✓
InnovAge
31182 837 ✓ ✓
Innovation Health
40025 837 ✓ ✓
Innovative Healthware Solutions
04320 837 ✓ ✓
Insurance Design Administrators
13315 835 ✓ ✓ ✓ ✓
Insurance Design Administrators
13315 837 ✓ ✓
Insurance Management Administrators
72091 835 ✓ ✓ ✓ ✓
Insurance Management Administrators
72091 837 ✓ ✓
Insurance Management Services Texas
IMSMS 835 ✓ ✓ ✓ ✓
Insurance Management Services Texas
IMSMS 837 ✓ ✓
Insurance Services of Lubbock
TH012 837 ✓
Insurance Systems
11889 837 ✓ ✓ ✓ ✓
InsuranceTPA.com
39182 837 ✓ ✓ ✓ ✓
Insurers Administrative Corp.
86304 837 ✓ ✓
Integra Administrative Group (Seaford DE)
51020 835 ✓ ✓ ✓ ✓
Integra Administrative Group (Seaford DE)
51020 837 ✓ ✓
Integra Group
31127 837 ✓ ✓
Integra Group-CHA
31129 837 ✓
INTEGRA GROUP/HOME
31128 837 ✓
Integral Quality Care
23229 837 ✓ ✓ ✓ ✓
IntegraNet Health
INET1 835 ✓ ✓
IntegraNet Health
INET1 837 ✓ ✓
Integrated Care Network (ICN) by Emerald Health
34167 837 ✓ ✓
Integrated Health Partners (IHP)
MPM26 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 73 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Integrated Homecare Services
IHCS1 835 ✓ ✓ ✓ ✓
Integrated Homecare Services
IHCS1 837 ✓ ✓ ✓ ✓
Integrated Medical Solutions LLC
20050 837 ✓ ✓
Integrity Administrators - South Tahoe Refuse
28580 837 ✓ ✓ ✓ ✓
Inter Americas Insurance Corp Inc.
92649 837 ✓ ✓
Inter County Health Plan
54763 835 ✓ ✓ ✓ ✓
Inter County Health Plan
54763 837 ✓ ✓ ✓ ✓
Inter Valley Health Plan
IVHPA 837 ✓ ✓
Inter-County Health Plan
SX079 837 ✓ ✓ ✓
Interactive Medical Systems
56132 835 ✓ ✓ ✓ ✓
ERA Only
InterCommunity Health CCO (IHN)
SAMHP 835 ✓ ✓ ✓ ✓
InterCommunity Health CCO (IHN)
SAMHP 837 ✓ ✓ ✓ ✓
Interface EAP (IEAP)
60280 837 ✓ ✓ ✓ ✓
Intergroup Services Corporation
23287 837 ✓ ✓
Interlink
93116 837 ✓ ✓
Intermountain Healthcare (now known as SelectHealth)
SX107 835 ✓ ✓
Intermountain Healthcare (now known as SelectHealth)
SX107 837 ✓
International Benefit Administrator
11329 835 ✓ ✓ ✓ ✓
International Benefit Administrator
11329 837 ✓ ✓
International Brotherhood of Boilermakers
36609 837 ✓ ✓
International Brotherhood-IBBEHC
48603 837 ✓ ✓ ✓
International Med
IMGIN 837 ✓ ✓
INTERWEST HEALTH PPO MONTANA
84137 837 ✓ ✓
INTotal Health (claims with DOS on or after 7/01/2016)
35115 835 ✓ ✓ ✓ ✓
INTotal Health (claims with DOS on or after 7/01/2016)
35115 837 ✓ ✓ ✓ ✓
Iowa Health Advantage
RP075 835 ✓ ✓ ✓ ✓
Iowa Health Advantage
RP075 837 ✓ ✓
Iowa Medicaid
12K10 835 ✓ ✓
Iowa Medicaid
12K10 837 ✓ ✓ ✓
Iowa Medicaid
CKIA1 835 ✓ ✓
Iowa Medicaid
CKIA1 837 ✓ ✓
Iowa Medicaid
SKIA0 835 ✓ ✓
Iowa Medicaid
SKIA0 837 ✓ ✓ ✓
Iowa Medicare
SMIA0 835 ✓ ✓ ✓ ✓
Iowa Medicare
SMIA0 837 ✓ ✓ ✓ ✓ ✓ ✓
Experian Health Payer List Page 74 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Iowa Total Care
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Iowa Total Care
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Iron Road Healthcare
87042 837 ✓ ✓
IU Health Plans
26212 837 ✓ ✓
IU Health Transplant Evaluation Program
47262 837 ✓ ✓
J15 Home Health and Hospice
12M97 835 ✓ ✓
J15 Home Health and Hospice
12M97 837 ✓ ✓ ✓
Jade Health Care Medical Group
NMM07 835 ✓ ✓ ✓ ✓
Jade Health Care Medical Group
NMM07 837 ✓ ✓ ✓ ✓
JAI MEDICAL SYSTEMS HC
JAI01 835 ✓ ✓ ✓ ✓
JAI MEDICAL SYSTEMS HC
JAI01 837 ✓ ✓ ✓ ✓
Jefferson Health Plans
RP099 837 ✓ ✓
JERICHO SHARE
IHS02 837 ✓ ✓ ✓ ✓
JI Specialties
TH033 837 ✓
JL Legacy Part A
12901 835 ✓ ✓
JL Legacy Part A
12901 837 ✓ ✓ ✓
JLS Family Enterprises
JLSFE 837 ✓ ✓
JOHN MORRELL COMPANY CO. - AHPBA
38310 837 ✓ ✓
John Muir Mt. Diablo Health System
68036 835 ✓ ✓ ✓ ✓
John Muir Mt. Diablo Health System
68036 837 ✓ ✓
John Muir Physician Network
68036 837 ✓
John P Pearl and Associates
37215 837 ✓ ✓
Johns Hopkins Health Advantage
66003 835 ✓ ✓ ✓ ✓
Johns Hopkins Health Advantage
66003 837 ✓ ✓
Johns Hopkins Healthcare (EHP/PP)
52189 835 ✓ ✓ ✓ ✓
Johns Hopkins Healthcare (EHP/PP)
52189 837 ✓ ✓
Johns Hopkins Healthcare (USFHP)
52123 835 ✓ ✓ ✓ ✓
Johns Hopkins Healthcare (USFHP)
52123 837 ✓ ✓
Johns Hopkins HomeCare Group
JHHCG 837 ✓
Joplin Claims / Benefit Management Inc
43178 837 ✓ ✓
JP Farley Corporation
34136 837 ✓ ✓
JP Specialties
12T47 837 ✓
JPS Preferred Care - PREFERRED CARE
MWP01 837 ✓
Experian Health Payer List Page 75 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Kaiser Foundation Health Plan of Colorado
91617 835 ✓ ✓ ✓ ✓
Kaiser Foundation Health Plan of Colorado
91617 837 ✓ ✓
Kaiser Foundation Health Plan of Hawaii
94123 835 ✓ ✓ ✓ ✓
Kaiser Foundation Health Plan of Hawaii
94123 837 ✓ ✓
Kaiser Foundation Health Plan of Northern CA Region
94135 835 ✓ ✓ ✓ ✓
Kaiser Foundation Health Plan of Northern CA Region
94135 837 ✓ ✓
Kaiser Foundation Health Plan of Southern CA Region
94134 835 ✓ ✓ ✓ ✓
Kaiser Foundation Health Plan of Southern CA Region
94134 837 ✓ ✓ ✓ ✓
Kaiser Foundation Health Plan of the Mid-Atlantic States Inc.
52095 835 ✓ ✓ ✓ ✓
Kaiser Foundation Health Plan of the Mid-Atlantic States Inc.
52095 837 ✓ ✓ ✓ ✓
Kaiser Foundation Health Plan of the Northwest
NW002 835 ✓ ✓ ✓ ✓
Kaiser Foundation Health Plan of the Northwest
NW002 837 ✓ ✓ ✓ ✓
Kaiser Foundation Health Plan Of Washington
91051 835 ✓ ✓ ✓ ✓
Kaiser Foundation Health Plan Of Washington
91051 837 ✓ ✓ ✓ ✓
Kaiser Permanente of Georgia
21313 835 ✓ ✓ ✓ ✓
Kaiser Permanente of Georgia
21313 837 ✓ ✓
Kaiser Self Funded
94320 835 ✓ ✓ ✓ ✓
Kaiser Self Funded
94320 837 ✓ ✓ ✓ ✓
Kalos Gold Health Plan
61185 837 ✓ ✓ ✓ ✓
Kalos Heath
40137 835 ✓ ✓ ✓ ✓
Kalos Heath
40137 837 ✓ ✓
Kane County BCBS
KCIPA 837 ✓ ✓
Kane County Harmony Medicaid
IPAK1 837 ✓ ✓
Kansas City Life Insurance
44030 837 ✓ ✓
Kansas Medicaid
MDKSI 835 ✓ ✓
Kansas Medicaid
MDKSI 837 ✓ ✓
Kansas Medicaid
MDKSP 835 ✓ ✓
Kansas Medicaid
MDKSP 837 ✓ ✓
Kansas Medicare
57324 835 ✓ ✓
Kansas Medicare
57324 837 ✓ ✓ ✓
Kansas Medicare
SMKS0 835 ✓ ✓
Kansas Medicare
SMKS0 837 ✓ ✓ ✓
Kansas Superior Select
71066 835 ✓ ✓ ✓ ✓
Kansas Superior Select
71066 837 ✓ ✓
Experian Health Payer List Page 76 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Katy Medical Claims
81812 837 ✓ ✓
Payer code is no longer active … please send
claims to Wellcare payer id 14163
Kaweah Delta
TKFMC 837 ✓ ✓
Kaweah Delta Medicare Advantage
IP084 835 ✓ ✓ ✓ ✓
Kaweah Delta Medicare Advantage
IP084 837 ✓ ✓
KB Medical Practice, PC
35463 837 ✓ ✓
Keenan and Associates
KEE01 837 ✓ ✓
Keenan Associates (CA)
95279 837 ✓ ✓
Kelseycare
KELSI 837 ✓ ✓
KelseyCare
KELSE 837 ✓ ✓
Kemberton
KMBTN 837 ✓ ✓
Kemper Benefits
61453 837 ✓ ✓ ✓ ✓
Kemper Health (Reserve National Insurance Co.)
73066 835 ✓ ✓ ✓ ✓
Formerly known as Reserve National Insurance
Kemper Health (Reserve National Insurance Co.)
73066 837 ✓ ✓ ✓ ✓
Formerly known as Reserve National Insurance
Kempton Company
73100 835 ✓ ✓ ✓ ✓
Kempton Company
73100 837 ✓ ✓
Kempton Group Administrators
73100 835 ✓ ✓ ✓ ✓
Kempton Group Administrators
73100 837 ✓ ✓
Kempton Group TPA: Kempton Group Administrators (UCS)
90210 837 ✓ ✓ ✓ ✓
Kentucky Health Administrators (KHA)
82357 835 ✓ ✓ ✓ ✓ ✓ ✓
Kentucky Health Administrators (KHA)
82357 837 ✓ ✓ ✓
Kentucky Medicaid
12K11 835 ✓ ✓
Kentucky Medicaid
12K11 837 ✓ ✓ ✓
Kentucky Medicaid
SKKY0 835 ✓ ✓
Kentucky Medicaid
SKKY0 837 ✓ ✓ ✓
Kentucky Medicare
12M11 835 ✓ ✓
Kentucky Medicare
12M11 837 ✓ ✓ ✓
Kentucky Medicare
SMKY0 835 ✓ ✓
Kentucky Medicare
SMKY0 837 ✓ ✓ ✓
Kentucky Spirit Health Plan
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Kentucky Spirit Health Plan
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Kern County CDCR
28021 837 ✓
Kern Health Systems
77039 835 ✓ ✓ ✓ ✓
Experian Health Payer List Page 77 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Kern Health Systems
77039 837 ✓ ✓
Kern Legacy Health Plan
89890 837 ✓ ✓ ✓ ✓
Key Benefit Administrators (Indianapolis IN)
37217 835 ✓ ✓ ✓ ✓
Key Benefit Administrators (Indianapolis IN)
37217 837 ✓ ✓
Key Gap
35317 837 ✓ ✓ ✓ ✓
Key Health Medical Solutions Inc.
95460 837 ✓
Key Medical Group
IP082 835 ✓ ✓ ✓ ✓
Key Medical Group
IP082 837 ✓ ✓
Key Medical Group - Medicare Advantage
IP083 835 ✓ ✓ ✓ ✓
Key Medical Group - Medicare Advantage
IP083 837 ✓ ✓
Key Select
37321 837 ✓ ✓ ✓ ✓
Key Solution
37323 835 ✓ ✓ ✓ ✓
Key Solution
37323 837 ✓ ✓ ✓ ✓
KeyCare of Maryland
KCMD1 837 ✓ ✓
As of January 23, 2024, the payer does not offer
an electronic remittance.
Keystone First
23284 835 ✓ ✓ ✓ ✓
Keystone First
23284 837 ✓ ✓ ✓ ✓
Keystone First Community HealthChoices
42344 835 ✓ ✓ ✓ ✓
Keystone First Community HealthChoices
42344 837 ✓ ✓ ✓ ✓ ✓ ✓
Keystone First VIP Choice
77741 837 ✓ ✓ ✓ ✓
Keystone Health Plan East
12X25 837 ✓ ✓
Keystone Health Plan East
SX055 835 ✓ ✓ ✓ ✓
ERA Payer Code SX055 ERA Payer Code SX055
Keystone Health Plan East
SX055 837 ✓ ✓
Keystone Health Plan West
SX056 837 ✓ ✓ ✓
KG Administrative Services
KGA15 837 ✓ ✓
Klais & Company
34145 837 ✓ ✓ ✓ ✓
KM Strategic Management (KMSM)
HCMG1 837 ✓ ✓ ✓ ✓
Koan Risk Solutions, Inc.
65871 837 ✓ ✓ ✓
Kopp Billing Agency
RP091 837 ✓ ✓ ✓ ✓ ✓ ✓
Korean American Medical Group
HSM01 837 ✓ ✓
Kova Healthcare, Inc.
KOVA1 835 ✓ ✓ ✓ ✓
Kova Healthcare, Inc.
KOVA1 837 ✓ ✓ ✓ ✓
KPS-Kitsap Physician Services
KPS01 837 ✓ ✓
Experian Health Payer List Page 78 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
KS - Sunflower State Health
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
KS - Sunflower State Health
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
KSKJ Life (ERA Only)
IAS11 835 ✓ ✓ ✓ ✓
ERA Only
LA Blue Advantage Louisiana
72107 835 ✓ ✓ ✓ ✓
LA Blue Advantage Louisiana
72107 837 ✓ ✓
LA Care Health Plan
LACAR 835 ✓ ✓ ✓ ✓
LA Care Health Plan
LACAR 837 ✓ ✓
Laborers Union of Minnesota
R7001 835 ✓ ✓
LACH HealthNet by MedPOINT
MPM19 837 ✓ ✓ ✓ ✓
LADOC CorrectCare
LADOC 837 ✓ ✓ ✓ ✓
Lake County Physicians Association
37116 835 ✓ ✓ ✓ ✓
Lake County Physicians Association
37116 837 ✓ ✓
Lakeside Community Healthcare
LMG01 837 ✓ ✓
Lakeside Comprehensive Healthcare
66127 837 ✓ ✓
Lakeside Health Services
LMG11 837 ✓
Lakeside Medical Group
66125 837 ✓ ✓
Lakewood Health Plan
CAPMN 837 ✓ ✓ ✓ ✓
Lakewood Health Plan
LIPAZ 837 ✓ ✓ ✓ ✓
For DOS Prior to 5/1/2020. Claims with DOS
5/1/20 and after use payer code CAPMN.
Lancaster General Health
16109 837 ✓ ✓ ✓ ✓
Landmark Healthcare Inc
LNDMK 835 ✓ ✓
Landmark Healthcare Inc
LNDMK 837 ✓ ✓
Las Vegas Firefighters Health & Welfare Trust
77684 837 ✓ ✓ ✓
LaSalle Medical Associates
LSMA2 835 ✓ ✓ ✓ ✓
LaSalle Medical Associates
LSMA2 837 ✓ ✓
Lasso Healthcare MSA
10550 835 ✓ ✓ ✓ ✓
Lasso Healthcare MSA
10550 837 ✓ ✓ ✓ ✓
Lawndale Christian Health Center
LAWND 837 ✓ ✓
LBA Health Plans
52193 835 ✓ ✓ ✓ ✓
LBA Health Plans
52193 837 ✓ ✓
Leon Health Plans
A3565 835 ✓ ✓ ✓ ✓
Leon Health Plans
A3565 837 ✓ ✓
Leon Medical Center Health Plan
37316 837 ✓ ✓
Experian Health Payer List Page 79 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Leon Medical Center Health Plan
LMCHP 835 ✓ ✓ ✓ ✓
Leonard Holding Company
84365 837 ✓ ✓ ✓ ✓
LHP Claims Unit
37248 835 ✓ ✓ ✓ ✓
LHP Claims Unit
37248 837 ✓ ✓
LHS Medcost Solutions LLC
90753 837 ✓ ✓
Claim Mailing Address: PO Box 36908, Canton OH
44735
Liberty Advantage Health Plan (HMO SNP)
LIB01 835 ✓ ✓ ✓ ✓
Liberty Advantage Health Plan (HMO SNP)
LIB01 837 ✓ ✓
Liberty Dental Plan
CX083 835 ✓ ✓
Liberty Dental Plan
CX083 837 ✓ ✓ ✓
Liberty Health Advantage
87071 837 ✓ ✓
Liberty National Life Insurance Company (ERA Only)
65331 835 ✓ ✓ ✓ ✓
Liberty Union
37281 837 ✓ ✓
Life Assurance Company
37281 837 ✓ ✓
Life Gift Cards
33LGC 837 ✓ ✓ ✓ ✓
Life Investors Insurance
12T67 837 ✓
Life Investors Insurance
TH120 837 ✓ ✓
Life Investors Insurance of America - Long Term Care
12T39 837 ✓
Life Investors of America - Long Term Care
TH093 837 ✓
LIFE Pittsburgh
25181 835 ✓ ✓ ✓ ✓
LIFE Pittsburgh
25181 837 ✓ ✓
Life Trac
41136 837 ✓ ✓
LifeCircles PACE
71498 837 ✓ ✓
Lifemap
RLH01 837 ✓ ✓
LifePath Hospice Inc
76870 837 ✓ ✓ ✓ ✓
LifeShield National Insurance Co
47865 837 ✓ ✓
Lifetime Benefit Solutions
EBSRM 835 ✓ ✓ ✓ ✓
LifeWise Health Plan of Washington
91049 835 ✓ ✓ ✓ ✓
LifeWise Health Plan of Washington
91049 837 ✓ ✓ ✓ ✓
LifeWise Healthplan of Oregon
93093 835 ✓ ✓ ✓ ✓
LifeWise Healthplan of Oregon
93093 837 ✓ ✓ ✓ ✓
Lifeworks Advantage
LWA01 835 ✓ ✓ ✓ ✓
Lifeworks Advantage
LWA01 837 ✓ ✓
Lincoln Heritage (ERA Only)
IAS12 835 ✓ ✓ ✓ ✓
ERA Only
Line Construction Benefit Fund
LCB01 835 ✓ ✓ ✓ ✓
ERA ONLY
Experian Health Payer List Page 80 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
LIPA/Agate Resources
TH106 837 ✓
Little Company of Mary
LCM01 837 ✓ ✓
Little Company of Mary
LCM1 837 ✓ ✓
For claims with a DOS on or after 1/1/17
Local 135 Health Benefits Fund (Indianapolis IN)
35107 837 ✓ ✓
Local 137 Operating Engineers Welfare Fund
84041 837 ✓ ✓ ✓ ✓
Local 670 Engineers
67011 837 ✓ ✓
Lockard & Williams
CB752 835 ✓ ✓ ✓ ✓
Lockard & Williams
CB752 837 ✓ ✓
Loma Linda
99255 837 ✓ ✓
Loma Linda University Adventist Health Sciences Center Employee Health Plan
37267 837 ✓ ✓
Loma Linda University Adventist Health Sciences Centers
37267 837 ✓ ✓
Loma Linda University Behavioral Medicine Center Employee Health Plan
37267 837 ✓ ✓
Loma Linda University Employee Health Plan
37267 837 ✓ ✓
Loma Linda University Health Care Employee Health Plan
37267 837 ✓ ✓
Loma Linda University Healthcare
33036 837 ✓ ✓
Loma Linda University Medical Center (LLUMC)
95352 837 ✓ ✓
Loma Linda University Medical Center Employee Health Plan
37267 837 ✓ ✓
Loma Linda University Medical Center Residents Health Plan
37267 837 ✓ ✓
Loma Linda University Student Health Plan
37267 837 ✓ ✓
Lone Star Medical Group PLLC
LNSTR 837 ✓ ✓
Long Beach Memorial IPA
IP095 837 ✓ ✓ ✓ ✓
Longevity Health Plan of Colorado
LCO01 835 ✓ ✓ ✓ ✓
Payer returns ERA automatically.
Longevity Health Plan of Colorado
LCO01 837 ✓ ✓
Payer returns ERA automatically.
Longevity Health Plan of Florida
LFL01 835 ✓ ✓ ✓ ✓
Payer returns ERA automatically.
Longevity Health Plan of Florida
LFL01 837 ✓ ✓
Payer returns ERA automatically.
Longevity Health Plan of Illinois
LIL01 835 ✓ ✓ ✓ ✓
Payer returns ERA automatically.
Longevity Health Plan of Illinois
LIL01 837 ✓ ✓
Payer returns ERA automatically.
Longevity Health Plan of Michigan
LMI01 835 ✓ ✓ ✓
Payer returns ERA automatically.
Longevity Health Plan of Michigan
LMI01 837 ✓ ✓
Payer returns ERA automatically.
Longevity Health Plan of New Jersey
LNJ01 835 ✓ ✓ ✓ ✓
Payer returns ERA automatically.
Longevity Health Plan of New Jersey
LNJ01 837 ✓ ✓
Payer returns ERA automatically.
Longevity Health Plan of New York
LNY01 835 ✓ ✓ ✓ ✓
Payer returns ERA automatically
Longevity Health Plan of New York
LNY01 837 ✓ ✓
Payer returns ERA automatically
Longevity Health Plan of North Carolina
LNC01 835 ✓ ✓ ✓ ✓
Payer returns ERA automatically.
Longevity Health Plan of North Carolina
LNC01 837 ✓ ✓
Payer returns ERA automatically.
Experian Health Payer List Page 81 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Longevity Health Plan of Oklahoma
LOK01 835 ✓ ✓ ✓ ✓
Payer returns ERA automatically.
Longevity Health Plan of Oklahoma
LOK01 837 ✓ ✓
Payer returns ERA automatically.
Los Angeles Medical Center (LAMC)
PROSP 835 ✓ ✓ ✓ ✓
Los Angeles Medical Center (LAMC)
PROSP 837 ✓ ✓ ✓ ✓
Louisiana Health Cooperative
88075 837 ✓ ✓
Louisiana Healthcare Connections
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Louisiana Healthcare Connections
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Louisiana Medicaid
MCDLA 835 ✓ ✓ ✓ ✓
Louisiana Medicaid
MCDLA 837 ✓ ✓ ✓ ✓ ✓ ✓
Louisiana Medicaid - Ambulance claims
SKLA2 837 ✓ ✓ ✓
Louisiana Medicaid - DME Claims
SKLA1 837 ✓ ✓ ✓
Louisiana Medicaid - KidMed Claims
SKLA3 837 ✓ ✓ ✓
Louisiana Medicaid - Rehab
SKLA4 837 ✓
Louisiana Medicaid-Home Health
12K94 837 ✓
Louisiana Medicare
12M12 835 ✓ ✓
Louisiana Medicare
12M12 837 ✓ ✓
Louisiana Medicare
SMLA0 835 ✓ ✓
Louisiana Medicare
SMLA0 837 ✓ ✓ ✓
Lovelace Sandia Health Plan (as of 9/27/14)
90328 837 ✓ ✓ ✓ ✓
Loyal American Life Ins Co-Medicare Supplement
13193 835 ✓ ✓ ✓ ✓
Loyal American Life Ins Co-Medicare Supplement
13193 837 ✓ ✓ ✓ ✓
Loyola Physician Partners
37175 835 ✓ ✓ ✓ ✓
Loyola Physician Partners
37175 837 ✓ ✓
Lucent Health Solutions
88056 835 ✓ ✓ ✓ ✓
Lucent Health Solutions
88056 837 ✓ ✓
Lucent Health Solutions (LHS Gov Operations)
17380 835 ✓ ✓ ✓ ✓
Lucent Health Solutions (LHS Gov Operations)
17380 837 ✓ ✓ ✓ ✓
Also Known As Heritage Health Solutions
Lucentis Copay Program
82694 835 ✓ ✓ ✓ ✓
Lucentis Copay Program
82694 837 ✓ ✓
Lumico (ERA Only)
IAS13 835 ✓ ✓ ✓ ✓
ERA Only
Luminare Health (CoreSource AZ MN)
35182 835 ✓ ✓ ✓ ✓
Claim Mailing Address: PO Box 2920, Clinton,
IAaka Health Options Program
Luminare Health (CoreSource AZ MN)
35182 837 ✓ ✓ ✓
Experian Health Payer List Page 82 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Luminare Health (CoreSource OH)
35183 835 ✓ ✓ ✓ ✓
Luminare Health (CoreSource OH)
35183 837 ✓ ✓
Luminare Health Internal (CoreSource-Internal)
35187 835 ✓ ✓ ✓ ✓
Luminare Health Internal (CoreSource-Internal)
35187 837 ✓ ✓
Luminare Health Little Rock (CoreSource Little Rock)
75136 835 ✓ ✓ ✓ ✓
Luminare Health Little Rock (CoreSource Little Rock)
75136 837 ✓ ✓
Luninare Health (Coresoure AZ MN)
35182 835 ✓ ✓ ✓ ✓
Claim Mailing Address: PO Box 2920, Clinton,
IAaka Health Options Program
Luninare Health (Coresoure AZ MN)
35182 837 ✓ ✓ ✓
Luninare Health (Coresoure MD IL PA)
35182 835 ✓ ✓ ✓ ✓
Claim Mailing Address: PO Box 2920, Clinton,
IAaka Health Options Program
Luninare Health (Coresoure MD IL PA)
35182 837 ✓ ✓ ✓
Luninare Health (Coresoure NC IN)
35182 835 ✓ ✓ ✓ ✓
Claim Mailing Address: PO Box 2920, Clinton,
IAaka Health Options Program
Luninare Health (Coresoure NC IN)
35182 837 ✓ ✓ ✓
LUTHER CARE
CB212 837 ✓ ✓
LUTHERAN SERVICES CAROLINAS
LSC01 837 ✓ ✓
MacNeal Health Providers- CHS
36334 835 ✓ ✓
MacNeal Health Providers- CHS
36334 837 ✓ ✓
Maestro Health Plan
56139 835 ✓ ✓ ✓ ✓
Maestro Health Plan
56139 837 ✓ ✓
Magan Medical Clinic
HCP01 837 ✓ ✓
This payer is now part of OptumCare Network.
Please submit claims using payer code OCN01.
Magellan Complete Care of Arizona
MCC01 835 ✓ ✓ ✓ ✓
Magellan Complete Care of Arizona
MCC01 837 ✓ ✓
Magellan Complete Care of Virginia
MCC02 835 ✓ ✓ ✓ ✓
Magellan Complete Care of Virginia
MCC02 837 ✓ ✓
Magellan Health Services
01260 835 ✓ ✓ ✓ ✓
Magellan Health Services
01260 837 ✓ ✓ ✓ ✓
Magnacare
11303 835 ✓ ✓ ✓ ✓
Payer requires EFT in order to receive ERA files
Magnacare
11303 837 ✓ ✓
Magnolia
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Magnolia
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Maine Community Health Options
45341 835 ✓ ✓ ✓ ✓
Maine Community Health Options
45341 837 ✓ ✓
Experian Health Payer List Page 83 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Maine Medicaid
12K13 835 ✓ ✓
Maine Medicaid
12K13 837 ✓
Maine Medicaid
SKME0 835 ✓ ✓
Maine Medicaid
SKME0 837 ✓ ✓
Maine Medicare
12M13 835 ✓ ✓
Maine Medicare
12M13 837 ✓ ✓ ✓
Maine Medicare
SMME0 835 ✓ ✓
Maine Medicare
SMME0 837 ✓ ✓ ✓
Managed Care of North America, Inc. (MCNA)
65030 837 ✓ ✓
Managed Care Services LLC
35162 837 ✓ ✓
Managed Care Systems (Delano Regional Medical Group)
MCS02 835 ✓ ✓
Managed Care Systems (Delano Regional Medical Group)
MCS02 837 ✓
Managed Care Systems (Gemcare)
MCS01 835 ✓ ✓
Managed Care Systems (Gemcare)
MCS01 837 ✓ ✓
MANAGED HEALTH CARE ASSOCIATES
36312 837 ✓
Managed Health Network
22771 835 ✓ ✓ ✓ ✓
Managed Health Network
22771 837 ✓ ✓
Managed Health Services Indiana (Medicaid HMO)
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Managed Health Services Indiana (Medicaid HMO)
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Managed Health Services Wisconsin
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Managed Health Services Wisconsin
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Mapfre (Canada Life)
L0160 837 ✓ ✓
March Vision Care Inc.
52461 835 ✓ ✓
March Vision Care Inc.
52461 837 ✓ ✓
Marquette Life Insurance Company
48055 837 ✓ ✓
Marrick Medical Finance LLC.
20805 835 ✓ ✓ ✓ ✓
Marrick Medical Finance LLC.
20805 837 ✓ ✓ ✓ ✓
MARTINS POINT HEALTH CARE
53275 835 ✓ ✓ ✓ ✓
MARTINS POINT HEALTH CARE
53275 837 ✓ ✓
Mary Washington Health Plan
83269 835 ✓ ✓
Mary Washington Health Plan
83269 837 ✓ ✓
Experian Health Payer List Page 84 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Maryland Medicaid
MCDMD 835 ✓ ✓ ✓ ✓
Maryland Medicaid
MCDMD 837 ✓ ✓ ✓ ✓ ✓ ✓
Maryland Medicare
12010 835 ✓ ✓
Maryland Medicare
12010 837 ✓ ✓ ✓
Maryland Medicare
SMMD0 835 ✓ ✓
Maryland Medicare
SMMD0 837 ✓ ✓ ✓
Maryland Physicians Care
76498 835 ✓ ✓ ✓ ✓
Maryland Physicians Care
76498 837 ✓ ✓ ✓ ✓
For DOS on or after 1/1/21
Maryland Physicians Care (DOS < 1/1/21)
22348 835 ✓ ✓ ✓ ✓
Maryland Physicians Care (DOS < 1/1/21)
22348 837 ✓ ✓
Mashantucket Pequot Tribal Nation
37121 835 ✓ ✓ ✓ ✓
Mashantucket Pequot Tribal Nation
37121 837 ✓ ✓
Masonary Welfare Trust Fund
60230 835 ✓ ✓ ✓ ✓
Masonary Welfare Trust Fund
60230 837 ✓ ✓
Mass Advantage
86220 835 ✓ ✓ ✓ ✓
Mass Advantage
86220 837 ✓ ✓
Mass Behavioral Health Partnership
BHOMA 837 ✓ ✓ ✓ ✓
Mass General Brigham Health Plan
04293 835 ✓ ✓ ✓ ✓
Mass General Brigham Health Plan
04293 837 ✓ ✓
Effective 2023, payer has changed their name to
Mass General Brigham Health Plan. Previously
known as Allways Health Partners and
Neighborhood Health Plan.
Massachusetts Medicaid
12K14 835 ✓ ✓
Massachusetts Medicaid
12K14 837 ✓ ✓ ✓
Massachusetts Medicaid
SKMA0 835 ✓ ✓
Massachusetts Medicaid
SKMA0 837 ✓ ✓ ✓
Massachusetts Medicaid - Health Safety Net
HSNMI 835 ✓ ✓
Massachusetts Medicaid - Health Safety Net
HSNMI 837 ✓ ✓ ✓
Massachusetts Medicaid - Health Safety Net
HSNMP 835 ✓ ✓
Massachusetts Medicaid - Health Safety Net
HSNMP 837 ✓ ✓ ✓
Massachusetts Medicare
12M14 835 ✓ ✓
Massachusetts Medicare
12M14 837 ✓ ✓ ✓
Massachusetts Medicare
SMMA0 835 ✓ ✓
Massachusetts Medicare
SMMA0 837 ✓ ✓ ✓
Massachusetts Mutual
80314 835 ✓ ✓ ✓ ✓
Massachusetts Mutual
80314 837 ✓ ✓ ✓ ✓ ✓ ✓
Experian Health Payer List Page 85 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Massachusetts Mutual
WLPNT 835 ✓ ✓ ✓ ✓
Massachusetts Mutual
WLPNT 837 ✓ ✓ ✓ ✓ ✓ ✓
Masters Mates and Pilots Plan
MMPHB 837 ✓ ✓
Masters Mates and Pilots Program
12T52 837 ✓
Masters Mates and Pilots Program
TH111 837 ✓ ✓
Max Specialty Benefits
27320 837 ✓
Maxor Administrative Services
92805 837 ✓ ✓
Mayo Clinic FL/GA
88090 837 ✓ ✓
MBA Benefit Administrators Inc (Salt Lake UT)
83028 835 ✓ ✓ ✓ ✓
MBA Benefit Administrators Inc (Salt Lake UT)
83028 837 ✓ ✓
MCA ADMINISTRATORS
25160 835 ✓ ✓ ✓ ✓
MCA ADMINISTRATORS
25160 837 ✓ ✓
Mcare Advantage Plan
12M85 837 ✓
McKinley Medical Group
MHM02 837 ✓
McLaren Advantage SNP
38338 835 ✓ ✓ ✓ ✓
McLaren Advantage SNP
3833R 837 ✓ ✓ ✓ ✓
McLaren Health Advantage
38338 835 ✓ ✓ ✓ ✓
McLaren Health Advantage
3833A 837 ✓ ✓ ✓ ✓
McLaren Health Plan
K7JVH 835 ✓ ✓ ✓ ✓
McLaren Health Plan
K7JVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
McLaren Health Plan (Commercial)
38338 835 ✓ ✓ ✓ ✓
EFT enrollment required
McLaren Health Plan (Commercial)
38338 837 ✓ ✓ ✓ ✓
McLaren Medicaid
3833C 835 ✓ ✓ ✓ ✓
McLaren Medicaid
3833C 837 ✓ ✓ ✓ ✓
McLaren Medicare Supplement
3833S 837 ✓ ✓ ✓ ✓
Effective September 19th, 2023,ERA is not
available at this time
MD Anderson Physician Network
MDAPN 835 ✓ ✓ ✓ ✓
MD Anderson Physician Network
MDAPN 837 ✓ ✓ ✓ ✓
MD Senior Care Medical Group
MSCMG 835 ✓ ✓
MD Senior Care Medical Group
MSCMG 837 ✓ ✓
MDI Holdings (Formerly Medical Partners of America)
80026 837 ✓ ✓
MDSave
MDSAV 835 ✓ ✓ ✓ ✓
MDSave
MDSAV 837 ✓ ✓
Mdwise Healthy Indiana Plan
31354 835 ✓ ✓ ✓ ✓
Mdwise Healthy Indiana Plan
31354 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 86 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
MDWise Healthy Indiana Plan
3135M 835 ✓ ✓ ✓ ✓
MDWise Healthy Indiana Plan
3135M 837 ✓ ✓ ✓ ✓
Mdwise Hoosier Healthwise
35191 835 ✓ ✓
Mdwise Hoosier Healthwise
35191 837 ✓ ✓ ✓ ✓
MDWise Hoosier Healthwise
3519M 835 ✓ ✓ ✓ ✓
MDWise Hoosier Healthwise
3519M 837 ✓ ✓ ✓ ✓
MDWise Medicare Advantage
MDADV 835 ✓ ✓ ✓ ✓
MDWise Medicare Advantage
MDADV 837 ✓ ✓ ✓ ✓
MDX Hawaii
MDXHI 835 ✓ ✓ ✓ ✓
MDX Hawaii
MDXHI 837 ✓ ✓
MED PAY
99999-0733 837 ✓ ✓
MedAdmin Solutions
58202 837 ✓ ✓
MedBen (Newark OH)
74323 835 ✓ ✓ ✓ ✓
MedBen (Newark OH)
74323 837 ✓ ✓
MedCare Partners
MCP01 837 ✓ ✓ ✓ ✓
MedCom
59231 837 ✓ ✓ ✓ ✓
Medcore HP
31057 837 ✓ ✓
MedCost Benefit Services
56205 835 ✓ ✓ ✓ ✓
MedCost Benefit Services
56205 837 ✓ ✓ ✓ ✓
MedCost Inc.
56162 835 ✓ ✓ ✓ ✓
MedCost Inc.
56162 837 ✓ ✓ ✓ ✓
Medfocus
95321 837 ✓
Medi-Cal (Vision)
SKCA1 837 ✓ ✓
Medi-Share
59355 837 ✓ ✓
Medica
94265 835 ✓ ✓ ✓ ✓
Medica
94265 837 ✓ ✓ ✓ ✓
Medica
MEDM1 835 ✓ ✓ ✓ ✓
Payer Code Effective 1/1/21
Medica
MEDM1 837 ✓ ✓ ✓ ✓
Payer Code Effective 1/1/21
Medica Health Plan Solutions
71890 835 ✓ ✓ ✓ ✓
Medica Health Plan Solutions
71890 837 ✓ ✓
Medica HealthCare Plan of Florida
78857 837 ✓ ✓
Medica HealthCare Plan of Florida
87726 835 ✓ ✓ ✓ ✓
MEDICA of Minnesota
07031 837 ✓ ✓ ✓
Medica2
12422 835 ✓ ✓ ✓ ✓
Medica2
12422 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 87 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Medicaid Hawaii Waivers
77059 837 ✓ ✓ ✓
Medicaid of New Jersey
CKNJ1 835 ✓ ✓
Medicaid of New Jersey
CKNJ1 837 ✓ ✓
Medicaid of New York (UHC Community Plan)
GP133 835 ✓ ✓
Medicaid of New York (UHC Community Plan)
GP133 837 ✓ ✓ ✓
Medicaid of Texas - MCNA
MCNA1 837 ✓ ✓
Medicaid of Texas (UHC Community Plan)
GP133 835 ✓ ✓
Medicaid of Texas (UHC Community Plan)
GP133 837 ✓ ✓ ✓
MEDICAL ASSOCIATES HEALTH PLAN
MAHC1 835 ✓ ✓ ✓ ✓
MEDICAL ASSOCIATES HEALTH PLAN
MAHC1 837 ✓ ✓
Medical Benefits Administration
MBA01 837 ✓ ✓
Medical Benefits Administrators Inc. (Newark OH)
74323 835 ✓ ✓ ✓ ✓
Medical Benefits Administrators Inc. (Newark OH)
74323 837 ✓ ✓
Medical Benefits Companies (Newark OH)
74323 835 ✓ ✓ ✓ ✓
Medical Benefits Companies (Newark OH)
74323 837 ✓ ✓
Medical Benefits Mutual (Newark OH)
74323 835 ✓ ✓ ✓ ✓
Medical Benefits Mutual (Newark OH)
74323 837 ✓ ✓
Medical Benefits Mutual Life Insurance Co.
74323 835 ✓ ✓ ✓ ✓
Medical Benefits Mutual Life Insurance Co.
74323 837 ✓ ✓
Medical Card System ( MCS )
L0170 837 ✓ ✓
MEDICAL DEVELOPMENT INTERNATIONAL
52181 837 ✓ ✓
Medical Mutual of Ohio
29076 835 ✓ ✓ ✓ ✓
Medical Mutual of Ohio
29076 837 ✓ ✓ ✓ ✓
Medical Reimbursements of America
62177 837 ✓ ✓ ✓ ✓
Medical Services for Indigents
AMM02 837 ✓ ✓
Medical Services Initiative
12057 837 ✓ ✓ ✓ ✓
Medical Value Plan - Ohio (MVP)
38224 835 ✓ ✓
Medical Value Plan - Ohio (MVP)
38224 837 ✓
Medicare Blue Private
SX262 837 ✓
Medicare DME - All Jurisdictions
SDMEB 835 ✓ ✓
Medicare DME - All Jurisdictions
SDMEB 837 ✓ ✓ ✓
Medicare Part A Legacy - JH
04911 835 ✓ ✓
Medicare Part A Legacy - JH
04911 837 ✓ ✓ ✓
Medicare Part A Legacy (CA, HI, NV)
12M65 835 ✓ ✓
Medicare Part A Legacy (CA, HI, NV)
12M65 837 ✓ ✓ ✓
Experian Health Payer List Page 88 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Medicare Part A Legacy HI
12M65 835 ✓ ✓
Medicare Part A Legacy NV
12M65 835 ✓ ✓
Medicare Plus Blue Michigan
00210 835 ✓ ✓
Medicare Plus Blue Michigan
00210 837 ✓
Medicare Plus Blue Michigan
00710 835 ✓ ✓
Medicare Plus Blue Michigan
00710 837 ✓
Medicare PPO (BCBS SC)
00C63 835 ✓ ✓ ✓ ✓
Medicare PPO (BCBS SC)
00C63 837 ✓ ✓
Medicare y Mucho Mas ( MMM )
L0210 837 ✓ ✓
MediChoice IPA
AMM11 837 ✓ ✓
Medico Insurance Company
23160 835 ✓ ✓ ✓ ✓ ✓ ✓
Medico Insurance Company
23160 837 ✓ ✓ ✓ ✓ ✓
MediGold
95655 835 ✓ ✓ ✓ ✓
MediGold
95655 837 ✓ ✓ ✓ ✓
MediGold PPO
13123 837 ✓ ✓
MediView Curative
CURTV 835 ✓ ✓ ✓ ✓
MediView Curative
CURTV 837 ✓ ✓
Mediview Inc.
STAR1 837 ✓ ✓
MedPartners - Mary Black Health Network
412MP 835 ✓ ✓ ✓ ✓
MedPartners - Mary Black Health Network
412MP 837 ✓ ✓
MedPartners Administrative Services
35205 835 ✓ ✓ ✓ ✓
MedPartners Administrative Services
35205 837 ✓ ✓
MedSolutions Inc
62160 835 ✓ ✓ ✓ ✓
MedSolutions Inc
62160 837 ✓ ✓
Medstar Family Choice Maryland Healthchoice
RP063 837 ✓ ✓
Medstar Family Choice, Inc (DC)
RP062 835 ✓ ✓ ✓ ✓
Medstar Family Choice, Inc (DC)
RP062 837 ✓ ✓ ✓ ✓
Medstar Family Choice, Inc (MD)
RP063 835 ✓ ✓ ✓ ✓
Medstar Family Choice, Inc (MD)
RP063 837 ✓ ✓
MEGA Life & Health (United Ins. Div)
97055 837 ✓
Memorial Clinical Associates/ SelectCare of Texas (MCA)
62181 837 ✓ ✓
Payer code is no longer active … please send
claims to Wellcare payer id 14163
Memorial Healthcare IPA
IP095 837 ✓ ✓ ✓ ✓
Memorial Herman Health Network Providers
37330 837 ✓ ✓ ✓ ✓
Memorial Hermann Health Insurance Company
MHHNP 837 ✓ ✓
Experian Health Payer List Page 89 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Memorial Medical Group
HCP01 837 ✓ ✓
This payer is now part of OptumCare Network.
Please submit claims using payer code OCN01.
MemorialCare Medical Foundation
MMFMC 835 ✓ ✓ ✓ ✓
MemorialCare Medical Foundation
MMFMC 837 ✓ ✓ ✓ ✓
MemorialCare Medical Foundation UCI
MMFUC 835 ✓ ✓ ✓ ✓
MemorialCare Medical Foundation UCI
MMFUC 837 ✓ ✓ ✓ ✓
MemorialCare Select Health Plan
46187 835 ✓ ✓ ✓ ✓
MemorialCare Select Health Plan
46187 837 ✓ ✓
Menifee Valley Community Medical Group
HCMG1 837 ✓ ✓ ✓ ✓
Mental Health Consultants Inc.
37050 837 ✓ ✓
Merchants Benefit Administration
86087 837 ✓ ✓
Merchants Benefit Administration, Inc.
MBAM1 837 ✓ ✓
Mercy Benefit Administration
37264 837 ✓ ✓
Formerly known as St. John’s Claims
Administration
Mercy Care Plan (AHCCCS)
86052 835 ✓ ✓ ✓ ✓
Mercy Care Plan (AHCCCS)
86052 837 ✓ ✓
Mercy Maricopa Integrated Care
33628 837 ✓ ✓ ✓ ✓
Mercy Physicians Medical Group (MPMG) (NAMM Southern CA)
IP079 835 ✓ ✓ ✓ ✓
Mercy Physicians Medical Group (MPMG) (NAMM Southern CA)
IP079 837 ✓ ✓
Mercy Provider Network
43185 837 ✓ ✓
MercyCare Insurance
39114 835 ✓ ✓ ✓ ✓
MercyCare Insurance
39114 837 ✓ ✓
Meridian Health Plan Michigan Complete
MHPMI 835 ✓ ✓ ✓ ✓
Payer Requires EFT in order to receive ERA
Meridian Health Plan Michigan Complete
MHPMI 837 ✓ ✓
Meridian Health Plan of Illinois Complete
MHPIL 835 ✓ ✓ ✓ ✓
ERA enrollment is done under payer name
"CENTENE". Payer Requires EFT in order to receive
ERA
Meridian Health Plan of Illinois Complete
MHPIL 837 ✓ ✓ ✓ ✓ ✓ ✓
For DOS on or after 1/1/21
Meridian Health Plan of Michigan (JVHL)
J2JVH 835 ✓ ✓ ✓ ✓
Meridian Health Plan of Michigan (JVHL)
J2JVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
MeridianComplete - Illinois
MHPIL 835 ✓ ✓ ✓ ✓
ERA enrollment is done under payer name
"CENTENE". Payer Requires EFT in order to receive
ERA
MeridianComplete - Illinois
MHPIL 837 ✓ ✓ ✓ ✓ ✓ ✓
For DOS on or after 1/1/21
MeridianComplete - Michigan
MHPMI 835 ✓ ✓ ✓ ✓
Payer Requires EFT in order to receive ERA
MeridianComplete - Michigan
MHPMI 837 ✓ ✓
Experian Health Payer List Page 90 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
MeridianHealth Illinois
13189 835 ✓ ✓ ✓ ✓
ERA enrollment is done under payer name
"CENTENE". Payer Requires EFT in order to receive
ERA.
MeridianHealth Illinois
13189 837 ✓ ✓ ✓ ✓
For claims with a DOS before 07/01/2021
MeridianHealth Illinois
MHPIL 835 ✓ ✓ ✓ ✓
ERA enrollment is done under payer name
"CENTENE". Payer Requires EFT in order to receive
ERA
MeridianHealth Illinois
MHPIL 837 ✓ ✓ ✓ ✓ ✓ ✓
For DOS on or after 1/1/21
MeridianTotal
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
MeridianTotal
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
MeridianTotal - Illinois
MHPIL 835 ✓ ✓ ✓ ✓
ERA enrollment is done under payer name
"CENTENE". Payer Requires EFT in order to receive
ERA
MeridianTotal - Illinois
MHPIL 837 ✓ ✓ ✓ ✓ ✓ ✓
For DOS on or after 1/1/21
Meritage Medical Network
IP097 835 ✓ ✓ ✓ ✓
Meritage Medical Network
IP097 837 ✓ ✓
Meritain Health
38232 837 ✓ ✓
Meritain Health
64157 835 ✓ ✓ ✓ ✓
Meritain Health
64157 837 ✓ ✓
Meritain Health / Agency Services
64158 837 ✓ ✓
Meritain Health Minneapolis
41124 835 ✓ ✓ ✓ ✓
Meritain Health Minneapolis
41124 837 ✓ ✓ ✓
Methodist Associate Health Plan
Pilot 837 ✓
Metlife Dental
65978 835 ✓ ✓
Metlife Dental
65978 837 ✓ ✓ ✓
MetroPlus Health Plan
13265 835 ✓ ✓ ✓ ✓
MetroPlus Health Plan
13265 837 ✓ ✓
Metrowest HealthPlan
TH068 837 ✓
Metrowest Star Medicaid
TH069 837 ✓
MFC & HealthPlus Peoria
23550 835 ✓ ✓ ✓ ✓
MFC & HealthPlus Peoria
23550 837 ✓ ✓
MHP Systems
64068 837 ✓ ✓
Miami Children's Health Plan
82832 835 ✓ ✓ ✓ ✓
Miami Children's Health Plan
82832 837 ✓ ✓ ✓ ✓
Michigan Medicaid
12K37 835 ✓ ✓
Experian Health Payer List Page 91 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Michigan Medicaid
12K37 837 ✓ ✓ ✓
Michigan Medicaid
CKMI1 835 ✓ ✓
Michigan Medicaid
CKMI1 837 ✓ ✓
Michigan Medicaid
SKMI0 835 ✓ ✓
Michigan Medicaid
SKMI0 837 ✓ ✓ ✓
Michigan Medicare
SMMI0 835 ✓ ✓ ✓ ✓
Michigan Medicare
SMMI0 837 ✓ ✓ ✓ ✓ ✓ ✓
Mid American Benefits
22823 835 ✓ ✓ ✓ ✓
Mid American Benefits
22823 837 ✓ ✓ ✓ ✓
Mid Rogue Oregon Health Plan
26161 837 ✓ ✓
Mid-America Associates Inc.
37281 837 ✓ ✓
Mid-County Physicians Medical Group
SCP01 837 ✓ ✓
MidCoast IPA
77012 837 ✓ ✓
Midland National Life Insurance Company
90956 837 ✓
Midlands Choice Inc.
47080 837 ✓ ✓ ✓ ✓
Midwest Health Partners
76079 837 ✓ ✓
Midwest Operating Engineers Welfare Fund
45979 837 ✓ ✓ ✓ ✓
Midwest Physicians Administrative Services
TH088 837 ✓
Midwest Physicians Administrative Systems
66727 835 ✓ ✓ ✓ ✓
Midwest Physicians Administrative Systems
66727 837 ✓ ✓
Mills Peninsula Medical Group
SC050 837 ✓ ✓ ✓ ✓
Minnesota Department of Health
MNDH1 835 ✓ ✓ ✓ ✓
Minnesota Department of Health
MNDH1 837 ✓ ✓
Minnesota Medicaid
12K16 835 ✓ ✓
Minnesota Medicaid
12K16 837 ✓ ✓ ✓
Minnesota Medicaid
SKMN0 835 ✓ ✓
Minnesota Medicaid
SKMN0 837 ✓ ✓ ✓
Minnesota Medicare
12M16 835 ✓ ✓
Minnesota Medicare
12M16 837 ✓ ✓ ✓
Minnesota Medicare
SMMN0 835 ✓ ✓
Minnesota Medicare
SMMN0 837 ✓ ✓ ✓
Mission (St. Joseph Heritage Healthcare)
STJOE 835 ✓ ✓ ✓ ✓
Payer returns ERA automatically upon claim
submission
Mission (St. Joseph Heritage Healthcare)
STJOE 837 ✓ ✓
Mission Community IPA
PHM10 837 ✓
Experian Health Payer List Page 92 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Mississippi Health Partners
64068 837 ✓ ✓
Mississippi Medicaid
12K17 837 ✓ ✓
Mississippi Medicaid
CKMS1 835 ✓ ✓
Mississippi Medicaid
CKMS1 837 ✓ ✓
Mississippi Medicaid
SKMS0 837 ✓ ✓
Mississippi Medicaid
SKMS1 835 ✓ ✓ ✓ ✓
Mississippi Medicare
12M17 835 ✓ ✓
Mississippi Medicare
12M17 837 ✓ ✓ ✓
Mississippi Medicare
SMMS0 835 ✓ ✓
Mississippi Medicare
SMMS0 837 ✓ ✓ ✓
Mississippi Physicians Care Network
64084 837 ✓ ✓
Mississippi Public Entity Employee Benefit Trust
37233 837 ✓ ✓
Mississippi Select Health Care
64088 835 ✓ ✓ ✓ ✓
Mississippi Select Health Care
64088 837 ✓ ✓
Missoula County Medical Benefits Plan
37275 837 ✓ ✓
Missouri Medicaid
12K15 835 ✓ ✓
Missouri Medicaid
12K15 837 ✓ ✓
Missouri Medicaid
SKMO0 835 ✓ ✓
Missouri Medicaid
SKMO0 837 ✓ ✓
Missouri Medicare
12M15 835 ✓ ✓
Missouri Medicare
12M15 837 ✓ ✓ ✓
Missouri Medicare
SMMO0 835 ✓ ✓
Missouri Medicare
SMMO0 837 ✓ ✓ ✓
Missouri Medicare Select
MMS01 837 ✓ ✓
MMM Florida
MMMFL 835 ✓ ✓ ✓ ✓
MMM Florida
MMMFL 837 ✓ ✓ ✓ ✓
MMSI (Mayo Clinic Health Solutions)
71890 835 ✓ ✓ ✓ ✓
MMSI (Mayo Clinic Health Solutions)
71890 837 ✓ ✓
MO - Missouri Home State Health Care
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
MO - Missouri Home State Health Care
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Moda Health
13350 835 ✓ ✓ ✓ ✓
Moda Health
13350 837 ✓ ✓
Molina Complete Care of Virginia (Medicare & Medicaid)
MCC02 835 ✓ ✓ ✓ ✓
Experian Health Payer List Page 93 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Molina Complete Care of Virginia (Medicare & Medicaid)
MCC02 837 ✓ ✓
Molina Healthcare Dental
SKYGN 835 ✓ ✓
Molina Healthcare Dental
SKYGN 837 ✓ ✓ ✓
Molina Healthcare of California
38333 835 ✓ ✓ ✓ ✓
As of 8/29/22, Molina has designated ECHO
Health as their ERA gateway to better meet
provider's payment solutions needs
Molina Healthcare of California
38333 837 ✓ ✓
Molina Healthcare of California Encounters
33373 837 ✓ ✓
Molina Healthcare of Florida
51062 835 ✓ ✓ ✓ ✓
As of 8/29/22, Molina has designated ECHO
Health as their ERA gateway to better meet
provider's payment solutions needs
Molina Healthcare of Florida
51062 837 ✓ ✓ ✓ ✓
Molina Healthcare of Idaho
61799 835 ✓ ✓ ✓ ✓
As of 8/29/22, Molina has designated ECHO
Health as their ERA gateway to better meet
provider's payment solutions needs
Molina Healthcare of Idaho
61799 837 ✓ ✓
Molina Healthcare of Illinois
20934 835 ✓ ✓ ✓ ✓
As of 8/29/22, Molina has designated ECHO
Health as their ERA gateway to better meet
provider's payment solutions needs
Molina Healthcare of Illinois
20934 837 ✓ ✓
Molina Healthcare of Iowa
MLNIA 835 ✓ ✓ ✓ ✓
Molina Healthcare of Iowa
MLNIA 837 ✓ ✓ ✓ ✓
Molina Healthcare of Michigan
38334 835 ✓ ✓ ✓ ✓
As of 8/29/22, Molina has designated ECHO
Health as their ERA gateway to better meet
provider's payment solutions needs
Molina Healthcare of Michigan
38334 837 ✓ ✓
Molina Healthcare of Michigan
JIJVH 835 ✓ ✓ ✓ ✓
Molina Healthcare of Michigan
JIJVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
Molina Healthcare of Mississippi
77010 835 ✓ ✓ ✓ ✓
As of 8/29/22, Molina has designated ECHO
Health as their ERA gateway to better meet
provider's payment solutions needs
Molina Healthcare of Mississippi
77010 837 ✓ ✓
Molina Healthcare of Nebraska
MLNNE 835 ✓ ✓ ✓ ✓
Molina Healthcare of Nebraska
MLNNE 837 ✓ ✓ ✓ ✓
Molina Healthcare of Nevada
MLNNV 835 ✓ ✓ ✓ ✓
As of 8/29/22, Molina has designated ECHO
Health as their ERA gateway to better meet
provider's payment solutions needs
Molina Healthcare of Nevada
MLNNV 837 ✓ ✓
Molina Healthcare of New Mexico - Salud
09824 835 ✓ ✓ ✓ ✓
As of 8/29/22, Molina has designated ECHO
Health as their ERA gateway to better meet
provider's payment solutions needs
Experian Health Payer List Page 94 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Molina Healthcare of New Mexico - Salud
09824 837 ✓ ✓
Molina Healthcare of New Mexico -SCI
04423 835 ✓ ✓ ✓ ✓
As of 8/29/22, Molina has designated ECHO
Health as their ERA gateway to better meet
provider's payment solutions needs
Molina Healthcare of New Mexico -SCI
04423 837 ✓ ✓ ✓ ✓
Molina Healthcare of New York
16146 835 ✓ ✓ ✓ ✓
As of 8/29/22, Molina has designated ECHO
Health as their ERA gateway to better meet
provider's payment solutions needs
Molina Healthcare of New York
16146 837 ✓ ✓
Formerly known as TotalCare NY
Molina Healthcare of Ohio
20149 835 ✓ ✓ ✓ ✓
As of 8/29/22, Molina has designated ECHO
Health as their ERA gateway to better meet
provider's payment solutions needs
Molina Healthcare of Ohio
20149 837 ✓ ✓
Molina Healthcare of Puerto Rico
81794 835 ✓ ✓ ✓ ✓
As of 8/29/22, Molina has designated ECHO
Health as their ERA gateway to better meet
provider's payment solutions needs
Molina Healthcare of Puerto Rico
81794 837 ✓ ✓ ✓ ✓
Molina Healthcare of South Carolina
46299 835 ✓ ✓ ✓ ✓
As of 8/29/22, Molina has designated ECHO
Health as their ERA gateway to better meet
provider's payment solutions needs
Molina Healthcare of South Carolina
46299 837 ✓ ✓
Molina Healthcare of Texas
20554 835 ✓ ✓ ✓ ✓
As of 8/29/22, Molina has designated ECHO
Health as their ERA gateway to better meet
provider's payment solutions needs
Molina Healthcare of Texas
20554 837 ✓ ✓ ✓ ✓
Molina Healthcare of Utah
12X09 835 ✓ ✓
Molina Healthcare of Utah
12X09 837 ✓
Molina Healthcare of Utah
SX109 835 ✓ ✓
As of 8/29/22, Molina has designated ECHO
Health as their ERA gateway to better meet
provider's payment solutions needs
Molina Healthcare of Utah
SX109 837 ✓
Molina Healthcare of Washington
38336 835 ✓ ✓ ✓ ✓
As of 8/29/22, Molina has designated ECHO
Health as their ERA gateway to better meet
provider's payment solutions needs
Molina Healthcare of Washington
38336 837 ✓ ✓
Molina Healthcare of Wisconsin
ABRI1 835 ✓ ✓ ✓ ✓
As of 8/29/22, Molina has designated ECHO
Health as their ERA gateway to better meet
provider's payment solutions needs
Molina Healthcare of Wisconsin
ABRI1 837 ✓ ✓
Molina Ohio Medicaid
73160 837 ✓ ✓
Molina Ohio Medicaid
SKOH0 835 ✓ ✓ ✓ ✓
Effective 2/1/2023, remittance returned under
Ohio Medicaid
Molina Ohio Medicaid Vision
7316V 837 ✓ ✓
Experian Health Payer List Page 95 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Molina Ohio Medicaid Vision
SKOH0 835 ✓ ✓ ✓ ✓
Effective 2/1/2023, remittance returned under
Ohio Medicaid
Monarch Healthcare IPA
IP095 837 ✓ ✓ ✓ ✓
Monitor Life - Crum & Forster (ERA Only)
IAS22 835 ✓ ✓ ✓ ✓
Monitor Life Insurance Company (Secondary claims only)
16098 835 ✓ ✓ ✓ ✓
Monitor Life Insurance Company (Secondary claims only)
16098 837 ✓ ✓ ✓
Montana Medicaid
12K77 835 ✓ ✓
Montana Medicaid
12K77 837 ✓ ✓
Montana Medicaid
SKMT0 835 ✓ ✓
Montana Medicaid
SKMT0 837 ✓ ✓
Montana Medicare
12M77 835 ✓ ✓
Montana Medicare
12M77 837 ✓ ✓ ✓
Montana Medicare
SMMT0 835 ✓ ✓
Montana Medicare
SMMT0 837 ✓ ✓ ✓
Montefiore Contract Management Organization
13174 835 ✓ ✓ ✓ ✓
Montefiore Contract Management Organization
13174 837 ✓ ✓ ✓ ✓
Montifiore HMO
46161 835 ✓ ✓ ✓ ✓
Montifiore HMO
46161 837 ✓ ✓ ✓ ✓
Monumental Life Insurance Company
MMLIC 837 ✓
Monumental Life Insurance Company (AR)
TLINS 837 ✓ ✓
Monumental Life Insurance Company (IA, MD, PA)
TRP1E 835 ✓ ✓ ✓ ✓
Monumental Life Insurance Company (IA, MD, PA)
TRP1E 837 ✓ ✓
Monumental Life Insurance Company (IA)
TRCLF 837 ✓ ✓
Monumental Life Insurance Company (TX)
TRLTC 837 ✓ ✓ ✓ ✓
MORRIS ASSOCIATES
35092 835 ✓ ✓
MORRIS ASSOCIATES
35092 837 ✓ ✓
MotivHealth
U7632 835 ✓ ✓ ✓ ✓
MotivHealth
U7632 837 ✓ ✓
Mountain State Blue Cross Blue Shield of West Virginia
12B28 837 ✓ ✓ ✓
Mountain State Blue Cross Blue Shield of West Virginia
SB941 835 ✓ ✓ ✓ ✓
Mountain State Blue Cross Blue Shield of West Virginia
SB941 837 ✓ ✓ ✓
Mountain States Administrative Services
86040 837 ✓ ✓
MPE Services Inc.
37233 837 ✓ ✓
MPEEBT
37233 837 ✓ ✓
MPM Prospect Medical Group
MPM16 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 96 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
MSA Care Guard
20572 837 ✓ ✓ ✓ ✓
MSC (Medical Service Company) Group, Inc.
80019 837 ✓ ✓
Mt. Carmel Health Plan
95655 835 ✓ ✓ ✓ ✓
Mt. Carmel Health Plan
95655 837 ✓ ✓ ✓ ✓
Multicare Connected Care (MCC)
RP036 835 ✓ ✓ ✓ ✓
Payer name listed at ECHO under 'NCAS'
Multicare Connected Care (MCC)
RP036 837 ✓ ✓ ✓ ✓
Multiplan Wisconsin Preferred Provider Network
34080 837 ✓ ✓
Municipal Health Benefit Fund
81883 837 ✓ ✓
Mutual Health Services
34192 835 ✓ ✓ ✓ ✓
Mutual Health Services
34192 837 ✓ ✓ ✓ ✓
Mutual of Omaha Insurance Company
71412 835 ✓ ✓ ✓ ✓
Mutual of Omaha Insurance Company
71412 837 ✓ ✓
Mutual of Omaha Insurance Company
CX087 835 ✓ ✓
Mutual of Omaha Insurance Company
CX087 837 ✓ ✓
Mutually Preferred
71412 835 ✓ ✓ ✓ ✓
Mutually Preferred
71412 837 ✓ ✓
MVP Health Plan (Mohawk Valley)
14165 835 ✓ ✓ ✓ ✓
MVP Health Plan (Mohawk Valley)
14165 837 ✓ ✓ ✓ ✓
MVP Health Rochester
12X04 837 ✓
My Choice Wisconsin
27004 835 ✓ ✓ ✓ ✓
My Choice Wisconsin
27004 837 ✓ ✓
My Choice Wisconsin BadgerCare Plus
62777 835 ✓ ✓ ✓ ✓
My Choice Wisconsin BadgerCare Plus
62777 837 ✓ ✓
My Family Medical Group
33020 837 ✓
MyDecision HealthSmart
18840 837 ✓ ✓ ✓ ✓
MyTruAdvantage
SIHOMA 835 ✓ ✓ ✓ ✓ ✓ ✓
MyTruAdvantage
SIHOMA 837 ✓ ✓ ✓ ✓ ✓
N.W. Ironworkers Health & Security Trust Fund
91136 835 ✓ ✓ ✓ ✓
N.W. Ironworkers Health & Security Trust Fund
91136 837 ✓ ✓
N.W. Roofers & Employers Health & Security Trust Fund
91136 835 ✓ ✓ ✓ ✓
N.W. Roofers & Employers Health & Security Trust Fund
91136 837 ✓ ✓
N.W. Textile Processors
91136 835 ✓ ✓ ✓ ✓
N.W. Textile Processors
91136 837 ✓ ✓
NAA (North America Administrators L.P.) (Nashville TN)
65085 835 ✓ ✓ ✓ ✓
NAA (North America Administrators L.P.) (Nashville TN)
65085 837 ✓ ✓
Experian Health Payer List Page 97 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
NALC/Affordable
53011 837 ✓ ✓ ✓ ✓
NAMCI/Global Care
L0110 837 ✓ ✓ ✓ ✓
NAMM-IL (Senior Care Partners) (ERA Only)
NANPR 835 ✓ ✓ ✓ ✓
ERA Only
NAPHCARE INC.
58182 837 ✓ ✓ ✓ ✓ ✓
Nascentia Health Plan
45529 835 ✓ ✓ ✓ ✓
Payer requires EFT Enrollment in order to receive
ERA
Nascentia Health Plan
45529 837 ✓ ✓
National Accident and Health General Agency Inc. (NAHGA)
67788 835 ✓ ✓ ✓ ✓
National Accident and Health General Agency Inc. (NAHGA)
67788 837 ✓ ✓ ✓ ✓
National Association of Letter Carriers/NALCHBP
53011 837 ✓ ✓ ✓ ✓
National Capital Preferred Provider Organization (NCPPO)
90001 837 ✓ ✓ ✓ ✓
National Elevator Industry Benefit Plan (ERA Only)
CX045 835 ✓ ✓ ✓ ✓
National Financial Insurance Company
90956 837 ✓
National Foundation Life Insurance
98205 837 ✓ ✓
National Foundation Life Insurance
USHA1 835 ✓ ✓ ✓ ✓
National General
ASHC1 837 ✓ ✓ ✓ ✓
National Guardian Life Insurance Co.
87020 835 ✓ ✓ ✓ ✓
National Guardian Life Insurance Co.
87020 837 ✓ ✓ ✓ ✓
National Imaging Associates
SX190 835 ✓ ✓ ✓ ✓
National Imaging Associates
SX190 837 ✓
National Rural Electric Coop (NRECA)
39026 835 ✓ ✓ ✓ ✓
National Rural Electric Coop (NRECA)
39026 837 ✓ ✓ ✓ ✓
National Telecommunications Cooperative Association
52120 835 ✓ ✓ ✓ ✓
National Telecommunications Cooperative Association
52120 837 ✓ ✓ ✓
National Telecommunications Cooperative Association (NTCA - Staff)
52104 837 ✓ ✓
National Telecommunications Cooperative Association (NTCA)
52103 837 ✓ ✓
National Vision Administrators
NVADM 837 ✓ ✓
Nebraska Medicaid
12K19 835 ✓ ✓
Nebraska Medicaid
12K19 837 ✓ ✓ ✓
Nebraska Medicaid
SKNE0 835 ✓ ✓
Nebraska Medicaid
SKNE0 837 ✓ ✓ ✓
Nebraska Medicare
12M19 835 ✓ ✓
Nebraska Medicare
12M19 837 ✓ ✓ ✓
Nebraska Medicare
SMNE0 835 ✓ ✓
Nebraska Medicare
SMNE0 837 ✓ ✓ ✓
Experian Health Payer List Page 98 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Nebraska Total Care
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Nebraska Total Care
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Neighborhood Health Partnership (NHP)
96107 837 ✓ ✓ ✓ ✓
Neighborhood Health Plan Rhode Island
05047 835 ✓ ✓ ✓ ✓
Neighborhood Health Plan Rhode Island
05047 837 ✓ ✓ ✓ ✓
Neighborhood Health Plan Rhode Island - Exchange, Unity, Integrity
96240 835 ✓ ✓ ✓ ✓
Neighborhood Health Plan Rhode Island - Exchange, Unity, Integrity
96240 837 ✓ ✓
Netcare Life and Health Insurance (Hagatna Guam)
66055 837 ✓ ✓
NetWell
27726 837 ✓ ✓
Network Health Insurance Corp-Medicare
77076 835 ✓ ✓ ✓ ✓
Network Health Insurance Corp-Medicare
77076 837 ✓ ✓
Network Health Plan of Wisconsin Inc.
39144 835 ✓ ✓ ✓ ✓
Network Health Plan of Wisconsin Inc.
39144 837 ✓ ✓
Network Medical Management
NMM01 835 ✓ ✓ ✓ ✓
Network Medical Management
NMM01 837 ✓ ✓
Network Solutions IPA
NSIPA 837 ✓ ✓
Network TPA LLC
58204 837 ✓ ✓
NEUEHEALTH
NEUEH 835 ✓ ✓ ✓ ✓
NEUEHEALTH
NEUEH 837 ✓ ✓
Nevada Medicaid
NVMMIS 835 ✓ ✓ ✓ ✓
Nevada Medicaid
NVMMIS 837 ✓ ✓ ✓ ✓ ✓ ✓
Nevada Medicare
SMNV0 835 ✓ ✓
Nevada Medicare
SMNV0 837 ✓ ✓ ✓
NEW AVENUES INC.
95998 837 ✓ ✓ ✓ ✓
New Century Health - IEHP Oncology
NCH11 837 ✓
New Century Health - Vista Cardiology
NCH09 837 ✓
New Directions Behavioral Health (NDBH)
NDX99 837 ✓ ✓ ✓ ✓
New England Dental Administrators (ERA Only)
43351 835 ✓ ✓ ✓ ✓
ERA Only
New Era Employee Welfare Benefit Plan Trust
76031 837 ✓ ✓
New Era Life
98798 835 ✓ ✓ ✓ ✓
New Era Life
98798 837 ✓ ✓
New Era Life - Employee Benefit Plans
96396 837 ✓ ✓
New Hampshire Medicaid
12K90 835 ✓ ✓
Experian Health Payer List Page 99 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
New Hampshire Medicaid
12K90 837 ✓ ✓
New Hampshire Medicaid
SKNH0 835 ✓ ✓
New Hampshire Medicaid
SKNH0 837 ✓ ✓ ✓
New Hampshire Medicare
12M21 835 ✓ ✓
New Hampshire Medicare
12M21 837 ✓ ✓ ✓
New Hampshire Medicare
SMNH0 835 ✓ ✓
New Hampshire Medicare
SMNH0 837 ✓ ✓ ✓
New Jersey Medicaid
MDNJI 835 ✓ ✓
New Jersey Medicaid
MDNJI 837 ✓ ✓ ✓
New Jersey Medicaid
MDNJP 835 ✓ ✓
New Jersey Medicaid
MDNJP 837 ✓ ✓ ✓
New Jersey Medicaid-Charity Care
CKNJ2 835 ✓ ✓
New Jersey Medicaid-Charity Care
CKNJ2 837 ✓ ✓ ✓
New Jersey Medicare
12005 835 ✓ ✓
New Jersey Medicare
12005 837 ✓ ✓ ✓
New Jersey Medicare
SMNJ0 835 ✓ ✓
New Jersey Medicare
SMNJ0 837 ✓ ✓ ✓
New Life Medical Group, Inc.
HSM01 837 ✓ ✓
New Mexico Medicaid
12K22 837 ✓ ✓ ✓
New Mexico Medicaid
SKNM0 835 ✓ ✓
New Mexico Medicaid
SKNM0 837 ✓ ✓
New Mexico Medicare
SMNM0 835 ✓ ✓
New Mexico Medicare
SMNM0 837 ✓ ✓ ✓
New York City Retirees
CX076 837 ✓ ✓
New York Hotel Fund
7707C 837 ✓
New York Life
12T69 837 ✓
New York Life
TH122 837 ✓ ✓
New York Medicaid
12K35 835 ✓ ✓
New York Medicaid
12K35 837 ✓ ✓
New York Medicaid
SKNY0 835 ✓ ✓ ✓ ✓
New York Medicaid
SKNY0 837 ✓ ✓ ✓ ✓ ✓
New York Medical Indemnity Fund
NYDFS 837 ✓ ✓ ✓ ✓
As of October 3rd, 2023, this payer does not
accept ERA at this time.
New York Medicare
12M35 835 ✓ ✓
New York Medicare
12M35 837 ✓ ✓ ✓
Experian Health Payer List Page 100 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
New York Medicare Downstate
SMNY0 835 ✓ ✓
New York Medicare Downstate
SMNY0 837 ✓ ✓ ✓ ✓
New York Medicare Queens
SMNY2 835 ✓ ✓
New York Medicare Queens
SMNY2 837 ✓ ✓ ✓
New York Medicare-Upstate
SMNY1 835 ✓ ✓
New York Medicare-Upstate
SMNY1 837 ✓ ✓ ✓
New York Network Management
11334 837 ✓
NEXCALIBER
ADSL1 837 ✓ ✓ ✓ ✓
Next Level Health Partners
69821 837 ✓ ✓
Next Level Health Partners
81085 835 ✓ ✓ ✓ ✓
Former payer code 69821
Next Level Health Partners
81085 837 ✓ ✓
NextBlue of North Dakota
55892 835 ✓ ✓ ✓ ✓
NextBlue of North Dakota
55892 837 ✓ ✓
Nexus Health Medical Group
NEX01 837 ✓ ✓
NGS American Inc
38225 835 ✓ ✓ ✓ ✓
NGS American Inc
38225 837 ✓ ✓
NH Healthy Families
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
NH Healthy Families
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
NH Healthy Families' Behavioral Health
68068 835 ✓ ✓ ✓ ✓
NH Healthy Families' Behavioral Health
68068 837 ✓ ✓ ✓ ✓
NHBCAUX
88050 837 ✓ ✓
NHC Advantage
NHC01 837 ✓ ✓
As of January 23, 2024, the payer does not offer
an electronic remittance.
Nippon Life Insurance Company of America
81264 835 ✓ ✓ ✓ ✓ ✓ ✓
Nippon Life Insurance Company of America
81264 837 ✓ ✓ ✓
Nivano Physicians Group
MBA01 837 ✓ ✓ ✓ ✓
NJ Carpenters Health Fund
22603 837 ✓ ✓ ✓ ✓
Noble AMA Select IPA
PDT01 835 ✓ ✓ ✓ ✓
Noble AMA Select IPA
PDT01 837 ✓ ✓
Nomi Health
1NOMI 835 ✓ ✓ ✓ ✓
Nomi Health
1NOMI 837 ✓ ✓
North American Medical Management - Southern California
IP079 835 ✓ ✓ ✓ ✓
North American Medical Management - Southern California
IP079 837 ✓ ✓
Experian Health Payer List Page 101 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
North Carolina Department of Public Safety Correctional Claims
38520 835 ✓ ✓
North Carolina Department of Public Safety Correctional Claims
38520 837 ✓ ✓ ✓ ✓ ✓
North Carolina Medicaid
12K23 835 ✓ ✓
North Carolina Medicaid
12K23 837 ✓ ✓ ✓
Encounter Claims Accepted
North Carolina Medicaid
SKNC0 835 ✓ ✓
North Carolina Medicaid
SKNC0 837 ✓ ✓ ✓
Encounter Claims Accepted
North Carolina Medicare
12M23 835 ✓ ✓
North Carolina Medicare
12M23 837 ✓ ✓
North Carolina Medicare
SMNC0 835 ✓ ✓
North Carolina Medicare
SMNC0 837 ✓ ✓
North County Health Services
SCP01 837 ✓ ✓
North Dakota Medicaid
12K78 835 ✓ ✓
North Dakota Medicaid
12K78 837 ✓ ✓ ✓
North Dakota Medicaid
SKND0 835 ✓ ✓
North Dakota Medicaid
SKND0 837 ✓ ✓ ✓
North Dakota Medicare
12M82 835 ✓ ✓
North Dakota Medicare
12M82 837 ✓ ✓ ✓
North Dakota Medicare
SMND0 835 ✓ ✓
North Dakota Medicare
SMND0 837 ✓ ✓ ✓
North East Medical Services
NEMS 835 ✓ ✓ ✓ ✓
North East Medical Services
NEMS 837 ✓ ✓ ✓ ✓
North Texas Healthcare Network
35212 837 ✓ ✓ ✓ ✓
Payer Code 35212 is being deactivated soon.
Claims for this plan should be sent using payer
code 75250
North West Orange County Medical Group
PROSP 835 ✓ ✓
North West Orange County Medical Group
PROSP 837 ✓ ✓
Northeast Georgia Health Services
58169 835 ✓ ✓ ✓ ✓
Northeast Georgia Health Services
58169 837 ✓ ✓
Northern California Advantage Medical Group
NCA01 837 ✓
aka NCA Medical Group
Northern California Physicians Group
NCPG1 837 ✓ ✓
Northern Illinois Health Plan
36347 837 ✓ ✓
Northern Nevada Trust Fund
88027 837 ✓ ✓
Northridge Medical Group
NMG01 837 ✓
NorthShore Physician Associates
36364 835 ✓ ✓ ✓ ✓
NorthShore Physician Associates
36364 837 ✓ ✓
Experian Health Payer List Page 102 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
NorthShore Physician Associates (DOS < 1/1/23)
48026 835 ✓ ✓ ✓ ✓
NorthShore University Health System Medical Group
36364 835 ✓ ✓ ✓ ✓
NorthShore University Health System Medical Group
36364 837 ✓ ✓
Northwest Administrators Inc (ERA Only)
91068 835 ✓ ✓ ✓ ✓
ERA Only
Northwest Community Health Partners
36364 835 ✓ ✓ ✓ ✓
Northwest Community Health Partners
36364 837 ✓ ✓
Northwest Community Health Partners (DOS < 1/1/23)
NWCHP 835 ✓ ✓ ✓ ✓
Northwest Community Health Partners (DOS < 1/1/23)
NWCHP 837 ✓ ✓
Claims with DOS after Jan 1 2023, please submit to
payer code 36364
Northwest Diagnostic Clinic/SelectCare of Texas (NWDC)
62119 837 ✓ ✓
Northwest Physicians Network
LIFE1 837 ✓ ✓ ✓ ✓
For claim Dates of Service on or after 01/01/21.
Northwest Physicians Network
NPN11 837 ✓ ✓ ✓ ✓
Use NPN11 for Dates of Service prior to 01/01/21
Northwest Suburban IPA (Illinois)
36346 835 ✓ ✓ ✓ ✓
Northwest Suburban IPA (Illinois)
36346 837 ✓ ✓
Northwestern Memorial Healthcare
NWEST 837 ✓ ✓ ✓ ✓
For claim DOS on or after 1/1/21
Northwood Healthcare
NWOOD 835 ✓ ✓ ✓ ✓
Northwood Healthcare
NWOOD 837 ✓ ✓ ✓ ✓
Novasys Health Network
71080 837 ✓ ✓
NP Providence Health Plan Commercial
PHMD1 837 ✓ ✓
NP Providence Health Plan Medicare
PHMD2 837 ✓
NP Providence Health Plan OHP
PHMD3 837 ✓
NP Yamhill County CCO
PHMD4 837 ✓
Nuestra Familia Medical Group (Prospect Medical Group)
PROSP 835 ✓ ✓
Nuestra Familia Medical Group (Prospect Medical Group)
PROSP 837 ✓ ✓
Nyhart
37299 837 ✓ ✓
NYLCARE CA
91135 837 ✓
NYS DOH UCP
14142 835 ✓ ✓ ✓ ✓
NYS DOH UCP
14142 837 ✓ ✓ ✓ ✓
Oak Street Health
OAKST 837 ✓ ✓
Oak West Physician Association
36400 835 ✓ ✓ ✓ ✓
Oak West Physician Association
36400 837 ✓ ✓
Oasis IPA
DESRT 837 ✓
OCCUPATIONAL EYEWEAR NETWORK INC
50653 837 ✓ ✓
Ochsner Health Plan
72127 837 ✓ ✓
OCRW Orange County Health Services Dept - Ryan White Program
69879 837 ✓ ✓
Experian Health Payer List Page 103 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Ohio Health Choice PPO
34189 837 ✓ ✓
Ohio Medicaid
SKOH0 835 ✓ ✓ ✓ ✓
Ohio Medicaid
SKOH0 837 ✓ ✓ ✓ ✓
Ohio Medicare
12M24 835 ✓ ✓
Ohio Medicare
12M24 837 ✓ ✓ ✓
Ohio Medicare
SMOH0 835 ✓ ✓
Ohio Medicare
SMOH0 837 ✓ ✓ ✓
Ohio PPO Connect
74431 835 ✓ ✓ ✓ ✓
Ohio PPO Connect
74431 837 ✓ ✓ ✓ ✓
OhioHealthy
48116 835 ✓ ✓ ✓ ✓
OhioHealthy
48116 837 ✓ ✓
Oklahoma Humana Healthy Horizon
61101 835 ✓ ✓ ✓ ✓
ERA Payer Code 61101
Oklahoma Humana Healthy Horizon
61101 837 ✓ ✓ ✓ ✓
Oklahoma Complete Care
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Oklahoma Complete Care
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Oklahoma DRS DOC
71065 835 ✓ ✓ ✓ ✓
Effective 1/1/23, ERA enrollment completed under
UMR (39026).
Oklahoma DRS DOC
71065 837 ✓ ✓
Oklahoma Medicaid
12K25 835 ✓ ✓
Oklahoma Medicaid
12K25 837 ✓ ✓
Oklahoma Medicaid
SKOK0 835 ✓ ✓
Oklahoma Medicaid
SKOK0 837 ✓ ✓
Oklahoma Medicare
12M37 835 ✓ ✓
Oklahoma Medicare
12M37 837 ✓ ✓ ✓
Oklahoma Medicare
SMOK0 835 ✓ ✓
Oklahoma Medicare
SMOK0 837 ✓ ✓ ✓
Old Surety Life Insurance Company (ERA Only)
29237 835 ✓ ✓ ✓ ✓
Olympus Managed Health Care
65074 837 ✓ ✓
OMNI Administrators
OMNIA 835 ✓ ✓
also known as Leading Edge Administrators
OMNI Administrators
OMNIA 837 ✓
Omni IPA
36090 837 ✓ ✓
Omnicare Medical Group (OMNI)
OMN02 837 ✓ ✓
As of September 28th, 2023, this payer does not
accept ERA at this time.
Oncology Physicians Network CA PC
OPNC1 837 ✓ ✓
Experian Health Payer List Page 104 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
One Call Medical
22321 835 ✓ ✓ ✓ ✓
One Call Medical
22321 837 ✓ ✓
OnLok Senior Health Services, Inc.
99485 837 ✓ ✓
OODA Health
OODAH 837 ✓ ✓
OPEIU LOCALS 30 AND 536
BPA01 837 ✓
Operating Engineers Locals 302 & 612 Health & Security Fund
91136 835 ✓ ✓ ✓ ✓
Operating Engineers Locals 302 & 612 Health & Security Fund
91136 837 ✓ ✓
OptiCare Managed Vision
56190 835 ✓ ✓
OptiCare Managed Vision
56190 837 ✓
Opticare of Utah
OPCAU 837 ✓
Optima Insurance Company
54154 835 ✓ ✓ ✓ ✓
Optima Insurance Company
54154 837 ✓ ✓ ✓ ✓
Optimed Health Plans
96277 837 ✓ ✓ ✓ ✓
Optimum Choice of the Carolinas Inc. (OCCI)
52152 837 ✓ ✓
Optimum Healthcare Inc.
20133 835 ✓ ✓ ✓ ✓
Optimum Healthcare Inc.
20133 837 ✓ ✓
Optum Care Network
OCN01 835 ✓ ✓ ✓ ✓
Optum Care Network
OCN01 837 ✓ ✓ ✓ ✓
Inst: Effective January 1st, 2024, please submit all
claims with Date of service prior to 1/1/2024 to
EXC01, PMGSJ .Please submit all claims with Date
of Service 1/1/2024 and onward to OCN01, Optum
Care Network.Formerly Healthcare Partners
California; Prof: Effective January 1st, 2024,
please submit all claims with Date of service prior
to 1/1/2024 to EXC01, PMGSJ .Please submit all
claims with Date of Service 1/1/2024 and onward
to OCN01, Optum Care Network.Formerly
Healthcare Partners California;
Optum Maryland Behavioral Health
OMDBH 835 ✓ ✓ ✓ ✓
Optum Maryland Behavioral Health
OMDBH 837 ✓ ✓ ✓ ✓
Optum Medical Network / AZ, UT (formerly Lifeprint Arizona)
LIFE1 835 ✓ ✓ ✓ ✓
Optum Medical Network / AZ, UT (formerly Lifeprint Arizona)
LIFE1 837 ✓ ✓ ✓ ✓
For claim Dates of Service on or after 01/01/21.
Optum MedicalRx
ORXM1 837 ✓
For claims with DOS on or after 1/1/2024.
OptumCare Network of CT
E3287 835 ✓ ✓ ✓ ✓
OptumCare Network of CT
E3287 837 ✓ ✓
OptumHealth
87726 837 ✓ ✓
OptumHealth Behavioral Solutions (formerly Pacificare Behavioral Health)
87726 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 105 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
OptumHealth Behavioral Solutions (formerly United Behavioral Health)
87726 837 ✓ ✓ ✓ ✓
OptumHealth Care Solutions (formerly United Resource Networks)
41194 835 ✓ ✓ ✓ ✓
OptumHealth Care Solutions (formerly United Resource Networks)
41194 837 ✓ ✓ ✓ ✓
OptumHealth Physical Health
41161 835 ✓ ✓
OptumHealth Physical Health
41161 837 ✓ ✓
Former payer codes 41159, 41160 (includes
Oxford)
OptumHealth Physical Health - includes Oxford (formerly ACN & ACNIPA)
41160 837 ✓
OptumHealth Vision
00773 835 ✓ ✓
OptumHealth Vision
00773 837 ✓ ✓
Orange Coast Memorial IPA
IP095 837 ✓ ✓ ✓ ✓
Orange County Advantage Medical Group
HSM01 837 ✓ ✓
Orange County Health Care Agency
65021 837 ✓ ✓ ✓ ✓
Oregon Medicaid
12K41 835 ✓ ✓
Oregon Medicaid
12K41 837 ✓ ✓ ✓
Oregon Medicaid
SKOR0 835 ✓ ✓
Oregon Medicaid
SKOR0 837 ✓ ✓ ✓
Oregon Medicare
12M41 835 ✓ ✓
Oregon Medicare
12M41 837 ✓ ✓ ✓
Oregon Medicare
SMOR0 835 ✓ ✓
Oregon Medicare
SMOR0 837 ✓ ✓ ✓
Orthonet - Uniformed Services Family Health Plan
13382 837 ✓
Orthonet- Aetna
13383 835 ✓ ✓ ✓ ✓
Orthonet- Aetna
13383 837 ✓ ✓ ✓ ✓
Oscar Health
OSCAR 835 ✓ ✓ ✓ ✓
Oscar Health
OSCAR 837 ✓ ✓ ✓ ✓
OSF Healthcare Central
OSFC9 837 ✓ ✓
OSF Healthcare East I & P
OSFE9 837 ✓ ✓
OSU Aetna Better Health
OSUAE 837 ✓ ✓
OSU Centene Oklahoma Complete Health
OSUCE 837 ✓ ✓
OSU Center For Health Sciences
76619 837 ✓ ✓
OSU Humana Healthy Horizons
OSUHU 837 ✓
Outpatient Services/ZeroOutofPocket
04430 837 ✓ ✓
Oxford Life Insurance Company (ERA Only)
76112 835 ✓ ✓ ✓ ✓
P3 Health Partners Arizona
58375 837 ✓ ✓
P3 Health Partners of Nevada
P3HNV 835 ✓ ✓ ✓ ✓
Experian Health Payer List Page 106 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
P3 Health Partners of Nevada
P3HNV 837 ✓ ✓ ✓ ✓
PA Health and Wellness
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
PA Health and Wellness
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
PACE Central Iowa
72436 837 ✓ ✓
PACE CNY
70454 837 ✓ ✓
PACE Nebraska
35416 837 ✓ ✓
PACE Southeast Michigan
86711 835 ✓ ✓ ✓ ✓
PACE Southeast Michigan
86711 837 ✓ ✓
PACE Southeast Michigan
R3460 837 ✓ ✓ ✓ ✓
Claims previously submitted to payer code 86711
prior to DOS 2/1/2024. Effective February 1st,
2024, please submit all claims to R3460, PACE
Southeast Michigan.
PACE Southwest Iowa
53534 837 ✓ ✓
Pace Suburban Bus Service (submitted via IDPA)
PACE1 837 ✓
Pacific Alliance Medical Center
SYMED 837 ✓ ✓
Pacific Alliance Medical Group
SYMED 837 ✓ ✓
Pacific IPA
PCFCI 837 ✓
Pacific Life & Annuity
67466 837 ✓ ✓
Pacific Southwest Administrators
75309 835 ✓ ✓ ✓ ✓
Pacific Southwest Administrators
75309 837 ✓ ✓ ✓ ✓
Pacifica of the Valley Hospital
MPM50 837 ✓ ✓
PacificSource Community Solutions
20416 837 ✓ ✓
PacificSource Health Plans
93029 835 ✓ ✓ ✓ ✓
PacificSource Health Plans
93029 837 ✓ ✓ ✓ ✓
PacificSource Medicare
20377 837 ✓ ✓
Painter Local 155 Welfare
CX076 837 ✓ ✓
Painters Union Insurance Fund
53483 837 ✓ ✓ ✓ ✓
Palo Alto Medical Foundation
94115 835 ✓ ✓ ✓ ✓
Palo Alto Medical Foundation
94115 837 ✓ ✓ ✓ ✓
Pan American Life Insurance Co.
87020 835 ✓ ✓ ✓ ✓
Pan American Life Insurance Co.
87020 837 ✓ ✓ ✓ ✓
Pan American Life Insurance Group
04218 835 ✓ ✓ ✓ ✓
Pan American Life Insurance Group
04218 837 ✓ ✓
Paragon Benefits Inc.
58174 835 ✓ ✓ ✓ ✓ ✓ ✓
Experian Health Payer List Page 107 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Paragon Benefits Inc.
58174 837 ✓ ✓ ✓ ✓ ✓ ✓
Paramount Dental
CX019 837 ✓ ✓
Paramount Health
PARHC 835 ✓ ✓ ✓ ✓
Paramount Health
SX158 837 ✓ ✓
ERA Payer Code PARHC
Paramount Healthcare Services
PARHC 835 ✓ ✓ ✓ ✓
ERA Payer Code PARHC
Parkland Community Health Plan
66917 835 ✓ ✓ ✓
Parkland Community Health Plan
66917 837 ✓ ✓
PARTNERS BEHAVIORAL HEALTH MANAGEMENT
13141 835 ✓ ✓ ✓ ✓
PARTNERS BEHAVIORAL HEALTH MANAGEMENT
52613 837 ✓ ✓ ✓ ✓
Partners Health Plan Dental
CX014 835 ✓ ✓
Partners Health Plan Dental
CX014 837 ✓
Partners In Health
PARTH 837 ✓ ✓
Partnership Health Plan Of California
12M81 835 ✓ ✓
Partnership Health Plan Of California
12M81 837 ✓ ✓
Claim Enrollment AND Testing is Required for
Every NPI.
Partnership Health Plan Of California
SX140 835 ✓ ✓
Partnership Health Plan Of California
SX140 837 ✓ ✓
Claim Enrollment AND Testing is Required for
Every NPI.
Passport Advantage
66008 835 ✓ ✓ ✓ ✓
Passport Advantage
66008 837 ✓ ✓
Passport Health Plan by Molina Healthcare
61325 835 ✓ ✓ ✓ ✓
As of 8/29/22, Molina has designated ECHO
Health as their ERA gateway to better meet
provider's payment solutions needs
Passport Health Plan by Molina Healthcare
61325 837 ✓ ✓
PATH Administrators
25172 837 ✓ ✓ ✓ ✓
Patient Advocates LLC
10525 835 ✓ ✓
Patient Advocates LLC
10525 837 ✓
Patient Advocates LLC
55489 835 ✓ ✓ ✓ ✓
Patient Advocates LLC
55489 837 ✓ ✓ ✓ ✓
Patient Physician Cooperatives
20510 837 ✓ ✓ ✓ ✓
PATIENTPAY
26335 837 ✓
Payer Compass
PA331 837 ✓ ✓ ✓ ✓
Payer Fusion
27048 837 ✓ ✓
Peach State Health Plan
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Peach State Health Plan
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Experian Health Payer List Page 108 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Peak Health
PEAK0 835 ✓ ✓ ✓ ✓
Peak Health
PEAK0 837 ✓ ✓
Peak Pace Solutions
27034 835 ✓ ✓ ✓ ✓
Peak Pace Solutions
27034 837 ✓
Peak Pace Solutions
U7034 837 ✓
PEF Clinic
PEF01 837 ✓ ✓
Pegasus Medical Group
PROSP 835 ✓ ✓
Pegasus Medical Group
PROSP 837 ✓ ✓
Pegasus Medical Group
SMG01 837 ✓ ✓
PEHP - Utah Public Employee Health Plan
SX106 835 ✓ ✓ ✓ ✓
PEHP - Utah Public Employee Health Plan
SX106 837 ✓ ✓ ✓ ✓ ✓ ✓
Pekin Insurance
37086 835 ✓ ✓ ✓ ✓
Pekin Insurance
37086 837 ✓ ✓
Penn Behavioral Health
53226 837 ✓ ✓
Pennsylvania Health Care Plan (ERA Only)
VALHLTH 835 ✓ ✓ ✓ ✓
ERA Only
Pennsylvania Medicaid
12008 835 ✓ ✓
Pennsylvania Medicaid
12008 837 ✓ ✓
Pennsylvania Medicaid
SKPA0 835 ✓ ✓
Pennsylvania Medicaid
SKPA0 837 ✓ ✓
Pennsylvania Medicare
12M60 835 ✓ ✓
Pennsylvania Medicare
12M60 837 ✓ ✓ ✓
Pennsylvania Medicare
SMPA0 835 ✓ ✓
Pennsylvania Medicare
SMPA0 837 ✓ ✓ ✓
Pennsylvania Pace
20172 837 ✓ ✓
Pennsylvania Preferred Health Network (PPHN)
06161 837 ✓ ✓ ✓ ✓
Peoples Health Network
72126 835 ✓ ✓ ✓ ✓
Peoples Health Network
72126 837 ✓ ✓
Pequot Pharmaceutical Network
37121 837 ✓ ✓
Perennial Advantage CO
PACO1 837 ✓ ✓
As of January 23, 2024, the payer does not offer
an electronic remittance.
Perennial Advantage OH
PAOH1 835 ✓ ✓ ✓ ✓
Perennial Advantage OH
PAOH1 837 ✓ ✓
Personal Insurance Administrators Inc. (Agoura Hills CA)
95397 835 ✓ ✓ ✓ ✓
Personal Insurance Administrators Inc. (Agoura Hills CA)
95397 837 ✓ ✓
PHCS Claims (formerly American LIFECARE)
72099 837 ✓ ✓
Experian Health Payer List Page 109 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Philadelphia American Life Insurance Company
98798 835 ✓ ✓ ✓ ✓
Philadelphia American Life Insurance Company
98798 837 ✓ ✓
Phoenix Mutual Life
67814 837 ✓ ✓
Physician Associates of Louisiana
58204 837 ✓ ✓
Physician Associates of the Greater San Gabriel Valley
PA513 837 ✓ ✓
Physician Care Network LLC
58204 837 ✓ ✓
Physician Health Partners
PHPMC 837 ✓ ✓ ✓ ✓
Physician Healthcare Integration IPA
POP10 837 ✓
PHYSICIAN'S ACCOUNTABLE CARE ORG
28943 837 ✓ ✓
Physician's Data Trust
PDT01 835 ✓ ✓ ✓ ✓
Physician's Data Trust
PDT01 837 ✓ ✓
Physician's Health Choice
PHCS1 837 ✓
Effective 1/30/23, please submit claims to payer
code WELM2.
Physicians Care Network (Rockford IL only)
36345 835 ✓ ✓ ✓ ✓
Physicians Care Network (Rockford IL only)
36345 837 ✓ ✓
Physicians Care Network / The Polyclinic
PCN12 837 ✓ ✓
Physicians Choice Medical Group of San Luis Obispo
SLOS1 835 ✓ ✓ ✓ ✓
Physicians Choice Medical Group of San Luis Obispo
SLOS1 837 ✓ ✓
Physicians Choice Medical Group of Santa Maria
MCI01 835 ✓ ✓ ✓ ✓
Physicians Choice Medical Group of Santa Maria
MCI01 837 ✓ ✓
Physicians Health Association of Illinois
37136 835 ✓ ✓ ✓ ✓
Physicians Health Association of Illinois
37136 837 ✓ ✓
Physicians Health Collaborative
20398 837 ✓ ✓
Physicians Health Network
MHM03 837 ✓
Physicians Health Plan
37330 835 ✓ ✓ ✓ ✓
Physicians Health Plan
37330 837 ✓ ✓ ✓ ✓
Physicians Health Plan
MNJVH 835 ✓ ✓ ✓ ✓
Physicians Health Plan
MNJVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
Physicians Health Plan of Michigan Medicare
83276 835 ✓ ✓ ✓
Physicians Health Plan of Michigan Medicare
83276 837 ✓ ✓
Physicians Health Plan of Northern Indiana, Inc
12399 835 ✓ ✓ ✓ ✓
Physicians Health Plan of Northern Indiana, Inc
12399 837 ✓ ✓ ✓
Physicians Healthways IPA
NMM01 835 ✓ ✓ ✓ ✓
Physicians Healthways IPA
NMM01 837 ✓ ✓
Physicians Medical Group of San Jose
EXC01 835 ✓ ✓ ✓ ✓
Experian Health Payer List Page 110 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Physicians Medical Group of San Jose
EXC01 837 ✓ ✓ ✓ ✓
Inst: Effective January 1st, 2024, please submit all
claims with Date of service prior to 1/1/2024 to
EXC01, PMGSJ.Please submit all claims with Date
of Service 1/1/2024 and onward to OCN01, Optum
Care Network. Also known as Excel MSO; Prof:
Effective January 1st, 2024, please submit all
claims with Date of service prior to 1/1/2024 to
EXC01, PMGSJ. Please submit all claims with Date
of Service 1/1/2024 and onward to OCN01, Optum
Care Network. Also known as Excel MSO;
Physicians Medical Group of Santa Cruz County
PMGSC 837 ✓
Physicians Mutual Insurance Company
47027 835 ✓ ✓ ✓ ✓
Physicians Mutual Insurance Company
47027 837 ✓ ✓
Physicians of Southwest Washington
91171 835 ✓ ✓ ✓ ✓
Physicians of Southwest Washington
91171 837 ✓ ✓
Physicians Plus Insurance Corporation
39156 837 ✓ ✓
PhysMetrics
48008 837 ✓ ✓ ✓ ✓
PIEDMONT COMMUNITY HEALTH PLAN
55768 835 ✓ ✓ ✓ ✓
PIEDMONT COMMUNITY HEALTH PLAN
55768 837 ✓ ✓
PIH Health
BHP01 835 ✓ ✓ ✓ ✓
PIH Health
BHP01 837 ✓ ✓
PIH Health (ERA Only)
PIH01 835 ✓ ✓ ✓ ✓
ERA Only
Pinnacle Claims Management Inc.
24735 837 ✓ ✓
Pinnacle Health Resources (Prospect Medical Group)
PROSP 835 ✓ ✓
Pinnacle Health Resources (Prospect Medical Group)
PROSP 837 ✓ ✓
Pinnacle Medical Group
95271 835 ✓ ✓ ✓ ✓
Pinnacle Medical Group
95271 837 ✓ ✓
Pinnacle Physician Management ORG
45985 837 ✓ ✓
Payer code is no longer active … please send
claims to Wellcare payer id 14163
Pioneer Medical Group
PIONR 837 ✓
Pioneer Provider Network (for claims with DOS prior to 3/31/19)
PPNZZ 835 ✓ ✓
Pioneer Provider Network (for claims with DOS prior to 3/31/19)
PPNZZ 837 ✓ ✓
Medicare and Commercial members only. Claims
submitted with DOS prior to 3/31/2019
Pittsburgh Care Partnership Inc.
23283 835 ✓ ✓ ✓ ✓
Pittsburgh Care Partnership Inc.
23283 837 ✓ ✓
Plan de Salud Hospital Menonita
L0190 837 ✓ ✓
Planned Administrators, Incorporated (PAI)
37287 835 ✓ ✓ ✓ ✓
Planned Administrators, Incorporated (PAI)
37287 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 111 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
PLANSTIN
65241 835 ✓ ✓ ✓ ✓
PLANSTIN
65241 837 ✓ ✓ ✓ ✓
Podi Care Managed Care
58204 837 ✓ ✓
PODIATRY NETWORK FL
59324 837 ✓ ✓
Point Comfort Underwriters
PCU01 837 ✓ ✓
For claims where patient is less than 18 years old.
Point Comfort Underwriters
PCU02 837 ✓ ✓
For claims where patient is 18 years old or older
Polish Falcons of America
87020 835 ✓ ✓ ✓ ✓
Polish Falcons of America
87020 837 ✓ ✓ ✓ ✓
Pool Administrators, Inc. (PAI)
PAI02 835 ✓ ✓
Pool Administrators, Inc. (PAI)
PAI02 837 ✓ ✓
Positive Healthcare - California
95422 837 ✓ ✓
Positive Healthcare Florida (FL MCO PHC/PHP)
95411 837 ✓ ✓ ✓ ✓
Prairie States Enterprises Inc.
36373 835 ✓ ✓ ✓ ✓
Prairie States Enterprises Inc.
36373 837 ✓ ✓ ✓
Preferred Administrators
60338 837 ✓ ✓ ✓ ✓
Claims previously submitted to payer code 88057.
Effective June 30th, 2023, please submit all claims
to 60338.
Preferred Administrators
EPF10 835 ✓ ✓ ✓ ✓
Preferred Administrators
EPF10 837 ✓ ✓
Preferred Benefit Administrators (Longwood FL)
53476 837 ✓ ✓ ✓ ✓
Preferred Blue (BCBS SC)
00481 835 ✓ ✓ ✓ ✓
Preferred Blue (BCBS SC)
00481 837 ✓ ✓
Preferred Care Partners Florida
65088 835 ✓ ✓ ✓ ✓
Preferred Care Partners Florida
65088 837 ✓ ✓ ✓ ✓
Preferred Community Choice/PCCSelect/CompMed
73145 837 ✓ ✓ ✓ ✓
Preferred Health Care (PHC)
33898 837 ✓ ✓ ✓ ✓
Preferred Health Partners
14966 837 ✓ ✓
Preferred Health Plan (Louisville KY)
61106 837 ✓ ✓
Payer Code 61106 is being deactivated soon.
Claims for this plan should be sent using payer
code 87815.
Preferred Health Plan of the Carolinas
CB404 835 ✓ ✓ ✓ ✓
Preferred Health Plan of the Carolinas
CB404 837 ✓ ✓
Preferred Health Professionals
31478 837 ✓ ✓
Preferred Health Systems A Coventry Health Care Plan
61665 837 ✓
Preferred IPA
PFIPA 837 ✓ ✓
Preferred Medical Claim Solutions (PMCS) (ERA Only)
21524 835 ✓ ✓ ✓ ✓
ERA Only
Experian Health Payer List Page 112 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
PreferredOne (MN)
41147 835 ✓ ✓ ✓ ✓
PreferredOne (MN)
41147 837 ✓ ✓
Premera BCBS of Washington
00430 835 ✓ ✓ ✓ ✓
Premera BCBS of Washington
00430 837 ✓ ✓ ✓ ✓
Premera BCBS of Washington Dental
47570 835 ✓ ✓
Premera BCBS of Washington Dental
47570 837 ✓ ✓
Premera Blue Cross Blue Shield of Alaska
00430 835 ✓ ✓ ✓ ✓
Premera Blue Cross Blue Shield of Alaska
00430 837 ✓ ✓ ✓ ✓
Premier Administrative Solutions
65415 837 ✓ ✓
Underwritten by National Guardian Life
Premier Care IPA
PCMSO 837 ✓ ✓
Payer returns ERAs automatically once electronic
claim submission begins.
Premier Dental Group
CX029 837 ✓ ✓
Premier Eye Care
65054 835 ✓ ✓
Premier Eye Care
65054 837 ✓ ✓
Premier Health Systems Inc.
29076 835 ✓ ✓ ✓ ✓
Premier Health Systems Inc.
29076 837 ✓ ✓ ✓ ✓
Premier HealthCare Exchange
88056 835 ✓ ✓ ✓ ✓
Premier HealthCare Exchange
88056 837 ✓ ✓
Premier HealthCare Exchange, Inc. (PHX)
88051 837 ✓ ✓
Premier Patient Care IPA
PPCIP 835 ✓ ✓
Payer returns ERAs automatically once electronic
claim submission begins.
Premier Patient Care IPA
PPCIP 837 ✓ ✓
Premier Physician Network
MPM22 837 ✓ ✓ ✓ ✓
Presbyterian (NM)
05003 837 ✓ ✓ ✓ ✓
Presbyterian (NM)
TH061 835 ✓ ✓ ✓ ✓
Presbyterian Health Plan
PREHP 837 ✓ ✓
Presence ERC
46311 835 ✓ ✓ ✓ ✓
aka Amita ERC
Presence ERC
46311 837 ✓ ✓
Presence Health Partners
36396 837 ✓ ✓
Prevea 360 Health Plan
39113 835 ✓ ✓ ✓ ✓
Prevea 360 Health Plan
39113 837 ✓ ✓ ✓ ✓
Prevea360 Health Plan
39113 837 ✓ ✓ ✓ ✓
Prevea360 Health Plan
41822 837 ✓ ✓ ✓ ✓
Inst: As of January 1, 2024, this payer does not
offer Electronic Remittance Advice (ERA) at this
time. ; Prof: As of January 1, 2024, this payer does
not offer Electronic Remittance Advice (ERA) at
this time.;
Experian Health Payer List Page 113 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Primary Care Associates Medical Group (PCAMG)
IP079 835 ✓ ✓ ✓ ✓
Primary Care Associates Medical Group (PCAMG)
IP079 837 ✓ ✓
Primary Care Associates of California
PCACZ 837 ✓ ✓
Primary Care Practices Of Sacramento - EHS
SYMED 837 ✓ ✓
Primary Care Services
MSO44 837 ✓
Primary Health Network
82048 837 ✓ ✓
Primary PhysicianCare Inc.
56144 835 ✓ ✓ ✓ ✓
Primary PhysicianCare Inc.
56144 837 ✓ ✓
Prime Community Care Central Valley
MVCV1 835 ✓ ✓
Payer returns ERA automatically upon claim
submission
Prime Community Care Central Valley
MVCV1 837 ✓ ✓
Payer returns ERA automatically upon claim
submission
Prime West Health Plan
61604 835 ✓ ✓ ✓ ✓
Prime West Health Plan
61604 837 ✓ ✓
PrimeCare Medical Network
IP079 835 ✓ ✓ ✓ ✓
PrimeCare Medical Network
IP079 837 ✓ ✓
PrimeWest Health Dental
LX049 837 ✓ ✓
Principal Financial Group (Dental claims only)
61271 835 ✓ ✓
Principal Financial Group (Dental claims only)
61271 837 ✓ ✓ ✓
Principal Life (ERA Only)
IAS14 835 ✓ ✓ ✓ ✓
ERA Only
Priority Health
38217 835 ✓ ✓ ✓ ✓
Priority Health
38217 837 ✓ ✓ ✓ ✓
Priority Health (JVHL)
JZJVH 835 ✓ ✓ ✓ ✓
Priority Health (JVHL)
JZJVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
Prism Network Inc.
37268 837 ✓
Prism-Univera
37315 837 ✓ ✓
Pro Care Health Plan Inc. (Detroit MI)
38329 837 ✓ ✓
ProCare (Prospect)
PROSP 835 ✓ ✓
ProCare (Prospect)
PROSP 837 ✓ ✓
ProCare Advantage of TX
PTX01 835 ✓ ✓ ✓ ✓
ProCare Advantage of TX
PTX01 837 ✓ ✓
Prodegi Corporate Benefit Services
87065 837 ✓ ✓
Professional Benefit Administrators Inc. (Oak Brook IL)
36331 835 ✓ ✓ ✓ ✓ ✓ ✓
Professional Benefit Administrators Inc. (Oak Brook IL)
36331 837 ✓ ✓ ✓ ✓
Professional Benefit Services Inc
56724 837 ✓ ✓
Professional Health Care Network (PHCN)
26748 837 ✓ ✓
Experian Health Payer List Page 114 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Progyny
PROGY 835 ✓ ✓ ✓ ✓
Progyny
PROGY 837 ✓ ✓
Prominence Health Plan of Nevada
93082 835 ✓ ✓ ✓ ✓
Prominence Health Plan of Nevada
93082 837 ✓ ✓
Prominence Health Plan of Texas
80095 837 ✓ ✓
Prominence Healthfirst
83352 837 ✓ ✓
Prospect Health Network
PROSP 835 ✓ ✓
Prospect Health Network
PROSP 837 ✓ ✓
Prospect Medical Group
PROSP 835 ✓ ✓ ✓ ✓
Prospect Medical Group
PROSP 837 ✓ ✓ ✓ ✓
Prospect Sherman Oaks Medical Group (Prospect Medical Group)
PROSP 835 ✓ ✓
Prospect Sherman Oaks Medical Group (Prospect Medical Group)
PROSP 837 ✓ ✓
Protective Life Insurance Company
37309 837 ✓ ✓
Providence Facility Claims
PROV1 837 ✓ ✓
Providence Health Assurance Medicaid
77350 837 ✓ ✓ ✓ ✓
Providence Health Plan
PHP01 835 ✓ ✓ ✓ ✓
Providence Health Plan
PHP01 837 ✓ ✓ ✓ ✓
Providence of Oregon Health Plan
PHP01 835 ✓ ✓ ✓ ✓
Providence of Oregon Health Plan
SX133 837 ✓ ✓
Effective February 23, 2024, use payer code
PHP01.
Providence PACE CA
77240 837 ✓ ✓
Providence PPO
SX187 837 ✓ ✓ ✓ ✓
Providence Preferred
PHP00 837 ✓
Provident American Life & Health Ins Co-Medicare Supplement
13193 835 ✓ ✓ ✓ ✓
Provident American Life & Health Ins Co-Medicare Supplement
13193 837 ✓ ✓ ✓ ✓
Provider Network of America
MPJVH 835 ✓ ✓ ✓ ✓
Provider Network of America
MPJVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
Provider Partners Health Plan Illinois
31401 837 ✓ ✓ ✓ ✓
Provider Partners Health Plan Missouri
31404 835 ✓ ✓ ✓ ✓
Provider Partners Health Plan Missouri
31404 837 ✓ ✓
Provider Partners Health Plan Ohio
31402 835 ✓ ✓ ✓ ✓
ERA enrollment not required. Payer returns ERA
automatically.
Provider Partners Health Plan Ohio
31402 837 ✓ ✓
Provider Partners Health Plan Pennsylvania
31400 837 ✓ ✓
Provider Partners Health Plan Texas
31405 835 ✓ ✓ ✓ ✓
Provider Partners Health Plan Texas
31405 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 115 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
ProviDRs Care Network
48100 837 ✓ ✓ ✓ ✓
Prudent Medical Group
MPM25 837 ✓ ✓
Formerly known as Hollywood Presbyterian
Medical Group
Prudential
68241 837 ✓
Pruitt Health Premier
PH001 835 ✓ ✓ ✓ ✓
Pruitt Health Premier
PH001 837 ✓ ✓
Pruitt Health Premier NC & SC
PHPC1 835 ✓ ✓ ✓ ✓
Pruitt Health Premier NC & SC
PHPC1 837 ✓ ✓
PSKW Physician Reimbursement Program
PSKW0 835 ✓ ✓
PSKW Physician Reimbursement Program
PSKW0 837 ✓ ✓ ✓ ✓
Psychealth Care Management LLC
A2797 835 ✓ ✓ ✓ ✓
Psychealth Care Management LLC
A2797 837 ✓ ✓
Puerto Rico Medicare
SMPR0 837 ✓
Puerto Rico Medicare Part B (J9-First Coast)
SMPR0 837 ✓
Puget Sound Benefits Trust
91136 835 ✓ ✓ ✓ ✓
Puget Sound Benefits Trust
91136 837 ✓ ✓
Puget Sound Electrical Workers Trust
91136 835 ✓ ✓ ✓ ✓
Puget Sound Electrical Workers Trust
91136 837 ✓ ✓
Puritan (formerly Admiral Life) (ERA Only)
IAS15 835 ✓ ✓ ✓ ✓
ERA Only
Pyramid Life Insurance Company
48055 835 ✓ ✓ ✓ ✓
Pyramid Life Insurance Company
48055 837 ✓ ✓
Quad City Community Healthcare (QCCH)
40437 837 ✓ ✓ ✓ ✓
QuadMed (West Allis, WI)
39197 837 ✓ ✓
Qual Choice of Arkansas
35174 835 ✓ ✓ ✓ ✓
Qual Choice of Arkansas
35174 837 ✓ ✓ ✓ ✓
QualCare Alliance Networks, Inc. (QANI)
22312 837 ✓ ✓ ✓ ✓
Note: As of January 30, 2024, Electronic Remits
Advice (ERA) is not available for this payer at this
time.
QualCare IPA
QCP01 837 ✓ ✓ ✓ ✓
Quality Care IPA
POP07 837 ✓
Quality Care Partners
89461 837 ✓ ✓
Quality Plan Administrator, Inc
CX077 837 ✓ ✓ ✓ ✓
Quartz ASO
46571 837 ✓ ✓ ✓ ✓
Quartz ASO
QUARTZASO 835 ✓ ✓ ✓ ✓
Quartz Health Solutions, Inc.
66705 835 ✓ ✓ ✓ ✓
Quartz Health Solutions, Inc.
66705 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 116 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Quest Behavioral Health
44219 837 ✓ ✓ ✓ ✓
QuikTrip
73067 835 ✓ ✓ ✓ ✓
QuikTrip
73067 837 ✓ ✓
QVI Risk Solutions Inc.
57117 837 ✓
R&N Market
TKFMC 837 ✓ ✓
Rady Children's Health Network
RCHN1 837 ✓ ✓
Rady Children's Specialists of San Diego
CSSD2 837 ✓
RADYS SAN DIEGO
99030 835 ✓ ✓ ✓ ✓
Payer returns ERAs automatically once electronic
claim submission begins.
RADYS SAN DIEGO
99030 837 ✓ ✓
Also known as Aloha Care
Railroad Medicare (PGBA)
SRRGA 835 ✓ ✓
Railroad Medicare (PGBA)
SRRGA 837 ✓ ✓ ✓
Ravenswood Physician Associates Inc
RPAWC 835 ✓ ✓ ✓ ✓
Ravenswood Physician Associates Inc
RPAWC 837 ✓ ✓
Reading Hospital Employer Group
44219 837 ✓ ✓ ✓ ✓
Redirect Health Administration
86145 837 ✓ ✓
Redlands-Yucaipa Medical Group
18247 837 ✓ ✓
Redwood Community Health Coalition
MPM17 837 ✓ ✓ ✓ ✓
Regal Medical Group
REGAL 837 ✓ ✓
Regence Blue Cross Blue Shield of Oregon
00851 835 ✓ ✓ ✓ ✓
Regence Blue Cross Blue Shield of Oregon
00851 837 ✓ ✓ ✓ ✓
Regence Blue Cross Blue Shield of Oregon
12B41 837 ✓
Regence Blue Cross Blue Shield of Oregon
SB850 837 ✓ ✓
Regence Blue Cross Blue Shield of Utah
00910 835 ✓ ✓ ✓ ✓
Regence Blue Cross Blue Shield of Utah
00910 837 ✓ ✓ ✓ ✓
Regence Blue Cross Blue Shield of Utah
SB910 837 ✓ ✓
Regence Blue Shield of Idaho
00611 835 ✓ ✓ ✓ ✓
Regence Blue Shield of Idaho
00611 837 ✓ ✓ ✓ ✓
Regence Blue Shield of Washington
00932 835 ✓ ✓ ✓ ✓
Regence Blue Shield of Washington
00932 837 ✓ ✓ ✓ ✓
Regence Blue Shield of Washington
SB931 837 ✓ ✓
Regence Group Administrators
RGA01 835 ✓ ✓ ✓ ✓
Regence Group Administrators
RGA01 837 ✓ ✓ ✓ ✓
Regency Employee Benefits
38221 837 ✓ ✓
Regent Medical Group, Inc.
HSM01 837 ✓ ✓
Experian Health Payer List Page 117 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Regional Care Inc.
47076 837 ✓ ✓
Rehn and Associates
REHNA 837 ✓ ✓
Reliance Community Care Partners
79846 837 ✓ ✓
Reliance Health Plan
RHP01 835 ✓ ✓ ✓ ✓
Reliance Health Plan
RHP01 837 ✓ ✓
Reliance Standard Life
36088 835 ✓ ✓
Reliance Standard Life
36088 837 ✓ ✓ ✓
Religious Order of Jehovah's Witness
ROJW1 837 ✓ ✓
Renaissance Life & Health Ins Co
87020 835 ✓ ✓ ✓ ✓
Renaissance Life & Health Ins Co
87020 837 ✓ ✓ ✓ ✓
Renaissance Physicians Organization
76066 837 ✓ ✓
Resolve Health Plan Administrators LLC
RHA01 837 ✓ ✓
Resource One Administrators
20333 835 ✓ ✓ ✓ ✓
Resource One Administrators
66456 837 ✓ ✓
ResourceOne Administrators/AdminOne
37278 835 ✓ ✓ ✓ ✓
Resurrection Healthcare Preferred
36396 835 ✓ ✓ ✓ ✓
aka Amita Health Saint Joseph Hospital Chicago
Resurrection Healthcare Preferred
36396 837 ✓ ✓
Resurrection Physician Provider Group
RPPG1 835 ✓ ✓ ✓ ✓
Resurrection Physician Provider Group
RPPG1 837 ✓ ✓
RevClaims
RVC01 837 ✓ ✓ ✓ ✓
Rhode Island Medicaid
12K74 835 ✓ ✓
Rhode Island Medicaid
12K74 837 ✓ ✓
Rhode Island Medicaid
SKRI0 835 ✓ ✓
Rhode Island Medicaid
SKRI0 837 ✓ ✓
Rhode Island Medicare
12M74 835 ✓ ✓
Rhode Island Medicare
12M74 837 ✓ ✓ ✓
Rhode Island Medicare
SMRI0 835 ✓ ✓
Rhode Island Medicare
SMRI0 837 ✓ ✓ ✓
Right Care from Scott & White
74205 835 ✓ ✓ ✓ ✓
Right Care from Scott & White
74205 837 ✓ ✓ ✓ ✓
RightChoice Benefit Administrators
37331 837 ✓ ✓
RIOS SOUTHWEST MEDICAL GROUP
RIOS1 837 ✓ ✓
RIVER CITY MEDICAL GROUP
RCMG1 835 ✓ ✓ ✓ ✓
RIVER CITY MEDICAL GROUP
RCMG1 837 ✓ ✓
River City Medical Group Senior
AMM23 837 ✓ ✓
Experian Health Payer List Page 118 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Riverside Health Inc.
45281 835 ✓ ✓ ✓ ✓
Riverside Health Inc.
45281 837 ✓ ✓
Riverside Medical Clinic
RMC01 837 ✓ ✓ ✓ ✓
Riverspring Health Plans (ElderServe)
05178 835 ✓ ✓ ✓ ✓
Riverspring Health Plans (ElderServe)
05178 837 ✓ ✓
Rocky Mountain PACE
93142 835 ✓ ✓ ✓
Rocky Mountain PACE
93142 837 ✓ ✓
Rosemont of Des Plaines IL
36215 837 ✓
Royal Health Care
73780 837 ✓ ✓ ✓ ✓
Royal Neighbors of America (ERA Only)
IAS16 835 ✓ ✓ ✓ ✓
ERA Only
Rural Carrier Benefit Plan (for claims after to 12/31/17)
60054 835 ✓ ✓ ✓ ✓
Rural Carrier Benefit Plan (for claims after to 12/31/17)
60054 837 ✓ ✓ ✓ ✓ ✓ ✓ ✓
Rural Health Clinic - Cahaba GBA
12M53 835 ✓ ✓
Rural Health Clinic - Cahaba GBA
12M53 837 ✓ ✓ ✓
Rush Prudential Health Plans (HMO Only)
36389 837 ✓ ✓
Ryan White Network
AMM03 837 ✓ ✓
S & S Healthcare Strategies
31441 835 ✓ ✓ ✓ ✓
S & S Healthcare Strategies
31441 837 ✓ ✓
Also known as Piedmont Community Health Plan
Sagamore Health Network
35164 837 ✓ ✓
Sage Technologies (Arcadia Healthcare Solutions)
37105 835 ✓ ✓ ✓ ✓
aka Amita Health Medical Care Group
Sage Technologies (Arcadia Healthcare Solutions)
37105 837 ✓ ✓
Saint Johns Health Clinic
SJHC1 837 ✓ ✓
Saint Mary's Health Plan
88082 837 ✓
Encounters Only
SAINT MARY'S HEALTH PLAN
88029 837 ✓ ✓
Salvasen Health
CB122 837 ✓ ✓ ✓ ✓
Samaritan Health Plans
CP001 835 ✓ ✓ ✓ ✓
Samaritan Health Plans
CP001 837 ✓ ✓
Samera Health
U8053 837 ✓ ✓
San Bernardino Medical Group
SBMED 837 ✓
San Diego County Coverage Initiative(CI)
MSO77 837 ✓ ✓
San Diego County Medical Services (CMS)
MSO11 837 ✓ ✓
San Diego County Physician Emergency Services
MSO22 837 ✓
San Diego County Ryan White Care Act
MSO33 837 ✓ ✓
San Diego PACE
96400 837 ✓ ✓
San Diego Physicians Med Group (SCPMCS)
SCP01 837 ✓ ✓
Experian Health Payer List Page 119 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
San Francisco County Physician Emergency Service
UCSF 837 ✓
San Francisco Health Plan
SFHP1 835 ✓ ✓ ✓ ✓
San Francisco Health Plan
SFHP1 837 ✓ ✓ ✓ ✓
San Joaquin Health Administrators
68035 835 ✓ ✓
San Joaquin Health Administrators
68035 837 ✓ ✓
San Louis Obispo Select
33072 837 ✓ ✓
Sana Benefits
50114 835 ✓ ✓ ✓ ✓
Sana Benefits
50114 837 ✓ ✓ ✓ ✓
Sandhills Center
SHC303 835 ✓ ✓ ✓ ✓
Sandhills Center
SHC303 837 ✓ ✓ ✓ ✓ ✓ ✓
Sanford Health Plan
91184 835 ✓ ✓ ✓ ✓
Sanford Health Plan
91184 837 ✓ ✓
Sanford Health Plan Medicare Advantage
RP035 837 ✓ ✓ ✓ ✓
Sanitation Officers Local 444
CX076 837 ✓ ✓
Santa Barbara Select IPA
SBIPA 835 ✓ ✓ ✓ ✓
Payer is listed as "McKesson Technologies Inc.
(MED3000 CA)" within PaySpan
Santa Barbara Select IPA
SBIPA 837 ✓ ✓
Santa Clara County IPA HMO
10378 835 ✓ ✓
Within Payspan’s portal, the payer is listed as
Pacific Partners Management Services, Inc.
Santa Clara County IPA HMO
10378 837 ✓ ✓
SANTA CLARA FAMILY HEALTH PLAN
24077 835 ✓ ✓ ✓ ✓
SANTA CLARA FAMILY HEALTH PLAN
24077 837 ✓ ✓
Sante Community Medical Center
SNTCC 837 ✓ ✓
Plan effective 1/1/19
Sante Community Physicians Medical Group Corp
SNTMC 837 ✓ ✓
Sante Health System and Affiliates
77038 837 ✓ ✓
Sante Health System and Affiliates
SANTE 835 ✓ ✓ ✓ ✓
Sante Medi-Cal
SNTMC 837 ✓ ✓
Satellite Health Plan, Inc.
45552 837 ✓ ✓
Saudi Health Mission
SHM01 837 ✓ ✓
SCAN ENCOUNTERS
99157 837 ✓ ✓ ✓ ✓
SCAN Health Plan
72261 835 ✓ ✓ ✓ ✓
SCAN Health Plan
72261 837 ✓ ✓
SCAN Health Plan - California
SCAN1 835 ✓ ✓ ✓ ✓
ERA Payer Code SCAN1
SCAN Health Plan - California
SCAN1 837 ✓ ✓ ✓ ✓
Scan Health Plan Arizona
73172 837 ✓ ✓
SCHS ALTA Global Care Medical Group
MPM54 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 120 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Scion Dental
SCION 835 ✓ ✓
Scion Dental
SCION 837 ✓ ✓ ✓
Scott & White Health Plan
12T05 837 ✓
Scott & White Health Plan
TH002 835 ✓ ✓ ✓ ✓
Scott & White Health Plan
TH002 837 ✓
Scripps Health Plan MSO
SHPM1 835 ✓ ✓ ✓ ✓
Scripps Health Plan MSO
SHPM1 837 ✓ ✓ ✓ ✓
Scripps Health Plan Services
SHPS1 835 ✓ ✓ ✓ ✓
Scripps Health Plan Services
SHPS1 837 ✓ ✓ ✓ ✓
Scripps Physicians Medical Group
SCP01 837 ✓ ✓
Seaview IPA
SVIPA 835 ✓ ✓ ✓ ✓
Payer is listed as "McKesson Technologies Inc.
(MED3000 CA)" within PaySpan
Seaview IPA
SVIPA 837 ✓ ✓
Secure Health
42561 837 ✓ ✓ ✓
SecureOne Benefits Administrators
86242 837 ✓ ✓
Security Administrative Services
35202 835 ✓ ✓ ✓ ✓
Security Administrative Services
35202 837 ✓ ✓
Security Health Plan
39045 835 ✓ ✓ ✓ ✓
Security Health Plan
39045 837 ✓ ✓ ✓ ✓
Sedgwick Managed Care Ohio (formerly Careworks)
10010 835 ✓ ✓ ✓ ✓
Sedgwick Managed Care Ohio (formerly Careworks)
10010 837 ✓ ✓
Sedwick Managed Care Ohio (formerly CompManagement)
15243 837 ✓ ✓
Select Administrative Services (SAS)
64088 835 ✓ ✓ ✓ ✓
Select Administrative Services (SAS)
64088 837 ✓ ✓
Select Advantage
SA704 837 ✓ ✓
Select Benefit Administrators Inc.
93031 837 ✓ ✓
Select Benefit Administrators of America
37282 835 ✓ ✓ ✓ ✓
Select Benefit Administrators of America
37282 837 ✓ ✓
Select Health of South Carolina
23285 835 ✓ ✓ ✓ ✓
Select Health of South Carolina
23285 837 ✓ ✓ ✓ ✓
Select Senior Clinic
20415 837 ✓ ✓
Payer code is no longer active … please send
claims to Wellcare payer id 14163
SelectCare
00014 837 ✓ ✓
SelectCare of Texas (HPN) Heritage Physicians Network
76045 835 ✓ ✓ ✓ ✓
SelectCare of Texas (HPN) Heritage Physicians Network
76045 837 ✓ ✓
SelectCare of Texas (Kelsey-Seybold)
61225 835 ✓ ✓ ✓ ✓
Experian Health Payer List Page 121 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
SelectCare of Texas (Kelsey-Seybold)
61225 837 ✓ ✓
Payer code is no longer active … please send
claims to Wellcare payer id 14163
SelectHealth
SX107 835 ✓ ✓ ✓ ✓
SelectHealth
SX107 837 ✓ ✓
Self Insured Plans (Naples FL)
36404 837 ✓ ✓
Self Insured Services Company (SISCO) Dental
CX020 837 ✓
Self-Funded Plans Inc.
34131 837 ✓ ✓
Selman Tricare Supp
52214 835 ✓ ✓ ✓ ✓
Selman Tricare Supp
52214 837 ✓ ✓
Selman Tricare Supp (DOS prior to 1/1/19)
TRSEL 837 ✓ ✓ ✓ ✓
Sendero IdealCare
MV440 835 ✓ ✓
Sendero IdealCare
MV440 837 ✓
Sendero IdealCare
UV440 835 ✓ ✓
Sendero IdealCare
UV440 837 ✓
Sendero Star and CHIP
SCS17 835 ✓ ✓ ✓ ✓
Sendero Star and CHIP
SCS17 837 ✓ ✓
Senior Health Partners (SHP)
80141 835 ✓ ✓ ✓ ✓
Senior Health Partners (SHP)
80141 837 ✓ ✓
SENIOR WHOLE HEALTH
83035 837 ✓ ✓
Senior Whole Health Massachusetts
SWHMA 835 ✓ ✓ ✓ ✓
Effective 2022, the payer has transitioned to ECHO
for their ERA/EFT gateway vendor
Senior Whole Health Massachusetts
SWHMA 837 ✓ ✓
Senior Whole Health of New York
SWHNY 835 ✓ ✓ ✓ ✓
Effective 2022, the payer has transitioned to ECHO
for their ERA/EFT gateway vendor
Senior Whole Health of New York
SWHNY 837 ✓ ✓ ✓ ✓
New Payer code for New York claims effective
1/1/22
Sentara Family Care
54154 835 ✓ ✓ ✓ ✓
Sentara Family Care
54154 837 ✓ ✓ ✓ ✓
Sentara Health Management
54154 835 ✓ ✓ ✓ ✓
Sentara Health Management
54154 837 ✓ ✓ ✓ ✓
Sentara Health Plans
54154 835 ✓ ✓ ✓ ✓
Sentara Health Plans
54154 837 ✓ ✓ ✓ ✓
Sentinel Management Services
23249 837 ✓ ✓
Sentinel Security Life Insurance Company
87020 835 ✓ ✓ ✓ ✓
Sentinel Security Life Insurance Company
87020 837 ✓ ✓ ✓ ✓
Seoul Medical Group
AMM07 837 ✓ ✓
Sequoia Beverage
TKFMC 837 ✓ ✓
Experian Health Payer List Page 122 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Sequoia Health IPA
CAPMN 835 ✓ ✓ ✓ ✓
Sequoia Health IPA
CAPMN 837 ✓ ✓ ✓ ✓
Seton Health Plan (CHIP)
SHPCH 837 ✓ ✓
Seton MAP Program
TH081 837 ✓
Seven Corners
25404 837 ✓ ✓
SGIC
11789 837 ✓ ✓
Share Healthcare
52876 837 ✓ ✓
Shared Health Mississippi
SHMS1 835 ✓ ✓ ✓ ✓
Shared Health Mississippi
SHMS1 837 ✓ ✓ ✓ ✓
Sharp Community Medical Group
SCMG1 835 ✓ ✓
Payer returns ERA automatically upon claim
submission
Sharp Community Medical Group
SCMG1 837 ✓ ✓
Payer returns ERA automatically upon claim
submission
Sharp Health Plan
SHP01 835 ✓ ✓ ✓ ✓
Payer returns ERA automatically upon claim
submission
Sharp Health Plan
SHP01 837 ✓ ✓
Payer returns ERA automatically upon claim
submission
Sharp Rees-Sealy Medical Group
SRS83 835 ✓ ✓
Payer returns ERA automatically upon claim
submission
Sharp Rees-Sealy Medical Group
SRS83 837 ✓ ✓
Payer returns ERA automatically upon claim
submission
Shasta Administrative Services
75280 835 ✓ ✓ ✓ ✓
Shasta Administrative Services
75280 837 ✓ ✓ ✓ ✓
Sheakley Unicomp
10002 837 ✓ ✓
Sheet Metal Workers Local 104 Health Care Plan (San Ramon CA)
38238 835 ✓ ✓ ✓ ✓
Sheet Metal Workers Local 104 Health Care Plan (San Ramon CA)
38238 837 ✓ ✓
Shenandoah Life (ERA Only)
IAS17 835 ✓ ✓ ✓ ✓
ERA Only
Sherman Choice - BLUE CROSS SHERMAN CHOICE
SC359 837 ✓ ✓
Show Me Health Administrators, LLC (SMHA)
98578 837 ✓ ✓
SIDS (Self Insured Dental Services)
CX076 837 ✓ ✓
Sieba
03699 835 ✓ ✓ ✓ ✓
Sieba
03699 837 ✓ ✓ ✓ ✓
Sierra Family Network (Prospect Medical Group)
PROSP 835 ✓ ✓
Sierra Family Network (Prospect Medical Group)
PROSP 837 ✓ ✓
Sierra Medical Group
SMG01 837 ✓ ✓
Sierra Nevada Medical Association
MBA01 837 ✓ ✓
Signature Advantage
SA001 835 ✓ ✓ ✓ ✓
Signature Advantage
SA001 837 ✓ ✓
Experian Health Payer List Page 123 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Significa Benefits Services Inc.
23250 837 ✓ ✓
Silicon Valley Medical Development
S9637 837 ✓ ✓ ✓ ✓
Silver Cross Health Connection
65093 835 ✓ ✓ ✓ ✓
Silver Cross Health Connection
65093 837 ✓ ✓
Silversummit Healthplan
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Silversummit Healthplan
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
SimplePay
27905 835 ✓ ✓ ✓ ✓
Formerly known as Community Health Alliance TN
SimplePay
27905 837 ✓ ✓
Simply Healthcare
27094 835 ✓ ✓ ✓ ✓
Simply Healthcare
SMPLY 835 ✓ ✓ ✓ ✓
Mailing Address: PO Box 61010, Virginia Beach,
VA 23466
Simply Healthcare
SMPLY 837 ✓ ✓ ✓ ✓ ✓ ✓
Mailing Address: PO Box 61010, Virginia Beach,
VA 23466
Simply Healthcare Plans
00199 835 ✓ ✓
Simply Healthcare Plans
00199 837 ✓ ✓ ✓ ✓
Former payer code 27094
Simpra Advantage Inc.
SIM01 835 ✓ ✓ ✓ ✓
Simpra Advantage Inc.
SIM01 837 ✓ ✓
Simpra Advantage Inc. (DOS > 12/31/2022)
SIM02 835 ✓ ✓ ✓ ✓
Simpra Advantage Inc. (DOS > 12/31/2022)
SIM02 837 ✓ ✓
Sinclair Health Plan
84076 837 ✓ ✓
SisCo Benefits
00540 835 ✓ ✓ ✓ ✓
SisCo Benefits
00540 837 ✓ ✓
SisCo Benefits
44827 835 ✓ ✓ ✓ ✓
SisCo Benefits
44827 837 ✓ ✓ ✓ ✓
Sloans Lake Preferred Health Networks
84096 837 ✓ ✓
Smith Administrators
02057 837 ✓ ✓ ✓ ✓
Snedeker Risk Management (Hope Trust)
A7637 835 ✓ ✓ ✓ ✓
Snedeker Risk Management (Hope Trust)
A7637 837 ✓ ✓
Solidarity Healthshare
77721 837 ✓ ✓
Claim Mailing Address: PO Box 26967, Tempe, AZ
85285
Solidarity Healthshare
SH777 835 ✓ ✓ ✓ ✓
Solis Health Plans
73581 837 ✓ ✓
SOMOS Emblem IPA
81336 835 ✓ ✓ ✓ ✓
SOMOS Emblem IPA
81336 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 124 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Sonder Health Plans
A0339 837 ✓ ✓ ✓ ✓
As of October 10, 2023, Electronic Remits Advice
(ERA) is not available for this payer at this time.
Sound Health (now known as First Choice Health Network)
91131 835 ✓ ✓ ✓ ✓
Sound Health (now known as First Choice Health Network)
91131 837 ✓ ✓
South Atlantic Medical Group IPA
SAMG1 835 ✓ ✓ ✓ ✓
Payer returns ERA automatically upon claim
submission
South Atlantic Medical Group IPA
SAMG1 837 ✓ ✓ ✓ ✓
Payer returns ERA automatically upon claim
submission
South Carolina Medicaid
12K55 835 ✓ ✓
South Carolina Medicaid
12K55 837 ✓ ✓ ✓
South Carolina Medicaid
SKSC0 835 ✓ ✓
South Carolina Medicaid
SKSC0 837 ✓ ✓ ✓
South Carolina Medicare
12M55 835 ✓ ✓
South Carolina Medicare
12M55 837 ✓ ✓ ✓
South Carolina Medicare
SMSC0 835 ✓ ✓
South Carolina Medicare
SMSC0 837 ✓ ✓
South Central Preferred
23266 835 ✓ ✓ ✓ ✓
South Central Preferred
23266 837 ✓ ✓ ✓ ✓
South Country Health Alliance
81600 835 ✓ ✓ ✓ ✓
South Country Health Alliance
81600 837 ✓ ✓ ✓ ✓
South Dakota Medicaid
12K36 835 ✓ ✓
South Dakota Medicaid
12K36 837 ✓ ✓ ✓
South Dakota Medicaid
SKSD0 835 ✓ ✓
South Dakota Medicaid
SKSD0 837 ✓ ✓ ✓
South Dakota Medicare
12M83 837 ✓ ✓ ✓
South Dakota Medicare
SMSD0 837 ✓ ✓ ✓
South Florida Musculoskeletal Care
06294 837 ✓ ✓
South Indiana Health Operations - HMO
77153 835 ✓ ✓ ✓ ✓
South Indiana Health Operations - HMO
77153 837 ✓ ✓ ✓ ✓
South Point Hotel & Casino
35227 837 ✓ ✓
SouthCare/Healthcare Preferred
25147 837 ✓ ✓ ✓ ✓
Southeast Community Care (Arcadian)
77045 837 ✓ ✓
Southeast Texas Govt Employees Benefit Pool
TH116 837 ✓ ✓
Southern Benefit Administrators (ERA Only)
38242 835 ✓ ✓ ✓ ✓
ERA Only
Southern California Healthcare System
MPM20 837 ✓ ✓ ✓ ✓
Also known as Alta Pod by MedPOINT - Health Net
Experian Health Payer List Page 125 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Southern California Physicians Managed Care Services
SCP01 837 ✓ ✓
Southern California UFCW Unions & Food Employers
SCUFW 837 ✓
Southern Illinois Health Care Association
SIH99 837 ✓ ✓
Southern Illinois Health Care Association
SIHCA 837 ✓ ✓
Southland Advantage Medical Group, Inc.
HSM01 837 ✓ ✓
Southland BCBS
SIPA1 837 ✓ ✓
Southland Benefit Solutions, LLC (Dental)
26374 837 ✓ ✓
Southland Benefit Solutions, LLC (Vision)
V47936 837 ✓
Southland San Gabriel Valley Medical Group, Inc
PHM11 837 ✓
Southwest Service Administrators
CX100 837 ✓ ✓
Southwest Service Life
37266 837 ✓ ✓
Southwestern Health Resources (DOS > 12/31/22)
RP085 835 ✓ ✓ ✓ ✓
Southwestern Health Resources (DOS > 12/31/22)
RP085 837 ✓ ✓
Special Agents Mutual Benefits Association (SAMBA) (ERA Only)
37259 835 ✓ ✓ ✓ ✓
Spectera
00773 835 ✓ ✓
Spectera
00773 837 ✓ ✓
Spectrum Administrators Inc. - TPA Allentown PA (IHS Gateway Payer)
23253 835 ✓ ✓ ✓ ✓
Spectrum Administrators Inc. - TPA Allentown PA (IHS Gateway Payer)
23253 837 ✓ ✓
Spencer Stuart (ARM, LTD)
38416 837 ✓ ✓ ✓ ✓
Spina Bifida - VA HAC
84146 835 ✓ ✓ ✓ ✓
Spina Bifida - VA HAC
84146 837 ✓ ✓
St Francis IPA
STFMC 835 ✓ ✓ ✓ ✓
St Francis IPA
STFMC 837 ✓ ✓
St. Francis IPA
APP01 837 ✓ ✓ ✓ ✓
St. Joseph Heritage Healthcare
STJOE 835 ✓ ✓ ✓ ✓
Payer returns ERA automatically upon claim
submission
St. Joseph Heritage Healthcare
STJOE 837 ✓ ✓
St. Joseph IPA
STJOE 835 ✓ ✓ ✓ ✓
Payer returns ERA automatically upon claim
submission
St. Joseph IPA
STJOE 837 ✓ ✓
St. Jude (St. Joseph Heritage Healthcare)
STJOE 835 ✓ ✓ ✓ ✓
Payer returns ERA automatically upon claim
submission
St. Jude (St. Joseph Heritage Healthcare)
STJOE 837 ✓ ✓
St. Jude Yorba Linda
STJOE 835 ✓ ✓ ✓ ✓
Payer returns ERA automatically upon claim
submission
St. Jude Yorba Linda
STJOE 837 ✓ ✓
St. Mary Medical Center
HSM01 837 ✓ ✓
Experian Health Payer List Page 126 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
St. Mary's IPA
CAPMN 837 ✓ ✓ ✓ ✓
St. Mary's IPA
SMIPA 837 ✓ ✓ ✓ ✓
For DOS Prior to 5/1/2020. Claims with DOS
5/1/20 and after use payer code CAPMN.
St. Peter Medical Group, Inc.
HSM01 837 ✓ ✓
St. Vincent IPA
PDT01 835 ✓ ✓ ✓ ✓
St. Vincent IPA
PDT01 837 ✓ ✓
Staff Benefits Management Administration (SBM)
SBMCO 835 ✓ ✓ ✓ ✓
Staff Benefits Management Administration (SBM)
SBMCO 837 ✓ ✓ ✓ ✓
Standard Life and Accident (Secondary claims only)
73099 835 ✓ ✓ ✓ ✓
Standard Life and Accident (Secondary claims only)
73099 837 ✓ ✓
Stanford Healthcare Advantage
46407 835 ✓ ✓ ✓ ✓
Stanford Healthcare Advantage
46407 837 ✓ ✓
Starmark
61425 835 ✓ ✓ ✓ ✓
Starmark
61425 837 ✓ ✓
State Employee Plan (BCBS SC)
00400 835 ✓ ✓ ✓ ✓
State Employee Plan (BCBS SC)
00400 837 ✓ ✓
State Farm (Casualty & Property Claims)
31059 835 ✓ ✓ ✓ ✓
State Farm (Casualty & Property Claims)
31059 837 ✓ ✓
State Farm Insurance Companies
31053 835 ✓ ✓ ✓ ✓
State Farm Insurance Companies
31053 837 ✓ ✓
State Mutual (ERA Only)
IAS18 835 ✓ ✓ ✓ ✓
ERA Only
State Mutual LH Novated (ERA Only)
IAS19 835 ✓ ✓ ✓ ✓
ERA Only
State of Idaho Department of Health & Welfare
12113 837 ✓ ✓ ✓ ✓ ✓ ✓
Women’s Health Check and Children’s Special
Health Program
State of Idaho Women's Health Check
IDWH01 837 ✓ ✓
State of Texas Dental Plan
57254 835 ✓ ✓ ✓ ✓
State of Texas Dental Plan
57254 837 ✓ ✓ ✓ ✓
State Trust Group
42162 837 ✓ ✓
Sterling Option 1
91151 837 ✓ ✓
Stirling Benefits
06089 835 ✓ ✓ ✓ ✓ ✓ ✓
Stirling Benefits
06089 837 ✓ ✓ ✓
Stonebridge Life Insurance Company (IA, PA)
TRP1E 837 ✓ ✓
Stonebridge Life Insurance Company (TX)
TRP1P 837 ✓ ✓ ✓ ✓
Stones River IPA - Amerivantage
57492 837 ✓ ✓
Stones River Regional IPA/BCBST
15750 837 ✓
Stones River Regional IPA/BHFG
15754 837 ✓
Experian Health Payer List Page 127 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Stones River Regional IPA/Humana
57549 837 ✓ ✓
Stones River Regional IPA/Windsor
15752 837 ✓
Student Assurance Services (ERA Only)
SAS01 835 ✓ ✓ ✓ ✓
ERA Only
Suffolk County Municipal Employees Benefit Fund
CX076 837 ✓ ✓
SummaCare Health Plan
95202 837 ✓ ✓
SummaCare Health Plan
A5202 835 ✓ ✓ ✓ ✓
ERA Payer Code A5202
Summit Administration Services Inc.
86083 835 ✓ ✓ ✓ ✓
Summit Administration Services Inc.
86083 837 ✓ ✓
Summit America Insurance Services Inc.
37301 835 ✓ ✓ ✓ ✓
Summit America Insurance Services Inc.
37301 837 ✓ ✓
Summit Community Care
PASSE 835 ✓ ✓ ✓ ✓
Summit Community Care
PASSE 837 ✓ ✓ ✓ ✓
SunAmerica Life Insurance Company
90956 837 ✓
Sunrise Advantage Plan of IL
SIL01 835 ✓ ✓ ✓ ✓
Sunrise Advantage Plan of IL
SIL01 837 ✓ ✓
Sunrise Advantage Plan of NY
SNY01 835 ✓ ✓ ✓ ✓
Sunrise Advantage Plan of NY
SNY01 837 ✓ ✓
Sunrise Advantage Plan of PA
SPA01 835 ✓ ✓ ✓ ✓
Sunrise Advantage Plan of PA
SPA01 837 ✓ ✓
Sunrise Advantage Plan of VA
SVA01 835 ✓ ✓ ✓ ✓
Sunrise Advantage Plan of VA
SVA01 837 ✓ ✓
Sunshine State Health Plan
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Sunshine State Health Plan
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Superior Choice Medical Group
SCPR1 837 ✓ ✓
Former payer ID ECMSO
Superior Health Plan Texas
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Superior Health Plan Texas
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Superior Vision Services
13305 837 ✓
Superior Vision Services
13374 835 ✓ ✓
Surest
25463 835 ✓ ✓ ✓ ✓
Surest
25463 837 ✓ ✓
Sutter Connect - Solano Regional Medical Foundation (SRMF)
77306 835 ✓ ✓
Experian Health Payer List Page 128 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Sutter Connect - Solano Regional Medical Foundation (SRMF)
77306 837 ✓
Sutter Connect (SIP/SMG/SWMG)
SC004 837 ✓ ✓
Sutter Connect Medical Foundation
99308 837 ✓ ✓
Sutter Delta Medical Group
77318 837 ✓
Sutter East Bay Medical Foundation
94269 837 ✓ ✓
Sutter East Bay Regional Hospital
96176 837 ✓ ✓
Sutter East Bay Regional Hospital- Affinity
94119 837 ✓ ✓ ✓
Sutter Gould Medical Foundation
77302 837 ✓ ✓
Sutter Medical Group of the Redwoods
77304 837 ✓ ✓ ✓ ✓
Sutter Medical Group of the Redwoods
SC008 835 ✓ ✓ ✓ ✓
Sutter Senior Care
56621 837 ✓ ✓ ✓ ✓
SVS Vision Inc.
SVSVN 837 ✓
Swedish Covenant Hospital
36411 837 ✓ ✓
Symetra Select Benefits
37282 835 ✓ ✓ ✓ ✓
Symetra Select Benefits
37282 837 ✓ ✓
SynerMed
SYMED 837 ✓ ✓
TakeCare Insurance Company
98022 835 ✓ ✓ ✓ ✓
TakeCare Insurance Company
98022 837 ✓ ✓
Talbert Medical Group
TALMG 837 ✓
Tall Tree Administrators
88067 835 ✓ ✓ ✓ ✓
Tall Tree Administrators
88067 837 ✓ ✓
TASEBA
TKFMC 837 ✓ ✓
Taylor Benefits
TAYLR 835 ✓ ✓
Taylor Benefits
TAYLR 837 ✓
Taylor Benefits
UAYLR 835 ✓ ✓
Taylor Benefits
UAYLR 837 ✓
TCC Benefits Administrator - Pre-Med Defender
SX160 835 ✓ ✓ ✓ ✓
TCC Benefits Administrator - Pre-Med Defender
TCC13 837 ✓ ✓ ✓ ✓
ERA Payer Code SX160
TCC Benefits Administrator - Self Funded
SX160 835 ✓ ✓ ✓ ✓
TCC Benefits Administrator - Self Funded
TCC93 837 ✓ ✓ ✓ ✓
Teal Premier
88300 837 ✓ ✓ ✓ ✓
Team Choice PNS
75133 837 ✓ ✓
Teamcare
36215 837 ✓ ✓
Teamsters Local Union 301
36612 837 ✓
Teamsters Medicare Trust for Retired Employees
43619 835 ✓ ✓ ✓ ✓
Experian Health Payer List Page 129 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Teamsters Medicare Trust for Retired Employees
43619 837 ✓ ✓
Temecula Valley Medical Group
HCMG1 837 ✓ ✓ ✓ ✓
Tennessee Medicaid
12K46 835 ✓ ✓
Tennessee Medicaid
12K46 837 ✓ ✓
Tennessee Medicaid
SKTN2 835 ✓ ✓
Tennessee Medicaid
SKTN2 837 ✓ ✓
Tennessee Medicare
12M53 835 ✓ ✓
Tennessee Medicare
12M53 837 ✓ ✓ ✓
Tennessee Medicare
SMTN0 835 ✓ ✓
Tennessee Medicare
SMTN0 837 ✓ ✓ ✓
Tethys Health Ventures
20212 837 ✓ ✓
Texas Children's Health Plan
76048 835 ✓ ✓ ✓ ✓
Texas Children's Health Plan
76048 837 ✓ ✓
TEXAS CHILDRENS HEALTH
TXCSM 837 ✓
Texas Childrens Health Plan (Medicaid)
75228 835 ✓ ✓ ✓ ✓
Texas Childrens Health Plan (Medicaid)
75228 837 ✓ ✓
Texas Christus
45210 837 ✓ ✓ ✓ ✓
Texas First Health Plans (TIOPA)
76046 837 ✓ ✓
Payer code is no longer active … please send
claims to Wellcare payer id 14163
Texas HealthSpring
33104 837 ✓ ✓
Texas Independence Health Plan
31403 837 ✓ ✓ ✓
Texas Medicaid
12K64 835 ✓ ✓
Texas Medicaid
12K64 837 ✓ ✓
Texas Medicaid
SKTX0 835 ✓ ✓ ✓ ✓
Texas Medicaid
SKTX0 837 ✓ ✓ ✓ ✓
Texas Medicare
12M31 835 ✓ ✓
Texas Medicare
12M31 837 ✓ ✓ ✓
Texas Medicare
SMTX0 835 ✓ ✓
Texas Medicare
SMTX0 837 ✓ ✓ ✓
Texas Mutual Insurance Company
WK002 837 ✓ ✓
Texas Premier Plan
TH089 837 ✓ ✓
TexasFirst Health Plan (NTX)
13185 835 ✓ ✓ ✓ ✓
TexasFirst Health Plan (NTX)
13185 837 ✓ ✓
The Alliance
88461 837 ✓ ✓
The Benefit Group Inc
TBGNE 837 ✓ ✓
Experian Health Payer List Page 130 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
The Care Network/The Savannah Business Group
68423 837 ✓ ✓
The City of Odessa
75600 837 ✓ ✓
The Dickinson Group
82016 837 ✓ ✓
The Health Exchange (Cerner Corporation)
20356 835 ✓ ✓ ✓ ✓
The Health Exchange (Cerner Corporation)
20356 837 ✓ ✓
The Health Plan
95677 837 ✓ ✓
The Health Plan of West Virginia, Inc
95677 835 ✓ ✓ ✓ ✓
The Health Plan of West Virginia, Inc
95677 837 ✓ ✓
The Healthcare Group
35206 837 ✓ ✓
The Loomis Company - TPA Wyomissing PA (IHS Gateway Payer)
23223 835 ✓ ✓ ✓ ✓
The Loomis Company - TPA Wyomissing PA (IHS Gateway Payer)
23223 837 ✓ ✓ ✓ ✓
The MEGA Life & Health Insurance Company-OKC
59227 837 ✓
The Mohegan Tribe of Indians of Connecticut
MOHEG 835 ✓ ✓ ✓ ✓
The Mohegan Tribe of Indians of Connecticut
MOHEG 837 ✓ ✓ ✓ ✓
The National Radiology Network
59087 837 ✓ ✓
The New England
66893 837 ✓
The Oaks PACE
57034 835 ✓ ✓ ✓ ✓
The Oaks PACE
57034 837 ✓ ✓
The Physicians Assurance Corp (TPAC) /Employee Benefit Management Corp (EBMC)
31074 835 ✓ ✓ ✓ ✓
The Physicians Assurance Corp (TPAC) /Employee Benefit Management Corp (EBMC)
31074 837 ✓ ✓
The Standard Insurance Dental
93024 835 ✓ ✓
The Standard Insurance Dental
93024 837 ✓ ✓ ✓
The Zero Card
75296 837 ✓ ✓
Third Party Administrators
37225 837 ✓
Thomas H. Cooper & Company
SX160 837 ✓ ✓
Equivalent to payer code 315
Thomas McGee
J1746 837 ✓ ✓ ✓ ✓
This is a workers comp payer
Thome Pace
RP044 837 ✓ ✓
Three Rivers Preferred
MP340 837 ✓ ✓
Thrivent Financial For Lutherans
30167 837 ✓ ✓
Thrivent Financial For Lutherans
THRIV 835 ✓ ✓ ✓ ✓
TLC Advantage of Sioux Falls
TLC01 837 ✓ ✓
TLC Benefit Solutions
TLC79 835 ✓ ✓ ✓ ✓
TLC Benefit Solutions
TLC79 837 ✓ ✓
Today's Options (American Progressive and Pyramid Life)
48055 835 ✓ ✓ ✓ ✓
Experian Health Payer List Page 131 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Today's Options (American Progressive and Pyramid Life)
48055 837 ✓ ✓
Today's Options powered by CCRX
48055 835 ✓ ✓ ✓ ✓
Today's Options powered by CCRX
48055 837 ✓ ✓
Together with Children's Community Health Plan of Wisconsin
251CC 835 ✓ ✓ ✓ ✓
Together with Children's Community Health Plan of Wisconsin
251CC 837 ✓ ✓
Tooling & Manufacturing Association
61425 835 ✓ ✓ ✓ ✓
Tooling & Manufacturing Association
61425 837 ✓ ✓
Torrance Hospital IPA
THIPA 837 ✓ ✓
Torrance Memorial Medical Center
TMMC1 837 ✓ ✓ ✓ ✓
Total Broker Benefits
36342 835 ✓ ✓ ✓ ✓
Total Broker Benefits
36342 837 ✓ ✓
Total Dental Administrators
CX112 837 ✓ ✓
Total Plan Concepts
80900 837 ✓ ✓
Total Plan Services
41202 835 ✓ ✓ ✓ ✓
Total Plan Services
41202 837 ✓ ✓
Touchstone Health PSO
23856 835 ✓ ✓
Touchstone Health PSO
23856 837 ✓ ✓
Town & Country
TKFMC 837 ✓ ✓
TPAC/Employee Benefit Management Corp
31074 835 ✓ ✓ ✓ ✓
TPAC/Employee Benefit Management Corp
31074 837 ✓ ✓
TR Paul Inc.
37230 837 ✓ ✓
Transact RX
PARTD 835 ✓ ✓
Transact RX
PARTD 837 ✓
TransAmerica Financial Life Insurance Company (AR)
TLINS 837 ✓ ✓
TransAmerica Financial Life Insurance Company (TX)
TRP1P 837 ✓ ✓ ✓ ✓
TransAmerica Life Insurance Company (AR)
TLINS 837 ✓ ✓
TransAmerica Life Insurance Company (IA, MD, PA)
TRP1E 835 ✓ ✓ ✓ ✓
TransAmerica Life Insurance Company (IA, MD, PA)
TRP1E 837 ✓ ✓
TransAmerica Life Insurance Company (TX)
TRP1P 837 ✓ ✓ ✓ ✓
TransAmerica Premier Life Insurance Company (AR)
TLINS 837 ✓ ✓
TransAmerica Premier Life Insurance Company (IA)
TRCLF 837 ✓ ✓
TransAmerica Premier Life Insurance Company (TX)
TRP1P 837 ✓ ✓ ✓ ✓
TransChoice-Key Benefit Administrators
37284 837 ✓ ✓ ✓ ✓
Transwestern Insurance Administrators, Inc
TRAN1 837 ✓ ✓
Trellis Health Partners
36397 837 ✓ ✓
Experian Health Payer List Page 132 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Tri-Valley Medical Group
20538 835 ✓ ✓ ✓ ✓
EFT enrollment is required in order to obtain ERA’s
Tri-Valley Medical Group
20538 837 ✓ ✓
Triad Healthcare
39181 837 ✓ ✓
Triada Assurance
CB733 837 ✓ ✓ ✓ ✓
Tribado
32691 837 ✓ ✓ ✓ ✓
Tribute /SelectCare of Oklahoma
73117 835 ✓ ✓ ✓ ✓
Tribute /SelectCare of Oklahoma
73117 837 ✓ ✓
Tribute Health Plan
31118 835 ✓ ✓ ✓ ✓
Tribute Health Plan
31118 837 ✓ ✓
Tricare Active Reservists Dental
DXTAS 835 ✓ ✓
Tricare Active Reservists Dental
DXTAS 837 ✓ ✓ ✓
Tricare Dental Program
TDPC1 835 ✓ ✓
Tricare Dental Program
TDPC1 837 ✓ ✓ ✓
Tricare East
TREST 835 ✓ ✓ ✓ ✓
Tricare East
TREST 837 ✓ ✓ ✓ ✓
Tricare for Life
12X43 835 ✓ ✓
Tricare for Life
12X43 837 ✓ ✓ ✓
Tricare for Life
SX176 835 ✓ ✓
Tricare for Life
SX176 837 ✓ ✓ ✓
Tricare for Life
TDDIR 837 ✓ ✓ ✓ ✓ ✓ ✓
Tricare for Overseas
12X46 835 ✓ ✓
Tricare for Overseas
12X46 837 ✓
Tricare for Overseas
SX163 835 ✓ ✓
Tricare for Overseas
SX163 837 ✓
Tricare Retiree Dental Program
DDPFS 837 ✓ ✓ ✓
Tricare West
99726 835 ✓ ✓ ✓ ✓
Tricare West
99726 837 ✓ ✓ ✓ ✓
TriCities IPA
PDT01 835 ✓ ✓ ✓ ✓
TriCities IPA
PDT01 837 ✓ ✓
Trigon Blue Cross and Blue Shield (Virginia)
SB924 837 ✓ ✓
TRIHEALTH PHYSICIAN SOLUTIONS
31144 835 ✓ ✓ ✓ ✓
TRIHEALTH PHYSICIAN SOLUTIONS
31144 837 ✓ ✓
TRIHEALTH PHYSICIAN SOLUTIONS - CONCERN
31143 837 ✓ ✓
Experian Health Payer List Page 133 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Trillium Community Health Plan
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Trillium Community Health Plan
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Trillium Health Resources
56089 835 ✓ ✓ ✓ ✓
Trillium Health Resources
56089 837 ✓ ✓
Trinity Health Pace
TRNPC 837 ✓ ✓
Trinity HealthShare
TRIN1 835 ✓ ✓ ✓ ✓
Trinity HealthShare
TRIN1 837 ✓ ✓ ✓ ✓
Triple-S Advantage
973MA 835 ✓ ✓ ✓ ✓
Triple-S Advantage
973MA 837 ✓ ✓ ✓
Triple-S Inc.
12B48 837 ✓
Triple-S Inc.
SB980 835 ✓ ✓
Triple-S Inc.
SB980 837 ✓
TRIPLEFIN LLC
64300 837 ✓ ✓
TRISTAR Benefit Administrators
42137 835 ✓ ✓ ✓ ✓
TRISTAR Benefit Administrators
42137 837 ✓ ✓
TriValley Medical Group Corporation
TVMG1 837 ✓ ✓
Troy Medicare
TRYMC 835 ✓ ✓
Troy Medicare
TRYMC 837 ✓ ✓ ✓ ✓
Tru Blue TPA
83413 837 ✓ ✓ ✓ ✓
TruAssure Insurance Company
ILDTA 837 ✓ ✓ ✓
True Blue / Blue Cross of Idaho
12B84 835 ✓ ✓
True Blue / Blue Cross of Idaho
12B84 837 ✓ ✓ ✓
True Blue / Blue Cross of Idaho
SB612 835 ✓ ✓
True Blue / Blue Cross of Idaho
SB612 837 ✓ ✓ ✓
True Health New Mexico
82288 835 ✓ ✓ ✓ ✓
True Health New Mexico
82288 837 ✓ ✓ ✓ ✓
Truli for Health
TRULI 835 ✓ ✓ ✓ ✓
Truli for Health
TRULI 837 ✓ ✓ ✓ ✓
TRUSTED HEALTH PLAN
L0230 835 ✓ ✓ ✓ ✓
TRUSTED HEALTH PLAN
L0230 837 ✓ ✓ ✓ ✓
Trusteed Insurance (FCHN)
91131 835 ✓ ✓ ✓ ✓
Trusteed Insurance (FCHN)
91131 837 ✓ ✓
Trusteed Plans Service Corporation
91078 835 ✓ ✓ ✓ ✓
Experian Health Payer List Page 134 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Trusteed Plans Service Corporation
91078 837 ✓ ✓
Trustmark Insurance Company
61425 835 ✓ ✓ ✓ ✓
Trustmark Insurance Company
61425 837 ✓ ✓
Tufts Health Plan
04298 835 ✓ ✓ ✓ ✓
Tufts Health Plan
04298 837 ✓ ✓ ✓ ✓ ✓ ✓
TX Premier Plan - Medicaid
12T29 837 ✓
U.S. Network and Administrative Services
USN01 837 ✓ ✓ ✓ ✓
UC Health Plan Admin
89789 835 ✓ ✓ ✓ ✓
UC Health Plan Admin
89789 837 ✓ ✓
UC Irvine
UCI01 837 ✓ ✓ ✓ ✓
UC-Davis Health
94603 837 ✓ ✓
UCARE Individual and Family Plans
55413 835 ✓ ✓ ✓ ✓
UCARE Individual and Family Plans
55413 837 ✓ ✓ ✓ ✓
UCare Minnesota
55413 835 ✓ ✓ ✓ ✓
UCare Minnesota
55413 837 ✓ ✓ ✓ ✓
Ucare Minnesota (DOS > 1/1/22)
12X50 837 ✓ ✓
Ucare Minnesota (DOS > 1/1/22)
SX178 837 ✓ ✓
UCare Minnesota Senior Health Options
55413 835 ✓ ✓ ✓ ✓
UCare Minnesota Senior Health Options
55413 837 ✓ ✓ ✓ ✓
UCare Minnesota Senior Health Options (DOS > 1/1/22)
52629 837 ✓ ✓
UCLA Medical Group
USMBP 835 ✓ ✓ ✓ ✓
Payer returns ERA automatically upon claim
submission
UCLA Medical Group
USMBP 837 ✓ ✓
Payer returns ERA automatically upon claim
submission
UCS (The City of East Chicago)
56001 837 ✓ ✓ ✓ ✓
UCS BASI Hotstart
19450 837 ✓ ✓
UCS BASI: Meter Group USA
16025 835 ✓ ✓ ✓ ✓
UCS BASI: Meter Group USA
16025 837 ✓ ✓
UCS Insight Benefit Administrators
96436 837 ✓ ✓ ✓ ✓
UCS PBS Oregon
56724 837 ✓ ✓
UCS Seminole Tribe of Florida
78702 837 ✓ ✓
UCS Wagner Meinert
36150 837 ✓ ✓ ✓ ✓
UCS: CAM Administrative Services, INC.
63985 837 ✓ ✓ ✓ ✓
UFCW Local 1000 and Kroger Dallas Health & Welfare Plan
99843 837 ✓ ✓ ✓
UHP Management
UHP01 837 ✓ ✓ ✓ ✓
UICI Administrators
74223 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 135 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Ullico Inc.
ULLIC 837 ✓ ✓
Ultimate Health Plan
77022 837 ✓ ✓
Ultra Benefits Inc.
41206 835 ✓ ✓ ✓ ✓
Ultra Benefits Inc.
41206 837 ✓ ✓ ✓ ✓
Umass Medical School and Criminal Justice Program
UMHCJ 835 ✓ ✓
Umass Medical School and Criminal Justice Program
UMHCJ 837 ✓ ✓
UMC HEALTH PLAN
75130 837 ✓ ✓
Umpqua Health Alliance
77503 835 ✓ ✓ ✓ ✓
Umpqua Health Alliance
77503 837 ✓ ✓ ✓ ✓
UMR (formerly Lexington / CommonWealth Administrative Group)
39026 835 ✓ ✓ ✓ ✓
UMR (formerly Lexington / CommonWealth Administrative Group)
39026 837 ✓ ✓ ✓ ✓
UMR (formerly UMR Onalaska)
79480 837 ✓ ✓ ✓ ✓
UMR (formerly UMR San Antonio Benefit Planners)
39026 835 ✓ ✓ ✓ ✓
UMR (formerly UMR San Antonio Benefit Planners)
39026 837 ✓ ✓ ✓ ✓
UMR Wausau
39026 835 ✓ ✓ ✓ ✓ ✓ ✓
UMR Wausau
39026 837 ✓ ✓ ✓ ✓ ✓ ✓
UMR Westerville (formerly Harrington Benefit Services - Columbus)
39026 835 ✓ ✓ ✓ ✓
UMR Westerville (formerly Harrington Benefit Services - Columbus)
39026 837 ✓ ✓ ✓ ✓
UMWA Health & Retirement Funds
52180 835 ✓ ✓ ✓ ✓
ERA enrollment under payer name Healthsmart
Benefit Solutions
UMWA Health & Retirement Funds
52180 837 ✓ ✓ ✓ ✓
Unicare Life & Health
80314 835 ✓ ✓ ✓ ✓
Unicare Life & Health
80314 837 ✓ ✓ ✓ ✓ ✓ ✓
Unicare Life & Health/Wellpoint
WLPNT 835 ✓ ✓ ✓ ✓
Unicare Life & Health/Wellpoint
WLPNT 837 ✓ ✓ ✓ ✓ ✓ ✓
Unified Group Services
35198 835 ✓ ✓ ✓ ✓
Unified Group Services
35198 837 ✓ ✓ ✓
Unified Health Services
62170 837 ✓ ✓
Unified IPA
HCP01 837 ✓ ✓
This payer is now part of OptumCare Network.
Please submit claims using payer code OCN01.
Unified Life
RP064 837 ✓ ✓ ✓ ✓
Unified Physicians Network
37105 835 ✓ ✓ ✓ ✓
aka Amita Health Medical Care Group
Unified Physicians Network
37105 837 ✓ ✓
Unified Physicians Network
UPN99 837 ✓ ✓
Uniform Medical Plan
39026 835 ✓ ✓ ✓ ✓
Uniform Medical Plan
39026 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 136 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Unify HealthCare Administrators
84962 837 ✓ ✓ ✓
Union Labor Life Insurance Company (IA)
TRP1E 837 ✓ ✓
Union Pacific IPA (SCPMCS)
SCP01 837 ✓ ✓
Union Pacific Railroad Employees Health Systems
87042 835 ✓ ✓ ✓ ✓
Union Pacific Railroad Employees Health Systems
87042 837 ✓ ✓
Union Security Insurance Company Medicare
62118 835 ✓ ✓ ✓ ✓
Unison Health Plan/Better Health Plans
87726 837 ✓ ✓ ✓ ✓
UNITE HERE
UNITE 837 ✓ ✓
United Administrative Services, Inc. (ERA Only)
94174 835 ✓ ✓ ✓ ✓
ERA Only
United Agriculture Benefit Trust
UABT1 837 ✓ ✓
United American Insurance Company (ERA Only)
92916 835 ✓ ✓ ✓ ✓
United Americhoice of Nebraska (ERA Only)
UFNEP 835 ✓ ✓ ✓ ✓
United AmeriChoice of Wisconsin (ERA Only)
WID01 835 ✓ ✓ ✓ ✓
United Benefit Advisors
38260 837 ✓ ✓
United Care Medical Group
ADCUC 837 ✓ ✓ ✓ ✓
United Concordia
89070 835 ✓ ✓
United Concordia
89070 837 ✓ ✓ ✓
United Fire
WZ997 835 ✓ ✓ ✓ ✓
United Food & Commercial Workers Midwest Unions
36659 837 ✓
United Group Programs
UGP19 837 ✓ ✓
United Healthcare (Golden Rule)(JVHL)
KRJVH 835 ✓ ✓ ✓ ✓
United Healthcare (Golden Rule)(JVHL)
KRJVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
United Healthcare (non-Golden Rule)(JVHL)
J5JVH 835 ✓ ✓ ✓ ✓
United Healthcare (non-Golden Rule)(JVHL)
J5JVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
United Healthcare Arizona Physicians IPA
GP133 835 ✓ ✓
United Healthcare Arizona Physicians IPA
GP133 837 ✓ ✓ ✓
United Healthcare Community Plan
GP133 835 ✓ ✓
United Healthcare Community Plan
GP133 837 ✓ ✓ ✓
United Healthcare Community Plan - New Mexico EverCare
GP133 835 ✓ ✓
United Healthcare Community Plan - New Mexico EverCare
GP133 837 ✓ ✓ ✓
United Healthcare Community Plan - NJ (Formerly Americhoice)
GP133 835 ✓ ✓
United Healthcare Community Plan - NJ (Formerly Americhoice)
GP133 837 ✓ ✓ ✓
United Healthcare Community Plan - NY (Formerly Americhoice)
GP133 835 ✓ ✓
United Healthcare Community Plan - NY (Formerly Americhoice)
GP133 837 ✓ ✓ ✓
United Healthcare Community Plan - PA (Formerly Americhoice)
GP133 835 ✓ ✓
Experian Health Payer List Page 137 of 151
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Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
United Healthcare Community Plan - PA (Formerly Americhoice)
GP133 837 ✓ ✓ ✓
United Healthcare Community Plan - RI (Formerly Americhoice)
GP133 835 ✓ ✓
United Healthcare Community Plan - RI (Formerly Americhoice)
GP133 837 ✓ ✓ ✓
United Healthcare Community Plan - TN (Formerly Americhoice)
GP133 835 ✓ ✓
United Healthcare Community Plan - TN (Formerly Americhoice)
GP133 837 ✓ ✓ ✓
United Healthcare Community Plan - TX (Formerly Americhoice)
GP133 835 ✓ ✓
United Healthcare Community Plan - TX (Formerly Americhoice)
GP133 837 ✓ ✓ ✓
United Healthcare Community Plan – MS
GP133 835 ✓ ✓
United Healthcare Community Plan – MS
GP133 837 ✓ ✓ ✓
United Healthcare Community Plan (AHCCCS)
GP133 835 ✓ ✓
United Healthcare Community Plan (AHCCCS)
GP133 837 ✓ ✓ ✓
United Healthcare Community Plan (AZ Healthnet)
GP133 835 ✓ ✓
United Healthcare Community Plan (AZ Healthnet)
GP133 837 ✓ ✓ ✓
United Healthcare Community Plan (FL)
GP133 835 ✓ ✓
United Healthcare Community Plan (FL)
GP133 837 ✓ ✓ ✓
United Healthcare Community Plan (GA Medicare)
GP133 835 ✓ ✓
United Healthcare Community Plan (GA Medicare)
GP133 837 ✓ ✓ ✓
United Healthcare Community Plan (Great Lakes Health Plan)(JVHL)
JRJVH 835 ✓ ✓ ✓ ✓
United Healthcare Community Plan (Great Lakes Health Plan)(JVHL)
JRJVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
United Healthcare Community Plan (HI Medicare)
GP133 835 ✓ ✓
United Healthcare Community Plan (HI Medicare)
GP133 837 ✓ ✓ ✓
United Healthcare Community Plan (KS)
GP133 835 ✓ ✓
United Healthcare Community Plan (KS)
GP133 837 ✓ ✓ ✓
United Healthcare Community Plan (MA)
GP133 835 ✓ ✓
United Healthcare Community Plan (MA)
GP133 837 ✓ ✓ ✓
United Healthcare Community Plan (MI Medicare)
GP133 835 ✓ ✓
United Healthcare Community Plan (MI Medicare)
GP133 837 ✓ ✓ ✓
United Healthcare Community Plan (Oxford)
GP133 835 ✓ ✓
United Healthcare Community Plan (Oxford)
GP133 837 ✓ ✓ ✓
United Healthcare Community Plan (Special Handling)
GP133 835 ✓ ✓
United Healthcare Community Plan (Special Handling)
GP133 837 ✓ ✓ ✓
United Healthcare Community Plan (Unison Health Plan)
GP133 835 ✓ ✓
United Healthcare Community Plan (Unison Health Plan)
GP133 837 ✓ ✓ ✓
United Healthcare Community Plan (WA Medicare)
GP133 835 ✓ ✓
United Healthcare Community Plan (WA Medicare)
GP133 837 ✓ ✓ ✓
Experian Health Payer List Page 138 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
United Healthcare Community Plan (Wash. DC Medicare)
GP133 835 ✓ ✓
United Healthcare Community Plan (Wash. DC Medicare)
GP133 837 ✓ ✓ ✓
United Healthcare Community Plan (WI)
GP133 835 ✓ ✓
United Healthcare Community Plan (WI)
GP133 837 ✓ ✓ ✓
United Healthcare Community Plan AZ-Evercare
GP133 835 ✓ ✓
United Healthcare Community Plan AZ-Evercare
GP133 837 ✓ ✓ ✓
United Healthcare Community Plan Louisiana-Medicaid (Healthy Louisiana)
GP133 835 ✓ ✓
United Healthcare Community Plan Louisiana-Medicaid (Healthy Louisiana)
GP133 837 ✓ ✓ ✓
United Healthcare Dental
52133 835 ✓ ✓
United Healthcare Dental
52133 837 ✓ ✓ ✓
United Healthcare NDC Claims
UHNDC 837 ✓ ✓
United Medical Alliance
84132 837 ✓ ✓
United of Omaha
71412 835 ✓ ✓ ✓ ✓
United of Omaha
71412 837 ✓ ✓
United Physicians International
SANDS 837 ✓ ✓ ✓ ✓
United Teacher Assoc Ins Co-Medicare Supplement
13193 835 ✓ ✓ ✓ ✓
United Teacher Assoc Ins Co-Medicare Supplement
13193 837 ✓ ✓ ✓ ✓
UnitedHealthcare
87726 835 ✓ ✓ ✓ ✓
UnitedHealthcare
87726 837 ✓ ✓ ✓ ✓
UnitedHealthcare (Definity Health Plan)
87726 837 ✓ ✓ ✓ ✓
UnitedHealthcare (Empire Plan)
87726 837 ✓ ✓
UnitedHealthcare (MAHP MD IPA Optimum Choice MAMSI)
87726 835 ✓ ✓ ✓ ✓
UnitedHealthcare (MAHP MD IPA Optimum Choice MAMSI)
87726 837 ✓ ✓ ✓ ✓
UnitedHealthcare (Oxford Health Plans)
06111 835 ✓ ✓ ✓ ✓
UnitedHealthcare (Oxford Health Plans)
06111 837 ✓ ✓ ✓ ✓
UnitedHealthcare / MAHP - MD IPA Optimum Choice MLH (formerly MAMSI)
87726 835 ✓ ✓ ✓ ✓
UnitedHealthcare / MAHP - MD IPA Optimum Choice MLH (formerly MAMSI)
87726 837 ✓ ✓ ✓ ✓
UnitedHealthcare / UHIS - UnitedHealth Integrated Services
39026 835 ✓ ✓ ✓ ✓
UnitedHealthcare / UHIS - UnitedHealth Integrated Services
39026 837 ✓ ✓ ✓ ✓
UnitedHealthcare / UnitedHealthcare StudentResources
74227 835 ✓ ✓ ✓ ✓
UnitedHealthcare / UnitedHealthcare StudentResources
74227 837 ✓ ✓ ✓ ✓
UnitedHealthcare / UnitedHealthcare West (formerly PacifiCare)
87726 837 ✓ ✓
UnitedHealthCare Community Plan (KS / KanCare)
96385 835 ✓ ✓ ✓ ✓
UnitedHealthCare Community Plan (KS / KanCare)
96385 837 ✓ ✓ ✓ ✓
UnitedHealthcare Community Plan / AZ (formerly AZ Physicians IPA APIPA)
03432 835 ✓ ✓ ✓ ✓
Formerly AZ Physicians IPA APIPA
Experian Health Payer List Page 139 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
UnitedHealthcare Community Plan / AZ (formerly AZ Physicians IPA APIPA)
03432 837 ✓ ✓ ✓ ✓
UnitedHealthcare Community Plan / FLHI LA MD MS CAN OH RI WAWI
87726 837 ✓ ✓ ✓ ✓
UnitedHealthcare Community Plan / IA, hawk-I
87726 835 ✓ ✓ ✓ ✓
UnitedHealthcare Community Plan / IA, hawk-I
87726 837 ✓ ✓ ✓ ✓
UnitedHealthcare Community Plan / MI (formerly Great Lakes Health Plan)
95467 835 ✓ ✓ ✓ ✓
Formerly Great Lakes Health Plan
UnitedHealthcare Community Plan / MI (formerly Great Lakes Health Plan)
95467 837 ✓ ✓ ✓ ✓
UnitedHealthcare Community Plan / MS CHIP
87726 835 ✓ ✓ ✓ ✓
UnitedHealthcare Community Plan / MS CHIP
87726 837 ✓ ✓ ✓ ✓
UnitedHealthcare Community Plan / NJ
86001 837 ✓ ✓
UnitedHealthcare Community Plan / NJ (formerly Americhoice NJ Medicaid)
86047 835 ✓ ✓ ✓ ✓
UnitedHealthcare Community Plan / NJ (formerly Americhoice NJ Medicaid)
86047 837 ✓ ✓ ✓ ✓
UnitedHealthcare Community Plan / NY
NYU01 835 ✓ ✓ ✓ ✓
ERA Payer Code NYU01
UnitedHealthcare Community Plan / PA (formerly AmeriChoice PA Medicaid&CHIP
86049 837 ✓
UnitedHealthcare Community Plan / SC (formerly Unison)
25175 837 ✓ ✓
UnitedHealthcare Community Plan / TN (formerly AmeriChoice TN: TennCare)
95378 835 ✓ ✓ ✓ ✓
UnitedHealthcare Community Plan / TN (formerly AmeriChoice TN: TennCare)
95378 837 ✓ ✓ ✓ ✓
UnitedHealthcare Community Plan / TX
TEX01 835 ✓ ✓ ✓ ✓
ERA Payer Code TEX01
UnitedHealthcare Community Plan / UnitedHealthcare Dual Complete
87726 837 ✓ ✓ ✓ ✓
UnitedHealthcare Community Plan / UnitedHealthcare Long Term Care
87726 837 ✓ ✓ ✓ ✓
UnitedHealthcare Community Plan of Missouri
86050 835 ✓ ✓ ✓ ✓
UnitedHealthcare Community Plan of Missouri
86050 837 ✓ ✓ ✓ ✓
UnitedHealthcare Medicare Solutions / UnitedHealthcare Chronic Complete
87726 837 ✓ ✓ ✓ ✓
UnitedHealthcare Medicare Solutions / UnitedHealthcare Group Medicare Advan
87726 837 ✓ ✓ ✓ ✓
UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareComplete
87726 837 ✓ ✓ ✓ ✓
UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareDirect
87726 837 ✓ ✓ ✓ ✓
UnitedHealthcare Medicare Solutions / UnitedHealthcare Nursing Home Plan
87726 837 ✓ ✓ ✓ ✓
UnitedHealthcare Ohio Medicaid
88337 837 ✓ ✓
UnitedHealthcare Ohio Medicaid
SKOH0 835 ✓ ✓ ✓ ✓
Effective 2/1/2023, remittance returned under
Ohio Medicaid
UnitedHealthcare Ohio Medicaid Vision
8357V 837 ✓ ✓
UnitedHealthcare Ohio Medicaid Vision
SKOH0 835 ✓ ✓ ✓ ✓
Effective 2/1/2023, remittance returned under
Ohio Medicaid
UnitedHealthcare West
87726 835 ✓ ✓ ✓ ✓
UnitedHealthcare West
87726 837 ✓ ✓ ✓ ✓
UnitedHealthcare West
95959 837 ✓ ✓
UnitedHealthcare West Encounters
95958 837 ✓
Experian Health Payer List Page 140 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
UnitedHealthOne
81400 835 ✓ ✓ ✓ ✓
UnitedHealthOne
81400 837 ✓ ✓ ✓ ✓
UnitedHealthOne (formerly Golden Rule)
37602 835 ✓ ✓ ✓ ✓
Formerly Golden Rule
UnitedHealthOne (formerly Golden Rule)
37602 837 ✓ ✓ ✓ ✓
Formerly Golden Rule
UnitedHeathcare Community Plan
87726 837 ✓ ✓ ✓ ✓
Unity Health Insurance
66705 837 ✓ ✓ ✓ ✓
Unity Health Insurance
QUARTZASO 835 ✓ ✓ ✓ ✓
Univera Healthcare
UNINW 835 ✓ ✓ ✓ ✓
Univera Healthcare
UNINW 837 ✓ ✓ ✓
Universal Benefits (IA, MD)
TRP1E 837 ✓ ✓
Universal Care - California
33001 837 ✓ ✓
Universal Fidelity Administrators Company
93220 835 ✓ ✓ ✓ ✓
Universal Fidelity Administrators Company
93220 837 ✓ ✓ ✓ ✓
Universal Health Fellowship
53684 837 ✓ ✓ ✓
Universal Healthcare IPA
UHIPA 835 ✓ ✓ ✓ ✓
Universal Healthcare IPA
UHIPA 837 ✓ ✓ ✓ ✓
University Family Care
09830 835 ✓ ✓ ✓ ✓
University Family Care
09830 837 ✓ ✓ ✓ ✓
University Family Care - Maricopa Health Plan
09908 835 ✓ ✓ ✓ ✓
University Family Care - Maricopa Health Plan
09908 837 ✓ ✓ ✓ ✓ ✓ ✓
University Health Alliance
99026 837 ✓ ✓
University Health Care Advantage
46407 835 ✓ ✓ ✓ ✓
University Health Care Advantage
46407 837 ✓ ✓
University Healthcare Marketplace
45437 837 ✓ ✓
University of Illinois
UIC67 835 ✓ ✓ ✓ ✓
University of Illinois
UIC67 837 ✓ ✓
University of Illinois at Chicago Div of Specialized Care for Children
37601 837 ✓ ✓
University of Maryland Health Advantage
45282 835 ✓ ✓ ✓ ✓
University of Maryland Health Advantage
45282 837 ✓ ✓ ✓ ✓
University of Utah Health Plans
SX155 835 ✓ ✓ ✓ ✓
University of Utah Health Plans
SX155 837 ✓ ✓
UNUM Dental
STR01 837 ✓ ✓ ✓
Upland Medical Group
IP056 837 ✓
UPMC Health Plan
23281 835 ✓ ✓ ✓ ✓
UPMC Health Plan
23281 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 141 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
UPMC Health Plan
UPMCD 835 ✓ ✓
UPMC Health Plan
UPMCD 837 ✓ ✓ ✓
UPMC Vision Advantage
25184 835 ✓ ✓ ✓ ✓
UPMC Vision Advantage
25184 837 ✓ ✓
Upper Peninsula Health Group (TPA)
37324 835 ✓ ✓ ✓ ✓
Upper Peninsula Health Group (TPA)
37324 837 ✓ ✓
Upper Peninsula Health Plan (Medicaid)
38337 835 ✓ ✓ ✓ ✓
Upper Peninsula Health Plan (Medicaid)
38337 837 ✓ ✓
US Benefits
93092 835 ✓ ✓ ✓ ✓
US Benefits
93092 837 ✓ ✓
US Department of Labor
77044 835 ✓ ✓
US Department of Labor
77044 837 ✓ ✓
US Department of Labor - Black Lung
77104 835 ✓ ✓
US Department of Labor - Black Lung
77104 837 ✓ ✓
US Department of Labor - Energy
77103 835 ✓ ✓
US Department of Labor - Energy
77103 837 ✓ ✓
US Engagement, LLC
50443 837 ✓ ✓
US Family Health Plan
90551 837 ✓ ✓
US Family Health Plan (USFHP) TX AND LA
USFHP 835 ✓ ✓ ✓ ✓
US Family Health Plan (USFHP) TX AND LA
USFHP 837 ✓ ✓ ✓
US Imaging Network
50383 835 ✓ ✓ ✓ ✓
US Imaging Network
50383 837 ✓ ✓
USAA (United Services Automobile Association)
74095 837 ✓ ✓
USAA-Medicare Supplemental (ERA Only)
USAAM 835 ✓ ✓ ✓ ✓
USFHP - St. Vincent Catholic Medical Centers of New York
13407 835 ✓ ✓ ✓ ✓
USFHP - St. Vincent Catholic Medical Centers of New York
13407 837 ✓ ✓
USHealth Group
USHA1 835 ✓ ✓ ✓ ✓
Claims for this remit code are submitted under
one of the family companies: Freedom Life
Insurance Company of America, National
Foundation Life Insurance Company or Enterprise
Life Insurance Company
USHL
38261 837 ✓ ✓
Utah Medicaid
12K42 835 ✓ ✓
Utah Medicaid
12K42 837 ✓ ✓
Utah Medicaid
SKUT0 835 ✓ ✓
Utah Medicaid
SKUT0 837 ✓ ✓
Experian Health Payer List Page 142 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Utah Medicare
12M84 837 ✓ ✓
Utah Medicare
MR046 835 ✓ ✓
Utah Medicare
SMUT0 835 ✓ ✓
Utah Medicare
SMUT0 837 ✓ ✓ ✓
UTMB Correctional Managed Care
UTMBC 835 ✓ ✓ ✓ ✓
UTMB Correctional Managed Care
UTMBC 837 ✓ ✓
UW Graduate Appointee Plan
91136 835 ✓ ✓ ✓ ✓
UW Graduate Appointee Plan
91136 837 ✓ ✓
VA Community Care Network Region 1
VACCN 835 ✓ ✓ ✓ ✓
VA Community Care Network Region 1
VACCN 837 ✓ ✓ ✓ ✓ ✓ ✓
For DOS after 7/29/19
VA Community Care Network Region 2
VACCN 835 ✓ ✓ ✓ ✓
VA Community Care Network Region 2
VACCN 837 ✓ ✓ ✓ ✓ ✓ ✓
For DOS after 7/29/19
VA Community Care Network Region 3
VACCN 835 ✓ ✓ ✓ ✓
VA Community Care Network Region 3
VACCN 837 ✓ ✓ ✓ ✓ ✓ ✓
For DOS after 7/29/19
VA Community Care Network Region 4
VACCN4 835 ✓ ✓ ✓ ✓
VA Community Care Network Region 4
VACCN4 837 ✓ ✓ ✓ ✓
VA Community Care Network Region 5
VACCN5 835 ✓ ✓ ✓ ✓
VA Community Care Network Region 5
VACCN5 837 ✓ ✓ ✓ ✓
VA Fee Basis Programs
12115 835 ✓ ✓ ✓ ✓
VA Fee Basis Programs
12115 837 ✓ ✓
VA Financial Services Center (Dialysis)
VAFSC 837 ✓ ✓
Valenz
94749 837 ✓ ✓
Valir Pace
64009 837 ✓ ✓
Valley Baptist Health Plan
12T06 837 ✓ ✓
Valley Baptist Health Plan
TH022 837 ✓
Valley Care IPA
VCIPA 835 ✓ ✓ ✓ ✓
Valley Care IPA
VCIPA 837 ✓ ✓ ✓ ✓
Valley Health Plan (Commercial)
VHP01 835 ✓ ✓ ✓ ✓
Valley Health Plan (Commercial)
VHP01 837 ✓ ✓ ✓ ✓ ✓ ✓
Valley Health Plan (Medi-Cal)
VHP02 835 ✓ ✓ ✓ ✓
Valley Health Plan (Medi-Cal)
VHP02 837 ✓ ✓ ✓ ✓ ✓ ✓
Valley Mental Health
94293 837 ✓
Valley Preferred - PPO Allentown PA (IHS Gateway Payer)
23253 835 ✓ ✓
Valley Preferred - PPO Allentown PA (IHS Gateway Payer)
23253 837 ✓
Valley Presbyterian Hospital
MPM53 835 ✓ ✓ ✓ ✓
Experian Health Payer List Page 143 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Valley Presbyterian Hospital
MPM53 837 ✓ ✓
Valley Presbyterian Hospital Community Family Care VPRESCFC
MPM61 837 ✓ ✓ ✓ ✓
New payer effective 1/1/23
Valley Presbyterian Hospital Preferred IPA VPRESPREF
MPM60 837 ✓ ✓ ✓ ✓
New payer effective 1/1/23
Valor Health Plan
43259 835 ✓ ✓ ✓ ✓
Valor Health Plan
43259 837 ✓ ✓
Valor Medicare Advantage
43259 837 ✓ ✓
Van Lang IPA
77036 837 ✓ ✓
Vanderbilt University Medical Center
BPSLLC 835 ✓ ✓ ✓ ✓
Vanderbilt University Medical Center
BPSLLC 837 ✓ ✓ ✓ ✓
Vantage Health Plan
77701 835 ✓ ✓ ✓ ✓
Vantage Health Plan
77701 837 ✓ ✓
Vantage Medical Group
PROSP 835 ✓ ✓ ✓ ✓
Vantage Medical Group
PROSP 837 ✓ ✓ ✓ ✓
Variable Protection Administrators (VPA)
VPA18 837 ✓ ✓ ✓ ✓
Varipro
72187 837 ✓ ✓
Vault Administrative Services
VS402 835 ✓ ✓ ✓ ✓
Vault Administrative Services
VS402 837 ✓ ✓
Vaya Health
13010 835 ✓ ✓ ✓ ✓
ERA's are activated as soon as the provider is
approved for EDI submissions.
Vaya Health
13010 837 ✓ ✓
ERA's are activated as soon as the provider is
approved for EDI submissions.
Ventura County Health Care Plan
VCHCP 837 ✓ ✓ ✓ ✓
Verdugo Hills Medical Group
66126 837 ✓ ✓
Vermont Medicaid
12K26 835 ✓ ✓
Vermont Medicaid
12K26 837 ✓ ✓
Vermont Medicaid
SKVT0 835 ✓ ✓
Vermont Medicaid
SKVT0 837 ✓ ✓
Vermont Medicare
12M26 835 ✓ ✓
Vermont Medicare
12M26 837 ✓ ✓ ✓
Vermont Medicare
SMVT0 835 ✓ ✓
Vermont Medicare
SMVT0 837 ✓ ✓ ✓
VESTACARE
VESTA 837 ✓ ✓
VGM Homelink
50701 835 ✓ ✓
VGM Homelink
50701 837 ✓
Via Christi HOPE
48123 837 ✓ ✓
Vibra Health Plan
15976 835 ✓ ✓ ✓ ✓
ERA Only
Experian Health Payer List Page 144 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Vibra Health Plan
15976 837 ✓ ✓
Victor Valley IPA
VVIPA 837 ✓
VieCare Life and Beaver and Life Lawrence Counties
25924 835 ✓ ✓ ✓ ✓
VieCare Life and Beaver and Life Lawrence Counties
25924 837 ✓ ✓
VieCare Life Armstrong
25922 835 ✓ ✓ ✓ ✓
VieCare Life Armstrong
25922 837 ✓ ✓
VieCare LIFE Butler
25923 835 ✓ ✓ ✓ ✓
VieCare LIFE Butler
25923 837 ✓ ✓
Village Family Practice
73743 837 ✓ ✓
Payer code is no longer active … please send
claims to Wellcare payer id 14163
Village MD
37105 835 ✓ ✓ ✓ ✓
aka Amita Health Medical Care Group
Village MD
37105 837 ✓ ✓
Village Practice Management Company
36477 837 ✓ ✓
VillageCareMAX
26545 837 ✓ ✓
Virgin Islands Medicare
12M52 835 ✓ ✓
Virgin Islands Medicare
12M52 837 ✓
Virgin Islands Medicare
SMVI0 835 ✓ ✓
Virgin Islands Medicare
SMVI0 837 ✓
Virgin Islands Medicare Part B (J9-First Coast)
SMVI0 837 ✓
Virginia Health Network, Inc.
54138 837 ✓ ✓
Virginia Mason Group Health
91131 835 ✓ ✓ ✓ ✓
Virginia Mason Group Health
91131 837 ✓ ✓
Virginia Medicaid
12003 835 ✓ ✓
Virginia Medicaid
12003 837 ✓ ✓
Virginia Medicaid
SKVA0 835 ✓ ✓
Virginia Medicaid
SKVA0 837 ✓ ✓
Virginia Medicare
12004 837 ✓ ✓ ✓
Virginia Medicare
SMVA0 835 ✓ ✓
Virginia Medicare
SMVA0 837 ✓ ✓ ✓
Virginia Premier Health Plan
VAPRM 835 ✓ ✓ ✓ ✓
Virginia Premier Health Plan
VAPRM 837 ✓ ✓ ✓ ✓ ✓ ✓
Vista Oncology - New Century Infusion Solutions
NCH08 837 ✓
VitalCore Milette
MAI58 837 ✓ ✓
Viva Health Plan
63114 835 ✓ ✓ ✓ ✓
Viva Health Plan
63114 837 ✓ ✓
Experian Health Payer List Page 145 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Vivida Health
A0102 837 ✓ ✓
For claim DOS on or after 1/1/21. Claims with DOS
prior to 1/1/21 should be sent using payer code
45488
Vivida Health (for DOS prior to 1/1/21)
45488 837 ✓ ✓ ✓ ✓
VMD Primary Providers of AZ
84213 835 ✓ ✓ ✓ ✓
VMD Primary Providers of AZ
84213 837 ✓ ✓
VNA Homecare Options
31626 837 ✓ ✓
VNS CHOICE Medicare
77073 835 ✓ ✓ ✓ ✓
VNS CHOICE Medicare
77073 837 ✓ ✓ ✓ ✓
VOLUSIA HEALTH NETWORK
59266 835 ✓ ✓ ✓ ✓
VOLUSIA HEALTH NETWORK
59266 837 ✓ ✓
Vxtra Health Plan Inc.
99915 837 ✓ ✓ ✓ ✓
As of February 20, 2024, Electronic Remits Advice
(ERA) is not available for this payer at this time.
Vytalize Health (ERA Only)
RP042 835 ✓ ✓ ✓ ✓
ERA Only
Vytra Healthcare
22264 835 ✓ ✓ ✓ ✓
Vytra Healthcare
22264 837 ✓ ✓ ✓ ✓
WA - Washington Coordinated Care
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
WA - Washington Coordinated Care
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Wabash Memorial Hospital Association
85256 835 ✓ ✓ ✓ ✓
Wabash Memorial Hospital Association
85256 837 ✓ ✓
Wagner Meinert
31650 837 ✓ ✓ ✓ ✓
Washington County General Fund
77111 837 ✓ ✓ ✓ ✓
Washington Medicaid
12K27 835 ✓ ✓
Washington Medicaid
12K27 837 ✓ ✓ ✓
Washington Medicaid
SKWA0 835 ✓ ✓
Washington Medicaid
SKWA0 837 ✓ ✓ ✓
Washington Medicare
12M45 835 ✓ ✓
Washington Medicare
12M45 837 ✓ ✓ ✓
Washington Medicare
SMWA0 835 ✓ ✓
Washington Medicare
SMWA0 837 ✓ ✓ ✓
Washington National
70319 835 ✓ ✓ ✓ ✓
ERA Only
Washington State Dept of Labor and Industry
SX063 835 ✓ ✓ ✓ ✓
Washington State Dept of Labor and Industry
SX063 837 ✓ ✓ ✓ ✓
Experian Health Payer List Page 146 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Waterstone Benefit Administrators (Oklahoma Providers)
73155 837 ✓ ✓
Waterstone Benefit Administrators (Outside Oklahoma)
23051 837 ✓ ✓
Watts Health Care
MPM09 837 ✓ ✓ ✓ ✓
WebTPA Employer Services LLC
75261 835 ✓ ✓ ✓ ✓
Per the payer's request, the payer's name has
been updated to WebTPA Employer Services LLC.
WebTPA Employer Services LLC
75261 837 ✓ ✓ ✓
Electronic Remittance Advice (ERA) will continue
to be routed through SDS
Weiss Health Providers
36337 837 ✓ ✓
WelbeHealth
WBHCA 835 ✓ ✓ ✓ ✓
WelbeHealth
WBHCA 837 ✓ ✓ ✓ ✓
Welcome Health
MPM57 837 ✓ ✓
Welfare and Pension Administrators
91136 835 ✓ ✓ ✓ ✓
Welfare and Pension Administrators
91136 837 ✓ ✓ ✓
Well Sense Health Plan
13337 835 ✓ ✓ ✓ ✓
Well Sense Health Plan
13337 837 ✓ ✓ ✓ ✓
Well-Med
WELM2 835 ✓ ✓ ✓ ✓
Well-Med
WELM2 837 ✓ ✓ ✓ ✓
WellCare (JVHL)
MMJVH 835 ✓ ✓ ✓ ✓
WellCare (JVHL)
MMJVH 837 ✓ ✓ ✓ ✓ ✓ ✓
Provider must be an approved JVHL lab
Wellcare by Allwell
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Wellcare by Allwell
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Wellcare Complete
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Wellcare Complete
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Wellcare Health Plan, Inc. (Encounters only)
59354 835 ✓ ✓ ✓ ✓
Wellcare Health Plan, Inc. (Encounters only)
59354 837 ✓ ✓ ✓ ✓
Wellcare Health Plan, Inc. (Fee-for-Service)
14163 835 ✓ ✓ ✓ ✓
Wellcare Health Plan, Inc. (Fee-for-Service)
14163 837 ✓ ✓ ✓ ✓ ✓ ✓
WellCare of North Carolina
14163 835 ✓ ✓ ✓ ✓
WellCare of North Carolina
14163 837 ✓ ✓ ✓ ✓ ✓ ✓
WellChoice of NJ
00803 835 ✓ ✓
WellChoice of NJ
SB803 837 ✓ ✓
ERA Payer Code 00803.
Experian Health Payer List Page 147 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
WellFirst Health
39113 837 ✓ ✓ ✓ ✓
Wellmark BCBS - Medicare COB
12B92 837 ✓ ✓
Wellnet Health Plans
25711 837 ✓ ✓ ✓ ✓
WellPay/Inssolen
95729 837 ✓ ✓
Wellpoint Maryland
26375 835 ✓ ✓ ✓ ✓
ERA payer code 26375
Wellpoint Maryland
26375 837 ✓ ✓ ✓ ✓ ✓ ✓
WellSpace Nexus LLC
NEXUS 835 ✓ ✓ ✓ ✓
WellSpace Nexus LLC
NEXUS 837 ✓ ✓
WellSystems LLC
35245 835 ✓ ✓ ✓ ✓
aka Continental Benefits
WellSystems LLC
35245 837 ✓ ✓
West Covina Medical Group
66124 837 ✓ ✓
West Suburban Health Providers
80942 837 ✓ ✓
West Virginia Family Health Plan
45276 835 ✓ ✓ ✓ ✓
West Virginia Family Health Plan
45276 837 ✓ ✓
Effective 6/30/2019, there will no longer be a
West Virginia Family Health plan. The remaining
members will choose one of the remaining 3
MCOs as their plan for service dates 7/1/2019 and
forward. Payer ID 45276 West Virginia Family
Health Plan will remain active only for claims for
service dates prior to 7/1/2019. Providers should
check member cards to ensure they send claims to
the correct WV MCO plan for service dates
7/1/2019 and forward.
West Virginia Medicaid
12K28 835 ✓ ✓
West Virginia Medicaid
12K28 837 ✓ ✓
West Virginia Medicaid
SKWV0 835 ✓ ✓
West Virginia Medicaid
SKWV0 837 ✓ ✓
West Virginia Medicare
12M28 837 ✓ ✓
West Virginia Medicare
SMWV0 835 ✓ ✓
West Virginia Medicare
SMWV0 837 ✓ ✓
West Virginia Senior Choice
WVS01 835 ✓ ✓ ✓ ✓
West Virginia Senior Choice
WVS01 837 ✓ ✓
Western Grower's Insurance Company
24735 837 ✓ ✓
Western Growers Assurance Trust
24375 837 ✓ ✓ ✓ ✓
Western Health Advantage
68039 837 ✓ ✓
Western Health Advantage
77225 835 ✓ ✓ ✓ ✓
Western Health Advantage
77225 837 ✓ ✓
Experian Health Payer List Page 148 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Western Mutual Insurance
37247 837 ✓ ✓
Western Oregon Advanced Health
DOCSO 835 ✓ ✓
Western Oregon Advanced Health
DOCSO 837 ✓ ✓
Western Oregon Advanced Health
UOCSO 835 ✓ ✓
Western Oregon Advanced Health
UOCSO 837 ✓ ✓
Western Reserve Life Insurance Company (TX)
TRLTC 837 ✓ ✓ ✓ ✓
Western Sky Community Care
68069 835 ✓ ✓ ✓ ✓
ERA Payer Code 68069; Payer requires EFT
enrollment in order for ERA files to be returned.
Centene will not produce an ERA file for any paper
checks.
Western Sky Community Care
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Western Southern Financial Group (Cincinnati OH)
31048 835 ✓ ✓ ✓ ✓
Western Southern Financial Group (Cincinnati OH)
31048 837 ✓ ✓
White Memorial Altamed Medical Group
MPM55 837 ✓ ✓ ✓ ✓
Willamette Valley Community Health
WVCH5 835 ✓ ✓ ✓ ✓
Willamette Valley Community Health
WVCH5 837 ✓ ✓ ✓ ✓
William C. Earhart
93050 835 ✓ ✓ ✓ ✓
William C. Earhart
93050 837 ✓ ✓
Willow Health
WHLTH 837 ✓ ✓ ✓ ✓
Wilson McShane Dental
R7002 837 ✓ ✓ ✓
Wilson-McShane
41095 837 ✓ ✓
Windsor Medicare Extra
62153 837 ✓ ✓ ✓ ✓
WINHealth
27327 835 ✓ ✓ ✓ ✓
WINHealth
27327 837 ✓ ✓ ✓ ✓
Wisconsin Chronic Disease Program (WCDP)
SKWID 835 ✓ ✓ ✓ ✓
Wisconsin Chronic Disease Program (WCDP)
SKWID 837 ✓ ✓ ✓ ✓
Wisconsin Department of Corrections
74101 835 ✓ ✓ ✓ ✓
Wisconsin Department of Corrections
74101 837 ✓ ✓
Wisconsin Medicaid
CKWI1 835 ✓ ✓
Wisconsin Medicaid
CKWI1 837 ✓
Wisconsin Medicaid
SKWI0 835 ✓ ✓ ✓ ✓
Wisconsin Medicaid
SKWI0 837 ✓ ✓ ✓ ✓
Wisconsin Medicare
12M29 835 ✓ ✓
Wisconsin Medicare
12M29 837 ✓ ✓ ✓
Wisconsin Medicare
SMWI0 835 ✓ ✓
Wisconsin Medicare
SMWI0 837 ✓ ✓ ✓
Experian Health Payer List Page 149 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
Wisconsin Well Woman Program (WWWP)
SKWIW 835 ✓ ✓ ✓ ✓
Wisconsin Well Woman Program (WWWP)
SKWIW 837 ✓ ✓ ✓ ✓
Women's Integrated Network Inc. (WIN Fertility)
13413 837 ✓
Workers Comp of West Virginia
SX067 837 ✓ ✓
Workers Comp/Arkansas Blue Cross
12048 837 ✓ ✓ ✓
World Insurance Company
75276 835 ✓ ✓ ✓ ✓
ERA Only
WPP-ElderCare Wisconsin
77080 837 ✓ ✓
WPS Commercial
12X29 835 ✓ ✓
WPS Commercial
12X29 837 ✓ ✓
WPS Commercial
SX022 835 ✓ ✓
WPS Commercial
SX022 837 ✓ ✓ ✓
WPS Medicare Part A National - Legacy Claims - J5
52280 835 ✓ ✓
WPS Medicare Part A National - Legacy Claims - J5
52280 837 ✓ ✓ ✓
Wyoming Medicaid
12K30 835 ✓ ✓
Wyoming Medicaid
12K30 837 ✓ ✓ ✓
Wyoming Medicaid
SKWY0 835 ✓ ✓
Wyoming Medicaid
SKWY0 837 ✓ ✓ ✓
Wyoming Medicaid Dental
CKWY1 835 ✓ ✓
Wyoming Medicaid Dental
CKWY1 837 ✓ ✓ ✓
Wyoming Medicare
12M30 835 ✓ ✓
Wyoming Medicare
12M30 837 ✓ ✓ ✓
Wyoming Medicare
SMWY0 835 ✓ ✓
Wyoming Medicare
SMWY0 837 ✓ ✓ ✓
Yale University Heath Plan
60646 835 ✓ ✓ ✓ ✓
Yale University Heath Plan
60646 837 ✓ ✓ ✓ ✓
Yamhill CCO
YAMHL 835 ✓ ✓ ✓ ✓
Yamhill CCO
YAMHL 837 ✓ ✓
Yamhill CCO Physical Health
77943 835 ✓ ✓ ✓ ✓
Yamhill CCO Physical Health
77943 837 ✓ ✓ ✓ ✓
Yerington Paiute Tribe
51350 837 ✓ ✓ ✓ ✓
YesCare
43160 837 ✓ ✓
YourCare Health Plan
15003 835 ✓ ✓ ✓ ✓
YourCare Health Plan
15003 837 ✓ ✓
YouthCare
68069 837 ✓ ✓ ✓ ✓ ✓ ✓
Experian Health Payer List Page 150 of 151
I P D I P D I P D I P D
Notes
Payer Name
Payer Code
COB
Available
Enrollment
Transaction
YouthCare Healthchoice Illinois
MHPIL 835 ✓ ✓ ✓ ✓
ERA enrollment is done under payer name
"CENTENE". Payer Requires EFT in order to receive
ERA
YouthCare Healthchoice Illinois
MHPIL 837 ✓ ✓ ✓ ✓ ✓ ✓
For DOS on or after 1/1/21
Zenith Administrators (MN) Dental
R7001 835 ✓ ✓
Zenith Administrators (MN) Dental
R7001 837 ✓ ✓ ✓
Zing Choice IL (HMO)
83248 835 ✓ ✓ ✓ ✓
Zing Choice IL (HMO)
83248 837 ✓ ✓
Experian Health Payer List Page 151 of 151