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Workers' Compensation Payer List (PDF) WORKERS' COMPENSATION / AUTO PAYER LIST 09/10/2021 All WORK * Provider must be contracted with Carisk Payer ID TX MN CA IL LA NJ NY OR WI NC NM OK TN VA States 837P 837I COMP AUTO 835 *Carisk Imaging to Allstate Insurance - Auto Only E1069 x x x x Rejects Only *Carisk Imaging to Geico (Auto Only) GEICO x x x x Rejects Only *Carisk Imaging to Nationwide (Auto Only) A0002 x x x x Rejects Only *Carisk Imaging to New York City Law Department NYCL001 x x x x Rejects Only *Carisk Imaging to NJ-PLIGA E3926 x x x x Rejects Only *Carisk Imaging to North Dakota WSI NDWSI x x x x *Carisk Imaging to NYSIF NYSIF1510 x x x x Rejects Only *Carisk Imaging to Progressive Insurance (Auto Only) E1139 x x x x Rejects Only *Carisk Imaging to Pure (Auto Only) PURE01 x x x x Rejects Only *Carisk Imaging to Safeco Insurance (Auto Only) E0602 x x x x Rejects Only *Carisk Imaging to SafeTPA, LLC (NY Only) SAFE01 x x x x Rejects Only *Carisk Imaging to Selective Insurance (Auto Only) E1077 x x x x Rejects Only *Carisk Imaging to USAA (Auto Only) A0001 x x x x Rejects Only 1st Auto & Casualty J1585 x x x x x 21st Century Insurance 41556 x x x x Rejects Only 22125 Roscoe Corp. 41556 x x x x Rejects Only AAA Minnesota/Iowa 11983 x x x x x AAA Northern California, Nevada & Utah Insurance Exchange 41556 x x x x Rejects Only ABC Const. Company 41556 x x x x Rejects Only ABF Freight System, Inc. (Arkbest) J3789 x x x x x Accd J3729 x x x x x Accident Fund Insurance Co of America J1790 x x x x x Accuride Corporation J1024 x x x x x x Ace Property & Casualty Ins Co 41556 x x x x Rejects Only ACIG Insurance Company J1578 x x x x x x Active Care, Inc. J3840 x x x x x x ACTS Retirement - Life Communities J2163 x x x x x Acuity, A Mutual Insurance Company J1240 x x x x Rejects Only AD-COMP J1667 x x x x x Adelanto Correctional Facility (CA) J1798 x x x x x Administaff J1241 x x x x x x x x x x x Administrative Claim Service, Inc J1005 x x x x Rejects Only Adminsure J2292 x x x x Rejects Only Admiral Linen & Uniform Service J2144 x x x x Rejects Only Advance America Cash Advance Centers J1843 x x x x x Advance Services, Inc. J1608 x x x x x Advanced Auto Parts - All states EXCEPT TX MN J2162 x x x x x Advanced Auto Parts - TX MN J2161 x x x x x x Adventist Health System (Bunch CareSolutions) (also includes CO, FL, GA, KS, KY) J1973 x x x x x x x Advocare MCO, Inc J1896 x x x x x Affiliated Foods, Inc. J1977 x x x x AG Facilities Operations, LLC 41556 x x x x Rejects Only Agri Beef Co. 41556 x x x x Rejects Only AIG-Chartis 19402 x x x x Rejects Only Alarm Contractors (WC Only) J3859 x x x x x Alaska National Insurance J1577 x x x x x Albertsons, Inc. J2376 x x x x x Alcoa Fasteners Systems J1244 x x x Rejects Only Alex Lee, Inc. J2166 x x x x Align Networks (One Call Physical Therapy) J1716 x x x x Rejects Only Allen Canning J1740 x x x x x Allergan W.C. Holding, INC. J2341 x x x x Rejects Only Alliant Energy J1619 x x x x x x Allianz Global Corporate & Specialty (AGCS) - dates of injury on or after 1/1/2018 J2332 x x x x x Allianz Resolution Management (ARM) - dates of injury on or before 12/31/2012 J2326 x x x x x Allied Claims Administration, Inc. J1733 x x x x x Allied Construction (via EMC Risk Services) (Except CA, NM, NV) J1118 x x x x x Allied Insurance Companies J1550 x x x x x x x x x Allied Property and Casualty Ins Co J1550 x x x x x x x x x Allmerica Financial Benefits Insurance Company J1589 x x x x x Allstate - Except New Jersey C1037 x x x x x Allstate - NJ Only (Auto Only) C1089 x x x x Rejects Only Page 1 of 37 WORKERS' COMPENSATION / AUTO PAYER LIST 09/10/2021 All WORK * Provider must be contracted with Carisk Payer ID TX MN CA IL LA NJ NY OR WI NC NM OK TN VA States 837P 837I COMP AUTO 835 Alta Healthcare 41556 x x x x Rejects Only Alternative Service Concepts (ASC) J2149 x x x x Rejects Only Alvey Systems (AON Risk) J1025 x x x x x AMCO Ins Co J1550 x x x x x America First J1427 x x x x Rejects Only American Airlines - DOI after 9/1/2014 ONLY J2000 x x x x x x x x x x x American Alternative Insurance Corporation J4030 x x x x x American Apparel, LLC (DOI after 7/14/16) J2189 x x x x x American Claims Management (ACM) J1236 x x x x Rejects Only American Coin Merchandising, Inc J1026 x x x x x American Country (Auto Only) C1075 x x x x x American Country (WC Only) J1249 x x x x x American Cyanamid J1027 x x x x x American Family Home Insurance Company J4031 x x x x x American Family Mutual Insurance Company J2134 x x x x Rejects Only American Furniture Warehouse 41556 x x x x Rejects Only American Home Craft J1250 x x x x Rejects Only American Liberty Insurance Company 41556 x x x x Rejects Only American Millennium J4021 x x x x x American Mining Insurance Group, LLC J1524 x x x x x American Modern Home Insurance Company J4032 x x x x x American Select J3317 x x x x x American Specialty Companies J1028 x x x x x American Specialty Ins. / MIB J1029 x x x x x American Standard Insurance Company of Ohio (AUTO ONLY) C1055 x x x x x American Standard Insurance Company of Wisconsin (AUTO ONLY) C1055 x x x x x Amerihealth Casualty Services J3969 x x x x x Rejects Only Ameriprise (Auto Only) C1097 x x x x Rejects Only Amerisafe Risk Services J1447 x x x Amerisure Insurance J1206 x x x x x Rejects Only Amerisure Mutual Insurance J1205 x x x x Rejects Only AmFed Companies LLC (Amfed National Insurance) J3735 x x x x x AmGuard Insurance Company - Guard DBA J1453 x x x x x Amica Insurance Company (Auto Only) C1098 x x x x Rejects Only Amtrust North America J1868 x x x x x x x x x x x ANACO 41556 x x x x Rejects Only ANAIC Cibus 41556 x x x x Rejects Only Anchor Glass Container Corporation J2136 x x x x x Anheuser Busch J1620 x x x x x Antelope Valley Community Hospital J2197 x x x x x Antelope Valley Ret. 41556 x x x x Rejects Only Antelope Valley Union High School District J2185 x x x x x APM Terminals J3788 x x x x x Applied Materials J2160 x x x x x Applied Underwriters (Except AZ) J1775 x x x x Rejects Only Archer Daniels Midland Company J1735 x x x x x Ardagh Group J2344 x x x x Rejects Only Areas USA, Inc. J1944 x x x x x Argent (Subsidiary of West Bend but this route is Argent only) J1420 x x x x x Argonaut Insurance Company(ARGO) 19801 x x x x x Argus Claims J3307 x x x x Rejects Only Arizona & 21st Corp. DBA Berkley East Conv. Hospital 41556 x x x x Rejects Only Arkansas Best J2142 x x x x Rejects Only Arrowpoint J1564 x x x x x Association Casualty Insurance Company J1254 x x x x x Association County Commissioners of Georgia (ACCG). J1869 x x x x x Rejects Only Athens J1914 x x x x Rejects Only Athens - ABF Freight Systems, Inc J2096 x x x x Rejects Only Athens - Alemeda Health Systems J2097 x x x x Rejects Only Athens - American Apparel, Inc (DOI prior to 7/14/16) J2098 x x x x Rejects Only Athens - American Brass & Iron Foundry J2099 x x x x Rejects Only Athens - Angelus Block J2100 x x x x Rejects Only Page 2 of 37 WORKERS' COMPENSATION / AUTO PAYER LIST 09/10/2021 All WORK * Provider must be contracted with Carisk Payer ID TX MN CA IL LA NJ NY OR WI NC NM OK TN VA States 837P 837I COMP AUTO 835 Athens - Bay Area Housing Authority Risk Management J2101 x x x x Rejects Only Athens - Central County Fire Department J2102 x x x x Rejects Only Athens - Children's Hospital Los Angeles J2103 x x x x Rejects Only Athens - City of Beverly Hills J2104 x x x x Rejects Only Athens - City of Mountain View J2105 x x x x Rejects Only Athens - City of San Jose J2106 x x x x Rejects Only Athens - City of Vernon J2107 x x x x Rejects Only Athens - County of Solano J2108 x x x x Rejects Only Athens - Crum J3728 x x x x x Athens - East Bay Municipal Utility District J2109 x x x x Rejects Only Athens - East Bay Regional Parks District J2110 x x x x Rejects Only Athens - Fairmont Hotel J2111 x x x x Rejects Only Athens - FASIS J2112 x x x x Rejects Only Athens - Golden Gate Bridge Highway & Transportation J2113 x x x x Rejects Only Athens - Goodwill Industries (San Francisco, San Mateo, Marin Counties) J2114 x x x x Rejects Only Athens - H&S Venture J2335 x x x x x Athens - Household Industries Self Insured Group J2115 x x x x Rejects Only Athens - Kings Seafood Company J2116 x x x x Rejects Only Athens - KPC Healthcare J2117 x x x x Rejects Only Athens - Long Beach Public Transportation Company J2118 x x x x Rejects Only Athens - McKesson Corporation J2119 x x x x Rejects Only Athens - Orora North American J2120 x x x x Rejects Only Athens - Placentia-Yorba Linda Unified School District J2121 x x x x Rejects Only Athens - Presbyterian Intercommunity Hospital PIH J2122 x x x x Rejects Only Athens - San Francisco Unified School District J2124 x x x x Rejects Only Athens - Sony Corporation of America J2126 x x x x Rejects Only Athens - Sunsweet Growers, Inc.
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