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Phicure Payer Lists 6-29.Xls.Xlsx September 2021 PHIcure ‐ Confidential Green = New Payers, Red = Discontinued Payers ERA / 835 Payer List Payer ID Payer Name 64884 Aither Health 16307 CarePartners of Connecticut CH201 Contessa Health EDHP1 Employer Driven Insurance Services (EDIS) MEDM1 Medica Government Programs 451NM New Mexico Health Connections 77350 Providence Health Assurance Medicaid SCS17 Sendero Health 88848MC BCBS Iowa Secondary to Medicare 36426 Sendero Health 13162 1199 SEIU National Benefit Fund E1365 1st Auto & Casualty 51028 21st Century Insurance and Financial Services 07205 360 Alliance PPO Gilsbar 20413 3P Admin E0627 A.W. Holdings LLC Dba Benchmark E3748 AAA Minnesota/Iowa 36273 AARP Medicare Supplement/Fixed Indemity by UnitedHealthcare 87726 AARP MedicareComplete 36273 AARP UnitedHealthcare Insurance LS461 Abf Freight System, Inc. (Athens) A0701 ABMG COACC Access Behavioral Care ACC01 Access IPA 19305 Access medicare Cuatro LLC E1136 Accident Fund Insurance Co of America 64071 Acclaim E3033 Accuride Corporation E9992 Ace Property & Casualty Ins Co E10230 Ace USA E10231 Ace USA Rocklin E1366 ACIG Insurance Company 87815 Acordia National ‐ Wells Fargo TPA 72467 ACS Benefit Services 38254 Activa Benefits Services E10128 ACTS Retirement‐ Life Communities E3627 Acuity, A Mutual Insurance Company E1165 AD‐COMP E1100 Adelanto Correctional Facility (CA) E5521 Administaff 22384 Administrative Concepts, Inc. 59141 Administrative Services, Inc 37278 Adminone E1418 Advance America Cash Adv Centers E10217 Advanced Auto Parts E10219 Advanced Auto Parts ‐ TX MN 35209 Advantage Health Solutions 83077 Advantek Benefit Administrators E0626 Adventist Health (Bunch CareSolutions) 95340 Adventist Health System E1068 Advocare MCO Inc 36320 Advocate Health Centers ‐ AHC 65093 Advocate Physicians Partners ‐ PHO CB637 Aegis Administrative Services 23228 Aetna Better Health ‐ PA Medicaid 128CA Aetna Better Health CA 128KS Aetna Better Health Kansas 26337 Aetna Better Health Medicaid IL 46320 Aetna Better Health NJ 34734 Aetna Better Health NY 68024 Aetna Better Health of Illinois Inc 128KY Aetna Better Health of Kentucky 128LA Aetna Better Health of Louisiana 128MD Aetna Better Health of Maryland 128MI Aetna Better Health of Michigan 50023 Aetna Better Health of Ohio 128VA Aetna Better Health of Virginia 128WV Aetna Better Health of West Virginia 60054 Aetna Health Plan ‐ PPO 60054 Aetna Life and Casualty Company 38692 Aetna TX Medicaid and CHIP E0605 Affiliated Foods, Inc. 23334 Affinity Essentials 13334 Affinity Health Plans 13333 Affinity Health Plans ‐ TMG Health 95426 Affordable Benefit Administrators AWNY6 Age Well NY ARA01 AgeRight Advantage 80705 AH and L 31138 AHPO ‐ Cleveland OH 22195 AIG ‐ Maksin Management Corporation 91136 Alaska Childrens Services 91136 Alaska Laborers Construction Industry Trust E1168 Alaska National Insurance 91136 Alaska Pipe Trades Local 375 91136 Alaska United Food and Commercial Workers Health and Welfare Trust E2376 Albertsons, INC E10130 Alex Lee Inc ALH01 Aliera Health Care TRIN1 Aliera Health Care CCHPC Alignment Health Care 37602 All Savers Insurance 81400 All Savers Insurance (UnitedHealthOne) MRIPA Allcare Healthplan 26158 Allcare PEBB 81040 Allegiance Benefit Plan Management E1052 Allen Canning 93658 Alliance Coal Health Plan E1367 Alliant Energy 58234 Alliant Health Plans of Georgia E1318 Allianz E2332 Allianz Global Corporate & Specialty ‐ DOI on or post 1/1/2013 E2326 Allianz Resolution Management ‐ ARM 37308 Allied Benefit Systems E1153 Allied Claims Administration, Inc. E7758 Allied Construction via EMC Risk Services E8302 Allied Insurance Companies NMM01 Allied Physicians of California IPA E8303 Allied Property and Casualty Ins Co E1368 Allmerica Financial Benefits Insurance Company E1069 Allstate 04293 Allways Health Plan 99030 Aloha Care ALOHA AlohaCare ALPHA AlphaCare A0701 Alta Bates Medical Group 80705 ALTA Health and Life Insurance Company ALTAM AltaMed 63240 Alternative Risk Management ‐ ARM E2178 Alvey Systems (AON Risk) AMAIA AMA Insurace Agency 13550 Amalgamated Life Insurance Co WP022 Amazon Com, Inc. 68069 Ambetter E8304 AMCO Ins Co 38219 AmeraPlan 75137 Ameriben Solutions 27516 Americaid Community Care ‐ New Jersey 37283 American Administrative Group E10094 American Airlines E10132 American Apparel LLC 95170 American Benefit Plan Administrators 59140 American Benefits Plan Administrators ‐ Las Vegas, NV 41161 American Chiropractic Network ‐ PAN E4709 American Coin Merchandising, Inc E2415 American Cyanamid 56071 American Family ‐ administered by American Republic AMF11 American Family Insurance E1555 American Family Mutual Ins Co Auto 62030 American General WP065 American Guarantee 31135 American Health Advantage Mississippi 26119 American Insurance Administrators (AIA) 87726 American International Group 81400 American Medical Security 81400 American Medical Security (UnitedHealthOne) E0655 American Mining Insurance Group, LLC 74048 American National Insurance 44444 American Postal Workers Union Health Plan ‐ APWU 42011 American Republic Insurance Company ‐ ARIC E3317 American Select ASH01 American Speciality Health E8760 American Specialty Companies E6862 American Specialty Ins. / MIB WP954 American Zurich Ins Co 20553 Americas 1st Choice Health Plans of South Carolina 20029 America's Choice NMA 41178 America's PPO / America's TPA 87726 AmeriChoice ‐ CT, FL, MD, RI, TX, WI (UnitedHealthcare Community Plan) 87726 AmeriChoice by UnitedHealthcare (NYU) (UnitedHealthcare Community Plan) 87726 AmeriChoice MS ‐ CHIP and CAN (UnitedHealthcare Community Plan) 86047 AmeriChoice NJ, Medicaid, NJ Family Care ‐ UnitedHealthcare Community Plan 87726 AmeriChoice of Florida 87726 AmeriChoice of Illinois 87726 AmeriChoice of Maryland 87726 AmeriChoice of Nebraska 87726 AmeriChoice of Nebraska (UnitedHealthcare Community Plan) 86047 AmeriChoice of NJ Medicaid and Family Care 87726 AmeriChoice of Rhode Island 25175 Americhoice Personal Care Plus PA ‐ United Healcare Community Plan 95378 AmeriChoice Tennesee AmeriChoice Tennesee ‐ TennCare, Secure Plus Complete ‐ UnitedHealthcare 95378 Community Plan 28807 Amerigroup ‐ Maryland, Virginia and District of Columbia 28806 Amerigroup ‐ New Jersey 28805 Amerigroup / Americaid ‐ Houston 27514 Amerigroup Georgia 26375 Amerigroup Iowa 27514 Amerigroup Tennessee 93688 AmeriHealth ‐ DE (PPO) 60061 AmeriHealth ‐ New Jersey (Non‐HMO Claims) 54763 AmeriHealth Administrators 27357 Amerihealth Caritas 77075 Amerihealth Caritas Iowa 81671 Amerihealth Caritas NC 77062 AmeriHealth Caritas VIP Care 77013 Amerihealth Caritus VIP Michigan CB650 Amerihealth Casualty Services 77799 Amerihealth DE 77002 Amerihealth District of Columbia 23037 Amerihealth HMO 22248 AmeriHealth Mercy Health Plan 77001 AmeriHealth NorthEast 22355 AmeriHealth VIP Care 77007 Amerihealth VIP Care DC 77006 Amerihealth VIP Care La E7771 Ameriprise Auto & Home Insurance E1417 Amerisafe E8851 Amerisure Insurance E4534 Amerisure Mutual Insurance 26375 Amerivantage 64090 Amfirst Insurance Company 01757 AM‐First Insurance Morgan White CB531 Amguard Insurance Company ‐ Guard Dba E1681 Amica Mutual Insurance Company E1342 Amtrust North America 38254 Amway E10122 Anchor Glass Container Corp E1169 Anheuser Busch 34192 Antares Management Solutions E10133 Antelope Valley Community Hospital E10220 Antelope Valley Union High School District 80705 Anthem Health and Life Insurance Company of New Jersey 34196 Apex Benefit Services 81312 Apostrophe E10134 Applied Materials E1131 Applied Underwriters E1294 Aramark 52312 Arbor Health 77045 Arcadian Management Services E1159 Archer Daniels Midland Company E1454 Areas USA Inc E1444 Argent WF103 Argent, A Westbend Mutual Insurance Company TP018 Argonaut Great Central Insurance Co (Corvel) E9935 Argonaut Insurance Company(ARGO) 03432 Arizona Physicians IPA 03432 Arizona Physicians IPA ‐ APIPA (UnitedHealthcare Arizona Physicians IPA) 75278 Arkansas Best Corporation WE220 Arkansas Municipal League E10234 Armour Risk CQ053 Arnold Industries/New Penn Mot E1051 Arrowpoint AAMG1 Asian American Medical Group 46156 Aspire Health Plan 38265 ASR Corporation ASRM1 ASRM LLC E1411 Assoc County Commissioners of GA E10235 Associated Industries Of Massachusetts E10120 Association Casualty Insurance Co E10236 Association Of Ca Water Agencies JPA E2160 Assurance Company of America (Commercial Only) 75068 Assurant Health Self Funded 75068 Assurant Health Self Funded AHUSY Assurant Health‐ Union Security Insurance 74240 Assured Benefits Administrators 93221 Asuris NW Health E0998 Athens E2335 Athens ‐ H&S Venture 87020 Atlantic Coast Life Insurance MNAUL Aultcare E10171 Aureon HR Solutions via EMC Risk E1170 Austin Mutual Ins E7795 Auto Club Group E7947 Auto Club Property‐Casualty Insurance Company 38259 Automated Benefit Services ‐ ABS 37280 Automated Group Administration 91136 Automotive Machinists Local 289 Health and Welfare Trust ‐ Grp#F32 E1171 Auto‐Owners \ Home‐Owners Insurance Company E1172 Auto‐Owners \ Owners Insurance Company E1173 Auto‐Owners \ Property‐Owners Insurance Co E1174 Auto‐Owners \ Southern‐Owners Company E8317 Auto‐Owners Insurance Company E1175 Auto‐Owners Life Insurance Company AVA01 Avalon Healthcare Solutions 46045 Avera Health Plans 59274 AvMed AXM01 Axminister Medical Group E4001 Ayers Trucking E1176 Bank of America BANK1 BANKERS FIDELITY LIFE INSURANCE CO (ERA ONLY) 74227 Bankers United Life ‐ Student Division SX145 Banner Health 77078 Banner Medisun E10221 Baptist Healthcare Systems Inc E1295 Barnes E1177 Barrett Business Services Inc (BBSI) 41204 Basic Plus E0652 Bass
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