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Created April 11, 2017 09:41
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[
{
"id": 8294,
"value": "07205",
"name": [
"360 Alliance Gilsbar",
"360 Alliance PPO Gilsbar",
"Gilsbar",
"Gilsbar Inc",
"Gilsbar, Inc"
]
},
{
"id": 9131,
"value": "74234",
"name": [
"8th Distric Electrical",
"Advanstaff Inc.",
"Arizona Pipe Trades Health and Welfare Trust Fund Local Union Nos. 469 & 741 Metal Trades Health Plan",
"Arizona Pipe Trades Health and Welfare Trust Fund Local Union Nos. 469 & 741 Pipe Trades Health Plan",
"City of Austin",
"CompuSys Incorporated (New Mexico)",
"CompuSys Incorporated of Arizona",
"CompuSys Incorporated of Utah",
"CompuSys/Erisa Group Incorporated (AZ)",
"CompuSys/Erisa Group Incorporated (NM)",
"CompuSys/Erisa Group Incorporated (TX)",
"Erisa Administrative Services Inc.",
"Erisa Administrative Services Incorporated",
"IBEW Local 640 & Arizona Chapter NECA Health & Welfare Trust",
"IBEW Western Utilities or Local 57",
"Intermountain Ironworkers Trust Fund",
"New Mexico District Council of Carpenters",
"New Mexico Painters and Allied Trades Local No 823",
"New Mexico-West Texas Multi-Craft (lso known as New Mexico Laborers)",
"Operating Engineers Local No 53",
"Tech-Steel Inc.",
"Transwestern General Agency",
"Utah Carpenters",
"Utah Laborers",
"Utah Pipe Trades"
]
},
{
"id": 9114,
"value": "72467",
"name": [
"ACS Benefit Services inc.",
"ASC Benefit Services Inc."
]
},
{
"id": 8966,
"value": "59141",
"name": [
"Administrative Services",
"Administrative Services Inc."
]
},
{
"id": 8467,
"value": "22384",
"name": [
"ADMINISTRATIVE CONCEP",
"Adminstrative Concepts Inc."
]
},
{
"id": 8634,
"value": "35209",
"name": [
"ADVANTAGE HEALTH SOLU",
"Advantage Health Solutions Inc."
]
},
{
"id": 8995,
"value": "60054",
"name": [
"AHP of New Jersey Parsippany",
"AHP of New Jersey Purchase NY",
"Aetna",
"Aetna 60054 (Commercial only)",
"Aetna Health Plan",
"Aetna Health Plans (AHP)",
"Aetna Health Plans PPO",
"Aetna Life & Casualty Company",
"Ohio Valley HMO Cincinnati (Aetna)",
"PHP of Georgia Atlanta (Aetna)",
"PHP of North Ohio Cleveland (Aetna)",
"Primary Choice (Aetna HP-NY/NJ)",
"Primary Choice (Aetna Health Plan of NY/NJ)",
"Select Choice",
"Select Choice (Aetna Health Plan of NY/NJ)",
"Senior Choice (Aetna HP-NY/NJ)",
"Senior Choice (Aetna Health Plan of NY/NJ)",
"Southwest Health Plan (Aetna HMO)",
"aetna"
]
},
{
"id": 9225,
"value": "80705",
"name": [
"AH & L",
"ALTA Health and Life Insurance Company",
"Anthem Health and Life Insurance Company of New Jersey",
"Confederation Admin Services",
"Confederation Life Insurance",
"Crown Life",
"First Great-West Life & Annuity",
"GWL",
"GWL & A",
"Great West",
"Great West (SF)",
"Great West (WA)",
"Great West Care",
"Great West Denver",
"Great West Healthcare (Remits returned under 62308)",
"Great West Life Assurance",
"Great West Life Assurance Company of America",
"Great-West Bellevue",
"Great-West Life & Annuity Ins Co.",
"Great-West Life & Annuity Ins. Co.",
"ONE Health Plan Inc.",
"ONE Health Plan of Texas Inc.",
"One Health Plan Inc.",
"One Health Plan Michigan Inc.",
"One Health Plan New York Inc.",
"One Health Plan of Alaska",
"One Health Plan of Arizona Inc.",
"One Health Plan of DC Inc",
"One Health Plan of Florida",
"One Health Plan of Indiana Inc.",
"One Health Plan of Kansas and Missouri",
"One Health Plan of Maine Inc.",
"One Health Plan of Massachusetts Inc.",
"One Health Plan of Minnesota Inc.",
"One Health Plan of Nevada Inc.",
"One Health Plan of New Jersey",
"One Health Plan of North Carolina",
"One Health Plan of Ohio",
"One Health Plan of Pennsylvania",
"One Health Plan of South Carolina",
"One Health Plan of Tennessee",
"One Health Plan of Texas",
"One Health Plan of Virginia Inc.",
"One Health Plan of Washington",
"One Health Plan of Wisconsin Inc.",
"One Health Plan of Wyoming"
]
},
{
"id": 8893,
"value": "52149",
"name": [
"Alliance PPO Inc.(Now known as OneNet PPO LLC.)",
"Alliance PPO of MD (Mamsi)",
"MAHP (MAMSI)",
"OneNet PPO",
"OneNet PPO (formerly Alliance PPO and MAPSI)"
]
},
{
"id": 8657,
"value": "36369",
"name": [
"American Imaging Management Inc. (Assigned Group Policy Plan ID required. To obtain call AIM at 800-252-2021)",
"UtiliMED Inc."
]
},
{
"id": 8913,
"value": "54763",
"name": [
"AmeriHealth Administrators",
"Amerihealth Administrators Inc."
]
},
{
"id": 8608,
"value": "34192",
"name": [
"Antares Management Services",
"Antares Management Solutions",
"Antares Management Solutions (837P & 837I)",
"Benefit Services Inc. (Akron OH) (Payer name is now Antares Management Solutions)",
"Mutual Health Services"
]
},
{
"id": 8910,
"value": "54160",
"name": [
"APS Healthcare Inc (American Psych Systems)",
"APS Healthcare Inc."
]
},
{
"id": 9197,
"value": "77045",
"name": [
"ARCADIAN MGMT SERVICE",
"Arcadian Management Services Inc (Group number should be entered if available. )"
]
},
{
"id": 8644,
"value": "36326",
"name": [
"Associates for Health Care Inc. (AHC)",
"Associates for Healthcare"
]
},
{
"id": 8778,
"value": "39065",
"name": [
"Assurant Employee Benefits (Formerly Fortis Insurance)",
"Assurant Health (Fortis Insurance Company)",
"FORTIS (Formerly Time Insurance)",
"FORTIS Western",
"Fortis (Western Life Ins. Benefit Plan)",
"Fortis Benefits Inc. (Woodbury) PHCS Network Claims",
"Fortis Insurance Company",
"Fortis Insurance Company (Assurant Health)",
"Mutual Benefit",
"Mutual Benefit Life",
"Time Insurance (A Fortis Company)",
"Time Insurance Company",
"Western",
"Western Care",
"Western Life Ins. Benefit Plan (FORTIS)"
]
},
{
"id": 8712,
"value": "37280",
"name": [
"Automated Group Administration",
"Automated Group Administration Inc."
]
},
{
"id": 8978,
"value": "59274",
"name": [
"AVMED",
"AvMed (837P & 837I) Provider must enroll for EFT in order to receive electronic remittance, http://www.avmed.org/Providers/Tools/EOP",
"Avmed",
"Avmed Inc."
]
},
{
"id": 8955,
"value": "58204",
"name": [
"AVMED-Parity Healthcare (OB/GYN only)",
"Coordinated Medical Specialists (CMS)",
"Dermatology Network Solutions LLC BCBS (Payer requires 11 digit member ID Number)",
"Dermatology Network Solutions LLC Humana (Payer requires 11 digit member ID Number)",
"Dermatology Network Solutions LLC Vista (Payer requires 11 digit member ID Number)",
"Dermatology Network Solutions BCBS for the Health Options HMO (Payer requires 11 digit member ID Number)",
"GI Innovative Management",
"MedAdmin Sol Inc",
"MedAdmin Solutions",
"Parity Healthcare Inc.",
"Physician Associates of Lousiana (PAL)"
]
},
{
"id": 8879,
"value": "49153",
"name": [
"BCI Administrators Inc"
]
},
{
"id": 9091,
"value": "68241",
"name": [
"Bell Atlantic (Prudential)",
"Choice Plus (TRW)",
"CustomCare",
"CustomCare (Southwestern Bell - Exec.)",
"EmoryCare",
"FlexCare",
"Florida Power & Light",
"Health Care Alliance (Sears)",
"IBM Medical Plans",
"Institutes of Quality",
"Marriott",
"Minneapolis Prudential Business",
"PruCare",
"PruNetwork",
"Prucare Plus",
"Prudential",
"Prudential Health Care Systems",
"Rush Prudential Insurance Co. (PPO & POS Only)",
"Sandia Triple Option Plan (Sandia TOP)",
"Senior Care",
"Southwestern Bell",
"Southwestern Bell Executive - Custom Care",
"Southwestern Bell Executive - Southwestern Bell",
"Sun Trust Bank Inc.",
"UC Care (University of CA)",
"Varian Health Care Plan"
]
},
{
"id": 8884,
"value": "51037",
"name": [
"Benefit Concepts",
"Brockerage Concepts Inc (Benefit Concepts)",
"Brockerage Concepts Inc."
]
},
{
"id": 8877,
"value": "48611",
"name": [
"Benefit Management Inc. of KS",
"Benefit Management Inc. of KS (Only accepts claims for these groups BMI187 BMI219 BMI234 BMI236 BMI214 BMI241 BMI617 BMI246 BMI246.)"
]
},
{
"id": 8254,
"value": "00999",
"name": [
"Benefit Management Service Inc of Louisiana",
"Benefit Management Services Inc of Lousiana"
]
},
{
"id": 8688,
"value": "37212",
"name": [
"Benefit Management Systems Inc of Mississippi",
"Benefit Management Systems Inc."
]
}
]
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