FOXFIRE SYSTEMS GROUP PAYER LIST

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FOXFIRE SYSTEMS GROUP PAYER LIST
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
13162
13162
J1585
J1585
41556
41556
93044
93044
11983
41556
36273
36273
41556
48185
48185
E3510
3443
WT009
3443
AHP01
68055
68055
J1477
AHS01
TLZ17
COACC
A1680
Name
State
1199 NATIONAL BENEFIT FUND
1199 NATIONAL BENEFIT FUND - INST
1ST AUTO AND CASUALTY
1ST AUTO AND CASUALTY (AUTO ONLY)
21ST CENTURY INSURANCE
22125 ROSCOE CORP
A I BENEFIT PLAN ADMINISTRATORS
A I BENEFIT PLAN ADMINISTRATORS - INST
AAA MINNESOTAIOWA (AUTO)
AAA NORTHERN CALIFORNIA, NEVADA AND UTAH INSURANCE EXCHANGE
AARP MEDICARE SUPPLEMENTAL - UNITED HEALTHCARE
AARP MEDICARE SUPPLEMENTAL - UNITED HEALTHCARE INST
ABC CONST COMPANY
ABC HEALTH PLAN
ABC HEALTH PLAN OF NEW YORK
ABMA MEDICAL CORPORATION
ABRAZO ADVANTAGE HEALTH PLAN
NY
CA
AZ
ABRAZO ADVANTAGE HEALTH PLAN DENTAL
ABRAZO ADVANTAGE HEALTH PLAN INST
AZ
ABRI HEALTH PLAN
ABSOLUTE TOTAL CARE - SC
ABSOLUTE TOTAL CARE - SC INST
SC
SC
ACADIA INSURANCE COMPANY
ACCESS ADMINISTRATORS
ACCESS ADMINISTRATORS (CA ONLY)
ACCESS HEALTH BENEFIT SOLUTIONS (AHBS)
ACCESS HEALTH PLAN (MI)
CO
MI
Payer
Type
CI
CI
WC
AM
WC
WC
CI
CI
AM
WC
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Dental
Inst
Dental
Prof
Inst
Prof
Prof
Dental
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
AMM06 ACCESS MEDICAL GROUP
AMG01 ACCESS MEDICAL GROUP (CA)
19305 ACCESS MEDICARE - CUATRO
64071 ACCLAIM
64071 ACCLAIM INST
21356 ACCLAIM REPRICING - INST
IAC01 ACCOUNTABLE HEALTH PLAN
IAC01 ACCOUNTABLE HEALTH PLAN
AHIPA ACCOUNTABLE IPA
J1024 ACCURIDE CORPORATION
41556 ACE PROPERTY AND CASUALTY INS CO
TLX81 ACEC HEALTH PLANS (SALT LAKE CITY, UT)
J1578 ACIG INSURANCE COMPANY
J1578 ACIG INSURANCE COMPANY (AUTO ONLY)
87066 ACMG FKA FORMAX INC
IACD
ACS (IOWA MEDICAID)
72467 ACS BENEFIT SERVICES INC
38254 ACTIVA BENEFIT SERVICES, LLC
38254 ACTIVA BENEFITS
38254 ACTIVA BENEFITS
J1240 ACUITY, A MUTUAL INSURANCE COMPANY
J1667 AD-COMP
J1667 AD-COMP (AUTO ONLY)
J1690 ADELANTO SCHOOL DISTRICT (CA)
J1690 ADELANTO SCHOOL DISTRICT (CA) (AUTO ONLY)
FAMR1 ADM MEDICAL SERVICES
95285 ADMAR CORPORATION MED NETWORK
State
CA
CA
IA
SD
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
CI
WC
AM
CI
CI
CI
CI
CI
CI
WC
WC
AM
WC
AM
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Inst
Inst
Inst
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
J1241
22384
FAMR1
59141
CX076
37278
37278
J1242
J1608
J1608
58202
68056
68056
68056
68056
ACIPA
93524
35209
35219
35219
59374
25141
95340
13373
45423
45423
36320
Name
State
ADMINISTAFF
ADMINISTRATIVE CONCEPTS
ADMINISTRATIVE MED
SD
ADMINISTRATIVE SERVICES INC (ASI)
ADMIN SERVICES ONLY (ASO) SELF INSURED DENTAL SERVICES (NY)
ADMINONE
ADMINONE
ADP TOTAL SOURCE INC
ADVANCE SERVICES, INC
ADVANCE SERVICES, INC (AUTO ONLY)
ADVANCED DATA SOLUTIONS
ADVANTAGE BY BRIDGEWAY HEALTH SOLUTIONS
ADVANTAGE BY BUCKEYE COMMUNITY HEALTH
ADVANTAGE BY MANAGED HEALTH SERVICES
ADVANTAGE BY SUPERIOR HEALTH PLAN
ADVANTAGE CARE IPA
ADVANTAGE DENTAL PLAN
ADVANTAGE HEALTH SOLUTIONS
ADVANTAGE HEALTH SOLUTIONS (DUNMORE, PA)
ADVANTAGE HEALTH SOLUTIONS (DUNMORE, PA) -INST
ADVANTICA EYE CARE
ADVANTRA GHP
ADVENTIST HEALTH SYSTEM
ADVICA NEW YORK HOSPITAL COMMUNITY HEALTH PLAN
ADVICARE
ADVICARE INST
ADVOCATE HEALTH CENTERS
AZ
OH
IN
TX
Payer
Type
WC
CI
CI
CI
CI
CI
CI
WC
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
Y
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Inst
Prof
Dental
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
N
N
N
N
N
N
Y
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
36320
65093
65093
AEGIS
60054
60054
60054
57604
57604
26337
34734
23228
23228
50023
60054
68246
60054
60054
60054
38692
38692
B0054
ADOCS
23334
13334
13333
95426
Name
ADVOCATE HEALTH CENTERS
State
IL
ADVOCATE HEALTH PARTNERS
ADVOCATE HEALTH PARTNERS
IL
AEGIS SECURITY - AMERICAN SENTINEL
AETNA
AETNA
AETNA
AETNA AFFORDABLE HEALTH CHOICES - SRC
AETNA AFFORDABLE HEALTH CHOICES - SRC - INST
AETNA BETTER HEALTH - ILLINOIS MEDICAID
AETNA BETTER HEALTH - NEW YORK MEDICAID
AETNA BETTER HEALTH - PENN MEDICAID
AETNA BETTER HEALTH - PENN MEDICAID INST
IL
NY
PA
PA
AETNA BETTER HEALTH PLAN OHIO
AETNA DENTAL
AETNA DMO
AETNA HMO
AETNA INST
AETNA PDO (PREFERRED DENTAL ORGANIZATION)
AETNA TEXAS MEDICAID CHIP
AETNA TEXAS MEDICAID CHIP INST
TX
TX
AETNA WITH AETNA ID REQ
AFFILIATED DOCTORS ORANGE COUNTY
AFFINITY ESSENTIALS
AFFINITY HEALTH PLAN - MEDICAID
AFFINITY HEALTH PLAN - MEDICARE
AFFORDABLE BENEFIT ADMINISTRATORS INC
CA
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
MC
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
Y
Y
Y
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
Y
Y
N
Format Claim Status Eligibility
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Dental
Dental
Prof
Inst
Dental
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
N
N
N
N
N
N
N
Y
Y
N
N
N
Y
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
34444
34444
13346
13346
41556
37280
95241
41556
31138
BS230
19402
J1516
J1243
J1243
6311
IP108
91136
91136
91136
92600
92600
91136
91136
J1577
J1577
91136
91136
Name
State
AFL CIO FOOD BEV TRUST HOS
AFLCIO FOOD BEVERAGE DEALERS TRUST FUND
OH
AFTRA HEALTH FUND
AFTRA HEALTH FUND
NY
AG FACILITIES OPERATIONS, LLC
AGA
AGIA INC
AGRI BEEF CO
AHPO
AHS STATE NETWORK - MISSISSIPPI STATE TEACHSERS
MS
AIG
AIR LIQUIDE USA LLC
ALA CARTE
ALA CARTE (AUTO ONLY)
ALABAMA MEDICAL SURGICAL ASSOCIATES
ALAMEDA ALLIANCE
ALASKA CARPENTERS TRUST
ALASKA CHILDRENS SERVICES
ALASKA CHILDRENS SERVICES, INC
ALASKA ELECTRICAL HEALTH WELFARE FUND
ALASKA ELECTRICAL HEALTH WELFARE FUND
ALASKA LABORERS CONSTRUCTION INDUSTRY TRUST
ALASKA LABORERS CONSTRUCTION INDUSTRY TRUST GRP F23
ALASKA NATIONAL INSURANCE
ALASKA NATIONAL INSURANCE (AUTO ONLY)
ALASKA PIPE TRADES LOCAL 375
ALASKA PIPE TRADES LOCAL GRP F24
AK
AK
Payer
Type
CI
CI
CI
CI
WC
CI
CI
WC
CI
CI
WC
WC
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
AM
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
Format Claim Status Eligibility
Inst
Prof
Inst
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
91136
91136
J1244
13550
13550
58213
39160
81400
81400
AC101
J1245
81040
81040
81040
ADSL1
23071
23071
96218
23251
23251
13079
52149
87726
81400
AMS01
J1619
J1619
Name
State
ALASKA UNITED FOOD COMMERCIAL WORKERS
ALASKA UNITED FOOD COMMERCIAL WORKERS HEALTH WELFARE TRUST GRP F45
ALCOA FASTENERS SYSTEMS
ALICARE
ALICARE
ALIGNIS
ALL SAINTS COVENANT
ALL SAVERS INSURANCE (UNITEDHEALTHONE)
ALL SAVERS INSURANCE (UNITEDHEALTHONE) - INST
ALLCARE IPA
ALLEGHENY TECHNOLOGIES
ALLEGIANCE BENEFIT PLAN MANAGEMENT
MT
ALLEGIANCE BENEFIT PLAN MANAGEMENT
ALLEGIANCE BENEFIT PLAN MANAGEMENT
ALLIANCE - ALPHA CARE GOLD
ALLIANCE BEHAVIORAL HEALTH
ALLIANCE BEHAVIORAL HEALTH - INST
ALLIANCE HEALTH NETWORK
ALLIANCE HEALTH PLAN PENNSYLVANIA
ALLIANCE HEALTH PLAN (PA)
ALLIANCE HEALTHCARE SRRIPA
ALLIANCE PPO
ALLIANCE PPO, LLC
ALLIANCE SELECT
ALLIANCE SELECT
ALLIANT ENERGY
ALLIANT ENERGY (AUTO ONLY)
PA
Payer
Type
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
AM
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
58234
58234
J1452
94177
37308
37308
J1733
J1118
J1550
J1550
J1589
J1589
C1037
77066
77083
ALOHA
ALOHA
ALQST
ADSYS
75261
87043
87043
41556
E3510
IP080
J1246
J1247
Name
State
ALLIANT HEALTH PLANS OF GEORGIA
ALLIANT HEALTH PLANS OF GEORGIA
GA
ALLIANZ
ALLIED ADMINISTRATORS OF SAN FRANCISCO
ALLIED BENEFIT SYSTEMS
ALLIED BENEFIT SYSTEMS
ALLIED CLAIMS ADMINISTRATION, INC
ALLIED CONSTRUCTION
ALLIED INSURANCE COMPANIES
ALLIED PROPERTY AND CASUALTY INS CO
ALLMERICA FINANCIAL BENEFITS INSURANCE COMPANY
ALLMERICA FINANCIAL BENEFITS INSURANCE COMPANY (AUTO ONLY)
ALLSTATE - EXCEPT NEW JERSEY (AUTO ONLY)
ALLSTATE INSURANCE COMPANY
ALLSTATE WORKPLACE - AMERICAN HERITAGE LIFE
ALOHACARE - INST
ALOHACARE MEDICARE ADVANTAGE
ALOHACARE QUEST
HI
HI
HI
ALPHA DATA SYSTEMS
ALPHA DATA SYSTEMS - WEB TPA
ALTA HEALTH STRATEGIES - COVENTRY
ALTA HEALTH STRATEGIES - COVENTRY
ALTA HEALTHCARE
ALTA SENIOR CARE
ALTAMED
ALTEC
ALTEC INDUSTRIES
CA
CA
Payer
Type
CI
CI
WC
CI
CI
CI
WC
WC
WC
WC
WC
AM
AM
CI
CI
CI
CI
MC
CI
CI
CI
CI
WC
CI
CI
WC
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Inst
Prof
Prof
Dental
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
25133
50503
J1025
J1248
AMAIA
13550
13550
68069
68069
76061
76061
76061
J1550
AMS01
38219
75137
75137
J1427
26378
26378
26378
75240
75240
63103
63106
95170
ACN01
Name
ALTIUS HEALTH PLANS (COVENTRY)
State
UT
ALTUS DENTAL
ALVEY SYSTEMS (AON RISK)
ALVEY SYSTEMS (AON RISK) (AUTO ONLY)
AMA INSURANCE AGENCY
AMALGAMATED
AMALGAMATED LIFE
AMBETTER HEALTH PLAN FROM MHS
AMBETTER OF ARKANSAS
AR
AMCARE OF LOUISIANA
AMCARE OF OKLAHOMA
AMCARE OF TEXAS
AMCO INS CO
AMER HEALTHCARE PLAN NET
WI
AMERAPLAN
AMERIBEN SOLUTIONS
AMERIBEN SOLUTIONS
AMERICA FIRST
AMERICAID AMERIGROUP (MARYLAND)
AMERICAID AMERIGROUP (NEW JERSEY)
AMERICAID AMERIGROUP (NEW MEXICO)
AMERICAN ADMINISTRATIVE GROUP
AMERICAN ADMINISTRATIVE GROUP - AAG - UICI
AMERICAN BEHAVIORAL
AMERICAN BEHAVIORAL FED-ITS
AMERICAN BENEFIT PLAN ADMINISTRATORS
AMERICAN CHIROPRACTIC NETWORK
MD
NJ
NM
Payer
Type
CI
CI
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Dental
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Inst
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Inst
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
41161
41160
J1236
J1236
J1026
37128
37128
37128
GEN02
J1027
TAD01
TAD02
IP080
TH095
56071
41556
62030
62030
1066
1066
66065
J1250
J1250
36369
81949
41556
23212
Name
State
AMERICAN CHIROPRACTIC NETWORK (PAN)
AMERICAN CHIROPRACTIC NETWORK IPA OF NY
AMERICAN CLAIMS MANAGEMENT (ACM)
AMERICAN CLAIMS MANAGEMENT (ACM) (AUTO ONLY)
AMERICAN COIN MERCHANDISING, INC
AMERICAN COMMERCIAL BARGE LINES
AMERICAN COMMERCIAL BARGE LINES
AMERICAN COMMERCIAL LINES
AMERICAN CONTINENTAL AKA GENWORTH FINANCIAL
AMERICAN CYANAMID
AMERICAN DENTAL PROFESSIONAL SERVICES
AMERICAN DENTAL PROFESSIONAL SERVICES (REPRICED CLAIMS)
AMERICAN FAMILY HEALTH PROVIDERS
CA
AMERICAN FAMILY INSURANCE GROUP
AMERICAN FAMILY PPO POLICIES
AMERICAN FURNITURE WAREHOUSE
AMERICAN GENERAL
AMERICAN GENERAL
AMERICAN HEALTH ALLIANCE
AMERICAN HEALTH ALLIANCE INST
AMERICAN HEALTH MEDICARE (AHM)
AMERICAN HOME CRAFT
AMERICAN HOME CRAFT (AUTO ONLY)
AMERICAN IMAGING MANAGEMENT, INC
AMERICAN INSURANCE COMPANY OF TEXAS
AMERICAN LIBERTY INSURANCE COMPANY
AMERICAN MEDICAL AND LIFE INSURANCE
PR
Payer
Type
CI
CI
WC
AM
WC
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
MB
WC
AM
CI
CI
WC
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Y
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Dental
Dental
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
81400
81400
J1524
74048
74048
APBPN
44444
44444
42011
42011
17965
TLX55
J1028
ASH01
J1029
37322
20553
20553
26078
26078
20029
ARAZ
16120
86047
86001
86048
86002
Name
AMERICAN MEDICAL SECURITY
AMERICAN MEDICAL SECURITY - INST
AMERICAN MINING INSURANCE GROUP, LLC
AMERICAN NATIONAL INS CO (ANICO)
AMERICAN NATIONAL INS CO (ANICO) - INST
AMERICAN PIONEER BREVARD PHYSICIANS NETWORK
AMERICAN POSTAL WORKERS UNION
AMERICAN POSTAL WORKERS UNION HEALTH PLAN
AMERICAN REPUBLIC INSURANCE CO
AMERICAN REPUBLIC INSURANCE CO - INST
AMERICAN SENTINEL INSURANCE
AMERICAN SENTINEL INSURANCE INC
AMERICAN SPECIALTY COMPANIES
AMERICAN SPECIALTY HEALTH
AMERICAN SPECIALTY INS MIB
AMERICAN WORKER HEALTH PLUS
AMERICAS 1ST CHOICE - SOUTH CAROLINA GEORGIA
AMERICAS 1ST CHOICE - SOUTH CAROLINA GEORGIA
AMERICAS 1ST CHOICE HEALTH
AMERICAS 1ST CHOICE HEALTH - INST
AMERICAS CHOICE HEALTHPLANSNMS
AMERICAS PPO
AMERICAS PPO
AMERICHOICE - NEW JERSEY MEDICAID CHIP DENTAL
AMERICHOICE - NEW JERSEY MEDICARE
AMERICHOICE - NEW YORK MEDICAID CHP FHP
AMERICHOICE - NEW YORK MEDICARE
State
Payer
Type
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Y
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Dental
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Dental
Dental
Dental
Dental
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
86049
86003
86001
86001
86048
86048
86048
86002
86002
WT004
WT005
WT006
86049
86003
86003
26375
26378
27514
26375
28809
28808
28804
28804
28804
26375
26375
26375
Name
State
AMERICHOICE - PENNSYLVANIA MEDICAID CHIP
AMERICHOICE - PENNSYLVANIA MEDICARE
AMERICHOICE NEW JERSEY PERSONAL CARE PLUS
AMERICHOICE NEW JERSEY PERSONAL CARE PLUS
AMERICHOICE NEW YORK CHILD HEALTH PLUS THRU 8-31-2013
AMERICHOICE NEW YORK MEDICAID INST THRU DOS 8-31-2013
AMERICHOICE NEW YORK MEDICAID THRU DOS 8-31-2013
AMERICHOICE NEW YORK PERSONAL CARE PLUS THRU 8-31-2013
AMERICHOICE NEW YORK PERSONAL CARE PLUS THRU 8-31-2013
NJ
NJ
NY
NY
NY
NY
NY
AMERICHOICE OF RHODE ISLAND
AMERICHOICE OF TENNESSEE
AMERICHOICE OF TEXAS
AMERICHOICE PENNSYLVANIA MEDICAID INST
AMERICHOICE PENNSYLVANIA PERSONAL CARE
AMERICHOICE PENNSYLVANIA PERSONAL CARE PLUS
TX
PA
PA
PA
AMERIGROUP
AMERIGROUP
AMERIGROUP
AMERIGROUP
AMERIGROUP FLORIDA
AMERIGROUP ILLINOIS
FL
IL
AMERIGROUP MARYLAND VIRGINIA DC
AMERIGROUP NEW JERSEY
AMERIGROUP OHIO
AMERIGROUP (AUSTIN DFW)
AMERIGROUP (AUSTIN DFW)
AMERIGROUP (FT WORTH)
NJ
OH
TX
TX
TX
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Y
Y
Y
Y
Y
Y
N
Y
N
Format Claim Status Eligibility
Dental
Dental
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Dental
Dental
Dental
Inst
Inst
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
N
Y
Y
Y
N
N
N
Y
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
Y
Y
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
26374
28804
26375
26375
CX014
26378
26378
26378
26378
28804
26378
26375
26375
26378
26375
54763
54763
54763
27357
22248
22248
93688
77002
95044
23037
95044
CX014
Name
AMERIGROUP (HOUSTON CORPUS SA)
State
TX
AMERIGROUP - MULTI STATES
AMERIGROUP COMMUNITY CARE
AMERIGROUP COMMUNITY CARE NEVADA
NV
AMERIGROUP DENTAL
AMERIGROUP FLORIDA
AMERIGROUP FLORIDA
AMERIGROUP GEORGIA
AMERIGROUP GEORGIA
AMERIGROUP HOUSTON CORPUS SAN ANTONIO
AMERIGROUP ILLINOIS
AMERIGROUP LOUISIANA BAYOU HEALTH
AMERIGROUP NEW JERSEY
AMERIGROUP OHIO
AMERIGROUP TEXAS
FL
FL
GA
GA
TX
IL
LA
NJ
OH
TX
AMERIHEALTH ADMINISTRATORS
AMERIHEALTH ADMINISTRATORS
AMERIHEALTH ADMINISTRATORS
AMERIHEALTH CARITAS LOUISIANA FKA LACARE
LA
AMERIHEALTH CARITAS PENN FKA MERCY - INST
AMERIHEALTH CARITAS PENN FKA MERCY HEALTH PLAN
AMERIHEALTH DELAWARE PPO
AMERIHEALTH DISTRICT OF COLUMBIA
AMERIHEALTH HMO
AMERIHEALTH HMO NEW JERSEY AND DELAWARE
AMERIHEALTH HMO NEW JERSEY DELAWARE
AMERIHEALTH MERCY HEALTH PLAN
DE
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
MC
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
Y
N
Y
Y
Y
N
Y
N
Y
Y
N
N
Y
N
Y
N
N
N
N
N
N
Format Claim Status Eligibility
Inst
Prof
Prof
Inst
Dental
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Dental
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
Y
N
Y
Y
Y
N
Y
Y
N
N
N
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
N
N
N
N
N
Y
N
Y
Y
Y
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
95044
60061
60061
77001
22355
77007
77006
26374
26375
12504
J1206
J1205
1757
J1453
12287
24818
24818
76052
AMILR
FAMR1
IP080
41556
41556
53085
53085
86062
86062
Name
State
AMERIHEALTH NEW JERSEY HMO POS - INST
AMERIHEALTH NEW JERSEY PPO
NJ
AMERIHEALTH NEW JERSEY PPO - INST
AMERIHEALTH NORTHEAST
AMERIHEALTH VIP CARE (2014)
AMERIHEALTH VIP CARE DC (2014)
AMERIHEALTH VIP CARE LA (2014)
AMERIKIDS - HOUSTON
AMERIKIDS- FORT WORTH
DC
LA
TX
TX
AMERIPRISE AUTO AND HOME INSURANCE (AUTO ONLY)
AMERISURE INSURANCE
AMERISURE MUTUAL INSURANCE
AMFIRST INS MORGAN WHITE ADMIN
AMGUARD INSURANCE COMPANY - GUARD DBA
AMICA MUTUAL INSURANCE COMPANY (AUTO ONLY)
AMIDA CARE
AMIDA CARE - INST
AMIL ARIA
AMILARIA VIA MEDIVIEW
AMSI
AMVI
ANACO
ANAIC CIBUS
ANCHOR BENEFIT CONSULTING
ANCHOR BENEFIT CONSULTING, INC
ANCILLARY BENEFITS - ARIZONA FOUNDATION FOR MEDICAL CARE
ANCILLARY BENEFITS - ARIZONA FOUNDATION FOR MEDICAL CARE
TX
SD
CA
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
AM
WC
WC
CI
WC
AM
CI
CI
CI
CI
CI
CI
WC
WC
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
J1620
J1620
43101
34192
41556
16140
16140
34196
34196
APCRS
54160
54160
44444
J1502
ARAZ
52312
J1251
77045
77045
J1735
J1735
J1252
19801
39185
39185
41556
AZFMC
Name
State
ANHEUSER BUSCH
ANHEUSER BUSCH (AUTO ONLY)
ANPAC (AUTO ONLY)
ANTARES MANAGEMENT SOLUTIONS
OH
ANTELOPE VALLEY RET
APA PARTNERS INC
APA PARTNERS, INC
APEX BENEFIT SERVICES
APEX BENEFIT SERVICES INST
APIPA-CRS MEDICAID
APS HEALTHCARE INC
APS HEALTHCARE INC
APWUAFFORDABLE NETWORK
ARAMARK
ARAZ
ARBOR HEALTH PLAN
NE
ARCADIA INSURANCE COMPANY
ARCADIAN MANAGEMENT SERVICES THRU DOS 12-31-2012
ARCADIAN MANAGEMENT SERVICES THRU DOS 12-31-2012
ARCHER DANIELS MIDLAND COMPANY
ARCHER DANIELS MIDLAND COMPANY (AUTO ONLY)
ARGENBRIGHT HOLDINGS LIMITED
ARGONAUT INSURANCE COMPANY(ARGO)
ARISE HEALTH PLAN FKA PREVEA (TPA ONLY)
ARISE HEALTH PLAN FKA PREVEA (TPA ONLY) - INST
ARIZONA AND 21ST CORP DBA BERKLEY EAST CONV HOSPITAL
ARIZONA FOUNDATION FOR MEDICAL CARE - AFMC
AZ
Payer
Type
WC
AM
AM
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
WC
CI
CI
WC
AM
WC
WC
CI
CI
WC
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Dental
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
53172
27154
27154
75278
75278
62176
62176
87726
87726
IP002
TPC16
56192
38265
38265
ASRM1
ASRM1
35326
FAABC
FAABC
ATPA1
36326
36326
37294
C1034
70408
39065
ASNTH
Name
State
ARIZONA HEALTH CONCEPTS
ARIZONA PRIORITY CARE PLUS (AZPCP)
ARIZONA PRIORITY CARE PLUS (AZPCP) - INST
AZ
AZ
ARKANSAS BEST CORPORATION
ARKANSAS BEST CORPORATION - CHOICE BENEFITS
ARKANSAS MANAGED CARE ORG - AMCO
ARKANSAS MANAGED CARE ORG - AMCO
AR
AR
ARNETT HEALTH PLANS - INST
ARNETT HEALTH PLANS FKA 95440
ARROWHEAD PHYSICIAN ALLIANCE
CA
ASBESTOS WORKERS L-201
ASCENDIA HEALTHCARE MGMT HOS
ASR CORPORATION
ASR CORPORATION - INST
ASRM CORP NJ
ASRM CORP NJ - INST
ASSOC FOR HEALTH CARE AHC
ASSOCIATED BENEFITS CORPORATION (ABC)
ASSOCIATED BENEFITS CORPORATION (ABC)
ASSOCIATED THIRD PARTY ADMINISTRATION
ASSOCIATES FOR HEALTH CARE - INST
ASSOCIATES FOR HEALTHCARE
ASSOCIATION SERVICES OF WASHINGTON
ASSURANCE COMPANY OF AMERICA (AUTO ONLY)
ASSURANT EMPLOYEE BENEFIT - EMPLOYEE DENTAL
ASSURANT HEALTH
ASSURANT HEALTH (REPRICING FOR HEALTHSPAN NETWORK ONLY)
NJ
NJ
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
AM
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Format Claim Status Eligibility
Prof
Prof
Inst
Prof
Inst
Inst
Prof
Inst
Prof
Prof
Dental
Inst
Prof
Inst
Prof
Inst
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Dental
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
58730
58730
39065
75068
88035
88035
74240
76044
93221
65064
TPC18
TPC19
95691
95691
ADN01
22285
19895
22304
22304
ATLAD
ATLAD
ATPA1
ATRIO
ATRIO
AULTC
37242
37242
Name
State
ASSURANT HEALTH ASA (LUBBOCK)
ASSURANT HEALTH ASA (LUBBOCK) INST
ASSURANT HEALTH INST
ASSURANT HEALTH SELF FUNDED (ALLIED BENEFIT)
ASSURECARE INC
ASSURECARE INC
ASSURED BENEFITS ADMINISTRATORS
ASSURED BENEFITS ADMINISTRATORS
ASURIS NORTHWEST HEALTH
ATA - FL
ATE ASEA CWA 1181 (ACTIVES)
ATE ASEA CWA 1181 (RETIREES)
ATHENS AREA HEALTH PLAN SELECT
ATHENS AREA HEALTH PLAN SELECT
ATLANTIC DENTAL (ADI)
ATLANTIC MEDICAL INSURANCE
ATLANTIC MUTUAL INSURANCE
ATLANTICARE ADMINISTRATORS
ATLANTICARE ALSO KNOWN AS HORIZON HEALTHCARE
ATLAS ADMINISTRATORS
ATLAS ADMINISTRATORS
ATPA
ATRIO HEALTH PLAN
ATRIO HEALTH PLAN
AULTCARE
AULTRA ADMINISTRATIVE GROUP
AULTRA ADMINISTRATIVE GROUP
OH
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Format Claim Status Eligibility
Prof
Inst
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Dental
Dental
Inst
Prof
Dental
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
PHD01
J1682
J1682
CMSEB
11983
11983
J1580
J1580
J1583
J1583
J1699
J1699
J1688
J1688
J1556
J1556
J1596
J1596
38259
38259
37280
37280
37280
91136
91136
46045
46045
Name
State
AURORA ASSOCIATED PHYSICIANS INC
AUSTIN MUTUAL INS
AUSTIN MUTUAL INS (AUTO ONLY)
AUSTIN REGIONAL CLINIC EMPLOYEE BENEFIT PLAN
AUTO CLUB INSURANCE (ACIA)
AUTO CLUB PROPERTY-CASUALTY INSURANCE COMPANY
AUTO-OWNERS HOME-OWNERS INSURANCE COMPANY
AUTO-OWNERS HOME-OWNERS INSURANCE COMPANY (AUTO ONLY)
AUTO-OWNERS OWNERS INSURANCE COMPANY
AUTO-OWNERS OWNERS INSURANCE COMPANY (AUTO ONLY)
AUTO-OWNERS PROPERTY-OWNERS INSURANCE CO
AUTO-OWNERS PROPERTY-OWNERS INSURANCE CO (AUTO ONLY)
AUTO-OWNERS SOUTHERN-OWNERS COMPANY
AUTO-OWNERS SOUTHERN-OWNERS COMPANY (AUTO ONLY)
AUTO-OWNERS INSURANCE COMPANY
AUTO-OWNERS INSURANCE COMPANY (AUTO ONLY)
AUTO-OWNERS LIFE INSURANCE COMPANY
AUTO-OWNERS LIFE INSURANCE COMPANY (AUTO ONLY)
AUTOMATED BENEFIT SERVICES
AUTOMATED BENEFIT SERVICES INST
AUTOMATED GROUP ADMINISTRATION
AUTOMATED GROUP ADMINISTRATION, INC
AUTOMATED GROUP ADMINISTRATION, INC
AUTOMOTIVE MACHINISTS LOCAL 289 HEALTH
AUTOMOTIVE MACHINISTS LOCAL 289 HEALTH WELFARE TRUST GRP F32
AVERA HEALTH PLANS
AVERA HEALTH PLANS
MI
MI
IN
Payer
Type
CI
WC
AM
CI
AM
AM
WC
AM
WC
AM
WC
AM
WC
AM
WC
AM
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Inst
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
87098
41556
95266
59274
59274
J1018
FAMR1
A2051
41556
BKRFM
TPC20
J1729
J1729
74227
SX145
12X42
77078
74275
J1533
J1503
J1686
J1686
41556
37248
16112
BLUPP
83470
Name
State
AVESIS VISION CLAIMS
AVIR INC
AVMA GROUP HEALTH
AVMED HEALTH PLAN
AVMED HEALTH PLAN - INST
AYERS TRUCKING
BAAI
BAC LOCAL 15 WELFARE FUND (KANSAS)
BAKER TANKS, INC
BAKERSFIELD FAMILY MEDICAL CENTER
BAKERY DRIVERS LOCAL 194
BANK OF AMERICA
BANK OF AMERICA (AUTO ONLY)
BANKERS UNITED LIFE (STUDENT DIVISION)
BANNER HEALTH PLAN
BANNER HEALTH PLAN INST
BANNER MEDISUN
BAPTIST HEALTHCARE NETWORK
BARI MANAGEMENT (MURPHY AND BEANE)
BARNES
BARRETT BUSINESS SERVICES INC (BBSI)
BARRETT BUSINESS SERVICES INC (BBSI) (AUTO ONLY)
BASIC RESOURCES, INC
BASS ADMINISTRATORS INC
BATAVIA CITY SCHOOLS TRI-COUNTY MEDICAL PLAN
BCBS ALL PAPER HCFA
BCBS ARKANSAS
FL
FL
Payer
Type
CI
WC
CI
CI
CI
WC
CI
CI
WC
CI
CI
WC
AM
CI
CI
CI
CI
CI
WC
WC
WC
AM
WC
CI
CI
BL
BL
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Dental
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
TFQ45
76031
HMSA1
HMSA2
CB621
84105
BSIA2
47163
23739
23738
CBMA1
CBMA1
FEPMI
FEPMI
TBS03
TBS02
TBS04
TPC06
EXC02
EXC01
EXC01
EXC02
EXC01
52133
BSNDV
CX014
84980
Name
State
BCBS ARKANSAS FEP CLAIMS ONLY
BCBS FLORIDA (FLORIDA COMBINED LIFE) DENTAL
BCBS HAWAII (HMSA) - COMMERCIAL DENTAL
BCBS HAWAII (HMSA) - FEDERAL DENTAL
BCBS ILLINOIS DENTAL
BCBS INDIANA DENTAL
BCBS IOWA MEDICARE COB
BCBS KANSAS
IL
IN
IA
KS
BCBS LOUISIANA
BCBS LOUISIANA POS - HMO LOUISIANA
BCBS MASSACHUSETTS DENTAL
BCBS MASSACHUSETTS DENTAL BLUE
BCBS MICHIGAN FEP FEDERAL EMP INST
BCBS MICHIGAN FEP FEDERAL EMPLOYEES
LA
MA
MA
MI
MI
BCBS MISSISSIPPI (CHIP CLAIMS ONLY)
BCBS MISSISSIPPI (CHIP FEP CLAIMS ONLY)
BCBS MISSISSIPPI (CHIP PRE-D'S ONLY)
BCBS MISSISSIPPI - STATE CLAIMS
BCBS NEW YORK (CENTRAL NEW YORK)
BCBS NEW YORK (FINGER LAKES REGION)
BCBS NEW YORK (ROCHESTER)
BCBS NEW YORK (SYRACUSE)
BCBS NEW YORK (UTICAWATERTOWN)
BCBS NORTH CAROLINA DENTAL
BCBS NORTH DAKOTA VISION
NC
ND
BCBS OF KANSAS CITY
BCBS TEXAS DENTAL
TX
Payer
Type
BL
BL
CI
CI
BL
BL
BL
BL
CI
BL
BL
BL
CI
CI
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Dental
Dental
Dental
Dental
Dental
Dental
Prof
Dental
Dental
Prof
Dental
Dental
Inst
Prof
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Prof
Dental
Dental
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
Y
N
N
Y
N
Y
Y
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
Y
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
301
SC400
SC400
SC402
SC402
SC481
SC403
49153
43324
43324
J1234
J1030
J1690
J1690
45967
95377
95377
41556
63100
60054
60054
68241
PR002
J1257
J1257
37125
41205
Name
State
BCBS WESTERN NEW YORK (WNY)
BCBSSC STATE EMPLOYEES HEALTH PLAN
BCBSSC STATE EMPLOYEES HEALTH PLAN INST
BCBSSC FEDERAL EMPLOYEES PLAN FEP
BCBSSC FEDERAL EMPLOYEES PLAN FEP INST
BCBSSC PREFERRED BLUE
BCBSSC PREFERRED HEALTH SYSTEMS-HMO BLUE
BCI ADMINISTRATORS INC
BEACON HEALTH STRATEGIES
BEACON HEALTH STRATEGIES INST
BEACON MUTUAL
BEALL'S INC MIDWEST EMPLOYERS
BEAR VALLEY UNIFIED SCHOOL DISTRICT (CA)
BEAR VALLEY UNIFIED SCHOOL DISTRICT (CA) (AUTO ONLY)
BEAVER MEDICAL GROUP
BEECH STREET CORPORATION
BEECH STREET CORPORATION
BEEVILLE ISD
BEHAVIORAL HEALTH SYSTEMS
BELL ATLANTIC
BELL ATLANTIC
BELL ATLANTIC
BELL ATLANTIC
BENCHMARK INSURANCE
BENCHMARK INSURANCE (AUTO ONLY)
BENEFIRST
BENEFIT ADMINISTRATION SERVICES
SC
SC
SC
SC
SC
SC
Payer
Type
BL
BL
BL
BL
BL
BL
BL
CI
CI
CI
WC
WC
WC
AM
CI
CI
CI
WC
CI
CI
CI
CI
CI
WC
AM
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Dental
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Dental
Prof
Inst
Prof
Prof
Prof
Inst
Dental
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
36149
36149
41205
99320
25145
25145
BMATP
BMG01
48611
48611
56139
TLU04
TLU05
999
999
37212
37212
13310
37286
39081
37118
37118
88027
39081
39081
37222
37222
State
Name
BENEFIT ADMINISTRATIVE SYSTEMS
BENEFIT ADMINISTRATIVE SYSTEMS
BENEFIT ADMISTRATIVE SERVICES(BAS)
BENEFIT AND RISK MANAGEMENT SERVICES
PA
BENEFIT COORDINATORS CORP
BENEFIT COORDINATORS CORPORATION (PITTSBURGH,
BENEFIT MANAGEMENT ADMIN (SAN ANTONIO)
BENEFIT MANAGEMENT GROUP INC (BMG)
KS
KS
BENEFIT MANAGEMENT INC OF KANSAS
BENEFIT MANAGEMENT INC OF KANSAS INST
BENEFIT MANAGEMENT SERVICES
BENEFIT MANAGEMENT SERVICES (LA)
BENEFIT MANAGEMENT SERVICES -- FEP CLAIMS (LA)
BENEFIT MANAGEMENT SERVICES OF LOUISIANA
BENEFIT MANAGEMENT SERVICES OF LOUISIANA INST
LA
LA
BENEFIT MANAGEMENT SYSTEMS INC - MISSISSIPPI
BENEFIT MANAGEMENT SYSTEMS INC - MISSISSIPPI
MO
BENEFIT PLAN ADMIN ST LOUIS
BENEFIT PLAN ADMINISTRATORS
BENEFIT PLAN ADMINISTRATORS CO (EAU CLAIRE, WI)
VA
VA
BENEFIT PLAN ADMINISTRATORS INC
BENEFIT PLAN ADMINISTRATORS INC
BENEFIT PLAN ADMINISTRATORS INC
BENEFIT PLAN ADMINISTRATORS, CO
(EAU CLAIRE, WI)
BENEFIT PLAN ADMINISTRATORS, INC (EAU CLAIRE, WI)
BENEFIT PLAN MANAGEMENT
BENEFIT PLAN MANAGEMENT
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
BL
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Dental
Dental
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Dental
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
74223
74223
2053
34178
TLZ27
38257
36342
36342
75135
75135
42148
BMX01
87265
87265
37248
37248
37248
BNMK1
J1477
J1477
J1523
J1477
J1526
TP019
41556
20044
23243
Name
State
BENEFIT PLANNERS, INC
BENEFIT PLANNERS, INC
BENEFIT RESOURCES
BENEFIT SERVICES (AKRON OH)
IN
OH
BENEFIT SERVICES OF HAWAII
BENEFIT SOURCE, INC
BENEFIT SYSTEMS SERVICES
BENEFIT SYSTEMS SERVICES, INC (BSSI)
BENEFITS MANAGEMENT
BENEFITS MANAGEMENT HOS
BENEFITS, INC
BENEMAX
BENESIGHT
BENESIGHT
BENESYS
BENESYS
BENESYS, INC (LAFAYETTE, LA)
BENMARK
BERKLEY AGRIBUSINESS RISK SPECIALISTS
BERKLEY NATIONAL INSURANCE COMPANY
BERKLEY NET UNDERWRITERS, LLC
BERKLEY REGIONAL INSURANCE COMPANY
BERKLEY RISK ADMINISTRATORS COMPANY, LLC
BERKLEY SPECIALTY UNDERWRITERS
BERKLEY VALLEY CONV HOSPITAL
BERKSHIRE HATHAWAY HOMESTATE COMPANIES (BHHC)
BERKSHIRE HEALTH PARTNERS PPO (BHP)
MS
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
WC
WC
WC
WC
WC
WC
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Inst
Prof
Prof
Dental
Inst
Prof
Inst
Inst
Inst
Inst
Dental
Inst
Prof
Inst
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
95606
41556
J1031
95604
95604
TPC21
20488
32006
25175
25175
41556
44219
BSHS1
J1738
J1738
CX025
41556
J1691
J1691
J1579
J1579
BV001
BV001
BV001
BVTX1
BVTX1
BVTX1
Name
State
BERKSHIRE LEHIGH PARTNERS
BERNARDO H CO CLUB
BERWIND CORPORATION
BEST LIFE HEALTH INSURANCE CO
BEST LIFE HEALTH INSURANCE CO
BETHPAGE CONGRESS OF TEACHERS
BETTER HEALTH OF FLORIDA
BETTER HEALTH PLAN OF SOUTH CAROLINA
FL
SC
BETTER HEALTH PLANS (UNISON)
BETTER HEALTH PLANS (UNISON) INST
BEVERLY HILLS CARMEL
BHP-UNITY
BIENVIVIR SENIOR
BIG 5 CORP
BIG 5 CORP (AUTO ONLY)
BIG LOTS ASSOCIATES BENEFIT PLAN
BIGHORN CONSTRUCTION
BITUMINOUS FIRE AND MARINE
BITUMINOUS FIRE AND MARINE (AUTO ONLY)
BITUMINOUS INSURANCE COMPANY
BITUMINOUS INSURANCE COMPANY (AUTO ONLY)
BLOCK VISION INC
BLOCK VISION INC
BLOCK VISION INC
BLOCK VISION OF TEXAS
BLOCK VISION TEXAS
BLOCK VISION TEXAS
TX
TX
TX
Payer
Type
CI
WC
WC
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
WC
AM
CI
WC
WC
AM
WC
AM
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Inst
Prof
Dental
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
J1347
870
TLY26
37308
3036
3036
37244
BCNMI
53589
BS020
50
60
BC590
BC101
130
47163
160
53120
200
BC210
220
BS230
790
621
621
241
332
Name
State
BLOOMINGDALE'S
BLUE SHIELD RHODE ISLAND
RI
BLUE ADVANTAGE (BCBS OF AR)
BLUE BELL BENEFITS TRUST
BLUE BENEFIT ADMINISTRATORS OF MA
BLUE BENEFIT ADMINISTRATORS OF MA - INST
MA
MA
BLUE BONNET ADMINISTRATORS
BLUE CARE NETWORK MICHIGAN
BLUE CROSS BLUE SHIELD ARIZONA INST
BLUE CROSS BLUE SHIELD ARKANSAS INST
BLUE CROSS BLUE SHIELD COLORADO INST
BLUE CROSS BLUE SHIELD CONNECTICUT INST
BLUE CROSS BLUE SHIELD FLORIDA INST
BLUE CROSS BLUE SHIELD GEORGIA INST
BLUE CROSS BLUE SHIELD INDIANA INST
BLUE CROSS BLUE SHIELD KANSAS INST
BLUE CROSS BLUE SHIELD KENTUCKY INST
BLUE CROSS BLUE SHIELD LOUISIANA INST
BLUE CROSS BLUE SHIELD MASSACHUSETTS INST
BLUE CROSS BLUE SHIELD MICHIGAN INST
BLUE CROSS BLUE SHIELD MINNESOTA INST
BLUE CROSS BLUE SHIELD MISSISSIPPI
BLUE CROSS BLUE SHIELD NEW MEXICO INST
BLUE CROSS BLUE SHIELD OF ILLINOIS (HCSC)
BLUE CROSS BLUE SHIELD OF ILLINOIS (HCSC) INST
BLUE CROSS BLUE SHIELD OF MISSOURI INST
BLUE CROSS BLUE SHIELD OHIO INST
MI
AZ
AR
CO
CT
FL
GA
IN
KS
KY
LA
MA
MI
MN
MS
NM
IL
IL
MO
OH
Payer
Type
WC
BL
BL
CI
CI
CI
CI
CI
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
CI
BL
CI
BL
BL
BL
BL
BL
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
N
N
N
Y
N
N
Y
N
N
Y
N
Y
N
N
N
Y
N
N
N
N
N
Y
N
Y
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Dental
Prof
Prof
Inst
Inst
Prof
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Prof
Inst
Prof
Inst
Inst
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
Y
N
N
N
N
N
Y
N
N
N
N
N
N
N
Y
N
N
Y
Y
N
Y
N
N
N
N
N
N
Y
N
N
N
N
N
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
BSOK1 BLUE CROSS BLUE SHIELD OKLAHOMA INST
SC481 BLUE CROSS BLUE SHIELD SOUTH CAROLINA INST
BC390 BLUE CROSS BLUE SHIELD TENNESSEE INST
BC980 BLUE CROSS BLUE SHIELD TEXAS INST
BCVA1 BLUE CROSS BLUE SHIELD VIRGINIA INST
450
BLUE CROSS BLUE SHIELD WISCONSIN INST
932
BLUE CROSS BLUESHIELD WA REGENCE INST
BC305 BLUE CROSS CENTRAL NEW YORK - INST
BCCMI BLUE CROSS COMPLETE MICHIGAN
BCD01 BLUE CROSS DENTAL (MD) DOMINION CAPITAL BLUE CROSS
60147 BLUE CROSS NORTHEASTERN PENNSYLVANIA
47198 BLUE CROSS OF CALIFORNIA (WELLPOINT)
47198 BLUE CROSS OF CALIFORNIA INST
610
BLUE CROSS OF IDAHO
IP061 BLUE LAKE RANCHERIA
56152 BLUE MEDICARE ADVANTAGE NORTH CAROLINA
56152 BLUE MEDICARE ADVANTAGE NORTH CAROLINA INST
NMPPO BLUE MEDICARE PPO NEW MEXICO
510
BLUE SHIELD ALABAMA
510
BLUE SHIELD ALABAMA DENTAL
53589 BLUE SHIELD ARIZONA
BS520 BLUE SHIELD ARKANSAS
570
BLUE SHIELD DELAWARE HIGHMARK
BS590 BLUE SHIELD FLORIDA
621
BLUE SHIELD ILLINOIS
BSIA1 BLUE SHIELD IOWA
47163 BLUE SHIELD KANSAS
State
OK
SC
TN
TX
VA
WI
WA
NY
MI
PA
CA
CA
ID
CA
NC
NC
NM
AL
AL
AZ
AR
DE
FL
IL
IA
KS
Payer
Type
BL
BL
BL
BL
BL
BL
CI
BL
CI
BL
BL
CI
BL
CI
CI
CI
CI
CI
BL
BL
BL
BL
BL
BL
BL
BL
BL
Real Time
Real Time
Y
N
N
Y
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
Y
N
N
N
N
N
Y
N
Y
Y
N
Y
N
Y
N
N
Y
N
Y
Y
N
Y
Y
Y
Y
Format Claim Status Eligibility
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Prof
Dental
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
Y
N
N
N
N
Y
N
N
N
N
N
Y
N
N
N
N
Y
Y
N
Y
Y
N
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
N
Y
Y
Y
N
N
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
53120
680
200
BS710
720
241
BSMT0
760
BS804
BS801
BS806
BSND1
BSOK1
54771
SC401
BSSD1
BS390
BSVT1
BSVA1
950
BSWY1
84980
BS805
50
60
601
BS115
Name
BLUE SHIELD LOUISIANA
BLUE SHIELD MAINE ANTHEM
BLUE SHIELD MASSACHUSETTS
BLUE SHIELD MICHIGAN
BLUE SHIELD MINNESOTA
BLUE SHIELD MISSOURI
BLUE SHIELD MONTANA
BLUE SHIELD NEBRASKA
BLUE SHIELD NEW YORK ROCHESTER
BLUE SHIELD NEW YORK WESTERN - BUFFALO
BLUE SHIELD NEW YORK UTICA WATERTOWN
BLUE SHIELD NORTH DAKOTA
BLUE SHIELD OKLAHOMA
BLUE SHIELD PENN HIGHMARK BCBS
BLUE SHIELD SOUTH CAROLINA
BLUE SHIELD SOUTH DAKOTA
BLUE SHIELD TENNESSEE
BLUE SHIELD VERMONT
BLUE SHIELD VIRGINIA (ANTHEM)
BLUE SHIELD WISCONSIN
BLUE SHIELD WYOMING
BLUE SHIELD BCBS TEXAS
BLUE SHIELD CENTRAL NEW YORK
BLUE SHIELD COLORADO
BLUE SHIELD CONNECTICUT (ANTHEM)
BLUE SHIELD GEORGIA
BLUE SHIELD HAWAII (HMSA)
State
Payer
Type
LA
ME
MA
MI
MN
MO
MT
NE
NY
NY
NY
ND
OK
PA
SC
SD
TN
VT
VA
WI
WY
TX
NY
CO
CT
GA
HI
BL
BL
BL
CI
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
Real Time
Real Time
N
N
N
N
Y
Y
N
N
N
N
N
N
Y
N
N
N
N
N
Y
Y
N
Y
N
Y
Y
Y
N
Y
N
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
Y
Y
N
N
Y
Y
Y
Y
Y
Y
N
Y
N
Y
Y
N
N
N
Y
N
Y
N
N
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
47171
770
790
BSNC1
BSNC2
BS800
94036
52133
94036
611
630
BS660
265
800
834
CB865
CBPA2
932
BSWA2
851
54828
BCFP7
SC922
403
61124
61124
CX014
Name
BLUE SHIELD KANSAS CITY REGION
BLUE SHIELD NEW HAMPSHIRE ANTHEM
BLUE SHIELD NEW MEXICO
BLUE SHIELD NORTH CAROLINA
BLUE SHIELD NORTH CAROLINA INST
BLUE SHIELD NORTHEASTERN NEW YORK
BLUE SHIELD OF CALIFORNIA
State
MO
NH
NM
NC
NC
NY
CA
BLUE SHIELD OF CALIFORNIA DENTAL
BLUE SHIELD OF CALIFORNIA INST
BLUE SHIELD OF IDAHO (REGENCE)
BLUE SHIELD OF INDIANA
BLUE SHIELD OF KENTUCKY
BLUE SHIELD OF NEVADA
CA
ID
IN
KY
NV
BLUE SHIELD OF NORTHEASTERN NEW YORK (NENY)
BLUE SHIELD OF OHIO
OH
BLUE SHIELD OF PENNSYLVANIA
BLUE SHIELD OF PENNSYLVANIA - DENTAL PLUS (UCCI)
BLUE SHIELD OF WASHINGTON (REGENCE)
BLUE SHIELD OF WASHINGTON REGENCE (PIN)
BLUE SHIELD OREGON (REGENCE)
BLUE SHIELD WEST VIRGINIA
BLUECARE FAMILY PLAN CONNECTICUT
BLUECHOICE HEALTH PLAN (BCBSSC)
BLUECHOICE SOUTH CAROLINA MEDICAID (WELLPOINT)
WA
WA
OR
WV
CT
SC
SC
BLUEGRASS FAMILY HEALTH
BLUEGRASS FAMILY HEALTH INST
BMC COMMONWEALTH MASS - DENTAQUEST
MA
Payer
Type
BL
BL
BL
BL
BL
BL
BL
BL
BL
CI
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
MC
CI
MC
CI
CI
CI
Real Time
Real Time
N
N
Y
N
N
N
N
N
N
N
Y
Y
Y
N
Y
N
N
N
N
N
N
Y
N
N
N
N
N
Y
N
Y
Y
N
N
Y
N
N
Y
Y
Y
Y
N
Y
N
N
Y
Y
Y
Y
Y
Y
Y
Y
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Dental
Inst
Prof
Prof
Prof
Prof
Dental
Prof
Dental
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Dental
Claim
Enrollment
Required
ERA
Enrollment
Required
Y
N
N
Y
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
N
Y
N
N
Y
Y
Y
Y
N
Y
N
Y
Y
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
43178
43178
J1258
J1259
41556
36609
36609
BOLL1
BOLL1
TLX71
BOONG
BOONG
74238
74238
74238
13337
13337
38324
38324
7689
41556
37273
37273
37273
37273
37286
48964
Name
State
BMI - JOPLIN CLAIMS
BMI - JOPLIN CLAIMS
BMW MANUFACTURING CORP
BMW NORTH AMERICA
BOBRICK WASHROOM
BOILERMAKERS NATIONAL HEALTH WELFARE FUND
BOILERMAKERS NATIONAL HEALTH WELFARE FUND
BOLLINGER INC
BOLLINGER INC
BOLLINGER INSURANCE
BOON GROUP
BOON GROUP
BOON-CHAPMAN BENEFIT ADMINISTRATORS
BOON-CHAPMAN BENEFIT ADMINISTRATORS, INC
BOONCHAPMAN BENEFIT ADMIN
BOSTON MEDICAL CENTER (BMC) HEALTHNET
BOSTON MEDICAL CENTER HEALTH - INST
BOTSFORD HEALTH PLAN
BOTSFORD HEALTH PLAN (FARMINGTON HILLS, MI)
BOULDER ADMINISTRATION SERVICES
BOULDER COMMUNITY HOSPITAL
BOYD BROS TRANSPORTATION INC
BOYD BROS TRANSPORTATION, INC
BOYDCARE
BOYDCARE
BPABENEFIT PLAN ADMINISTRATORS (NORTH DAKOTA)
BPS, INC
MA
MA
MI
Payer
Type
CI
CI
WC
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Dental
Inst
Prof
Prof
Inst
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Inst
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
52192
52192
65005
41556
TPC22
TPC23
TPC24
77025
38365
BRIDG
68054
68054
TP021
51037
51037
J1445
J1445
94316
94316
BTSS1
41556
11150
J1032
J1261
932
32004
32004
Name
State
BRAVO HEALTH ELDER HEALTH
BRAVO HEALTH - INST
BREATHCOCSL PULMONARY
BREMCO CONSTRUCTION
BRICKLAYERS - PLAN A
BRICKLAYERS - PLAN B
BRICKLAYERS - RETIREES
BRICKSTREET MUTUAL INSURANCE
BRIDGE BENEFITS
BRIDGESPAN HEALTH
BRIDGEWAY HEALTH SOLUTIONS ARIZ INST
BRIDGEWAY HEALTH SOLUTIONS ARIZONA
OH
UT
AZ
AZ
BROADSPIRE, A CRAWFORD COMPANY
BROCKERAGE CONCEPTS, INC
BROKERAGE CONCEPTS
BROTHERHOOD MUTUAL INSURANCE
BROTHERHOOD MUTUAL INSURANCE (AUTO ONLY)
BROWN AND TOLAND MEDICAL GROUP
BROWN AND TOLAND MEDICAL GROUP
BROWN AND TOLAND SUTTER SELECT
CA
CA
CA
BROWNSVILLE INDEPENDENT SCHOOL DISTRICT
BROWNYARD GROUP INC (ARCH INSURANCE)
BRUNSWICK CORPORATION
BRUNSWICK CORPORATION (AUTO ONLY)
BS WASHINGTON (REGENCE)
BUCKEYE COMMUNITY HEALTH PLAN OHIO
BUCKEYE COMMUNITY HEALTH PLAN OHIO INST
WA
OH
OH
Payer
Type
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
WC
AM
CI
CI
CI
WC
WC
WC
AM
BL
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Format Claim Status Eligibility
Prof
Inst
Prof
Prof
Dental
Dental
Dental
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
CX014
50240
J1501
TPC25
J1435
J1033
41556
42150
42150
J1533
41556
23708
16126
62413
59129
41556
J1535
68069
IP020
41556
CWS99
41556
59334
41556
37105
37105
71057
Name
State
BUCKEYE HEALTH PLAN
BUENAVENTURA MEDICAL GROUP
BUFFETS INC (OLD COUNTRY BUFFETT, RYAN'S, HOMETOWN BUFFET)
BUILDING SERVICE 32BJ HEALTH FUND
BUNCH AND ASSOCIATES
BURLINGTON COAT FACTORY WAREHO
BURTON WAY CARMEL
BUTLER BENEFITS
IA
BUTLER DENTAL (LA)
BV GENERAL (MURPHY AND BEANE)
BYCOR GEN CONTRACT
C O EMPLOYEES HOSPITAL ASSOCIATION
C NY MANAGED CARE
CAC
CAC RAMSEY
CADET UNIFORM SUPPLY
CALIFORNIA FAIR SERVICES AUTHORITY
CALIFORNIA HEALTH AND WELLNESS
CALIFORNIA PRIMARY CARE MEDICAL GROUP
CA
CA
CALIFORNIA WATER SERVICE COMPANY
CALIFORNIA WATER SERVICES
CALLAHAN, MCCUNE
CAMBRIDGE ISG
CAMPBELL UNION SCHOOL DISTRICT
CANNON COCHRAN MANAGEMENT SERV
CANNON COCHRAN MANAGEMENT SERVICES INC
CANNON COCHRAN MANAGEMENT SERVICES, INC
CA
Payer
Type
CI
CI
WC
CI
WC
WC
WC
CI
CI
WC
WC
CI
CI
CI
CI
WC
WC
CI
CI
WC
CI
WC
CI
WC
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Dental
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
37105
CAPMN
38245
38245
J1637
J1637
CBC01
CAPBC
CAPBC
CDPHP
95112
95112
68011
68011
J1262
J1262
CAPHP
CAPHP
CAPHP
41556
86044
86044
GCVCP
57116
57116
65063
77082
Name
State
CANNON COCHRAN MANAGEMENT SVC-ILLINOIS
CAP MANAGEMENT SYSTEMS
CAPE HEALTH PLAN
CAPE HEALTH PLAN
CAPISTRANO UNIFIED SCHOOL DISTRICT (CA)
CAPISTRANO UNIFIED SCHOOL DISTRICT (CA) (AUTO ONLY)
CAPITAL BLUE CROSS (CBC)
CAPITAL BLUE CROSS - CAPITAL ADVANTAGE
CAPITAL BLUE CROSS INST
CAPITAL DISTRICT PHP
CAPITAL HEALTH PLAN
CAPITAL HEALTH PLAN INST
PA
PA
NY
FL
FL
CAPITOL ADMINISTRATORS
CAPITOL ADMINISTRATORS
CAPITOL INDEMNITY
CAPITOL INDEMNITY (AUTO ONLY)
CAPROCK HEALTH PLANS
CAPROCK HEALTH PLANS - DENTAL
CAPROCK HEALTH PLANS - INST
CAPS-SIG
CAPSTONE HEALTH PLAN
CAPSTONE HEALTH PLAN
AZ
AZ
CARDIOVASCULAR CARE PROVIDERS INC (CVCP)
CARE 1ST HEALTH PLAN OF ARIZONA
CARE 1ST HEALTH PLAN OF ARIZONA - INST
CARE ACCESS PSN
CARE IMPROVEMENT PLUS
AZ
AZ
FL
Payer
Type
CI
CI
CI
CI
WC
AM
CI
BL
BL
CI
CI
CI
CI
CI
WC
AM
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
Y
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Dental
Prof
Inst
Prof
Prof
Prof
Dental
Prof
Inst
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Dental
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
77082
340
11331
43172
43172
11345
14182
14179
14180
14188
75190
SB580
SB690
SB580
SB690
SB691
25140
CLUHS
91136
CARMO
25142
93975
93975
22248
95092
77023
KYCS1
Name
State
CARE IMPROVEMENT PLUS INST
CARE MANAGEMENT RESOURCES
CARE MGMT GROUP GREATER NY
CARE PARTNERS
CARE PARTNERS
CARECENTRIX
CARECORE NATIONAL
CARECORE NATIONAL - AETNA RADIOLOGY CLAIMS
CARECORE NATIONAL - OXFORD RADIOLOGY
CARECORE WELLCARE NY RADIOLOGY
NY
CAREFIRST ADMINISTRATORS NCAS
CAREFIRST BCBS DCNCA
CAREFIRST BCBS MARYLAND
CAREFIRST BCBS DCNCA INST
CAREFIRST BCBS MARYLAND INST
CAREFIRST DELMARVA HEALTH PLAN
DC
MD
DC
MD
MD
CARELINK MEDICAID INST
CARELINK UNIVERSITY HEALTH SYSTEM
CAREMARK
CAREMORE IPA
CA
CARENET
CAREOREGON
CAREOREGON
CAREPARTNERS
OR
OR
MO
CAREPLUS HEALTH PLAN
CAREPOINT HEALTH PLANS
CARESOURCE KENTUCKY
KY
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
BL
BL
BL
BL
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Format Claim Status Eligibility
Inst
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
N
N
N
N
N
Y
N
N
N
N
N
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
38325
38325
31114
31114
MRCHP
MRCHP
DAKC
DAKC
35167
77015
FAMR1
62073
62073
62072
62072
37245
SC498
29076
29076
56195
56195
25125
25125
CAS01
93040
93040
J1630
Name
CARESOURCE MICHIGAN
CARESOURCE MICHIGAN INST
CARESOURCE OHIO
CARESOURCE OHIO INST
CARESOURCE OREGON
CARESOURCE OREGON INST
CAREWEST
State
MI
MI
OH
OH
OR
OR
SD
CAREWEST
CAREWISE
CARILION CLINIC MEDICARE HEALTH PLAN
CARING PROGRAM
CARITEN HEALTH PLAN
CARITEN HEALTHCARE - INST
CARITEN SENIOR HEALTH
CARITEN SENIOR HEALTH - INST
CAROLINA BENEFIT ADMINISTRATOR
CAROLINA BENEFIT ADMINISTRATORS - BCBSSC
SC
CAROLINA CARE PLAN (FORMERLY 57105)
CAROLINA CARE PLAN (FORMERLY 57105)
CAROLINA SUMMIT HEALTHCARE INC
CAROLINA SUMMIT HEALTHCARE INC
CARPENTERS HEALTH WELFARE ST LOUIS
CARPENTERS HEALTH AND WELFARE TRUST FUND OF
CASCADE EAST HEALTH PLAN
CASCADE EAST HEALTH PLANS
CASCADE EAST HEALTH PLANS
CASITAS MUNICIPAL WATER DISTRICT (CA)
OR
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Inst
Prof
Inst
Prof
Inst
Inst
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Inst
Prof
Prof
Inst
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
J1630
37060
37060
41556
41556
41556
3036
55438
55438
31158
65391
J1533
88019
J1010
10050
88022
OBAEW
95166
41556
95167
95167
CELTC
68063
CX014
68060
68060
37250
Name
State
CASITAS MUNICIPAL WATER DISTRICT (CA) (AUTO ONLY)
CATERPILLAR
CATERPILLAR INC
CATHOLIC DIOCESE OF SAN DIEGO
CATHOLIC MUTUAL - PREFERRED PROFESSIONAL INSURANCE COMPANY
CATHOLIC MUTUAL - VIRGINIA SURETY COMPANY, INC
CBA BLUE (COMPREHENSIVE BENEFITS ADMINISTRATOR, INC)
CBCA ADMINISTRATORS
CBCA ADMINISTRATORS - INST
CBIZ BENEFITS INSURANCE SERVICES
CBNHP HEALTH CHOICES
CBS STUDIOS (MURPHY AND BEANE)
CCEA WELFARE BENEFIT TRUST (TEACHERS HEALTH TRUST)
CCMSI
CDH (CIGNA DENTAL CARE)
CDS GROUP HEALTH
CEDAR RAPIDS ELECTRICAL WORKERS (IBEW405)
CEDARS SINAI MEDICAL NETWORK CLAIMS
CA
CEDARS-SINAI HEALTH SYSTEM
CEDARS-SINAI MEDICAL NETWORK SERVICES
CEDARSSINAI MEDICAL NETWORK ENCOUNTERS
CA
CELTIC INSURANCE
CELTIC INSURANCE
CELTICARE - DENTAQUEST
CELTICARE HEALTH PLAN
CELTICARE HEALTH PLAN INST
CEMARA ADMINISTRATORS
MA
MA
MA
Payer
Type
AM
CI
CI
WC
WC
WC
CI
CI
CI
CI
CI
WC
CI
WC
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
Y
N
N
Format Claim Status Eligibility
Prof
Prof
Inst
Prof
Prof
Prof
Dental
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
37250
91136
91136
J1034
68068
68048
68058
68050
68065
68065
68052
68068
68047
68068
68068
68068
68048
68051
68059
68053
68068
68056
68056
19895
TPC14
13357
13360
Name
State
CEMARA ADMINISTRATORS INC
CEMENT MASONS PLASTERERS HEALTH WELFARE
CEMENT MASONS PLASTERERS HLTH WELFARE TRUST GRP F16
CENDANT CORPORATION
CENPATICO BEHAVIORAL HEALTH
CENPATICO BEHAVIORAL HEALTH ARIZONA
CENPATICO BEHAVIORAL HEALTH FLORIDA
CENPATICO BEHAVIORAL HEALTH GEORGIA
CENPATICO BEHAVIORAL HEALTH ILLINOIS
CENPATICO BEHAVIORAL HEALTH ILLINOIS INST
CENPATICO BEHAVIORAL HEALTH INDIANA
AZ
FL
GA
IL
IL
IN
CENPATICO BEHAVIORAL HEALTH INST
CENPATICO BEHAVIORAL HEALTH KANSAS
CENPATICO BEHAVIORAL HEALTH KENTUCKY
CENPATICO BEHAVIORAL HEALTH MASSACHUSETTS
CENPATICO BEHAVIORAL HEALTH NEW HAMPSHIRE
CENPATICO BEHAVIORAL HEALTH OF ARIZONA INST
CENPATICO BEHAVIORAL HEALTH OHIO
CENPATICO BEHAVIORAL HEALTH SOUTH CAROLINA
CENPATICO BEHAVIORAL HEALTH TEXAS
CENPATICO BEHAVIORAL HEALTH WISCONSIN
CENTENE ADVANTAGE PLANS
CENTENE ADVANTAGE PLANS
CENTENNIAL INSURANCE COMPANY
CENTER CARE
CENTERCARE
CENTERLIGHT HEALTHCARE
KS
KY
MA
NH
AZ
OH
SC
TX
WI
Payer
Type
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
N
Y
N
Y
N
Y
Y
N
Y
Y
Y
Y
N
Y
N
N
N
Y
Format Claim Status Eligibility
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Dental
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
IP080
75243
75196
31118
31118
31118
31118
31118
31118
CCA01
WH001
IP037
J1605
J1605
J1035
2041
2041
IP010
34097
34097
36215
36215
37214
IP131
48120
20356
20356
Name
CENTINELA IPA
State
CA
CENTRA
CENTRA BENEFITS
TX
CENTRAL BENEFITS LIFE
CENTRAL BENEFITS LIFE
CENTRAL BENEFITS MUTUAL
CENTRAL BENEFITS MUTUAL
CENTRAL BENEFITS NATIONAL
CENTRAL BENEFITS NATIONAL
CENTRAL CALIFORNIA ALLIANCE FOR HEALTH
CENTRAL CALIFORNIA WOMENS HEALTH
CENTRAL COAST IPA
CA
CA
CA
CENTRAL CONTRA COSTA TRANSIT AUTHORITY
CENTRAL CONTRA COSTA TRANSIT AUTHORITY (AUTO ONLY)
CENTRAL HOCKEY LEAGUE
CENTRAL MASS HEALTH CARE
CENTRAL MASS HEATH CARE
CENTRAL PENNSYLVANIA PHYSICIANS
PA
CENTRAL RESERVE LIFE
CENTRAL RESERVE LIFE
CENTRAL STATES HEALTH WELFARE FUNDS
CENTRAL STATES HEALTH WELFARE FUNDS
CENTRAL STATES JOINT BOARD HEALTH WELFARE TRUST FUND
CENTRAL VALLEY MEDICAL GROUP
CENTURY HEALTH SOLUTIONS
CERNER HEALTHPLAN SERVICES (THE HEALTH EXCHANGE)
CERNER HEALTHPLAN SERVICES - INST
IL
CA
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
AM
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
TPC26
23171
J1646
J1646
84146
84146
41556
41556
J1036
16600
16600
25131
25131
75261
59223
34154
34154
J1479
J1479
COACC
41556
41556
DCHCH
UHSCH
TTPCH
UPGCH
ACN01
Name
State
CEWF - LOCAL 3
CHA HEALTH
CHAFFEY JOINT UNION H S DISTRICT (CA)
CHAFFEY JOINT UNION H S DISTRICT (CA) (AUTO ONLY)
CHAMP VA HAC
CHAMP VA HAC - INST
CHANDLER'S P VERDES
CHAPMAN CONVALESCENT
CHARMING SHOPPES, INC
CHAUTAUQUA COUNTY HC MAYVILLE
CHAUTAUQUA COUNTY HEALTHCARE PLAN
CHC DIAMOND MEDICAID INST
CHC DIAMOND MEDICAID MARYLAND
MD
CHEC - WEB TPA
CHESAPEAKE LIFE INSURANCE COMPANY
CHESTERFIELD RESOURCES
CHESTERFIELD RESOURCES INST
CHESTERFIELD SERVICES, INC
CHESTERFIELD SERVICES, INC (AUTO ONLY)
CHILD HEALTH PLAN (COACC CHP)
CO
CHILDREN'S HOSPITAL COLORADO
CHILDREN'S HOSPITAL OF ORANGE COUNTY - FIRST AID
CHIP DRISCOLL CHILDRENS HEALTH PLAN
CHIP - CHOICEONE UTMB
CHIP-TEENS TO TOTS TX UNIVERSITY HEALTH
CHIP-TX UNIVERSITY HEALTH PLAN UPG
CHIROCARE
TX
TX
TX
TX
Payer
Type
CI
CI
WC
AM
CI
CI
WC
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
WC
AM
CI
WC
WC
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
Y
N
Y
N
N
N
N
Y
N
N
N
N
N
N
N
Format Claim Status Eligibility
Dental
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
ACN01
ACN01
CMG01
76049
76049
PR002
60054
60054
68241
UHSCH
90441
90441
38308
38308
SPOHN
37288
J1554
J1554
J1561
J1561
41556
J1265
J1725
J1264
J1532
J1532
62308
Name
CHIROPRATIC CARE OF MINNESOTA
CHIROPRATIC CARE OF WISCONSIN
State
MN
WI
CHOICE MEDICAL GROUP
CHOICE ONE UTMB CHIP HEALTH PLAN
TX
CHOICE ONEUTMB CHIP HEALTH PLAN
CHOICE PLUS
CHOICE PLUS (TRW)
CHOICE PLUS (TRW)
CHOICE PLUS (TRW)
CHOICEONE- UTMB CHIP
CHP DIRECT SUPERMED
CHP DIRECT SUPERMED
CHRISTIAN BROTHERS SERVICES
CHRISTIAN BROTHERS SERVICES - INST
CHRISTUS SPOHN HEALTH PLAN
CHS CLAIMS
CHUBB AND SON
CHUBB AND SON (AUTO ONLY)
CHUBB SERVICES
CHUBB SERVICES (AUTO ONLY)
CHULA VISTA ELEMENTARY SCHOOL DISTRICT
CHURCH MUTUAL INSURANCE COMPANY (WC ONLY)
CHURCH MUTUAL INSURANCE COMPANY (WC ONLY)
CHURCH MUTUAL INSURANCE COMPANY - AUTO ONLY
CIGA
CIGA (AUTO ONLY)
CIGNA
TX
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
AM
WC
AM
WC
WC
WC
AM
WC
AM
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Inst
Prof
Dental
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
62308
10050
2331
2331
62308
TLX70
62308
52192
62308
86033
86033
62308
62308
TLW66
C1028
CIMHP
J1562
J1562
J1582
J1582
TLU52
10207
J1613
J1613
J1267
COA01
J1118
Name
State
CIGNA PPO
CIGNA (DHMO)
CIGNA BEHAVIORAL HEALTH
CIGNA BEHAVIORAL HEALTH - INST
CIGNA DENTAL
CIGNA FLEX CARE (NEW MEXICO ONLY)
CIGNA HEALTH PLAN
CIGNA HEALTHSPRING
CIGNA INSTITUTIONAL
CIGNA MEDICARE ADVANTAGE
CIGNA MEDICARE ADVANTAGE - INST
CIGNA PREMIER PLUS
CIGNA PROVIDER PIN
CIGNA VOLUNTARY (FORMERLY STAR HRG STAR ADMINISTRATIVE SERVICES)
CIM INSURANCE CORPORATION (AUTO ONLY)
CIMARRON HEALTH PLAN (COMMERCIAL)
NM
CINCINNATI INSURANCE
CINCINNATI INSURANCE (AUTO ONLY)
CITIZENS INSURANCE COMPANY OF AMERICA
CITIZENS INSURANCE COMPANY OF AMERICA (AUTO ONLY)
CITIZENS SECURITY LIFE INSURANCE CO
CITRUS HEALTH
CITRUS VALLEY HEALTH PARTNERS
CITRUS VALLEY HEALTH PARTNERS (AUTO ONLY)
CITY OF AMARILLO (AUSTIN)
CITY OF AMARILLO HEALTH PLAN
CITY OF AMES
TX
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
AM
CI
WC
AM
WC
AM
CI
CI
WC
AM
WC
CI
WC
Real Time
Real Time
Y
N
N
N
N
N
Y
N
Y
Y
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
Y
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Dental
Prof
Inst
Dental
Dental
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
Y
N
Y
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
A0033
41556
J1516
41556
41556
41556
41556
41556
41556
41556
41556
41556
J1441
41556
J1118
41556
A0046
41556
41556
J1680
J1680
J1632
J1632
J1634
J1634
41556
41556
Name
CITY OF ARLINGTON
CITY OF ASHLAND
CITY OF ATLANTA
CITY OF BEAVERTON
CITY OF BELMONT (SELF INSURED)
CITY OF CAMPBELL
CITY OF CARLSBAD
CITY OF CARMEL BY THE SEA
CITY OF CARSON
CITY OF CHULA VISTA
CITY OF COLTON
CITY OF CORONADO
CITY OF DALLAS
CITY OF DEL MAR
CITY OF DES MOINES
CITY OF EDINBURG, TEXAS
CITY OF EL PASO
CITY OF ENCINITAS
CITY OF ESCONDIDO
CITY OF FORT WORTH (TX)
CITY OF FORT WORTH (TX) (AUTO ONLY)
CITY OF FOUNTAIN VALLEY (CA)
CITY OF FOUNTAIN VALLEY (CA) (AUTO ONLY)
CITY OF GARDENA (CA)
CITY OF GARDENA (CA) (AUTO ONLY)
CITY OF GRAND JUNCTION
CITY OF HILLSBORO
State
Payer
Type
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
AM
WC
AM
WC
AM
WC
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
J1444
41556
41556
J1504
J1711
J1711
J1653
J1653
41556
J1268
41556
J1536
41556
J1269
J1714
J1714
J1640
J1640
41556
41556
75600
J1721
J1721
41556
J1657
J1657
J1617
Name
CITY OF HOUSTON
CITY OF IMPERIAL BEACH (VOUCHER)
CITY OF IRVING
CITY OF JACKSONVILLE
CITY OF LA MESA 11 (CA)
CITY OF LA MESA 11 (CA) (AUTO ONLY)
CITY OF LAGUNA HILLS (CA)
CITY OF LAGUNA HILLS (CA) (AUTO ONLY)
CITY OF LEMON GROVE
CITY OF LEWISVILLE
CITY OF LOS ALTOS
CITY OF LOS ANGELES
CITY OF MERCED
CITY OF MINNEAPOLIS
CITY OF MONROVIA (CA)
CITY OF MONROVIA (CA) (AUTO ONLY)
CITY OF MONTEBELLO (CA)
CITY OF MONTEBELLO (CA) (AUTO ONLY)
CITY OF NATIONAL CITY
CITY OF OCEANSIDE
CITY OF ODESSA
CITY OF OMAHA (NE)
CITY OF OMAHA (NE) (AUTO ONLY)
CITY OF ONTARIO
CITY OF PASADENA (CA)
CITY OF PASADENA (CA) (AUTO ONLY)
CITY OF REDDING (CA)
State
Payer
Type
WC
WC
WC
WC
WC
AM
WC
AM
WC
WC
WC
WC
WC
WC
WC
AM
WC
AM
WC
WC
CI
WC
AM
WC
WC
AM
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
J1617
41556
J1497
J1727
J1727
41556
J1749
J1598
J1598
41556
41556
J1602
J1602
J1636
J1636
J1664
J1664
J1607
J1607
J1645
J1645
41556
41556
J1649
J1649
J1118
J1700
Name
CITY OF REDDING (CA) (AUTO ONLY)
CITY OF RICHARDSON
CITY OF SAN DIEGO
CITY OF SAN MATEO (CA)
CITY OF SAN MATEO (CA) (AUTO ONLY)
CITY OF SANTEE
CITY OF SIMI VALLEY
CITY OF SNYDER (TX)
CITY OF SNYDER (TX) (AUTO ONLY)
CITY OF SOLANA BEACH
CITY OF SOUTH SAN FRANCISCO
CITY OF ST PAUL (MN)
CITY OF ST PAUL (MN) (AUTO ONLY)
CITY OF STANTON (CA)
CITY OF STANTON (CA) (AUTO ONLY)
CITY OF STOCKTON (CA)
CITY OF STOCKTON (CA) (AUTO ONLY)
CITY OF TOPEKA (KS)
CITY OF TOPEKA (KS) (AUTO ONLY)
CITY OF UPLAND (CA)
CITY OF UPLAND (CA) (AUTO ONLY)
CITY OF VISTA
CITY OF WACO
CITY OF WEST COVINA (CA)
CITY OF WEST COVINA (CA) (AUTO ONLY)
CITY OF WEST DES MOINES
CITY OF WESTMINSTER (CA)
State
Payer
Type
AM
WC
WC
WC
AM
WC
WC
WC
AM
WC
WC
WC
AM
WC
AM
WC
AM
WC
AM
WC
AM
WC
WC
WC
AM
WC
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
J1700
J1708
J1708
41556
TPC27
41556
TPC28
TPC30
CLFR2
TLZ18
CMS01
39141
62413
J1271
39141
39141
11752
57080
SHP11
J1037
CCS99
77201
34172
J1739
J1739
2041
20443
Name
State
CITY OF WESTMINSTER (CA) (AUTO ONLY)
CITY OF YORBA LINDA (CA)
CITY OF YORBA LINDA (CA) (AUTO ONLY)
CITY OF YUMA
CITYWIDE ASSOC OF LAW ASSISTANTS WF
CIVIL CONSTRUCTORS
CIVIL SERVICE BAR ASSOC
CIVIL SERVICE EMPLOYEES LOCAL 806
CL FRATES
CL FRATES (OK) DENTAL
CLAIM MANAGEMENT SERVICES (WI)
CLAIM MANAGEMENT SERVICES INC
CLAIMS ADMINISTRATION CORP
CLAIMS ADMINISTRATIVE SERVICES (CAS)
CLAIMS MANAGEMENT SERVICES
CLAIMS MANAGEMENT SERVICES
CLAIMSBRIDGE HPN
CLAIMSWARE
CLARENDON KIDS CHIP PROGRAM
TX
CLASSIC RESIDENCE BY HYATT
CLAYTON COUNTY HEALTH BENEFIT PLAN
CLEAR CHOICE HEALTH PLANS
CLEVELAND HEALTH NETWORK
CLOUGHERTY PACKING, LLC
CLOUGHERTY PACKING, LLC (AUTO ONLY)
CMHC
CNA INSURANCE
OR
Payer
Type
AM
WC
AM
WC
CI
WC
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
MC
WC
CI
CI
CI
WC
AM
CI
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Dental
Prof
Dental
Dental
Prof
Dental
Dental
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
C1035 CNA INSURANCE (AUTO ONLY)
CHCNT CNIC - CHOICENET - INTERCARE
CHCNT CNIC - CHOICENET - INTERCARE
16126 CNY MANAGE CARE
16126 CNY MANAGED CARE
41556 CO GRANDE CASINO
J1272 COACH USA
41556 COAST CONVERTERS
77052 COASTAL ADMINISTRATIVE SERVICES
CCPN1 COASTAL COMMUNITIES PHYSICIAN NETWORK
J1038 COCA-COLA ENTERPRISES INC
38335 COFINITY (PPOM)
38335 COFINITY (PPOM)
38335 COFINITY FKA SLOANS LAKE
41556 COLLIN COUNTY
37123 COLONIAL HEALTHCARE
COACC COLORADO ACCESS
COACC COLORADO ACCESS - INST
PHD02 COLORADO ASSOCIATED PRIMARY CARE
COHMO COLORADO BLUE ADVANTAGE
J1428 COLORADO CASUALTY
41556 COLORADO CONTRACTORS PROGRAM
49718 COLORADO HEALTH INSURANCE COOPERATIVE
41556 COLORADO HEALTHCARE ASSOC - SAFETY NATIONAL CASUALTY CORP
41556 COLORADO PRIME CORP
25351 COLUMBIA CORNELL CARE
25351 COLUMBIA CORNELL CARE
State
CO
CO
CO
CO
CO
CO
Payer
Type
AM
CI
CI
CI
CI
WC
WC
WC
CI
CI
WC
CI
CI
CI
WC
CI
CI
CI
CI
CI
WC
WC
CI
WC
WC
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
J1039
91162
41556
37271
37271
62308
73143
34181
34181
77170
37237
37237
CATPA
14315
14315
23171
23282
23282
73143
39126
39126
26231
26231
26231
J1655
J1655
CAPMN
Name
State
COLUMBIA SUSSEX CORPORATION
COLUMBIA UNITED PROVIDERS
COLUMBINE HEALTH SYSTEMS
COMBINED BENEFITS, INC
COMBINED BENEFITS, INC
COMED CIGNA
COMM CARE MANAGED HLTH OK
COMMERCE BENEFITS GROUP
COMMERCE BENEFITS GROUP
COMMON GROUND HEALTH COOPERATIVE
COMMONWEALTH ADMINISTRATIVE GROUP
COMMONWEALTH ADMINISTRATIVE GROUP
COMMONWEALTH ADMINISTRATORS
VA
COMMONWEALTH CARE ALLIANCE
COMMONWEALTH CARE ALLIANCE - INST
COMMONWEALTH HEALTH ALLIANCE CHA
COMMUNITY CARE BEHAVIORAL HEALTH ORGANIZATION
COMMUNITY CARE BEHAVORIAL HEALTH ORGANIZATION
COMMUNITY CARE MANAGED HEALTH CARE PLANS OF OK
OK
COMMUNITY CARE ORGANIZATION
COMMUNITY CARE ORGANIZATION
COMMUNITY CLAIMS ADMINISTRATION
COMMUNITY CLAIMS ADMINISTRATION
COMMUNITY CLAIMS ADMINISTRATION
COMMUNITY DEVELOPMENT COMMISSION (CA)
COMMUNITY DEVELOPMENT COMMISSION (CA) (AUTO ONLY)
COMMUNITY FAMILY CARE MEDICAL GROUP
CA
Payer
Type
WC
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
AM
CI
Real Time
Real Time
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Dental
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Dental
Inst
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
COMMF COMMUNITY FIRST
COMMF COMMUNITY FIRST STAR HEALTH PLAN
39162 COMMUNITY HEALTH
35193 COMMUNITY HEALTH ALLIANCE
48145 COMMUNITY HEALTH CHOICE
48145 COMMUNITY HEALTH CHOICE - MEDICAID
75261 COMMUNITY HEALTH ELEC CLAIMS
75261 COMMUNITY HEALTH ELECTRONIC
60495 COMMUNITY HEALTH PLAN
CHPWA COMMUNITY HEALTH PLAN OF WASHINGTON
90010 COMMUNITY HEALTH PLAN ST JOSEPH
90010 COMMUNITY HEALTH PLAN ST JOSEPH - INST
39162 COMMUNITY HEALTH PLAN-MILWAUKEE, WI
CLA11 COMMUNITY HEALTH SOLUTIONS OF LOUISIANA (CHSLA)
CMGWVCOMMUNITY MEDICAL GROUP OF THE WEST VALLEY
13374 COMMUNITY PREMIER PLUS
32481 COMMUNITY PREMIER PLUS
32481 COMMUNITY PREMIER PLUS FOR NEIGHBORHOOD
34177 COMP - OHIO (AUSTINTOWN, OH)
34177 COMP - OHIO (AUSTINTOWN, OH)
J1040 COMPASS GROUP USA, INC
J1533 COMPASS HEALTH (MURPHY AND BEANE)
CX021 COMPBENEFITS (CHICAGO) - DENTAL
34177 COMPENSATION PROGRAMS OF OHIO
59314 COMPREHENSIVE BEHAVIORAL CARE
59314 COMPREHENSIVE BEHAVIORAL CARE
3036 COMPREHENSIVE BENEFITS ADMIN
State
TX
WA
MO
WI
LA
CA
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
MC
CI
CI
CI
CI
CI
CI
WC
WC
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Dental
Dental
Inst
Prof
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
3036 COMPREHENSIVE BENEFITS ADMINISTRATOR
CCMC1 COMPREHENSIVE CARE MANAGEMENT GROUP
J1652 COMPTON UNIFIED SCHOOL DISTRICT (CA)
J1652 COMPTON UNIFIED SCHOOL DISTRICT (CA) (AUTO ONLY)
COMPU COMPUSYS OF COLORADO
37363 COMPYSCH
80667 CONFED ADMIN SERVICES, INC
62308 CONN GEN
6105 CONNECTICARE
6105 CONNECTICARE INST
78375 CONNECTICARE MEDICARE VIP
78375 CONNECTICARE MEDICARE VIP INST
37307 CONNECTICUT CARPENTERS HEALTH FUND
37307 CONNECTICUT CARPENTERS HEALTH FUND
37307 CONNECTICUT CARPENTERS HEALTH FUND
62308 CONNECTICUT GENERAL
62308 CONNECTICUT GENERAL
62308 CONNECTICUT GENERAL (CIGNA) DENTAL
37135 CONSOCIATE GROUP
37135 CONSOCIATE GROUP
75284 CONSOLIDATED ASSOCIATES RAILROAD
75284 CONSOLIDATED ASSOCIATES RAILROAD
TPC31 CONSOLIDATED EDISON CO OF NY INC
61305 CONSOLIDATED GROUP DENTAL
4274 CONSOLIDATED GROUP HPS
87843 CONSOLIDATED HEALTH PLANS
87843 CONSOLIDATED HEALTH PLANS INST
State
CO
Payer
Type
CI
CI
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
Y
Y
Y
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
Y
N
N
N
Y
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Dental
Inst
Prof
Inst
Prof
Dental
Inst
Prof
Prof
Inst
Dental
Dental
Prof
Prof
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
66077
CNTNM
37295
37295
58112
45321
J1041
J1042
71404
71404
35315
35315
J1274
13397
J1715
47046
47046
J1043
41556
CCHP1
CCHP1
CCHP9
CCHP9
35149
35149
52132
52132
Name
CONSTELLATION HEALTH
CONSULTEC - NEW MEXICO MEDICAID
State
PR
NM
CONSUMER HEALTH SOLUTIONS
CONSUMER HEALTH SOLUTIONS - INST
CONSUMER MUTUAL OF MICHIGAN
MI
CONSUMERS CHOICE HEALTH SC
CONTECH CONSTRUCTION PRODUCTS
CONTINENTAL AIRLINES
CONTINENTAL GENERAL INSURANCE COMPANY
CONTINENTAL GENERAL INSURANCE COMPANY INST
CONTINENTAL KEY FAMILY
CONTINENTAL KEY FAMILY INST
CONTINENTAL WESTERN INSURANCE CO (CWG)
CONTINUUM ABC MSO
CONTRA COASTAL COUNTY SCHOOLS INSURANCE GROUP (CCCSIG)
CONTRACTORS LABORERS TEAMSTERS ENGINEERS
CONTRACTORS LABORERS TEAMSTERS ENGINEERS
CONVERGYS CORPORATION
COOK AND SOLIS CONST
COOK CHILDRENS HEALTH PLAN
COOK CHILDRENS HEALTH PLAN INST
COOK CHILDRENS STAR HEALTH PLAN
COOK CHILDRENS STAR HEALTH PLAN INST
COOK GROUP HEALTH PLAN
COOK GROUP HEALTH PLAN
COOPERATIVE BENEFIT ADMINISTRATORS
COOPERATIVE BENEFIT ADMINISTRATORS (CBA)
TX
TX
TX
TX
Payer
Type
CI
MC
CI
CI
CI
CI
WC
WC
CI
CI
CI
CI
WC
CI
WC
CI
CI
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
Y
N
Y
N
N
N
Y
N
Format Claim Status Eligibility
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Inst
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
52132 COOPERATIVE BENEFIT ADMINISTRATORS (CBA) - INST
52132 COOPERATIVE BENEFIT ADMINISTRATORS - DENTAL
35199 COOPERATIVE MANAGED CARE SERVICES
HPAMN COOPORTUNITY HEALTH
14829 COORDINATED BENEFIT PLANS
14829 COORDINATED BENEFIT PLANS INST
68069 COORDINATED CARE WASHINGTON
68069 COORDINATED CARE WASHINGTON INST
58204 COORDINATED MEDICAL SPECIALISTS
58231 CORE MANAGEMENT RESOURCES GROUP
FAMR1 CORESOURCE
35182 CORESOURCE AZ MN
FAMR1 CORESOURCE EMC
75136 CORESOURCE LITTLE ROCK
35182 CORESOURCE MD PA IL
35182 CORESOURCE NC IN
35180 CORESOURCE NC-IN DENTAL
35182 CORESOURCE OF AZ - MN
75136 CORESOURCE OF LITTLE ROCK
35182 CORESOURCE OF MD-PA-IL
35182 CORESOURCE OF NC-IN
35183 CORESOURCE OF OHIO
35183 CORESOURCE OH
35187 CORESOURCE-INTERNAL
35187 CORESOURCE-INTERNAL
43160 CORIZON FKA CORRECTIONAL MEDICAL SERVICES
CORIZ CORIZON HEALTH INC
State
WA
WA
SD
SD
AR
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
N
Y
N
N
N
N
N
Format Claim Status Eligibility
Inst
Dental
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Inst
Inst
Inst
Inst
Inst
Dental
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Y
N
N
N
N
Y
N
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
35202
56116
56116
37246
37246
TPC32
TPC33
J1044
J1045
48146
37288
37288
J1683
J1683
J1684
J1684
J1712
J1712
J1572
J1572
J1591
J1591
J1709
J1709
62553
62553
J1702
Name
CORNERSTONE BENEFIT ADMINISTRATORS INDIANA
CORPORATE BENEFITS SERVICE, INC (NC)
CORPORATE BENEFITS SERVICE, INC (NC)
CORPORATE SYSTEMS ADMINISTR
CORPORATE SYSTEMS ADMINISTRATION
CORRECTION CAPTAINS ACTIVE
CORRECTION CAPTAINS RETIREES
CORRECTIONAL MANAGEMENT SERVICE
CORRECTIONS CORP OF AMERICA
CORSOLUTIONS
COTTAGE HEALTH SYSTEM
COTTAGE HOSPITAL
COTTINGHAM AND BUTLER CLAIM SERVICES, INC
COTTINGHAM AND BUTLER CLAIM SERVICES, INC (AUTO ONLY)
COUNTRY CASUALTY INSURANCE COMPANY
COUNTRY CASUALTY INSURANCE COMPANY (AUTO ONLY)
COUNTRY INSURANCE MODERN SERVICE CASUALTY INSUR CO
COUNTRY INSURANCE MODERN SERVICE CASUALTY INSUR CO (AUTO ONLY)
COUNTRY INSURANCE MOUNTAIN STATES INSURANCE
COUNTRY INSURANCE MOUNTAIN STATES INSURANCE (AUTO ONLY)
COUNTRY INSURANCE MSI PREFERRED INSURANCE COMPANY
COUNTRY INSURANCE MSI PREFERRED INSURANCE COMPANY (AUTO ONLY)
COUNTRY INSURANCE MUTUAL SERVICE CASUALTY INSUR CO
COUNTRY INSURANCE MUTUAL SERVICE CASUALTY INSUR CO (AUTO ONLY)
COUNTRY LIFE INSURANCE COMPANY
COUNTRY LIFE INSURANCE COMPANY
COUNTRY MUTUAL INSURANCE COMPANY
State
IN
Payer
Type
CI
CI
CI
CI
CI
CI
CI
WC
WC
CI
CI
CI
WC
AM
WC
AM
WC
AM
WC
AM
WC
AM
WC
AM
CI
CI
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Format Claim Status Eligibility
Prof
Prof
Inst
Inst
Prof
Dental
Dental
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
J1702
J1705
J1705
41556
41556
41556
J1603
J1603
J1625
J1723
J1625
J1722
41556
J1513
J1631
J1631
J1631
J1631
J1631
J1631
J1616
J1616
J1662
J1662
J1666
J1666
60827
Name
State
COUNTRY MUTUAL INSURANCE COMPANY (AUTO ONLY)
COUNTRY PREFERRED INSURANCE COMPANY
COUNTRY PREFERRED INSURANCE COMPANY (AUTO ONLY)
COUNTRY VILLA HEALTH SERVICES - SNCC
COUNTRY VILLA OX HLTH
COUNTY OF ALAMEDAAIG
COUNTY OF HUMBOLDT (CA)
COUNTY OF HUMBOLDT (CA) (AUTO ONLY)
COUNTY OF LOS ANGELES
COUNTY OF LOS ANGELES (AIMS SANTA CLARITA)
COUNTY OF LOS ANGELES (AUTO ONLY)
COUNTY OF LOS ANGELES (TRISTAR SANTA ANA)
COUNTY OF MARIN
COUNTY OF SAN DIEGO
COUNTY OF SANTA BARBARA (CA)
COUNTY OF SANTA BARBARA (CA) (AUTO ONLY)
COUNTY OF SANTA BARBARA-CSAC (CA)
COUNTY OF SANTA BARBARA-CSAC (CA) (AUTO ONLY)
COUNTY OF SANTA BARBARA-NON-CSAC (CA)
COUNTY OF SANTA BARBARA-NON-CSAC (CA) (AUTO ONLY)
COUNTY OF SHASTA (CA)
COUNTY OF SHASTA (CA) (AUTO ONLY)
COUNTY OF SONOMA (CA)
COUNTY OF SONOMA (CA) (AUTO ONLY)
COUNTY OF TULARE (CA)
COUNTY OF TULARE (CA) (AUTO ONLY)
COUNTYCARE
IL
Payer
Type
AM
WC
AM
WC
WC
WC
WC
AM
WC
WC
AM
WC
WC
WC
WC
AM
WC
AM
WC
AM
WC
AM
WC
AM
WC
AM
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
41556
58102
58102
58102
CMSEB
25133
25152
25152
25152
25152
25139
25140
25142
CX014
25133
25133
25133
25133
87043
25149
25130
25130
25133
25127
25127
25146
25132
Name
State
COURTYARD HEALTH C
COVENANT ADMIN ATLANTA, GA
COVENANT ADMINISTRATORS
COVENANT ADMINISTRATORS, INC (ATLANTA, GA)
COVENANT MGMT SYSTEMS EMPLOYEE BENEFIT PLAN
COVENTRY - KANSAS CITY MEDICARE (ADVANTRA)
COVENTRY ADVANTRA FREEDOM
COVENTRY ADVANTRA FREEDOM
COVENTRY ADVANTRA FREEDOM
COVENTRY ADVANTRA FREEDOM (TX NM AZ ONLY)
COVENTRY CARELINK ADVANTRA
COVENTRY CARELINK MEDICAID
COVENTRY CARENET
COVENTRY DIAMOND PLAN
COVENTRY HEALTH AND LIFE OKLAHOMA
COVENTRY HEALTH AND LIFE TENNESSEE
OK
TN
COVENTRY HEALTH CARE
COVENTRY HEALTH CARE
COVENTRY HEALTH CARE MISSOURI
COVENTRY HEALTH CARE NEVADA
COVENTRY HEALTH CARE OF DELAWARE
NV
DE
COVENTRY HEALTH CARE OF DELAWARE, INC
COVENTRY HEALTH CARE OF FLORIDA
FL
COVENTRY HEALTH CARE OF GEORGIA
COVENTRY HEALTH CARE OF GEORGIA
COVENTRY HEALTH CARE OF ILLINOIS FKA PERSONALCARE
COVENTRY HEALTH CARE OF IOWA
GA
IL
IA
Payer
Type
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
N
Y
Y
N
N
Y
Y
Y
N
Y
N
Y
Y
Y
Format Claim Status Eligibility
Prof
Inst
Dental
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
25132
25133
25133
25133
25135
25135
25141
25136
25136
25129
25128
25133
25147
25131
25129
25143
87043
87043
25133
25150
25133
25133
25133
37227
J1046
41556
19
Name
State
COVENTRY HEALTH CARE OF IOWA, INC
COVENTRY HEALTH CARE OF KANSAS, INC - KANSAS
KS
COVENTRY HEALTH CARE OF KANSAS, INC - KANSAS
COVENTRY HEALTH CARE OF KANSAS-WICHITA
KS
COVENTRY HEALTH CARE OF LOUISIANA
COVENTRY HEALTH CARE OF LOUISIANA
COVENTRY HEALTH CARE OF MISSOURI FKA GHP (GROUP HEALTH PLAN)
COVENTRY HEALTH CARE OF NEBRASKA
COVENTRY HEALTH CARE OF NEBRASKA, INC
LA
MO
NE
NE
COVENTRY HEALTH CARE OF THE CAROLINAS
COVENTRY HEALTH CARE OF VIRGINIA FKA SOUTHERN HEALTH SERVICES
COVENTRY HEALTH CARE OF WV
VA
WV
COVENTRY HEALTH CARE SOUTH
COVENTRY HEALTHCARE OF INDIANA
IN
COVENTRY HEALTHCARE OF THE CAROLINAS
COVENTRY HEALTHCARE USA
COVENTRY NATIONAL NETWORK
COVENTRY NATIONAL NETWORK
COVENTRYCARES OF KENTUCKY
COVENTRYCARES OF MICHIGAN FKA OMNICARE
COVENTRYCARES OF NEBRASKA FKA COVENTRY MEDICAID
COVENTRYCARES OF PENNSYLVANIA
KY
MI
NE
PA
COVENTRYONE
COVERCOLORADO
COWORX STAFFING, LLC
COX CONSTRUCTION CO
COX HEALTH PLAN
CO
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
Y
Y
N
Y
Y
Y
N
N
N
Y
N
Y
Y
Y
Y
N
Y
N
N
N
N
Format Claim Status Eligibility
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
N
Y
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
119
41556
CPSA1
J1516
64068
64068
37320
J1455
56213
J1550
37266
TPC34
TPC35
62308
J1690
J1690
59140
J1282
CUN99
39170
82056
82056
68241
PR002
60054
J1457
88056
Name
State
COX HEALTH PLAN INST
CPS SECURITY SOLUTIONS
CPSA ARIZONA REG BEHAVIORAL HEALTH AUTHORITY
CR AND R
CREATIVE MEDICAL SYSTEMS
CREATIVE MEDICAL SYSTEMS
CREATIVE PLAN ADMINISTRATORS
CREATIVE RISK SOLUTIONS
CRESCENT HEALTH SOLUTIONS
CRESTBROOK INSURANCE COMPANY
CROY-HALL MGMT INC
CSA ACTIVE WELFARE FUND
CSA RETIREE WELFARE FUND
CT GENERAL
CUCAMONGA SCHOOL DISTRICT (CA)
CUCAMONGA SCHOOL DISTRICT (CA) (AUTO ONLY)
CULINARY HEALTH FUND
CUMIS INSURANCE SOCIETY
CUNA MUTUAL
CUSTOM BENEFIT ADMINISTRATORS (LACROSSE, WI)
CUSTOM DESIGN BENEFITS
CUSTOM DESIGN BENEFITS
CUSTOMCARE
CUSTOMCARE
CUSTOMCARE (PRUDENTIAL)
CVSCAREMARKMINUTE CLINIC
CYPRESS BENEFIT ADMINISTRATORS
AZ
Payer
Type
CI
WC
MC
WC
CI
CI
CI
WC
CI
WC
CI
CI
CI
CI
WC
AM
CI
WC
CI
CI
CI
CI
CI
CI
CI
WC
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Dental
Dental
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
Y
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
47083
20044
DEW99
DEW01
J1118
41556
21415
C1029
DAK01
DAK01
65099
41556
J1494
J1051
41556
41556
TPC36
J1058
39113
39113
87726
87726
J1681
J1681
25137
63081
63081
Name
State
CYPRESS BENEFIT ADMINISTRATORS- GMS INC
CYPRESS INSURANCE COMPANY (MEMBER OF BHHC)
D EDWARD WRIGHT
D EDWARD WRIGHT TPA
DAHL'S FOODS
DAIMLERCHRYSLER CORPORATION
DAKOTA FIRE
DAKOTA FIRE
DAKOTACARE
DAKOTACARE - INST
SD
SD
DALE ELECTRONICS
DALLAS COUNTY COMMUNITY COLLEGE DISTRICT
DALLAS INDEPENDENT SCHOOL DISTRICT
TX
DANAHER CORPORATION
DAVIS MECH SYSTEMS
DAYLIGHT TRANSPORT
DCC-CSA WELFARE FUND
DE BARTOLOS, INC
DEAN HEALTH PLAN
WI
DEAN HEALTH PLAN - INST
DEFINITY HEALTH PLAN
DEFINITY HEALTH PLAN INST
DEL TACO, LLC
DEL TACO, LLC (AUTO ONLY)
DELAWARE CARE (CHC OF DELAWARE MEDICAID) INST
DELAWARE HEALTH PLAN CONSORTIUM
DELAWARE HLTH PLAN CONSORTIUM
DE
Payer
Type
CI
WC
CI
CI
WC
WC
WC
AM
CI
CI
CI
WC
WC
WC
WC
WC
CI
WC
CI
CI
CI
CI
WC
AM
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
27009
25137
94276
94276
94276
DELAR
77777
CDCA1
84056
22189
51022
94276
94276
82029
47598
DELTI
CDKS1
CDKY1
94276
23166
4614
DELTA
CDMN1
94276
43090
TFQ69
94276
Name
State
DELAWARE PHYSICIANS CARE
DELAWARECARE
DELTA DENTAL INSURANCE COMPANY DDIC
DELTA DENTAL OF ALABAMA
DELTA DENTAL OF ALASKA
DELTA DENTAL OF ARKANSAS
DELTA DENTAL OF CALIFORNIA
DELTA DENTAL OF CALIFORNIATRICARE RETIREE DENTAL (TRICARE ONLY - NOT DD OF CA)
DELTA DENTAL OF COLORADO
DELTA DENTAL OF CONNECTICUT
DELTA DENTAL OF DELAWARE
DELTA DENTAL OF FLORIDA
DELTA DENTAL OF GEORGIA
DELTA DENTAL OF IDAHO
DELTA DENTAL OF ILLINOIS
DELTA DENTAL OF INDIANA
DELTA DENTAL OF KANSAS
DELTA DENTAL OF KENTUCKY
DELTA DENTAL OF LOUISIANA
DELTA DENTAL OF MARYLAND
DELTA DENTAL OF MASSACHUSETTS
MA
DELTA DENTAL OF MICHIGAN
DELTA DENTAL OF MINNESOTA
DELTA DENTAL OF MISSISSIPPI
DELTA DENTAL OF MISSOURI (CLAIMS ONLY)
DELTA DENTAL OF MISSOURI (PRE-DETERMINATIONS ONLY)
DELTA DENTAL OF MONTANA
MN
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
94276
22189
DELTM
11198
56101
DELTO
DELOK
23166
5029
43091
54097
DELTN
94276
94276
CDVA1
91062
52147
31096
39069
7025
94235
94235
DHS01
CDCA2
52133
52133
DCP01
Name
State
DELTA DENTAL OF NEVADA
DELTA DENTAL OF NEW JERSEY
DELTA DENTAL OF NEW MEXICO
DELTA DENTAL OF NEW YORK
DELTA DENTAL OF NORTH CAROLINA
NC
DELTA DENTAL OF OHIO
DELTA DENTAL OF OKLAHOMA
DELTA DENTAL OF PENNSYLVANIA
DELTA DENTAL OF RHODE ISLAND
DELTA DENTAL OF SOUTH CAROLINA
SC
DELTA DENTAL OF SOUTH DAKOTA
DELTA DENTAL OF TENNESSEE
DELTA DENTAL OF TEXAS
TX
DELTA DENTAL OF UTAH
DELTA DENTAL OF VIRGINA
VA
DELTA DENTAL OF WASHINGTON
DELTA DENTAL OF WASHINGTON DC
DELTA DENTAL OF WEST VIRGINIA
DELTA DENTAL OF WISCONSIN
DELTA DENTAL OF WYOMING
DELTA HEALTH SYSTEMS
DELTA HEALTH SYSTEMS - INST
DELTA HEALTH SYSTEMS CALIFORNIA
DELTACARE USA PRIVATE MEDICAL CARE (PMI) - CLAIMS ONLY
DENTAL BENEFIT PROVIDERS (CA)
DENTAL BENEFIT PROVIDERS (CT) -- PTE'S UTILIZATION
DENTAL CARE PLUS (DCP)
CA
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Prof
Inst
Prof
Dental
Dental
Dental
Dental
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
TFQ14
DSL01
4356
AMS01
AMS01
84135
84135
41556
J1449
J1438
J1448
J1514
J1550
41556
IP114
41556
MDL99
25172
41556
J1480
23706
23706
J1059
J1611
J1611
J1060
J1118
Name
State
DENTAL CLAIM PAYORS (NY)
DENTAL SELECT, INC
DENTAQUEST COMMERCIAL
DENTEMAX
DENTEMAXDPI
MI
MI
DENVER HEALTH MEDICAL PLAN
DENVER HEALTH MEDICAL PLAN
DENVER PUBLIC SCHOOLS
DEPARTMENT OF ENERGY
DEPARTMENT OF LABOR
DEPARTMENT OF LABOR BLACK LUNG
DEPARTMENT OF WATER AND POWER OF THE CITY OF LOS ANGELES (LADWP)
DEPOSITORS INS CO
DESERT HOSPITAL DISTRICT
DESERT MEDICAL GROUP OASIS
DESERT PRINCESS
DETROIT LABORERS
DH EVANS AND ASSOCIATES
DIAMOND FARMING COMPANY
DILLARD'S STORE SERVICES
DIRECTORS GUILD OF AMERICA
DIRECTORS GUILD OF AMERICA INST
DIRECTORY DISTRIBUTING ASSOC
DISCOUNT TIRE
DISCOUNT TIRE (AUTO ONLY)
DISCOVER RE (BURGER KING)
DISCOVERY HY-VEE
MI
Payer
Type
CI
CI
CI
CI
CI
CI
CI
WC
WC
WC
WC
WC
WC
WC
CI
WC
CI
CI
WC
WC
CI
CI
WC
WC
AM
WC
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
Format Claim Status Eligibility
Dental
Dental
Dental
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
6102
6102
SX105
16003
17003
18003
19003
TPC38
TPC39
TPC40
IP110
DOM01
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
Name
State
DIVERSIFIED ADMINISTRATION CORPORATION
DIVERSIFIED ADMINISTRATION CORPORATION
DMBA - DESERET MUTUAL BENEFITS ASSOCIATION
DMERC REGION A
DMERC REGION B
DMERC REGION C
DMERC REGION D
DOCTORS COUNCIL BENEFIT PLAN
DOCTORS COUNCIL RETIREE WF
DOCTORS COUNCIL WELFARE
DOCTORS MEDICAL GROUP
DOMINION DENTAL USA (DHMO AND COMMERCIAL)
DORAL DENTAL OF ARIZONA NON GLOBAL BUDGET
DORAL DENTAL OF CONNECTICUT
DORAL DENTAL OF ILLINOIS
DORAL DENTAL OF KANSAS
DORAL DENTAL OF KENTUCKY
DORAL DENTAL OF MARYLAND HELIX
DORAL DENTAL OF MARYLAND PHYSICIANS CARE
DORAL DENTAL OF MARYLAND PRIORITY PARTNERS
DORAL DENTAL OF MINNESOTA (M)
DORAL DENTAL OF MINNESOTA MEDICARE
DORAL DENTAL OF MISSOURI ST LOUIS
DORAL DENTAL OF MISSOURI- KANSAS CITY
DORAL DENTAL OF NEBRASKA
DORAL DENTAL OF NEW JERSEY AMERIGROUP
DORAL DENTAL OF NEW JERSEY HEALTHNET
UT
Payer
Type
CI
CI
CI
MB
MB
MB
MB
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Dental
Dental
Prof
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
Y
Y
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
41556
74284
74284
74284
TPC41
35186
Name
State
DORAL DENTAL OF NEW MEXICO
DORAL DENTAL OF NEW YORK
DORAL DENTAL OF NEW YORK NON GLOBAL BUDGET
DORAL DENTAL OF OHIO (M)
DORAL DENTAL OF OKLAHOMA COMMUNITY CARE
DORAL DENTAL OF OKLAHOMA HEARTLAND
DORAL DENTAL OF OKLAHOMA NON GLOBAL BUDGET
DORAL DENTAL OF OKLAHOMA UNICARE
DORAL DENTAL OF OKLAHOMA UNICARE NON GLOBAL
DORAL DENTAL OF PENNSYLVANIA HEALTHMATE
DORAL DENTAL OF PENNSYLVANIA PITTSBURGH
DORAL DENTAL OF PENNSYLVANIA -- AMERIHEALTH
DORAL DENTAL OF PENNSYLVANIA -- KEYSTONE
DORAL DENTAL OF PENNSYLVANIA -- PHILADELPHIA
DORAL DENTAL OF ARIZONA - CIGNA
DORAL DENTAL OF VIRGINIA COMMERCIAL
DORAL DENTAL OF VIRGINIA PREMIER
DORAL DENTAL OF VIRGINIA SENTARA
DORAL DENTAL OF VIRGINIA UNICARE
DORAL DENTAL OF VIRGINIA (M)
DORAL DENTAL PLAN OF WISCONSIN
DOUGLAS COUNTY
DRISCOLL CHILDRENS HEALTH PLAN
DRISCOLL CHILDRENS HEALTH PLAN
DRISCOLL CHILDRENS HEALTH PLAN CHIP
DRYWALL TAPERS INSURANCE FUNDS
DUNN AND ASSOCIATES
TX
TX
TX
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Prof
Inst
Prof
Prof
Dental
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
J1061
41556
J1118
J1062
34159
34159
75232
41556
36434
J1690
J1690
J1639
J1639
J1453
13853
24770
62308
81039
EBS01
41556
J1289
41556
22521
22521
J1204
98006
EPF37
Name
State
DUNN-EDWARDS CORPORATION
DURANGO COFFEE CO
DUSTROL
DYNAMEX, INC
E-V BENEFITS MANAGEMENT, INC
E-V BENEFITS MANAGEMENT, INC
E3 HEALTH INC
EAGLE PASS ISD
EARLY INTERVENTION CENTRAL BILLING
EAST SAN GABRIEL VALLEY ROP (CA)
EAST SAN GABRIEL VALLEY ROP (CA) (AUTO ONLY)
EASTERN MUNICIPAL WATER DISTRICT (CA)
EASTERN MUNICIPAL WATER DISTRICT (CA) (AUTO ONLY)
EASTGUARD INSURANCE COMPANY - GUARD DBA
EASY CHOICE HEALTH PLAN NY - ATLANTIS COMM
NY
EASY CHOICE HEALTH PLAN NY - MEDICARE
EATON BENEFITS
OH
EBMS - EMPLOYEE BENEFIT MANAGEMENT SERVICES, INC
EBS BENEFIT SOLUTIONS
ECHO PACIFIC DEVELOP
EDIC
EDINBURG CONSOLIDATED INDEPENDENT SCHOOL DISTRICT
EDS ADMIN SERVICES
OK
EDS ADMIN SERVICES HARRINGTON BENEFIT - INST
EDWARDS CLAIM ADMINISTRATION
EHS GROUP HEALTH PLAN
EL PASO - HEALTHCARE OPTIONS
TX
Payer
Type
WC
WC
WC
WC
CI
CI
CI
WC
CI
WC
AM
WC
AM
WC
CI
CI
CI
CI
CI
WC
WC
WC
CI
CI
WC
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Inst
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
EPF37
A0106
EPF03
EPF03
EPF02
EPF02
EPF10
EPF10
J1017
J1737
J1737
41556
31625
EWF99
EWF01
FAMR1
41556
ECISF
37253
37253
C1029
21415
C1029
21407
34167
34167
J1679
Name
EL PASO - HEALTHCARE OPTIONS
State
TX
EL PASO COMMUNITY COLLEGE (TX JUR)
EL PASO FIRST - CHIP
EL PASO FIRST - CHIP
EL PASO FIRST - STAR - PREMIER
EL PASO FIRST - STAR - PREMIER
EL PASO FIRST- PREFERRED ADMINISTRATORS
EL PASO FIRST- PREFERRED ADMINISTRATORS
EL PASO WATER UTIL TX JUR
EL POLLO LOCO
EL POLLO LOCO (AUTO ONLY)
ELC ELECTRIC INC
ELDERPLAN, INC
ELECTRICAL WORKERS BENEFIT FUND
ELECTRICAL WORKERS BENEFIT FUND DENTAL
ELECTRONIC ESI
ELITE COMP
ELLIS CONSULTANTS, INC
ELMCO
ELMCO
EMC PROPERTY AND CASUALTY - AUTO ONLY
EMC PROPERTY AND CASUALTY - WC ONLY
EMCASCO INSURANCE CO - AUTO ONLY
EMCASCO INSURANCE CO - WC ONLY
EMERALD HEALTH NETWORK
EMERALD HEALTH NETWORK, INC (ALL PPO
EMERITUS CORPORATION
TX
TX
TX
TX
TX
TX
Payer
Type
CI
WC
CI
CI
CI
CI
CI
CI
WC
WC
AM
WC
CI
CI
CI
CI
WC
CI
CI
CI
AM
WC
AM
WC
CI
CI
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
Y
N
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
J1679
SX110
PR002
60054
73288
BC303
BS803
IP115
IP079
87726
CX025
95288
38241
38241
38241
37257
31074
81039
12X44
3036
3036
3036
37216
37216
EBSSA
41198
37257
Name
State
EMERITUS CORPORATION (AUTO ONLY)
EMIA EDUCATORS MUTUAL INSURANCE ASSN
UT
EMORYCARE
EMORYCARE (PRUDENTIAL)
EMPHESYS
EMPIRE BLUE CROSS BLUE SHIELD NEW YORK INST
EMPIRE BLUE SHIELD NEW YORK
NY
NY
EMPIRE MEDICAL GROUP
EMPIRE PHYSICIANS MEDICAL GROUP EPMG
CA
EMPIRE PLAN UNITED HEALTHCARE
EMPLOYEE BENEFIT MANAGEMENT CORP (EBMC) - DENTAL
EMPLOYEE BENEFIT ADMINISTRATORS MGMT
EMPLOYEE BENEFIT CONCEPTS
EMPLOYEE BENEFIT CONCEPTS (FARMINGTON HILLS,
EMPLOYEE BENEFIT CONCEPTS DENTAL
EMPLOYEE BENEFIT CONSULTANTS, INC
EMPLOYEE BENEFIT MANAGEMENT CORP (EBMC)
EMPLOYEE BENEFIT MANAGEMENT SVCS
EMPLOYEE BENEFIT MANAGEMENT SYSTEM (EBMS)
EMPLOYEE BENEFIT PLAN ADMIN
EMPLOYEE BENEFIT PLAN ADMINISTRATION
EMPLOYEE BENEFIT PLAN ADMINISTRATION, INC (EBPA)
EMPLOYEE BENEFIT SERVICES
EMPLOYEE BENEFIT SERVICES
EMPLOYEE BENEFIT SERVICES (EBS) OF SAN ANTONIO
EMPLOYEE BENEFIT SERVICES OF LOUISIANA (A DIVISION OF HARRINGTON BENEFIT SVCS)
EMPLOYEE BENEFITS CONSULTANTS DENTAL
Payer
Type
AM
CI
CI
CI
CI
BL
BL
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
Y
Y
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Inst
Dental
Prof
Prof
Prof
Inst
Inst
Prof
Dental
Prof
Inst
Prof
Prof
Dental
Claim
Enrollment
Required
ERA
Enrollment
Required
N
Y
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
N
Y
Y
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
75184
75299
35112
35112
35112
54098
54098
J1232
74212
74212
J1559
J1232
MSI01
36335
MIDSC
J1232
75232
75236
75235
75233
75223
J1696
J1696
MSI01
MIDSC
73288
20508
Name
EMPLOYEE CLAIM ADJUDICATION SERVICES
EMPLOYEE HEALTH SYSTEM MEDICAL GROUP
EMPLOYEE PLANS, LLC
EMPLOYEE PLANS, LLC
EMPLOYEE PLANS, LLC
EMPLOYEE SECURITY INC
EMPLOYEE SECURITY, INC
EMPLOYER INSURANCE GROUP (EIG)
EMPLOYER PLAN SERVICES
EMPLOYER PLAN SERVICES - INST
EMPLOYER'S CLAIM SERVICE, INC - CITY OF NAPERVILLE
EMPLOYERS ASSURANCE COMPANY
EMPLOYERS COALITION ON HEALTH
EMPLOYERS COALITION ON HEALTH (ECOH)
EMPLOYERS COALITION ON HEALTH (ECOH)
EMPLOYERS COMPENSATION INSURANCE COMPANY
EMPLOYERS DIRECT HEALTH
EMPLOYERS DIRECT HEALTH (EMPLOYEE PLAN)
EMPLOYERS DIRECT HEALTH (FULLY INSURED)
EMPLOYERS DIRECT HEALTH (SELF FUNDED PLAN)
EMPLOYERS DIRECT HEALTH - SF
EMPLOYERS GENERAL INSURANCE GROUP
EMPLOYERS GENERAL INSURANCE GROUP (AUTO ONLY)
EMPLOYERS HEALTH COOPERATIVE
EMPLOYERS HEALTH COOPERATIVE (EHC)
EMPLOYERS HEALTH INSURANCE
EMPLOYERS HEALTH NETWORK
State
TX
Payer
Type
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
WC
WC
CI
CI
CI
WC
CI
CI
CI
CI
CI
WC
AM
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Dental
Prof
Inst
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
20508
39206
37249
37249
37249
C1029
21415
59298
59298
J1232
37110
37110
35206
36364
36364
91136
91136
J1294
36878
36878
J1063
41556
41556
EPNSH
28777
62308
62308
Name
State
EMPLOYERS HEALTH NETWORK
EMPLOYERS INS OF WAUSAU HOSP
EMPLOYERS LIFE INSURANCE CORP
EMPLOYERS LIFE INSURANCE CORP
EMPLOYERS LIFE INSURANCE CORP ELIC
EMPLOYERS MUTUAL CASUALTY - AUTO ONLY
EMPLOYERS MUTUAL CASUALTY - WC ONLY
EMPLOYERS MUTUAL INC
FL
EMPLOYERS MUTUAL, INC (FL)
EMPLOYERS PREFERRED INSURANCE COMPANY
ENCOMPASS
ENCOMPASS
ENCORE HEALTH NETWORK
ENH MEDICAL GROUP IPA
ENH MEDICAL GROUP IPA
ENSTAR NATURAL GAS
ENSTAR NATURAL GAS
ENTERPRISE RENT A CAR
ENTRUST
ENTRUST
ENVIROSOURCE
ENVISION RADIOLOGY, LLC
EPLICA, INC
EPN - SETON HEALTH EXCLUSIVE PROVIDER NETWORK
EPOCH GROUP
EQUICOR
EQUICOR PPO
TX
Payer
Type
CI
CI
CI
CI
CI
AM
WC
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
WC
WC
WC
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Format Claim Status Eligibility
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
62308
62308
75196
73126
73126
73126
41556
J1734
J1734
74234
J1022
34108
TP043
J1064
J1451
J1454
57082
43168
25712
87726
35605
35605
58233
58233
J1065
59313
59313
Name
State
EQUICOR PPO
EQUICOREQUITABLE
EQUIFAX HEALTHCARE ADMIN SVC
EQUITABLE PLAN SERVICES
OK
EQUITABLE PLAN SERVICES
EQUITABLE PLAN SERVICES (OKLAHOMA CITY, OK)
ERICKSON-HALL CONSTR
ERIE INSURANCE
ERIE INSURANCE (AUTO ONLY)
ERISA
ERMC
ES BEVERIDGE AND ASSOCIATES
ESIS
ESIS - FIRST AMERICAN INSURANCE CO
ESIS - KELLY SERVICES
ESIS - LOCKHEED MARTIN CORPORATION
ESSENCE HEALTHCARE
ESSEX DENTAL BENEFITS
ESURANCE INSURANCE COMPANY (AUTO ONLY)
EVERCARE VIA UNITED HEALTHCARE
EVERENCE
EVERENCE INST
EVERGREEN HEALTH PLAN
EVERGREEN HEALTH PLAN
EVOLUTION INSURANCE COMPANY
EVOLUTIONS HEALTHCARE SYSTEMS
EVOLUTIONS HEALTHCARE SYSTEMS
OH
Payer
Type
CI
CI
CI
CI
CI
CI
WC
WC
AM
CI
WC
CI
WC
WC
WC
WC
CI
CI
AM
CI
CI
CI
CI
CI
WC
CI
CI
Real Time
Real Time
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Y
Y
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Inst
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
IP080
71412
71412
TEMU1
J1606
J1606
BVES1
BVES1
BVES1
41556
37289
95432
37300
37300
J1019
J1624
J1624
J1697
J1697
J1618
J1618
22254
IP017
60995
FCD01
PHR01
FCM01
Name
EXCEPTIONAL CARE MEDICAL
State
CA
EXCLUSICARE
EXCLUSICARE
EXCLUSICARE (MUST HAVE UCCI ON BACK OF MEMBER CARD)
EXXONMOBIL CORPORATION
EXXONMOBIL CORPORATION (AUTO ONLY)
EYE SPECIALISTS
EYE SPECIALISTS
EYE SPECIALISTS
F AND G GUARANTY INS COMAIN STREET PROGRAM COLORADO
FA RICHARD ASSOCIATES, INC
FACEY MEDICAL FOUNDATION
FACS GROUP
FACS GROUP
FACTORY 2 U
FAIRCHILD FASTENERS
FAIRCHILD FASTENERS (AUTO ONLY)
FAIRMONT SPECIALTY INSURANCE COMPANY - TX
FAIRMONT SPECIALTY INSURANCE COMPANY - TX (AUTO ONLY)
FAIRVIEW HEALTH SERVICES
FAIRVIEW HEALTH SERVICES (AUTO ONLY)
FALLON COMMUNITY HEALTH
FAMILY SENIORS MEDICAL GROUP
FAMILY CARE
FAMILY CARE MEDICAID
FAMILY CARE MEDICARE (FCR01)
FAMILY CARE MENTAL HEALTH
CA
Payer
Type
CI
CI
CI
CI
WC
AM
CI
CI
CI
WC
CI
CI
CI
CI
WC
WC
AM
WC
AM
WC
AM
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
Y
Format Claim Status Eligibility
Prof
Inst
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
IP080
41556
51909
AMS01
31472
31472
43173
43173
96865
39518
36396
FPA11
FPA11
37289
37289
37289
37289
14140
J1687
J1687
J1703
J1703
J1706
J1706
J1710
J1710
J1701
Name
FAMILY CHOICE MEDICAL
State
CA
FAMILY HEALTH AND HOUSING
FAMILY HEALTH NETWORK
FAMILY HEALTH NETWORK - WISCONSIN (AMS01)
FAMILY HEALTH PARTNERS - HEALTHWAVE
FAMILY HEALTH PARTNERS - HEALTHWAVE - INST
FAMILY HEALTH PARTNERS MISSOURI
FAMILY HEALTH PARTNERS MISSOURI
FAMILY HEALTH PLAN CONTACT PAM CAMPBELL
WI
KS
KS
MO
MO
OH
FAMILY HEALTH SYSTEMS
FAMILY MEDICAL NETWORK
FAMILY PRACTICE ASSOCIATES
FAMILY PRACTICE ASSOCIATES CONTACT
FARA
FARA BENEFIT SERVICES
FARA BENEFIT SERVICES, INC
FARA FA RICHARD ASSOCIATES
FARM FAMILY
FARMERS CIVIC PROPERTY AND CASUALTY COMPANY
FARMERS CIVIC PROPERTY AND CASUALTY COMPANY (AUTO ONLY)
FARMERS EXACT PROPERTY AND CASUALTY COMPANY
FARMERS EXACT PROPERTY AND CASUALTY COMPANY (AUTO ONLY)
FARMERS FIRE INSURANCE EXCHANGE
FARMERS FIRE INSURANCE EXCHANGE (AUTO ONLY)
FARMERS MID-CENTURY INSURANCE COMPANY
FARMERS MID-CENTURY INSURANCE COMPANY (AUTO ONLY)
FARMERS NEIGHBORHOOD SPIRIT PROPERTY AND CASUALTY COMPANY
NY
Payer
Type
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
AM
WC
AM
WC
AM
WC
AM
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
J1701
J1713
J1713
C1025
C1034
C1034
J1563
TPC42
J1551
59069
33033
71056
37300
37300
J1297
J1297
37300
37300
41556
41041
41041
13935
11118
28304
AMS01
59321
11315
Name
State
FARMERS NEIGHBORHOOD SPIRIT PROPERTY AND CASUALTY COMPANY (AUTO ONLY)
FARMERS TRUCK INSURANCE EXCHANGE
FARMERS TRUCK INSURANCE EXCHANGE (AUTO ONLY)
FARMERS INSURANCE (AUTO ONLY)
FARMERS INSURANCE COMMERCIAL (AUTO ONLY)
FARMERS INSURANCE EXCHANGE (AUTO ONLY)
FARMERS INSURANCE EXCHANGE (WC ONLY)
FARMINGDALE FEDERATION OF TEACHERS
FARMLAND MUTUAL INS CO
FBMC
FCE BENEFIT ADMINISTRATORS
FED EX FREIGHT EAST, INC
FEDERATED BENEFITS
FEDERATED BENEFITS
FEDERATED CLAIMS SERVICE CORP
FEDERATED DEPARTMENT STORES, INC
FEDERATED HR SERVICES
FEDERATED HR SERVICES FACS GROUP
FEDERATED LINEN AND UNIFORM
FEDERATED MUTUAL HEALTH INSURANCE COMPANY
MN
FEDERATED MUTUAL INSURANCE
FEDERATED MUTUAL INSURANCE COMPANY
FEDERATED RURAL ELECTRIC (TX)
FEDERATED SERVICES INSURANCE COMPANY
FHC SUPER SELECT
FHHS - FLORIDA HOSPITAL HEALTHCARE SYSTEMS
FIDELIS CARE NEW YORK
FL
FL
NY
Payer
Type
AM
WC
AM
AM
AM
AM
WC
CI
WC
CI
CI
CI
CI
CI
WC
WC
CI
CI
WC
CI
CI
WC
WC
WC
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
Y
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Dental
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
CX014
11315
77054
77054
FBI99
21873
C1019
J1274
FAMR1
TLU67
FAMR1
FSTAG
FSTAG
FAMR1
FAMR1
56196
56196
14162
14163
91131
91131
75138
75138
TLU63
73159
73159
73159
Name
State
FIDELIS CARE NEW YORK DENTAL
FIDELIS CARE NEW YORK INST
NY
FIDELIS SECURECARE
FIDELIS SECURECARE - INST
FIDELITY BENEFIT ADMINISTRATORS
FIREMAN'S FUND INSURANCE COMPANY
FIREMAN'S FUND INSURANCE COMPANY (AUTO ONLY)
FIREMEN'S INSURANCE COMPANY
FIRST ADMINISTRATORS
SD
FIRST ADMINISTRATORS
FIRST ADMINISTRATORS
SD
FIRST AGENCY
FIRST AGENCY INST
FIRST AMERICAN
FIRST AMERICAN ADMIN
FIRST CAROLINA CARE
FIRST CAROLINA CARE
NC
FIRST CHOICE (CT)
FIRST CHOICE (CT)
FIRST CHOICE HEALTH NETWORK
FIRST CHOICE HEALTH NETWORK
FIRST CHOICE OF MIDWEST (PPO)
FIRST CHOICE OF MIDWEST (PPO)
FIRST DENTAL HEALTH (FDH)
FIRST HEALTH NETWORK - COVENTRY
FIRST HEALTH NETWORK - COVENTRY - INST
FIRST HEALTH NETWORK FKA PPO OKLAHOMA
OK
Payer
Type
CI
CI
CI
CI
CI
WC
AM
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Dental
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Dental
Prof
Prof
Inst
Inst
Inst
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Dental
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
22324
FP660
23241
59276
63080
94999
94999
94998
94998
J1011
CX014
90060
90061
11244
11244
J1047
60054
60054
59276
59276
59322
12611
AMS01
AMS01
59321
48116
48116
Name
State
FIRST OPTION HEALTH PLAN
FIRST PLUS
PR
FIRST PRIORITY HEALTH - FPLIC
FIRST SERVICE ADMINISTRATORS INC
FIRST STATE HEALTH PLAN
FIRSTCARE
FIRSTCARE INST
FIRSTCARE STAR MEDICAID
FIRSTCARE STAR MEDICAID INST
TX
TX
FIRSTCOMP
FIRSTGUARD HEALTH PLAN
FIRSTGUARD HEALTH PLAN KANSAS
FIRSTGUARD HEALTH PLAN MISSOURI
KS
MO
FITZHARRIS COMPANY (FARMINGTON, NY)
FITZHARRIS COMPANY, INC (FARMINGDALE, NY)
FKI INDUSTRIES, INC
FLEXCARE
FLEXCARE
FLORIDA 1ST
FL
FLORIDA 1ST
FLORIDA HEALTH CARE PLANS (FHCP)
FLORIDA HEALTH CARE PLUS (FHP)
FLORIDA HEALTH CHOICE
FLORIDA HEALTH CHOICESELECT
FLORIDA HOSPITAL HEALTHCARE SERVICES
FL
FL
FL
FL
FL
FLORIDA HOSPITAL WATERMAN
FLORIDA HOSPITAL WATERMAN EMPLOYEE BENEFIT PLAN
FL
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
Y
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Dental
Prof
Prof
Dental
Prof
Prof
Dental
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Y
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
68241
60054
26492
26492
48117
48117
37305
11185
J1529
39065
39065
70408
70408
39065
39065
TKFMC
FH001
FH002
FH002
FH002
59257
59257
59257
64069
FVMCH
FVMC1
64069
Name
State
FLORIDA POWER
FLORIDA POWER LIGHT PRUDENTIAL
FLORIDA TRUE HEALTH
FLORIDA TRUE HEALTH - INST
FL
FL
FL
FMH BENEFIT SERVICES (CORESOURCE)
FMH BENEFIT SERVICES (CORESOURCE) - INST
FORD METER BOX COMPANY
FOREMOST (AUTO ONLY)
FORGE INDUSTRIAL STAFFING
FORTIS
FORTIS BENEFITS
FORTIS BENEFITS INSURANCE COMPANY
FORTIS BENEFITS INSURANCE COMPANY
FORTIS INSURANCE COMPANY (FORMERLY TIME INSURANCE)
FORTIS WESTERN
FOUNDATION FOR MEDICAL CARE OF TULARE AND KINGS COUNTY
FOUNDATION HEALTH
FOUNDATION HEALTH HMO
FOUNDATION HEALTH AMERIMED HMO
FOUNDATION HEALTH AMERIMED SENIOR HMO
FOUNDATION HEALTH PLAN
FOUNDATION HEALTH PLAN (SUNRISE FL)
FOUNDATION HEALTH PLAN (SUNRISE, FL)
FOX EVERETT INGALLS SHIP BUILDING
FOX VALLEY MEDICINE SITE 199
FOX VALLEY MEDICINE SITE 451
FOX-EVERETT INC
CA
CA
CA
CA
CA
Payer
Type
CI
CI
CI
CI
CI
CI
CI
AM
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Dental
Inst
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
64069
64067
41556
J1440
71768
71768
31313
31313
41212
41212
62324
23130
41556
41556
59204
J1533
34171
J1633
J1633
TP117
TP057
30005
30005
J1519
41556
GARET
J1302
Name
State
FOX-EVERETT, INC
FOXEVERETT INGALLS SHIP BLDG
FRANCO CONSTRUCTION
FRANKENMUTH MUTUAL
FREEDOM BLUE MEDICARE ADV WEST VIRGINIA
FREEDOM BLUE MEDICARE ADV WEST VIRGINIA INST
FREEDOM FIRST
WV
WV
FL
FREEDOM FIRST - INST
FREEDOM HEALTH PLAN
FL
FREEDOM HEALTH PLAN - INST
FREEDOM LIFE INSURANCE CO
FRESENIUS MEDICAL CARE
FRESNO COUNTY OFFICE OF EDUCATION
FRESNO COUNTY SELF INSURANCE GROUP
FRINGE BENEFIT COORDINATORS
FRONT PORCH (MURPHY AND BEANE)
FRONTPATH
FULLERTON UNION HIGH SCHOOL DISTRICT (CA)
FULLERTON UNION HIGH SCHOOL DISTRICT (CA) (AUTO ONLY)
GAB ROBBINS, INC
GALLAGHER BASSETT
GALVESTON COUNTY INDIGENT HEALTH
GALVESTON COUNTY INDIGENT HEALTH CARE
GARDEN GROVE UNIFIED SCHOOL DISTRICT
GARDEN REGIONAL HOSPITAL AND MED CENTER, INC
GARRETSON RESOLUTION GROUP
GATEGOURMET 836
FL
Payer
Type
CI
CI
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
CI
WC
CI
WC
AM
WC
WC
CI
CI
WC
WC
CI
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Inst
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
J1302
J1066
41556
41556
25169
25169
60550
60550
43175
4317M
41556
J1557
J1557
67815
67815
44054
57254
44054
44054
GEHA9
GEHA9
J1747
75273
75273
MCS03
TPC43
J1678
Name
State
GATEGOURMET 836 (AUTO ONLY)
GATES CORP DBA GATES RUBBER CO
GATES ODOHERTY
GATES ODOHERTY G AND G
GATEWAY HEALTH PLAN - MEDICAID PENN
GATEWAY HEALTH PLAN - MEDICAID PENN INST
PA
PA
GATEWAY HEALTH PLAN - MEDICARE ASSURED
GATEWAY HEALTH PLAN - MEDICARE ASSURED INST
GATEWAY TO BETTER HEALTH PLAN - ENCOUNTERS
GATEWAY TO BETTER HEALTH PLAN - FFS
MO
MO
GATEWAY TRANS INC
GE AUTO
GE AUTO (AUTO ONLY)
GE GROUP LIFE ASSURANCE COMPANY
GE GROUP LIFE ASSURANCE COMPANY
GEHA
GEHA - GOVERNMENT EMPLOYEES HOSP ASSN
GEHA - GOVERNMENT EMPLOYEES HOSP ASSN INST
GEHA DENTAL
GEHA HEALTH GROUP NEVADA
GEHA HEALTH GROUP NEVADA INST
GEICO
GEISINGER HEALTH PLAN
GEISINGER HEALTH PLAN INST
GEMCARE HEALTH PLAN - KERN COUNTY EPO
GENERAL BUILDING LABORERS
GENERAL PARTS INTERNATIONAL
CA
Payer
Type
AM
WC
WC
WC
CI
CI
CI
CI
CI
CI
WC
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
AM
CI
CI
CI
CI
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
Y
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Dental
Prof
Inst
Prof
Prof
Inst
Prof
Dental
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
N
N
N
N
Y
Y
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
J1678 GENERAL PARTS INTERNATIONAL (AUTO ONLY)
GHEDI GENERATIONS HEALTHCARE HMO
16112 GENESEE COUNTY MEDICAL PLAN
41556 GENESIS CONSTRUCTION
IP087 GENESIS HEALTHCARE
GEN01 GENWORTH - CONTINENTAL LIFE INSURANCE
J1461 GEO
52098 GEORGE WASHINGTON HP HSP
1124 GEORGIA POWER CO
23212 GETTYSBURG HEALTH
91051 GHC - COMMERCIAL
91051 GHC MEDICARE CHOICE
CX014 GHI - DORAL DENTAL
13551 GHI GROUP HEALTH INC
13551 GHI GROUP HEALTH NEW YORK
25531 GHI HMO GROUP HEALTH
25141 GHP (GROUP HEALTH PLAN)
58204 GI INNOVATIVE MANAGEMENT
7205 GILSBAR
7205 GILSBAR INC
7205 GILSBAR INC
91136 GLASSWORKERS HEALTH WELFARE FUND
91136 GLASSWORKERS HLTH WELFARE FUND
41556 GLENDALE ELEMENTARY SCHOOL DISTRICT NO 40
7689 GLOBAL CARE
7689 GLOBAL CARE INST
MPM05 GLOBAL CARE IPA
State
CA
NY
NY
NY
Payer
Type
AM
CI
CI
WC
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Inst
Inst
Dental
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
Y
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
GHOKC
C1028
C1028
77160
77160
J1067
J1430
37602
37602
J1306
J1306
GTPA1
J1647
J1647
IP086
76923
J1462
J1621
J1621
44054
44054
58204
95453
10322
14060
68069
37234
Name
GLOBALHEALTH
State
OK
GMAC INSURANCE COMPANY ONLINE, INC
GMAC INSURANCE MANAGEMENT CORPORATION
GOLD COAST HEALTH PLAN
GOLD COAST HEALTH PLAN
GOLDEN CORRAL CORPORATION
GOLDEN EAGLE
GOLDEN RULE INSURANCE COMPANY
GOLDEN RULE INSURANCE COMPANY - INST
GOLDEN STATE SUPPLY
GOLDEN STATE SUPPLY (AUTO ONLY)
GOLDEN TRIANGLE PHYSICAIN ALLIANCE
GOOD SAMARITAN HOSPITAL
GOOD SAMARITAN HOSPITAL (AUTO ONLY)
GOOD SAMARITAN MEDICAL PRACTICE ASSOCIATION
CA
GOOD SHEPHERD HOSPICE
GOODRICH
GOODWILL INDUSTRIES
GOODWILL INDUSTRIES (AUTO ONLY)
GOVERNMENT EMPLOYEES HOSP ASSN (GEHA)
GOVERNMENT EMPLOYEES HOSPITAL ASSOCIATION
GRADY HEALTHCARE
GRAND VALLEY HEALTH PLAN
MI
GRANGE MUTUAL CASUALTY COMPANY
GRANGE WC
GRANITE STATE HEALTH PLAN - NEW HAMPSHIRE
GRANT PHYSICIANS PRACTICE ASSOCIATION
NH
Payer
Type
CI
AM
AM
CI
CI
WC
WC
CI
CI
WC
AM
CI
WC
AM
CI
CI
WC
WC
AM
CI
CI
CI
CI
AM
WC
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
Y
N
Format Claim Status Eligibility
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
Y
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
37234 GRANT PHYSICIANS PRACTICE ASSOCIATION
25984 GRAPHIC ARTS MUTUAL
GCU99 GRAPHIC COMMUNICATIONS UNION LOCAL 8M 96B HEALTH WELFARE FUND
TPC44 GRAPHICS COMMUNICATIONS L-612M
26832 GREAT AMERICAN ALLIANCE INS CO
26344 GREAT AMERICAN ASSURANCE CO
16691 GREAT AMERICAN INS CO
22136 GREAT AMERICAN INS CO OF NY
J1308 GREAT CENTRAL
J1308 GREAT CENTRAL (AUTO ONLY)
25224 GREAT DIVIDE INSURANCE
95467 GREAT LAKES HEALTH PLAN (UHC)
95467 GREAT LAKES HEALTH PLAN (UHC) INST
80705 GREAT WEST HEALTHCARE
80705 GREAT WEST HEALTHCARE
80705 GREAT WEST HEALTHCARE
80705 GREAT WEST LIFE
GCMG1 GREATER COVINA MEDICAL GROUP
GNOCH GREATER NEW ORLEANS COMMUNITY HEALTH CONNECTION (GNOCHC)
NMM01 GREATER ORANGE COUNTY MEDICAL GROUP
PDT01 GREATER TRI CITY IPA
95379 GREATWEST HEALTHCARE CA
66893 GREATWEST HEALTHCARE FKA NEW ENGLAND FINANCIAL
95569 GREATWEST HEALTHCARE GA
J1642 GREEN DIAMOND WA
J1642 GREEN DIAMOND WA (AUTO ONLY)
TPC45 GREENBURGH TEACHERS FEDERATION WF
State
CA
LA
CA
CA
GA
Payer
Type
CI
WC
CI
CI
WC
WC
WC
WC
WC
AM
WC
CI
CI
CI
CI
CI
CI
CI
MC
CI
CI
CI
CI
CI
WC
AM
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
N
Y
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
Y
Y
Y
N
Y
N
N
Y
Y
Y
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
41556
78521
41556
41556
41556
41556
J1571
J1571
J1541
J1541
48143
GASA1
36338
36338
48143
48143
72153
72153
72153
38223
72087
GE001
39167
39168
39168
39167
91051
Name
State
GREENE RAD MALONEY
GREENTREE ADMINISTRATORS
GREER CONSTRUCTON CO
GREIF BROTHERS CORPORATION
GREVE CLIFFORD WENGEL AND PARAS
GRIMMWAY ENTERPRISES INC
GRINNELL REINSURANCE COMPANY
GRINNELL REINSURANCE COMPANY (AUTO ONLY)
GRINNELL SELECT
GRINNELL SELECT (AUTO ONLY)
GROUP PENSION ADMINISTRATORS, INC
GROUP ADMIN SELFFUNDED ALTERNATIVE
GROUP ADMINISTRATORS LTD
GROUP ADMINISTRATORS LTD
GROUP AND PENSION ADMINISTRAT
GROUP AND PENSION ADMINISTRATORS
GROUP BENEFIT ADMINISTRATORS (HENDERSONVILLE,
GROUP BENEFIT ADMINISTRATORS (HENDERSONVILLE, TN)
GROUP BENEFIT ADMINISTRATORS (HENDERSONVILLE, TN)
GROUP BENEFIT SVCS MI HOS
GROUP BENEFITS LOUISIANA
GROUP HEALTH
GROUP HEALTH COOP - SO CENTRAL WISCONSIN
GROUP HEALTH COOP - SO CENTRAL WISCONSIN (ENCOUNTERS)
GROUP HEALTH COOP - SO CENTRAL WISCONSIN (ENCOUNTERS)
GROUP HEALTH COOP - SO CENTRAL WISCONSIN - INST
GROUP HEALTH COOPERATIVE
LA
MO
WI
Payer
Type
WC
CI
WC
WC
WC
WC
WC
AM
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
BL
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
Y
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Dental
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
91121
91051
95192
95192
91051
13551
13551
91121
37276
CX015
41556
41556
J1068
J1453
77010
77010
64246
64246
64246
J1590
J1590
J1574
J1574
RENBL
CB624
RENGQ
CB624
Name
State
GROUP HEALTH COOPERATIVE - EAST
GROUP HEALTH COOPERATIVE - WEST
GROUP HEALTH COOPERATIVE OF EAU CLAIRE
GROUP HEALTH COOPERATIVE OF EAU CLAIRE
GROUP HEALTH COOPERATIVE PUGET SOUND
GROUP HEALTH INC GHI
WA
NY
GROUP HEALTH INSURANCE - GHI DENTAL
GROUP HEALTH NORTHWEST
GROUP INSURANCE SERVICE CENTER
GROUPLINK - INDIANA
GRUNDFOS MANUFACTURING CORPORATION
GS METALS
GSE LINING TECHNOLOGY, INC
GUARD
GUARDIAN HEALTHCARE INC
GUARDIAN HEALTHCARE INC
GUARDIAN LIFE INSURANCE COMPANY
GUARDIAN LIFE INSURANCE COMPANY DENTAL
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA
GUIDEONE ELITE INSURANCE
GUIDEONE ELITE INSURANCE (AUTO ONLY)
GUIDEONE MUTUAL INSURANCE
GUIDEONE MUTUAL INSURANCE (AUTO ONLY)
GULF QUEST IPA - HMO BLUE
GULF STREAM GENERAL DYNAMICS
GULFQUEST RENAISSANCE - HOUSTON
GULFSTREAM (CORESOURCE)
TX
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
WC
WC
CI
CI
CI
CI
CI
WC
AM
WC
AM
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Inst
Inst
Dental
Prof
Prof
Prof
Dental
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Dental
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
39180
39180
J1672
J1672
65101
65101
C1029
21415
J1463
J1693
J1693
J1588
J1588
J1595
J1595
36406
36406
36405
36405
75126
75196
J1493
75201
75202
C1046
C1041
41556
Name
State
GUNDERSEN LUTHERAN HEALTH PLAN
GUNDERSEN LUTHERAN HEALTH PLAN - INST
H AND R BLOCK
H AND R BLOCK (AUTO ONLY)
HAA PREFERRED PARTNERS
HAA PREFERRED PARTNERS
HAMILTON MUTUAL - AUTO
HAMILTON MUTUAL - WC
HANNAFORD
HANOVER INSURANCE COMPANY
HANOVER INSURANCE COMPANY (AUTO ONLY)
HANOVER LLOYD'S INSURANCE COMPANY
HANOVER LLOYD'S INSURANCE COMPANY (AUTO ONLY)
HARLEYSVILLE INSURANCE COMPANY
HARLEYSVILLE INSURANCE COMPANY (AUTO ONLY)
HARMONY HEALTH PLAN OF ILLINOIS
HARMONY HEALTH PLAN OF ILLINOIS
HARMONY HEALTH PLAN OF INDIANA
HARMONY HEALTH PLAN OF INDIANA HOOSIER HEALTHWISE
HARPETH IPA - AMERIVANTAGE (SRRIPA)
HARRINGTON BENEFIT SERVICES, INC
HARRIS COUNTY
HARRIS METHODIST HEALTH PLAN
HARRIS METHODIST HEALTH PLAN
HARTFORD ACCIDENT AND INDEMNITY COMPANY (AUTO ONLY)
HARTFORD CASUALTY INSURANCE COMPANY (AUTO ONLY)
HARTFORD DEALERSHIP ADVANTAGE PROGRAM - WC
IL
IL
IN
IN
Payer
Type
CI
CI
WC
AM
CI
CI
AM
WC
WC
WC
AM
WC
AM
WC
AM
CI
CI
CI
CI
CI
CI
WC
CI
CI
AM
AM
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Inst
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
C1040
C1040
C1040
C1043
C1044
C1047
C1045
C1042
4245
4245
4271
4271
TLW11
TPC46
41556
TPC47
TFQ61
TPC08
J1426
86068
41556
J1450
HCCMI
37329
37329
37111
37111
Name
State
HARTFORD FIRE INSURANCE COMPANY (AUTO ONLY)
HARTFORD INS CO OF ILLINOIS (AUTO ONLY)
HARTFORD INS CO OF THE SOUTHEAST
HARTFORD INSURANCE COMPANY OF THE MIDWEST (AUTO ONLY)
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (AUTO ONLY)
HARTFORD LIFE AND ANNUITY INSURANCE COMPANY (AUTO ONLY)
HARTFORD LIFE INSURANCE COMPANY (AUTO ONLY)
HARTFORD UNDERWRITERS INSURANCE COMPANY (AUTO ONLY)
HARVARD COMMUNITY HEALTH PLAN
HARVARD COMMUNITY HEALTH PLAN
HARVARD PILGRIM HEALTH CARE
HARVARD PILGRIM HEALTH CARE - INST
HARVARD PILGRIM HEALTHCARE DENTAL
MA
HASTINGS AUXILIARY PERSONNEL
HASTINGS COLLEGE OF THE LAW
HASTINGS TEACHERS ASSOCIATION
HAWAII MEDICAL ASSURANCE ASSOCIATION (HMAA)
HAWAII-WESTERN MANAGEMENT GROUP (HWMG)
HAWKEYE
HAWKI
HAYHOE CONSTRUCTION
HCA-HOSPTIAL CORPORATION OF AMERICA
HCC LIFE INSURANCE CO
HCH ADMINISTRATION ALBQ SELF FUNDED
HCH ADMINISTRATION ALBQ-SELF FUNDED
HCH ADMINISTRATION (ILLINOIS)
HCH ADMINISTRATION (ILLINOIS)
IA
Payer
Type
AM
AM
AM
AM
AM
AM
AM
AM
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
WC
CI
WC
WC
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Dental
Dental
Prof
Dental
Dental
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
82018 HCS HEALTH CLAIMS SERVICE (BOISE, ID)
82018 HCS HEALTH CLAIMS SERVICES
HDMCO HDM BENEFIT SOLUTIONS
HDMCO HDM BENEFIT SOLUTIONS
77950 HEALTH ALLIANCE MEDICAL PLAN
77950 HEALTH ALLIANCE MEDICAL PLAN - INST
38224 HEALTH ALLIANCE PLAN OF MICHIGAN (HAP)
38224 HEALTH ALLIANCE PLAN OF MICHIGAN INST
25126 HEALTH AMERICA
BOONG HEALTH AND WELFARE BENEFIT SYSTEMS (HWBS)
25126 HEALTH ASSURANCE HEALTH AMERICA
25126 HEALTH ASSURANCE HEALTH AMERICA ADVANTRA
TLX24 HEALTH BENEFIT CLAIMS DEPT
68241 HEALTH CARE ALLIAN
60054 HEALTH CARE ALLIANCE SEARS
HCDPB HEALTH CARE DISTRICT PALM BEACH COUNTY
42102 HEALTH CARE NETWORK OF WISCONSIN (HCN)
34193 HEALTH CARE PAYERS HCPC HOS
34193 HEALTH CARE PAYERS COALITION
88028 HEALTH CARE RESOURCES INC
56142 HEALTH CARE SAVINGS
56142 HEALTH CARE SAVINGS, INC
62180 HEALTH CHOICE GENERATIONS
46221 HEALTH CHOICE INSURANCE CO
62179 HEALTH CHOICE OF ARIZONA
62179 HEALTH CHOICE OF ARIZONA INST
45399 HEALTH CHOICE OF UTAH
State
MI
MI
OH
AZ
AZ
UT
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
MC
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
Format Claim Status Eligibility
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Dental
Inst
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
N
Y
Y
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
22521
22521
34158
34158
75196
16112
16112
95019
95019
34185
30946
30946
59087
95568
95570
38309
38309
95567
95567
43132
6108
6108
SX185
AMS01
20199
65062
PHD05
Name
HEALTH CHOICE OKLAHOMA (EGID)
HEALTH CHOICE OKLAHOMA (EGID) - INST
HEALTH DESIGN PLUS
State
OK
OK
OH
HEALTH DESIGN PLUS (HUDSON, OH)
HEALTH ECONOMICS CORPORATION
HEALTH ECONOMICS GROUP, INC
HEALTH ECONOMICS GROUP, INC
HEALTH FIRST HEALTH PLAN
HEALTH FIRST HEALTH PLAN - INST
HEALTH FIRST TPS - HOUSTON
TX
HEALTH FUTURE
HEALTH FUTURE
HEALTH HELP NETWORK INC
HEALTH NET CA ENCOUNTERS HOSP
HEALTH NET CALIFORNIA (ENCOUNTERS)
HEALTH NET OF ARIZONA
HEALTH NET OF ARIZONA - INST
CA
AZ
AZ
HEALTH NET OF CALIFORNIA AND OREGON
HEALTH NET OF CALIFORNIA AND OREGON - INST
HEALTH NET OF KANS
HEALTH NET OF THE NORTHEAST
HEALTH NET OF THE NORTHEAST, INC
HEALTH NET PEARL
HEALTH NET PLUS
TN
HEALTH NETWORK AMERICA
HEALTH NETWORK ONE (HN1)
HEALTH NETWORKS OF COLORADO SPRINGS
CO
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
Y
N
N
N
Y
N
Y
N
N
Y
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Inst
Prof
Inst
Prof
Dental
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
N
Y
Y
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
4286
58216
62157
62157
31478
80142
80142
CX014
20270
63719
76342
83253
83253
68035
HPSM1
HPSM1
94254
HPUOV
HPUOV
59256
44273
44273
11324
23342
20896
20896
37290
Name
State
HEALTH NEW ENGLAND
HEALTH ONE ALLIANCE PPO HOS
HEALTH PARTNERS
TN
HEALTH PARTNERS - JACKSON, TN
HEALTH PARTNERS OF KANSAS (HPK)
HEALTH PARTNERS OF PHILADELPHIA
KS
PA
HEALTH PARTNERS, PA
HEALTH PARTNERS, PHILADELPHIA
HEALTH PAYMENT SYSTEMS INC
HEALTH PLAN MANAGEMENT SERVICES
HEALTH PLAN NEVADA
HEALTH PLAN OF MICHIGAN (HPM)
HEALTH PLAN OF MICHIGAN (HPM) - INST
HEALTH PLAN OF SAN JOAQUIN
HEALTH PLAN OF SAN MATEO
HEALTH PLAN OF SAN MATEO (HPSM)
HEALTH PLAN OF THE REDWOODS
CA
HEALTH PLAN OF UPPER OHIO VALLEY
HEALTH PLAN OF UPPER OHIO VALLEY - INST
HEALTH PLAN SE TALLAHASSEE FL
HEALTH PLANS
HEALTH PLANS INC
HEALTH PLUS PHSP
HEALTH REPUBLIC - NEW JERSEY COOP (QUALCARE NETWORK)
HEALTH SERVICES CONSULTING GROUP - HSCG
HEALTH SERVICES CONSULTING GROUP - HSCG
HEALTH SERVICES FOR CHILDREN (HSCSN)
NJ
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
Y
N
N
N
N
N
N
N
Y
N
Y
N
Y
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Dental
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
37290 HEALTH SERVICES FOR CHILDREN (HSCSN)
HSM01 HEALTH SERVICES MANAGEMENT (HSM)
16105 HEALTH SERVICES MEDICAL GROUP
34167 HEALTH SERVICES PREFERRED (HSP) BY EMERALD
OBAVG HEALTH SERVICES PURCHASING COALITION
56240 HEALTH SOURCE PLAN OF MICHIGAN
36332 HEALTH STAR
HTHTX HEALTH TEXAS
41154 HEALTH TRADITION HEALTH PLAN (MMSI)
61101 HEALTH VALUE MANAGEMENT
MPM06 HEALTHCARE LA IPA
HCP02 HEALTHCARE PARTNERS AZ HCP02
HCP01 HEALTHCARE PARTNERS CALIFORNIA (HCP01)
11328 HEALTHCARE PARTNERS IPA
11328 HEALTHCARE PARTNERS IPA NY
90001 HEALTHCARE PLAN PPO
AMS01 HEALTHCARE PREFERRED
82468 HEALTHCARE RESOURCE GROUP
82468 HEALTHCARE RESOURCES GROUP (HRG)
73147 HEALTHCARE SOLUTIONS GROUP
25143 HEALTHCARE USA
TPC15 HEALTHCARE USA
CX014 HEALTHCARE, USA - ST LOUIS
36335 HEALTHCARES FINEST NETWORK
HCOMP HEALTHCOMP
85729 HEALTHCOMP (CA) DENTAL
HCOMP HEALTHCOMP - INST
State
MI
TX
WI
AZ
CA
NY
NY
IA
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Dental
Dental
Prof
Prof
Dental
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
85729
14163
14163
41178
41178
CX014
80141
80141
80141
75289
75289
75234
75234
23274
23226
23226
59087
96475
96475
90001
90001
43132
CX014
43132
52133
55204
55204
Name
State
HEALTHCOMP INC
HEALTHEASE - WELLCARE
FL
HEALTHEASE - WELLCARE - INST
HEALTHEZ
HEALTHEZ
HEALTHFIRST
HEALTHFIRST INC INST
HEALTHFIRST NEW JERSEY
HEALTHFIRST NEW YORK
HEALTHFIRST TPA - AUSTIN
HEALTHFIRST TPA - AUSTIN
HEALTHFIRST TPA - TYLER
HEALTHFIRST TPA - TYLER TX
NY
NJ
NY
TX
TX
TX
TX
HEALTHGROUP LIMITED
HEALTHGUARD
HEALTHGUARD OF LANCASTER
HEALTHHELP NETWORK, INC (HHNI)
HEALTHLINK HMO
HEALTHLINK HMO - INST
HEALTHLINK PPO
HEALTHLINK PPO - INST
HEALTHNET KANSAS CITY
MO
HEALTHNET - DORAL DENTAL
HEALTHNET OF KANSA
HEALTHNET OF OREGON
HEALTHNOW NEW YORK
HEALTHNOW NY
NY
NY
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Inst
Prof
Inst
Dental
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Dental
Inst
Dental
Prof
Dental
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
State
44547 HEALTHPARTNERS
HPAMN HEALTHPARTNERS MN
MN
HPAMN HEALTHPARTNERS MN INST
MN
59140 HEALTHPLAN SERVICES
59140 HEALTHPLAN SERVICES INST
59256 HEALTHPLAN SOUTHEAST HPSE
FL
11271 HEALTHPLEX, INC
TLZ11 HEALTHPLEX, INC - CHILD HEALTH PLUS (CHP) FAMILY HEALTH PLUS (PHP) CLAIMS ONLY
38216 HEALTHPLUS MICHIGAN
MI
95009 HEALTHPLUS OF LOUISIANA
LA
68195 HEALTHPOINT CORP
31106 HEALTHPOWER HMO
6142 HEALTHRIGHT INC
71063 HEALTHSCOPE BENEFITS
71063 HEALTHSCOPE BENEFITS - INST
J1481 HEALTHSMART
75237 HEALTHSMART ACCEL
37283 HEALTHSMART BENEFIT SOLUTIONS (HSBS)
37283 HEALTHSMART BENEFIT SOLUTIONS (HSBS)
87815 HEALTHSMART BENEFIT SOLUTIONS FKA WELLS FARGO TPA
87815 HEALTHSMART BENEFIT SOLUTIONS FKA WELLS FARGO TPA - INST
HSPC1 HEALTHSMART PREFERRED CARE
75250 HEALTHSMART PREFERRED CARE INC
HSPC1 HEALTHSMART PREFERRED CARE INC
62308 HEALTHSOURCE AR
AR
62308 HEALTHSOURCE IN
IN
62308 HEALTHSOURCE KY
KY
Payer
Type
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
N
Y
N
N
N
N
N
N
Y
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Format Claim Status Eligibility
Prof
Prof
Inst
Prof
Inst
Prof
Dental
Dental
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
Y
Y
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
Y
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
Y
Y
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
62308
62308
62308
62308
62308
62308
62308
62308
2041
62308
62308
62308
2041
62308
16126
62308
62308
62308
68195
62308
68195
62308
62308
71074
71075
71075
58210
Name
HEALTHSOURCE MA
HEALTHSOURCE ME
HEALTHSOURCE N TX
HEALTHSOURCE NC
HEALTHSOURCE NH
HEALTHSOURCE OH
HEALTHSOURCE SC
HEALTHSOURCE TENNESSEE
State
MA
ME
TX
NC
NH
OH
SC
TN
HEALTHSOURCE CMHC
HEALTHSOURCE GA
HEALTHSOURCE IN
HEALTHSOURCE KY
HEALTHSOURCE MASSACHUSETTS, INC
HEALTHSOURCE ME
HEALTHSOURCE NEW YORK
HEALTHSOURCE NH
HEALTHSOURCE OH
HEALTHSOURCE PROVI
HEALTHSOURCE PROVIDENT
HEALTHSOURCE PROVIDENT ADMINISTRATORS
HEALTHSOURCE PROVIDENT ADMINISTRATORS (CIGNA)
HEALTHSOURCE PROVIDENT INS CO
HEALTHSOURCE SOUTH
HEALTHSOURCE, AR
HEALTHSOURCE, AR (MED) (CIGNA)
HEALTHSOURCE, AR (MED) (CIGNA) - INST
HEALTHSOURCE, GA (CIGNA)
AR
AR
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
N
Y
N
Y
Y
Y
N
Y
N
Y
Y
N
N
N
N
Y
N
Y
Y
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Prof
Dental
Prof
Inst
Inst
Prof
Inst
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
N
Y
N
Y
Y
Y
N
Y
N
Y
Y
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
35167
61127
1041
75255
56147
2038
31141
6119
62129
HSPAN
52192
63092
63092
HT001
36332
36332
HESUN
TLZ34
91051
95827
77180
41556
J1677
J1677
HGL01
HGLWF
HGL99
Name
State
Payer
Type
TN
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
AM
CI
CI
CI
HEALTHSOURCE, IN
HEALTHSOURCE, KY
HEALTHSOURCE, ME
HEALTHSOURCE, N TX (CIGNA)
HEALTHSOURCE, NC (CIGNA)
HEALTHSOURCE, NH
HEALTHSOURCE, OH
HEALTHSOURCE, SC
HEALTHSOURCE, TN (CIGNA)
HEALTHSPAN NETWORK REPRICING
HEALTHSPRING ELDER HEALTH DENTAL
HEALTHSPRING HMO MEDICARE CHOICE
HEALTHSPRING HMO MEDICARE CHOICE - INST
HEALTHSPRING TN
HEALTHSTAR
HEALTHSTAR, INC
HEALTHSUN HEALTH PLAN
HEALTHY FAMILIES (CA)
HEALTHY OPTIONS (DSHS)
HEALTHY PALM BEACHES
HEALTHYCT CO-OP
HEARTLAND EMPLOYMENT SERVICES, LLC
HEARTLAND EXPRESS
HEARTLAND EXPRESS (AUTO ONLY)
HEAVY GENERAL LABORERS
HEAVY GENERAL LABORERS WELFARE
HEAVY GENERAL LABORERS WELFARE FUND
CT
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Prof
Dental
Prof
Inst
Prof
Prof
Inst
Prof
Dental
Inst
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
33600
J1654
J1654
37114
37114
37114
59230
J1069
HPN11
36335
36335
IP125
41556
91164
91164
5477C
5477W
35145
35145
HIL01
59347
59347
37105
55247
55247
37323
HMA01
Name
State
HELMSMAN MANAGEMENT SERVICES
HEMET UNIFIED SCHOOL DISTRICT (CA)
HEMET UNIFIED SCHOOL DISTRICT (CA) (AUTO ONLY)
HEREIU WELFARE PENSION FUNDS
HEREIU WELFARE PENSION PLAN FUN
HEREIU WELFARE PENSION PLAN FUNDS
HERITAGE CONSULTANTS
HERITAGE GROUP
HERITAGE PHYSICAN NETWORK
HFN
HFN, INC
HIGH DESERT MEDICAL GROUP
CA
HIGHLAND GOLF
HIGHLINE MEDICAL SERVICE ORGANIZATION
HIGHLINE MEDICAL SERVICE ORGANIZATION
HIGHMARK BCBS PENN CENTRAL INST
HIGHMARK BCBS PENN WESTERN INST
PA
PA
HIGHMARK KEY FAMILY
HIGHMARK KEY FAMILY
HILL PHYSICIANS MEDICAL GROUP
CA
HILLCREST BENEFIT ADMINISTRATORS
HILLCREST BENEFIT ADMINISTRATORS
HINSDALE PHYSICIANS HEALTHCARE (SAGE)
HIP HEALTH INS PLAN OF GREATER NEW YORK
HIP HEALTH INS PLAN OF GREATER NEW YORK - INST
HM LIFE INSURANCE COMPANY
HMA HEALTHCARE MANAGEMENT ADMINISTRATORS
NY
NY
SC
Payer
Type
WC
WC
AM
CI
CI
CI
CI
WC
CI
CI
CI
CI
WC
CI
CI
BL
BL
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
Y
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Inst
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
Y
Y
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
HMA01 HMA HEALTHCARE MANAGEMENT ADMINISTRATORS - INST
39044 HMA ADMINISTRATORS LLC
86066 HMA INC - HAWAII MAINLAND ADMINISTRATORS
48330 HMAA (HAWAII MEDICAL ASSURANCE ASSOCIATION)
HM033 HMO BLUE MEDICAID
84980 HMO BLUE SHIELD
53172 HMO BLUE STAR PLUS HOUSTON ONLY CONTACT MARK MESSER
84980 HMO BLUE TEXAS
HMOBR HMO BLUE TEXASARIA
COHMO HMO OF COLORADO
BS115 HMSA AKAMAI ADVANTAGE (MEDICARE)
FE115 HMSA FEDERAL EMPLOYEE PLAN (FEP)
MC115 HMSA QUEST (MEDICAID)
J1612 HMSHOST
J1612 HMSHOST (AUTO ONLY)
41556 HOGAN MOTOR LEASING
41556 HOGAN PERSONELL
J1070 HOLLY FARMS CORP
68069 HOME STATE HEALTH PLAN MISSOURI
41556 HOME SWEET HOME
AMS01 HOMESTEAD CHPS
88023 HOMETOWN HEALTH PLAN NEVADA
CX015 HOOSIER DENTAL BENEFIT TRUST
CX015 HOOSIER DENTAL PLANS
220SP HORIZON BCBS NEW JERSEY - SPECIALIST
22099 HORIZON BLUE CROSS BLUE SHIELD NEW JERSEY
22099 HORIZON BLUE CROSS BLUE SHIELD NEW JERSEY INST
State
HI
HI
TX
TX
TX
CO
HI
HI
HI
MO
WI
NJ
NJ
NJ
Payer
Type
CI
CI
CI
CI
CI
CI
CI
BL
CI
CI
BL
CI
MC
WC
AM
WC
WC
WC
CI
WC
CI
CI
CI
CI
BL
BL
BL
Real Time
Real Time
N
N
N
N
N
Y
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Y
Y
Y
N
N
N
N
N
Y
N
N
Y
N
N
Y
Y
N
Format Claim Status Eligibility
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Dental
Prof
Prof
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
N
N
N
N
N
Y
N
Y
N
N
Y
Y
Y
N
N
N
N
N
Y
N
N
N
N
N
Y
Y
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
22304
22326
22326
22326
13978
91136
91136
J1071
A0107
J1020
22521
94254
58227
58277
58227
36410
HSM01
13335
J1072
61101
73288
61101
61101
61101
61101
95348
61101
Name
State
HORIZON HEALTHCARE ADMIN (HHA)
HORIZON MERCY NEW JERSEY
HORIZON MERCY NEW JERSEY
HORIZON NJ HEALTH
NJ
NJ
NJ
HORTICA FLORIST MUTUAL INSURANCE
HOTEL EMPLOYEES RESTAURANT EMPLOYEES
HOTEL EMPLOYEES RESTAURANT EMPLOYEES HLTH TRUST
HOUSEHOLD MERCH NNI
HOUSING AUTHORITY EL PASO (TX)
HOUSTON HUNTERS PATROL, INC
HP ADMINISTRATIVE SERVICES LLC
OK
HPR
HPS PARADIGM
HPS PARADIGM INC HOSPITAL
HPS PARADIGM, INC
HRH OF ILLINOIS
HSM
HUDSON HEALTH PLAN
NY
HUGHES TOOL COMPANY
HUMANA CARE PLAN
HUMANA DENTAL
HUMANA EMPHESYS
HUMANA EMPLOYERS HEALTH INST
HUMANA EMPLOYERS HEALTH INSURANCE
HUMANA GOLD PLUS
HUMANA HEALTH PLANS OF OHIO
HUMANA INC
OH
Payer
Type
CI
CI
CI
CI
WC
CI
CI
WC
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
Y
Y
Y
N
Y
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
Format Claim Status Eligibility
Inst
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Inst
Prof
Prof
Prof
Prof
Dental
Prof
Inst
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
Y
Y
Y
N
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
61101
61101
61125
61125
PR000
61120
61102
IP059
37260
37260
J1626
J1626
J1118
37279
IAT99
TPC48
A1117
A1464
A1317
IBE98
A1461
A4681
IBE97
TLZ16
TPC49
68241
68241
Name
State
HUMANA INST
HUMANA INSURANCE CHOICE CARE NETWORK
HUMANA MILITARY - TRICARE SOUTH - PGBA
HUMANA MILITARY - TRICARE REGIONS 3 AND 4
HUMANA PUERTO RICO (INMEDIATA)
PR
HUMANA VETERANS HEALTHCARE - ARCH PROJECT
HUMANA, INC (ENCOUNTERS)
HUMBOLDT (CALIF CARE)
HUNT INSURANCE GROUP
HUNT INSURANCE GROUP
HUTCHINSON TECHNOLOGY
HUTCHINSON TECHNOLOGY (AUTO ONLY)
HY-VEE
IAA
IATSE ATLANTA HEALTH WELFARE FUND
IATSE NATIONAL HEALTH AND WELFARE
IBEW LOCAL 117
IBEW LOCAL 364
IBEW LOCAL 38
IBEW LOCAL 38
IBEW LOCAL 461
IBEW LOCAL 481
IBEW LOCAL 481
IBEW LOCAL UNION 270
IBEW-LOCAL 1968
IBM MEDICAL PLANS
IBM MEDICAL PLANS
CA
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
AM
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Dental
Dental
Dental
Dental
Prof
Dental
Dental
Prof
Dental
Dental
Prof
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
60054
11695
11695
37296
75185
75185
27847
12504
22175
22175
68066
68066
J1575
J1575
36600
21415
C1029
86069
CX014
72091
72091
41600
41600
IMGIN
IMGIN
41556
IMSMS
Name
State
IBM MEDICAL PLANS
ICARE (INDEPENDENT CARE HEALTH PLAN)
ICARE (INDEPENDENT CARE HEALTH PLAN)
WI
WI
ICM
ICON BENEFIT ADMINISTRATORS
ICON BENEFITS ADMINISTRATORS
ICW (INSURANCE CO OF THE WEST)
IDS PROPERTY CASUALTY INSURANCE COMPANY (AUTO ONLY)
IE SHAFFER (WEST TRENTON, NJ)
IE SHAFFER (WEST TRENTON, NJ)
ILLINICARE GROUP HEALTH
ILLINICARE GROUP HEALTH
IL
IL
ILLINOIS CASUALTY
ILLINOIS CASUALTY (AUTO ONLY)
ILLINOIS CENTRAL HOSPITAL ASSOC
ILLINOIS EMCASCO
ILLINOIS EMCASCO
ILLINOIS HEALTH SOLUTIONS
IL
ILLINOIS MEDICAL ASSISTANCE PROGRAM
IMA LOUISIANA
IMA LOUISIANA
LA
LA
IMCARE
IMCARE
IMG INTERNATIONAL MEDICAL GROUP
IMG INTERNATIONAL MEDICAL GROUP
IMPERIAL IRRIGATION DISTRICT
IMS MANAGEMENT SERVICES
TX
Payer
Type
CI
CI
CI
CI
CI
CI
WC
AM
CI
CI
CI
CI
WC
AM
CI
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Dental
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
86070 IMX EZ
41556 INCONEN CORPORATION
40585 INDECS OF EBASCO
TA720 INDEPENDENCE ADMINISTRATORS
54704 INDEPENDENCE BC PERSONAL CHOICE (IBC) - INST
89070 INDEPENDENCE BLUE CROSS (IBC) DENTAL PLAN BLUEEXTRASM
54704 INDEPENDENCE BLUE CROSS PERSONAL CHOICE (IBC)
MHM01 INDEPENDENCE MEDICAL GROUP
IMG01 INDEPENDENCE MEDICAL GROUP - KERN COUNTY
IMG02 INDEPENDENCE MEDICAL GROUP - TULARE COUNTY
95308 INDEPENDENT HEALTH NEW YORK
DELOK INDIAN HEALTH SERVICES
ICW01 INDIANA CARPENTERS WELFARE PENSION FUND
ICW99 INDIANA CARPENTERS WELFARE FUND
ICHIA INDIANA COMPREHENSIVE HEALTH INS (PAPER)
ESP01 INDIANA IHCP ESP (ANTHEM)
J1425 INDIANA INSURANCE
35161 INDIANA PRO HEALTH NETWORK
35161 INDIANA PROHEALTH
35107 INDIANA TEAMSTERS HEALTH BENEFIT FUNDS
TPC50 INDUSTRY LOCAL 338 P W FU
43471 INETICO INC
43471 INETICO INC - INST
52196 INFORMED
52196 INFORMED LLC INST
50946 INFORMED UHC COMPASS ROSE
50946 INFORMED UHC COMPASS ROSE INST
State
NV
PA
PA
CA
CA
NY
IN
IN
IN
IN
Payer
Type
CI
WC
CI
CI
CI
CI
BL
CI
CI
CI
CI
CI
CI
CI
CI
BL
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Inst
Dental
Prof
Prof
Prof
Prof
Prof
Dental
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Dental
Prof
Inst
Prof
Inst
Prof
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
Y
Y
N
Y
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
Y
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
36348
IEHP1
IEHP1
41556
31172
J1599
J1599
J1601
J1601
4320
4320
VAICE
J1073
68241
37279
37279
63082
63082
13315
13315
IMSMS
IMSMS
ISL11
39182
39182
IAC01
IAC01
Name
State
INGALLS PROVIDER GROUP
INLAND EMPIRE HEALTH PLAN (IEHP)
INLAND EMPIRE HEALTH PLAN (IEHP) - INST
CA
CA
INLAND VALLEY HOSPICE
INNOVANTE BENEFIT ADMINISTRATOR
INNOVATIVE CLAIM SOLUTIONS (ICS) - RANCHO CORDOVA
INNOVATIVE CLAIM SOLUTIONS (ICS) - RANCHO CORDOVA (AUTO ONLY)
INNOVATIVE CLAIM SOLUTIONS (ICS) - SAN RAMON
INNOVATIVE CLAIM SOLUTIONS (ICS) - SAN RAMON (AUTO ONLY)
INNOVATIVE HEALTHWARE SOLUTIONS
INNOVATIVE HEALTHWARE SOLUTIONS - INST
INS HEALTH SERVICES (IMMIGRATION HEALTH SERVICES)
INSILCO CORP
INSTITUTES OF QUAL
INSURANCE ADMINISTRATOR OF AMERICA
INSURANCE ADMINISTRATORS OF AMERICA, INC
INSURANCE CLAIMS SERVICES (BIRMINGHAM, AL)
INSURANCE CLAIMS SERVICES, INC (BIRMINGHAM,
INSURANCE DESIGN ADMINISTRATORS
INSURANCE DESIGN ADMINISTRATORS
INSURANCE MANAGEMENT SERVICES OF TEXAS
INSURANCE MANAGEMENT SERVICES OF TEXAS
INSURANCE SERVICE OF LUBBOCK
INSURANCE TPACOM
INSURANCE TPACOM - INST
INSURER'S ADMINISTRATIVE CORP
INSURERS ADMINISTRATIVE CORPORATION
TX
Payer
Type
CI
CI
CI
WC
CI
WC
AM
WC
AM
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Dental
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
IAC01
C1028
C1028
C1028
C1028
C1028
51020
51020
51020
31127
31127
31129
23229
23229
37124
34167
20050
68053
68053
58200
10322
14303
23252
J1542
J1542
60280
60280
Name
State
INSURERS ADMINISTRATIVE CORPORATION
INTEGON CASUALTY INSURANCE CO
INTEGON GENERAL INSURANCE CORP
INTEGON INDEMNITY CORP
INTEGON NATIONAL INSURANCE CO
INTEGON PREFERRED INSURANCE CO
INTEGRA ADMINISTRATIVE GROUP
INTEGRA ADMINISTRATIVE GROUP - DENTAL
INTEGRA ADMINISTRATIVE GROUP - INST
INTEGRA GROUP
INTEGRA GROUP
INTEGRA GROUP - CHA
INTEGRAL QUALITY CARE
INTEGRAL QUALITY CARE - INST
INTEGRATED BENEFIT SERVICES
IL
INTEGRATED CARE NETWORK (ICN) BY EMERALD
INTEGRATED MEDICAL SOLUTIONS LLC
INTEGRATED MENTAL HEALTH SERVICES (IMHS)
INTEGRATED MENTAL HEALTH SERVICES (IMHS)
INTEGRITY BENEFITS NETWORK
INTEGRITY MUTUAL INSURANCE COMPANY
INTEGRITY WC
INTER COUNTY HEALTH PLAN - ICHP (AHA)
INTERCARE
INTERCARE (AUTO ONLY)
INTERFACE EAP
INTERFACE EAP (IEAP)
PA
Payer
Type
CI
AM
AM
AM
AM
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
AM
WC
CI
WC
AM
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Inst
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
23287
23287
IAT99
36609
48603
48603
66053
37241
37269
37269
IHP01
IHP02
IHS01
CX014
AMS01
86068
OBALB
J1074
TPC51
TPC52
J1075
ISL11
42600
A0138
37272
37272
JAI01
Name
State
INTERGROUP SERVICES CORPORATION
INTERGROUP SERVICES PPO
INTERNATIONAL ASSOCIATION OF THEATRICAL STAGE EMPLOYEES
GA
INTERNATIONAL BROTHERHOOD OF BOILERMAKERS
INTERNATIONAL BROTHERHOOD OF BOILERMAKERS (IBBEHC)
INTERNATIONAL BROTHERHOOD OF BOILERMAKERS (IBBEHC) - INST
INTERNATIONAL MEDICAL CARD (IMC) PR
PR
INTERNATIONAL UNION OF OPERATING ENGINEERS
INTERNATIONAL UNION OF OPERATING ENGINEERS
INTERNATIONAL UNION OF OPERATING ENGINEERS, LOCAL 15
INTOTAL HEALTH FKA AMERIGROUP VIRGINIA
INTOTAL HEALTH FKA AMERIGROUP VIRGINIA INST
VA
VA
INTRAHEALTH SOLUTIONS (FORMERLY DEDWARD WRIGHT, INC)
ION HEALTH, INC
IOWA ENVOY PLATINUM
IOWA HEALTH SOLUTIONS
IOWA IRON WORKERS HEALTH PLAN
IREX CORPORATION
IRONWORKERS L40, L361, L417
IRONWORKERS LOCAL 455
IRONWORKING CONTRACT IP
ISOL
ITASCA MEDICAL CARE
J B HUNT TRANSPORT INC
J SMITH LANIER CO ADMINISTRATORS
J SMITH LANIER COF
JAI MEDICAL
IA
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
WC
CI
CI
WC
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Dental
Dental
Prof
Prof
Prof
Prof
Dental
Dental
Prof
Prof
Dental
Prof
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
41556
41556
JPF01
JEN01
JEN99
41556
J1006
JISSP
59171
41099
41099
41099
65099
65099
38310
38310
41556
JMH01
68031
37215
37215
52189
52123
52123
J1118
J1076
34136
Name
State
JD MECHANICAL
JEFFERSON COUNTY TEXAS
JEFFERSON PILOT GUARANTEE LIFE INSURANCE COMPANY (GLIC)
JENKINS ASSOCIATES
JENKINS ASSOCIATES
GA
JH MCCORMACK CONST
JI SPECIALTY SERVICES
JI SPECIALTY SERVICES, INC COMMERCIAL
JMH MEDICARE ADVANTAGE
JOHN ALDEN LIFE
JOHN ALDEN LIFE INSURANCE CO
JOHN ALDEN LIFE INSURANCE CO
JOHN HANCOCK
JOHN HANCOCK GIC INDEMNITY
JOHN MORRELL CO - AVERA AHPBA
JOHN MORRELL CO - AVERA AHPBA
JOHN MUIR HEALTH
JOHN MUIR PHYSICIANS NETWORK
JOHN MUIR TRAMA
JOHN P PEARL ASSOC
JOHN P PEARL ASSOCIATES
JOHNS HOPKINS EHP - PRIORITY PARTNERS
JOHNS HOPKINS HEALTH CARE USHFP
JOHNS HOPKINS HEALTH CARE USHFP
JOHNSTON SCHOOLS
JONES TRUCK LINES,INC
JP FARLEY CORPORATION
CA
CA
Payer
Type
WC
WC
CI
CI
CI
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
WC
WC
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Dental
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Inst
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Dental
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
34136
34136
37272
37272
41556
J1077
94320
94320
91617
COKSR
COKSR
21313
21313
94135
94134
94134
KS007
KS007
KS008
KS005
KPIC1
KS003
KS001
57038
57038
57038
57038
Name
State
JP FARLEY CORPORATION
JP FARLEY CORPORATION
JSL ADMINF
JSL ADMINISTRATORS
JUDSON ISD
JUVENILE JAIL FACILITY MANAGEM
KAISER CSI-CALIFORNIA SELECT FOR INDIVIDUALS
KAISER CSI-CALIFORNIA SELECT FOR INDIVIDUALS - INST
KAISER FOUNDATION COLORADO
KAISER FOUNDATION COLORADO - INST
KAISER FOUNDATION HEALTH PLAN COLORADO
KAISER FOUNDATION HEALTH PLAN OF GEORGIA
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INST
KAISER FOUNDATION HEALTH PLAN OF NORTHERN CA REGION
KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CA INST
KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CA REGION
CO
CO
CO
GA
GA
CA
CA
CA
KAISER FOUNDATION HOSP NW REGION
KAISER FOUNDATION HOSP NW REGION - INST
KAISER HEALTH PLAN - MID ATLANTIC STATES
KAISER OHIO REGION AKA HEALTHSPAN INTEGRATED CARE
OH
KAISER PERMANENTE - PHCS PPO
KAISER PERMANENTE NORTHERN CA
KAISER PERMANENTE SOUTHERN CA
KANAWHA HEALTHCARE SOLUTIONS
KANAWHA HEALTHCARE SOLUTIONS, INC
KANAWHA INSURANCE CO
KANAWHA INSURANCE COMPANY
CA
CA
Payer
Type
CI
CI
CI
CI
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
Y
N
Y
Y
N
N
Y
N
N
N
N
N
N
N
Format Claim Status Eligibility
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
47171
A2032
44030
KMG11
41556
37313
J1078
J1498
KELSE
C1030
J1576
J1576
J1587
J1587
73100
73100
73100
73100
J1079
77894
63077
63077
68067
68067
68067
37124
37124
Name
KANSAS CITY BLUE SHIELD
State
KS
KANSAS CITY LABORERS WELFARE FUND
KANSAS CITY LIFE INSURANCE CO
KATY MEDICAL GROUP
KAUTZ VINYARDS
KBA ASSURANT HEALTH
KCI HOLDINGS USA
KEENAN AND ASSOCIATES (EXCLUDING CITY OF PASADENA)
KELSEY-SEYBOLD
KEMPER PREFERRED
KEMPERUNITRIN AUTO AND HOME
KEMPERUNITRIN AUTO AND HOME (AUTO ONLY)
KEMPERUNITRIN SAFEGUARD INS COMPANY
KEMPERUNITRIN SAFEGUARD INS COMPANY (AUTO ONLY)
KEMPTON COMPANY
KEMPTON COMPANY
KEMPTON GROUP ADMINISTRATORS
KEMPTON GROUP ADMINISTRATORS
KEN DAVIS INDUSTRIES INC
KENTUCKY HEALTH COOPERATIVE
KY
KENTUCKY HEALTH SELECT
KENTUCKY HEALTH SELECT
KENTUCKY SPIRIT - DOS THRU 7-05-2013
KENTUCKY SPIRIT HEALTH PLAN - DOS THRU 7-05-2013
KENTUCKY SPIRIT HEALTH PLAN INST - DOS THRU 7-05-2013
KEPPLE CO
KEPPLE AND CO
KY
KY
KY
KY
IL
Payer
Type
BL
CI
CI
CI
WC
CI
WC
WC
CI
AM
WC
AM
WC
AM
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Dental
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
KERN1
37217
37217
IP082
J1521
37321
J1118
23045
95056
95056
23284
23284
CX014
23284
84223
SKLA0
41556
41556
J1614
J1614
KPS01
34145
34145
KAMG1
41556
41556
HM039
Name
KERN FAMILY HEALTH CA
State
CA
KEY BENEFIT ADMINISTRATORS
KEY BENEFIT ADMINISTRATORS, INC
KEY MEDICAL GROUP
CA
KEY RISK MANAGEMENT SERVICES LLC
KEY SELECT
KEYSTONE
KEYSTONE HEALTH PLAN CENTRAL
KEYSTONE HEALTH PLAN EAST
PA
PA
KEYSTONE HEALTH PLAN EAST - INST
KEYSTONE MERCY HEALTH PLAN
PA
KEYSTONE MERCY HEALTH PLAN
KEYSTONE MERCY HEALTH PLAN - DENTAL
KEYSTONE MERCY HEALTH PLAN - INST
PA
KEYSTONE VIP CHOICE
KIDMED LA
LA
KING PAK POTATO COMPANY LLC
KING RANCH
KIRKLAND'S, INC
KIRKLAND'S, INC (AUTO ONLY)
KITSAP PHYSICIANS SERVICE
KLAIS COMPANY
KLAIS COMPANY
KOREAN AMERICAN MEDICAL GROUP
CA
KTA CONSTRUCTION (COSD2)
L ARROWHEAD C CLUB
LA CARE ENCOUNTER DATA ONLY
CA
Payer
Type
CI
CI
CI
CI
WC
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
MC
WC
WC
WC
AM
CI
CI
CI
CI
WC
WC
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Y
N
N
N
N
Y
N
N
N
N
Y
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Dental
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
Y
Y
Y
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
66019 LA CRUZ AZUL (LCA)
LSH99 LABORERS SOUTHEAST HEALTH WELFARE PLAN
LSH01 LABORERS' SOUTHEAST HEALTH WELFARE PLAN
27357 LACARE HEALTH PLAN - INST
41556 LACLEDE CHAIN
41556 LACLEDE STEEL
41556 LAKE ELSINORE SCHOOL DISTRICT
37112 LAKE FOREST MANAGE CARE HOS
37112 LAKE FOREST MANAGED CARE ASSOCIATES
LCHC1 LAKESIDE COMPREHENSIVE HEALTHCARE
95415 LAKESIDE HEALTH SERVICES
LMG11 LAKESIDE MEDICAL GROUP
41556 LAMAR CONSOLIDATED ISD
41556 LAMESA ISD
16109 LANCASTER GENERAL HEALTH GROUP
41556 LANDMARK GOLF CO
41556 LANDMARK GRAD AND PAVING
LNDMK LANDMARK HEALTHCARE
J1080 LANDSTAR BCO WC PROGRAM
41556 LANE COUNTY
41556 LARIMER COUNTY - WC
NMM02 LASALLE MEDICAL ASSOCIATES
NMM02 LASALLE MEDICAL ASSOCIATES - INST
MPM14 LASALLE MEDICAL GROUP
41556 LB AUTOPACIFIC PART
41556 LB AUTOPACIFIC SUPP
52193 LBA HEALTH PLANS
State
PR
LA
CA
CA
CA
Payer
Type
CI
CI
CI
MC
WC
WC
WC
CI
CI
CI
CI
CI
WC
WC
CI
WC
WC
CI
WC
WC
WC
CI
CI
CI
WC
WC
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Dental
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
J1527
41556
37316
41556
TPC54
J1650
J1650
CX083
87071
33600
33600
33600
37281
37281
33600
37281
37281
LIIC2
LIIC3
LIICA
25181
41136
41136
94245
LFGRD
53172
76870
Name
LEAGUE OF MINNESOTA CITIES INSURANCE TRUST
LEKOS ELECTRIC
LEON MEDICAL CENTER HEALTH PLAN
LEVIN ENTERPRISES, INC
LEVTTTOWN UNITED TEACHERS
LFP CORPORATION
LFP CORPORATION (AUTO ONLY)
LIBERTY DENTAL PLAN
LIBERTY HEALTH ADVANTAGE
LIBERTY MUTUAL
LIBERTY MUTUAL MIDDLE MARKETS
LIBERTY NORTHWEST
LIBERTY UNION
LIBERTY UNION LIFE ASSURANCE CO
LIBERTY WAUSAU
LIFE ASSURANCE COMPANY
LIFE ASSURANCE COMPANY
LIFE INVESTORS INS CO OF AMERICA
LIFE INVESTORS INS CO OF AMERICA
LIFE INVESTORS INS CO OF AMERICA
LIFE PITTSBURGH
LIFE TRAC
LIFE TRAC
LIFEGUARD
LIFEGUARD
LIFEMARK CONTACT MARK MESSER
LIFEPATH HOSPICE
State
MN
Payer
Type
WC
WC
CI
WC
CI
WC
AM
CI
CI
WC
WC
WC
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
LIFE1
LIFE1
61104
EBSRM
93093
91049
91049
CX061
73288
75283
75283
LIPA1
41556
41556
TPC55
TPC56
TPC57
35107
35107
PCM01
TPC58
TPC59
TPC60
TPC61
IBT99
TPC62
62308
Name
State
LIFEPRINT
LIFEPRINT
LIFESYNCH
LIFETIME BENEFIT SOLUTIONS
LIFEWISE HEALTH PLAN OF OREGON
LIFEWISE HEALTH PLAN OF WASHINGTON
LIFEWISE HEALTH PLAN OF WASHINGTON INST
LINCOLN FINANCIAL GROUP (LINCOLN NATIONAL LIFE)
LINCOLN NATIONAL
LINN COUNTY
LINN COUNTY
LIPA AGATE RESOURCES - TRILLIUM ADVANTAGE
LIVINGSTON ISD
LK ARROWHEAD CO CLUB
LOCAL 1 POINTERS CAULKERS
LOCAL 1-0318 HEALTH WELFARE FUND
LOCAL 1034
LOCAL 135 HEALTH BENEFITS FUND (INDIANAPOLIS,
LOCAL 135 HEALTH BENEFITS FUND (INDIANAPOLIS, IN)
LOCAL 148 HEALTH WELFARE FUND
LOCAL 153 DISCOUNT DENTAL PLAN
LOCAL 153 HEALTH FUND
LOCAL 1730 ILA
LOCAL 1969 CIVIL SERVICE EMPLOYEES
LOCAL 295851 IBT EMPLOYER GROUP WELFARE FUND
LOCAL 306 IATSE MUNICIPAL EMPLOYEES
LOCAL 371 - CIGNA
OR
WA
WA
Payer
Type
CI
CI
CI
CI
CI
BL
BL
CI
CI
CI
CI
CI
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Format Claim Status Eligibility
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Dental
Prof
Prof
Inst
Prof
Prof
Prof
Dental
Dental
Dental
Inst
Prof
Dental
Dental
Dental
Dental
Dental
Prof
Dental
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
TPC63
TPC64
41556
37267
37267
37267
37267
37267
37267
37226
45289
J1515
J1464
PR002
LAF99
LAF01
28680
28680
68069
68069
MCDLA
J1547
CX014
SX159
90328
90328
J1465
Name
State
LOCAL 802 WELFARE FUND
LOCAL 807 LABOR-MGMNT HEALTH FUND
LODI MEMORIAL HOSPITAL
LOMA LINDA UNIVERSITY ADVENTIST
LOMA LINDA UNIVERSITY ADVENTIST HEALTH
LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE
LOMA LINDA UNIVERSITY EMPLOYEE HEALTH PLAN
LOMA LINDA UNIVERSITY HEALTH CARE EMPLOYEE
LOMA LINDA UNIVERSITY STUDENT HEALTH PLAN
LONDON HEALTH ADMINISTRATORS
LONE STAR TPA
LONG BEACH UNIFIED SCHOOL DISTRICT
LONGS DRUGS
LOS ALAMOS TOTAL CARE
LOS ANGELES FIREMANS RELIEF FUND
CA
LOS ANGELES FIREMENS RELIEF ASSOCIATION (LAFRA)
LOUISIANA HEALTH COOPERATIVE - INST DOS BEG 7-01-2014
LOUISIANA HEALTH COOPERATIVE DOS BEG 7-01-2014
LOUISIANA HEALTHCARE CONNECTIONS - BAYOU HEALTH
LOUISIANA HEALTHCARE CONNECTIONS INST
LOUISIANA MEDICAID
LA
LA
LA
LA
LA
LOUISIANA WORKERS' COMPENSATION CORPORATION (LWCC)
LOVELACE COMMUNITY HEALTH PLAN
LOVELACE SALUD MEDICAID THRU 7-31-2013
LOVELACE SANDIA HEALTH PLAN
LOVELACE SANDIA HEALTH PLAN INST
LOWE'S
NM
Payer
Type
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
CI
CI
CI
CI
CI
MC
MC
MC
WC
CI
CI
CI
CI
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
N
N
N
Y
N
N
Format Claim Status Eligibility
Dental
Dental
Prof
Prof
Inst
Inst
Inst
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Inst
Prof
Prof
Inst
Prof
Prof
Dental
Prof
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
J1081
J1341
J1341
J1540
MP330
J1669
J1669
52133
36334
J1345
J1346
J1347
41556
22445
1260
1260
11303
11303
68062
68062
34103
62413
62413
45341
26372
J1082
22195
Name
State
LSG SKY CHEFS INTERNATIONAL
LUBA CASUALTY INSURANCE COMPANY
LUBA CASUALTY INSURANCE COMPANY (AUTO ONLY)
LUMBERMEN'S UNDERWRITING ALLIANCE
CA
LUTHERAN PREFERRED
LYNWOOD UNIFIED SCHOOL DISTRICT (CA)
LYNWOOD UNIFIED SCHOOL DISTRICT (CA) (AUTO ONLY)
M-PLAN DENTAL
MACNEAL HEALTH PROVIDERS
MACYS (DALY CITY)
MACYS (NEWPORT BEACH)
MACYS CORPORATE SERVICES INC
MADERA COMMUNITY HOSPITAL
MAG MUTUAL HEALTHCARE HOSPITAL
MAGELLAN BEHAVIORAL HEALTH
MAGELLAN BEHAVIORAL HEALTH INST
MAGNACARE
MAGNACARE INST
MAGNOLIA HEALTH PLAN
MAGNOLIA HEALTH PLAN INST
MS
MS
MAHONING TRUMBULL BLDNG TRADES
MAIL HANDLERS BENEFIT PLAN
MAIL HANDLERS BENEFIT PLAN INST
MAINE COMMUNITY HEALTH OPTIONS
MAJESTA CARE
MAJOR LEAGUE BASEBALL 8
MAKSIN MANAGEMENT CORP
ME
Payer
Type
WC
WC
AM
WC
CI
WC
AM
CI
CI
WC
WC
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
Y
N
N
Y
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
Y
Y
N
Y
Y
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
22195
87726
87726
65030
35162
35162
MCS01
39186
CX014
22771
CX014
39186
39187
39187
41159
93900
41556
98010
75258
46000
66040
52461
41556
41556
9908
CX014
IP097
Name
State
MAKSIN MANAGEMENT CORP
MAMSI LIFE AND HEALTH INSURANCE CO (MLH)
MAMSI LIFE HEALTH INS CO (MLH)
MANAGED CARE OF NORTH AMERICA (MCNA)
MANAGED CARE SERVICES
MANAGED CARE SERVICES, LLC
MANAGED CARE SYSTEMS
MANAGED HEALTH CARE SERVICES INDIANA
CA
IN
MANAGED HEALTH INC (MHI)
MANAGED HEALTH NETWORK
MANAGED HEALTH SERVICES - WI STATE EMPLOYEES
MANAGED HEALTH SERVICES OF INDIANA
MANAGED HEALTH SERVICES WISCONSIN
MANAGED HEALTH SERVICES WISCONSIN INST
IN
WI
WI
MANAGED PHYSICAL NETWORK
MANAGED PHYSICAL NETWORK
MANUFACTURERS ALLIANCE INSURANCE COMPANY
MANULIFE, W J SUTTON, CO (TORONTO, CANADA)
MAPCO
MAPFRE
MAPFRE MEDICARE EXCEL
PR
PR
MARCH VISION CARE
MARCOTTE AND HEARNE
MARICOPA COUNTY COMMUNITY COLLEGE DISTRICT
MARICOPA HEALTH PLAN - UNIV OF ARIZONA
AZ
MARICOPA HEALTH SYSTEMS HEALTH PLANS
MARIN IPA
CA
Payer
Type
CI
CI
CI
CI
CI
CI
CI
MC
CI
CI
CI
MC
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
WC
WC
CI
CI
CI
Real Time
Real Time
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
Y
N
N
N
Y
Y
N
N
N
N
N
N
Y
Y
N
N
N
Y
N
N
Format Claim Status Eligibility
Prof
Inst
Prof
Dental
Prof
Inst
Prof
Prof
Dental
Prof
Dental
Prof
Prof
Inst
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
Y
N
N
N
Y
Y
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
41556 MARIPOSA COUNTY
247
MARLAND PHYSICIANS CARE
48055 MARQUETTE NATIONAL LIFE INSURANCE
20805 MARRICK MEDICAL FINANCE LLC
68241 MARRIOTT
PR002 MARRIOTT
MPHC1 MARTINS POINT HEALTH CARE ( MPHC)
C1034 MARYLAND CASUALTY COMPANY (AUTO ONLY)
22322 MARYLAND HEALTH PARTNERS HOSP
CX014 MARYLAND HELIX
MCDMDMARYLAND MEDICAID INSTITUTIONAL
22348 MARYLAND PHYSICIANS CARE
22348 MARYLAND PHYSICIANS CARE INST
CX014 MARYLAND PHYSICIANS CARE MCO DENTAL
SX069 MARYLAND PMHS
SX069 MARYLAND PUBLIC MENTAL HEALTH SYSTEM
37121 MASHANTUCKET PEQUOT TRIBAL NATION
37121 MASHANTUCKET PEQUOT TRIBAL NATION
J1689 MASSACHUSETTS BAY INSURANCE COMPANY
J1689 MASSACHUSETTS BAY INSURANCE COMPANY (AUTO ONLY)
MMPHB MASTERS, MATES AND PILOTS PLAN
41556 MATAGORDA COUNTY
J1736 MATHESON TRUCKING
J1736 MATHESON TRUCKING (AUTO ONLY)
TP075 MATRIX ABSENCE MANAGEMENT
2030 MATTHEW THORNTON HEALTH PLAN
J1083 MAXIM CRANE WORKS
State
MD
MD
MD
MD
Payer
Type
WC
CI
CI
CI
CI
CI
CI
AM
CI
CI
MC
CI
CI
CI
CI
CI
CI
CI
WC
AM
CI
WC
WC
AM
WC
CI
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Dental
Inst
Prof
Inst
Dental
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
J1347
41193
41154
41154
83028
83028
87065
56205
56205
J1084
25160
38264
38264
59331
59331
36328
36328
3833C
3833N
3833T
3833R
3833A
38338
38338
66039
87726
87726
Name
State
MAY DEPARTMENT STORES
MAYO CLINICRECOVERY AND CLAIMS SERVICES
MAYO MANAGEMENT SERVICES
MAYO MANAGEMENT SERVICES - INST
MBA BENEFITS ADMINISTRATORS
MBA BENEFITS ADMINISTRATORS INST
MBA OF WYOMING
MBS - MEDCOST BENEFIT SERVICES
MBS - MEDCOST BENEFIT SERVICES INST
MC DONALD'S-MCOPCO
MCA ADMINISTRATORS
MCARE
MCARE
MCCREARY CORPORATION
MCCREARY CORPORATION
MCHENRY MEDICAL ASSOCIATES
MCHENRY MEDICAL ASSOCIATES (IL)
MCLAREN (MHP) MEDICAID
MCLAREN ABW - NORTHERN HEALTH PLAN
MCLAREN ABW - TENCON HEALTH PLAN
MCLAREN ADVANTAGE HMO SNP
MCLAREN HEALTH ADVANTAGE
MCLAREN HEALTH PLAN (MHP)
MCLAREN HEALTH PLAN - INST
MCS CLASSIC CARE
MD INDIVIDUAL PRACTICE ASSOC
MD - INDIVIDUAL PRACTICE ASSOCIATION, INC (MD
PR
Payer
Type
WC
WC
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
MDAPN MD ANDERSON PHYSICIAN NETWORK
6118 MD HEALTH PLAN
11338 MDNY HEALTHCARE
11338 MDNY HEALTHCARE
41556 MDSI PHYS GROUP INC
20475 MDWISE HOOSIER ALLIANCE PLAN
SX172 MDWISE MARKETPLACE
R6139 MDWISE SELECT HEALTH INDIANA
SX172 MDWISE TOTAL HEALTH FKA IU MEDICAL
J1478 MEADOWBROOK INSURANCE GROUP
J1478 MEADOWBROOK INSURANCE GROUP (AUTO ONLY)
M3CA1 MED3000 CALIFORNIA AFFILIATED PHYSICIAN GROUP
M3F10 MED3000 CMS EARLY STEPS
M3F11 MED3000 CMS SAFETY NET
M3F13 MED3000 CMS TITLE 19 NONREFORM
M3F12 MED3000 CMS TITLE 19 REFORM
M3F14 MED3000 CMS TITLE 21
M3I01 MED3000 HEALTHSELECT IPA BCBS
M3F09 MED3000 HEALTHSPRINGS
M3F03 MED3000 HEALTHY KIDS
M3F08 MED3000 PEDICARE TITLE 19
M3F06 MED3000 PEDICARE TITLE 21
M3I02 MED3000 SOUTHWEST IPA BCBS
58202 MEDADMIN SOLUTIONS
58204 MEDADMIN SOLUTIONS
58204 MEDADMIN SOLUTIONS
74323 MEDBEN (NEWARK, OH)
State
NY
NY
IN
IN
IN
IN
CA
FL
FL
FL
FL
FL
IL
FL
FL
FL
FL
IL
Payer
Type
CI
CI
CI
CI
WC
MC
CI
CI
CI
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
59231 MEDCOM
59231 MEDCOM
68241 MEDCONNECTION
56162 MEDCOST
56162 MEDCOST INST
95321 MEDFOCUS
MCDCA MEDI-CAL CALIFORNIA
MCCA0 MEDI-CAL CALIFORNIA 04 (OP) INST
94265 MEDICA CHOICE (UHC)
94265 MEDICA HEALTH (UHC) INST
78857 MEDICA HEALTHCARE PLAN FLORIDA
12422 MEDICA2
75254 MEDICAID ALABAMA
MCDAK MEDICAID ALASKA
MCDAR MEDICAID ARKANSAS
MCDAR MEDICAID ARKANSAS INST
77016 MEDICAID COLORADO
77027 MEDICAID FLORIDA
77034 MEDICAID GEORGIA
77034 MEDICAID GEORGIA INST
MCDIN MEDICAID INDIANA
18049 MEDICAID IOWA
MCDKS MEDICAID KANSAS
MCDKY MEDICAID KENTUCKY
MCDME MEDICAID MAINE
MCDMDMEDICAID MARYLAND
MCDMA MEDICAID MASSACHUSETTS
State
CA
CA
FL
AL
AK
AR
AR
CO
FL
GA
GA
IN
IA
KS
KY
ME
MD
MA
Payer
Type
CI
CI
CI
CI
CI
CI
MC
MC
CI
CI
CI
CI
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
Real Time
Real Time
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
N
N
N
Y
N
Y
N
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Format Claim Status Eligibility
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
Y
Y
N
N
N
N
N
Y
N
N
Y
Y
Y
Y
N
Y
N
Y
N
Y
Y
N
N
N
N
N
N
Y
Y
Y
Y
N
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
MCDMA MEDICAID MASSACHUSETTS INST
MCDMI MEDICAID MICHIGAN
MCDMNMEDICAID MINNESOTA
77032 MEDICAID MISSISSIPPI
77032 MEDICAID MISSISSIPPI INST
77039 MEDICAID MONTANA
MCDNE MEDICAID NEBRASKA
MCDNE MEDICAID NEBRASKA DENTAL
MCDNV MEDICAID NEVADA
MCDNJ MEDICAID NEW JERSEY
MCDNY MEDICAID NEW YORK
MCDNY MEDICAID NEW YORK INST
DNC00 MEDICAID NORTH CAROLINA INST
MCDOH MEDICAID OHIO
MCDOH MEDICAID OHIO INST
MCDOK MEDICAID OKLAHOMA
MCDOR MEDICAID OREGON
MCDPA MEDICAID PENNSYLVANIA
MCDSC MEDICAID SOUTH CAROLINA
MCDVA MEDICAID VIRGINIA
MCDWAMEDICAID WASHINGTON
MCDWAMEDICAID WASHINGTON INST
MCDWVMEDICAID WEST VIRGINIA
MCDWI MEDICAID WISCONSIN
MC055 MEDICAID WISCONSIN HIRSP ONLY
77046 MEDICAID WYOMING
75254 MEDICAID ALABAMA DENTAL (EDS)
State
Payer
Type
MA
MI
MN
MS
MS
MT
NE
NE
NV
NJ
NY
NY
NC
OH
OH
OK
OR
PA
SC
VA
WA
WA
WV
WI
WI
WY
AL
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
CI
MC
MC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
N
Y
N
N
Y
Y
Y
N
Y
Y
N
Y
Y
Y
Y
Y
Y
N
Y
Y
N
Y
N
Format Claim Status Eligibility
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Dental
Prof
Prof
Prof
Inst
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Dental
Claim
Enrollment
Required
ERA
Enrollment
Required
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
N
N
Y
N
Y
N
Y
Y
N
N
N
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
MCDAK MEDICAID ALASKA INST
MCDPP MEDICAID ALL PAPER HCFA
MCDAZ MEDICAID ARIZONA
77016 MEDICAID COLORADO INST
MCDCT MEDICAID CONNECTICUT
MCDCT MEDICAID CONNECTICUT INST
MCDDC MEDICAID DC - DEPT OF HEALTHCARE FINANCE
MCDDE MEDICAID DELAWARE
77060 MEDICAID HAWAII
MCDID MEDICAID IDAHO
MCDIL MEDICAID ILLINOIS
MCDIL MEDICAID ILLINOIS INST
MCDIN MEDICAID INDIANA INST
MCDKS MEDICAID KANSAS INST
MCDME MEDICAID MAINE INST
MCDMOMEDICAID MISSOURI
CKMO1 MEDICAID MISSOURI DENTAL
MODMEMEDICAID MISSOURI DME
MCDMOMEDICAID MISSOURI INST
MCDNE MEDICAID NEBRASKA INST
MCDNH MEDICAID NEW HAMPSHIRE
MCDNMMEDICAID NEW MEXICO
DNC00 MEDICAID NORTH CAROLINA
MCDND MEDICAID NORTH DAKOTA
CKCT1 MEDICAID OF CONNECTICUT
CX014 MEDICAID OF ILLINOIS
CKIN1 MEDICAID OF INDIANA
State
AK
AZ
CO
CT
CT
DC
DE
HI
ID
IL
IL
IN
KS
ME
MO
MO
MO
MO
NE
NH
NM
NC
ND
CT
IN
Payer
Type
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
N
Y
Y
Y
Y
Y
N
Y
N
N
Y
N
N
N
N
Y
Y
Y
Y
N
N
N
Format Claim Status Eligibility
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Inst
Inst
Prof
Dental
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Dental
Dental
Dental
Claim
Enrollment
Required
ERA
Enrollment
Required
Y
N
N
Y
Y
N
Y
Y
Y
N
Y
Y
N
N
N
N
Y
N
N
Y
Y
Y
Y
N
Y
N
N
Y
N
N
Y
Y
N
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
CKKY1 MEDICAID OF KENTUCKY REGION 3 (DORAL DENTAL)
CKMA1 MEDICAID OF MASSACHUSETTS DENTAL
DNC00 MEDICAID OF NORTH CAROLINA DENTAL
CX014 MEDICAID OF PENNSYLVANIA
CKSC1 MEDICAID OF SOUTH CAROLINA DENTAL
CX014 MEDICAID OF TENNESSEE
TNC01 MEDICAID OF TENNESSEE (TENNCARE)
WRAP1 MEDICAID OHIO - WRAP AROUND
OKFOS MEDICAID OKLAHOMA FOSTER CARE FOR ATYPICAL USE ONLY
MCDOK MEDICAID OKLAHOMA INST
MCDPA MEDICAID PENNSYLVANIA INST
MCDRI MEDICAID RHODE ISLAND
MCDSD MEDICAID SOUTH DAKOTA
EP916 MEDICAID TEXAS EPSDT - PIN
86916 MEDICAID TEXAS INST
86916 MEDICAID TEXAS TMHP
86916 MEDICAID TX
MCDUT MEDICAID UTAH - FFS
MCDVT MEDICAID VERMONT
MCDWVMEDICAID WEST VIRGINIA - INST
MEDAD MEDICAL ADMINISTRATORS PAPER WPROV ID
41556 MEDICAL BEN ADMIN
68041 MEDICAL BENEFITS ADMINISTRATION
37298 MEDICAL BENEFITS ADMINISTRATORS OF MD
74323 MEDICAL BENEFITS ADMINISTRATORS, INC (NEWARK,
74323 MEDICAL BENEFITS COMPANIES (NEWARK, OH)
74323 MEDICAL BENEFITS MUTUAL
State
MA
NC
SC
OH
OK
OK
PA
RI
SD
TX
TX
TX
TX
UT
VT
WV
Payer
Type
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
CI
MC
CI
WC
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
Y
N
Y
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
Y
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
74323
74323
4258
4258
52181
29076
29076
CSMED
80026
80026
33029
13375
13375
IP186
38224
MBAL2
MBAK2
MBAZ2
MBAR2
MBCA1
MACA1
MBCO2
MBCT2
MBDC2
MBDE2
MBFL2
MBGA2
Name
State
MEDICAL BENEFITS MUTUAL (NEWARK, OH)
MEDICAL BENEFITS MUTUAL LIFE INSRANCE CO
MEDICAL CLAIMS SERVICE
MEDICAL CLAIMS SERVICE INC
MEDICAL DEVELOPMENT INTERNATIONAL
MEDICAL MUTUAL OF OHIO
MEDICAL MUTUAL OF OHIO HOSPITAL
MEDICAL NETWORK OF COLORADO SPRINGS
OH
OH
CO
MEDICAL PARTNERS OF AMERICA
MEDICAL PARTNERS OF AMERICA
MEDICAL PATHWAYS
MEDICAL SELECT MANAGEMENT
MEDICAL SELECT MANAGEMENT HSP
MEDICAL SERVICES INITIATIVE
MEDICAL VALUE PLAN MVPOH
MEDICARE ALABAMA
MEDICARE ALASKA
MEDICARE ARIZONA
MEDICARE ARKANSAS
MEDICARE CALIFORNIA NORTHERN REGION
MEDICARE CALIFORNIA PART A
MEDICARE COLORADO
MEDICARE CONNECTICUT
MEDICARE DC METRO
MEDICARE DELAWARE
MEDICARE FLORIDA
MEDICARE GEORGIA
OH
AL
AK
AZ
AR
CA
CA
CO
CT
DC
DE
FL
GA
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
MB
MB
MB
MB
MB
MA
MB
MB
MB
MB
MB
MB
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Format Claim Status Eligibility
Inst
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
MAGA1 MEDICARE
MBHI2 MEDICARE
MBID2 MEDICARE
MBIL2 MEDICARE
MBIN2 MEDICARE
MB849 MEDICARE
MBKY2 MEDICARE
MBLA2 MEDICARE
MBME2 MEDICARE
MBMA2 MEDICARE
MBMI2 MEDICARE
MBMN2 MEDICARE
MBMS2 MEDICARE
MBMT2 MEDICARE
655
MEDICARE
MBNH2 MEDICARE
MBNJ2 MEDICARE
MBNY4 MEDICARE
MBNY3 MEDICARE
MBNC2 MEDICARE
MBND2 MEDICARE
MBOK2 MEDICARE
MBPA2 MEDICARE
MBRI2 MEDICARE
MBSC2 MEDICARE
MBSD2 MEDICARE
MBTN2 MEDICARE
GEORGIA PART A
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KENTUCKY
LOUISIANA
MAINE
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MONTANA
NEBRASKA
NEW HAMPSHIRE
NEW JERSEY
NEW YORK QUEENS COUNTY ONLY
NEW YORK UPSTATE
NORTH CAROLINA
NORTH DAKOTA
OKLAHOMA
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
State
Payer
Type
GA
HI
ID
IL
IN
IA
KY
LA
ME
MA
MI
MN
MS
MT
NE
NH
NJ
NY
NY
NC
ND
OK
PA
RI
SC
SD
TN
MA
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Format Claim Status Eligibility
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
MBUT2 MEDICARE UTAH
MBVT2 MEDICARE VERMONT
MBWA2 MEDICARE WASHINGTON
MBWV2 MEDICARE WEST VIRGINIA
MBWI2 MEDICARE WISCONSIN
MBWY2 MEDICARE WYOMING
RH450 MEDICARE A RURAL - FQHC - LEGACY - NGS
RH301 MEDICARE A RURAL - FQHC - LEGACY CAHABA
RH400 MEDICARE A RURAL - FQHC - NOVITAS
60
MEDICARE ADVANTAGE CONNECTICUT - BLUE
MR710 MEDICARE ADVANTAGE MICHIGAN PLUS BLUE
MR710 MEDICARE ADVANTAGE MICHIGAN INST
MAAR1 MEDICARE ARKANSAS PART A
MBCA2 MEDICARE CALIFORNIA SOUTHERN REG
MACO1 MEDICARE COLORADO PART A
MAFL1 MEDICARE FLORIDA PART A
MAID1 MEDICARE IDAHO PART A
MAIL1 MEDICARE ILLINOIS PART A
MAIN1 MEDICARE INDIANA J8 PART A
MAJ49 MEDICARE J4901 PART A
650
MEDICARE KANSAS
MBKS2 MEDICARE KANSAS
MAKS1 MEDICARE KANSAS J5 PART A
MALA1 MEDICARE LOUISIANA PART A
MBMD2 MEDICARE MARYLAND
MAMA1 MEDICARE MASSACHUSETTS PART A
MAMI1 MEDICARE MICHIGAN PART A
State
UT
VT
WA
WV
WI
WY
TX
CT
MI
MI
AR
CA
CO
FL
ID
IL
IN
KS
KS
KS
LA
MD
MA
MI
Payer
Type
MB
MB
MB
MB
MB
MB
MA
MA
MA
BL
MB
MA
MA
MB
MA
MA
MA
MA
MA
MA
MB
MB
MA
MA
MB
MA
MA
Real Time
Real Time
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
N
Y
Y
Y
Y
N
Y
N
Y
Y
Y
Y
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Inst
Prof
Prof
Inst
Inst
Prof
Inst
Inst
Inst
Inst
Inst
Inst
Prof
Prof
Inst
Inst
Prof
Inst
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
N
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
N
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
MBMO2 MEDICARE MISSOURI EASTERN
MAMO1MEDICARE MISSOURI J5 PART A
740
MEDICARE MISSOURI WEST - KANSAS CITY
MBKC2 MEDICARE MISSOURI WEST - KANSAS CITY
MBNE2 MEDICARE NEBRASKA
MANE1 MEDICARE NEBRASKA J5 PART A
MBNV2 MEDICARE NEVADA
MANH1 MEDICARE NEW HAMPSHIRE PART A
MBNM2 MEDICARE NEW MEXICO
MBNY2 MEDICARE NEW YORK EMPIRE DOWNSTATE
MANC1 MEDICARE NORTH CAROLINA PART A
MBOH2 MEDICARE OHIO
MAOH1 MEDICARE OHIO PART A
MAOK1 MEDICARE OKLAHOMA PART A
MBOR2 MEDICARE OREGON
MCRPP MEDICARE PART B PAPER HCFA
MAPA1 MEDICARE PENNSYLVANIA PART A
MBPR2 MEDICARE PUERTO RICO
882
MEDICARE RAILROAD
MATN1 MEDICARE TENNESSEE PART A
MATX1 MEDICARE TEXAS PART A AND INDIAN HEALTH SERVICES
MBTX2 MEDICARE TEXAS PART B
MAVA1 MEDICARE VIRGINIA PART A
MBVA2 MEDICARE VIRGINIA PART B
MAWV1 MEDICARE WEST VIRGINIA PART A
MAWI1 MEDICARE WISCONSIN PART A
RH280 MEDICARE WPS J5 NATIONAL PART A 05901
State
MO
MO
MO
MO
NE
NE
NV
NH
NM
NY
NC
OH
OH
OK
OR
PA
PR
TN
TX
TX
VA
VA
WV
WI
Payer
Type
MB
MA
MB
MB
MB
MA
MB
MA
MB
MB
MA
MB
MA
MA
MB
MB
MA
MB
MB
MA
MA
MB
MA
MB
MA
MA
MA
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
N
Y
Y
Format Claim Status Eligibility
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Inst
Prof
Inst
Prof
Inst
Inst
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
66058 MEDICARE Y MUCHO MAS (MMM)
HDM04 MEDICO INSURANCE COMPANY
95655 MEDIGOLD
94254 MEDIPRIME
20039 MEDITURE
37304 MEDIVERSAL CLAIMS ADMINISTRATION
412MP MEDPARTNERS (CHS)
MPAS1 MEDPARTNERS ADMIN SERVICES
35205 MEDPARTNERS ADMIN SERVICES (IN)
62160 MEDSOLUTIONS
62160 MEDSOLUTIONS INST
82160 MEDSPAN
243
MEDSTAR FAMILY CHOICE
11983 MEEMIC (AUTO ONLY)
74227 MEGA LIFE HEALTH INS (STUDENT INSURANCE)
11983 MEMBER SELECT INSURANCE COMPANY (AUTO ONLY)
11030 MEMIC
MCA11 MEMORIAL CLINICAL ASSOCIATES
41556 MEMORIAL HEALTH SERVICES
MHHNP MEMORIAL HERMANN HEALTH INSURANCE
MHHNP MEMORIAL HERMANN HEALTH NETWORK PLAN INST
59064 MEMORIAL INTEGRATED HEALTHCARE
59065 MEMORIAL INTEGRATED HEALTHCARE MEDICAID
36193 MEMPHIS MANAGED CARE
36196 MEMPHIS MANAGED CARETLC HOS
33650 MENDOTA INSURANCE COMPANY (AUTO ONLY)
MNM01 MENNONITE MUTUAL AID
State
PR
GA
TX
TX
TX
Payer
Type
MB
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
AM
CI
AM
WC
CI
WC
CI
CI
CI
CI
CI
CI
AM
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Inst
Prof
Dental
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
MNM99 MENNONITE MUTUAL AID
86052 MERCY CARE PLAN ARIZONA
MRC01 MERCY CARE PLAN ARIZONA
86052 MERCY CARE PLAN ARIZONA - INST
43166 MERCY COVENTRY HEALTH PLAN
33628 MERCY MARICOPA INTEGRATED CARE
IP079 MERCY PHYSICIANS MEDICAL GROUP SAN DIEGO MPMG
41556 MERIDIAN CONSTRUCTION PROGRAM - WC
13189 MERIDIAN HEALTH PLAN
13189 MERIDIAN HEALTH PLAN - INST
14145 MERIDIAN HEALTH PLAN OF IOWA
14145 MERIDIAN HEALTH PLAN OF IOWA INST
52563 MERIDIAN HEALTH PLAN OF MICHIGAN
52563 MERIDIAN HEALTH PLAN OF MICHIGAN INST
41556 MERITAGE CORPORATION
41124 MERITAIN HEALTH - IBI
64158 MERITAIN HEALTH AGENCY SERVICES INST
41124 MERITAIN HEALTH - CBSA
41124 MERITAIN HEALTH - CBSA - CORP BENEFIT SERVICES OF AMERICA
41124 MERITAIN HEALTH - CORP BENEFIT SERVICES OF AMERICA
41124 MERITAIN HEALTH - IOWA BENEFITS INC
64157 MERITAIN HEALTH - NORTH AMERICAN
64157 MERITAIN HEALTH - NORTH AMERICAN - INST
38232 MERITAIN HEALTH - WEYCO
38232 MERITAIN HEALTH - WEYCO - INST
37299 MERITAIN HEALTH FKA NYHART COMPANY
37299 MERITAIN HEALTH FKA NYHART COMPANY
State
AZ
AZ
AZ
CA
IA
IA
MI
MI
Payer
Type
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
Y
N
Format Claim Status Eligibility
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Inst
Inst
Prof
Inst
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
86062
41556
41556
85035
85035
65113
65113
AMS01
65978
87726
87726
87726
87726
87726
87726
87726
82135
CX014
13265
13265
J1355
MDL99
10850
52627
MHP
10850
AM726
Name
MERITUS MUTUAL HEALTH PARTNERS PPO (AZ FOUNDATION)
State
AZ
MESA COUNTY COLORADO
MESA COUNTY VALLEY SCHOOL DISTRICT 51
MESA MENTAL HEALTH
MESA MENTAL HEALTH
NM
NM
METCARE HEALTH PLANS
METCARE HEALTH PLANS
METHODIST SW PRV ORG
METLIFE
METRA HEALTH INST
METRAHEALTH NETWORK
METRAHEALTH NETWORK
METRAHEALTH NETWORK
METRAHEALTH PLAN ADMINISTRATORS
METRAHEALTH PLAN ADMINISTRATORS
METRAHEALTH RAILROAD
METRO ALLIANCE
METRO PLUS
METRO PLUS HEALTH PLAN
METRO PLUS HEALTH PLAN INST
METROPOLITAN COUNCIL
METROPOLITAN DETROIT LABORERS
MI
METROPOLITAN HEALTH PLAN
METROPOLITAN HEALTH PLAN (MEDICAID)
METROPOLITAN HEALTH PLAN (MEDICAID)
METROPOLITAN HEALTH PLAN (MHP)
METROPOLITAN PROPERTY AND CASUALTY INSURANCE COMPANY (AUTO ONLY)
MN
MN
MN
Payer
Type
CI
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
MC
MC
CI
AM
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
Y
Y
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Format Claim Status Eligibility
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Dental
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Inst
Prof
Prof
Inst
Inst
Inst
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
N
N
N
Y
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
J1238 METROPOLITAN TRANSIT AUTHORITY
MWP01 METROWEST HEALTH PLANPREFERRED CARE
MWS01 METROWEST STAR MEDICAID
41556 MEXICANA AIRLINES
74289 MHNET - MENTAL HEALTH NETWORK
74289 MHNET - MENTAL HEALTH NETWORK
3918A MHS WISCONSIN INST (ATYPICAL USE ONLY)
92579 MIAMI BEHAVIORAL HEALTH
C1028 MIC GENERAL INSURANCE CORP
C1028 MIC PROPERTY AND CASUALTY INS CORP
41556 MICHAEL HOGAN ASSOC
37127 MICHAEL REESE PHYSICIANS GROUP
37127 MICHAEL REESE PHYSICIANS GROUP
A1432 MICHIGAN LABORERS HEALTH CARE FUND
38238 MICHIGAN REGIONAL COUNCIL OF CARPENTERS EMPLOYEE BENEFIT PLAN
BCCMI MICHIGAN STATE BCCCP
A1404 MICHIGAN STATE PAINTERS
43132 MID AMERICA HEALTH
25147 MID AMERICA HEALTH (LEASED PPO)
63079 MID ATLANTIC HEALTH PLAN
52149 MID ATLANTIC PSYCHIATRIC SERVICES (MAPSI)
87726 MID ATLANTIC PSYCHIATRIC SERVICES, INC (MAPSI)
C1034 MID CENTURY INSURANCE COMPANY (AUTO ONLY)
MRIPA MID ROGUE OREGON HEALTH PLAN
MRIPA MID ROGUE OREGON HEALTH PLAN
37281 MID-AMERICA ASSOCIATES
37281 MID-AMERICA ASSOCIATES, INC
State
WI
FL
MI
MO
OR
OR
Payer
Type
WC
CI
CI
WC
CI
CI
CI
CI
AM
AM
WC
CI
CI
CI
CI
MC
CI
CI
CI
CI
CI
CI
AM
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Dental
Dental
Prof
Dental
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
Y
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
22823 MID-AMERICAN BENEFITS
63079 MID-ATLANTIC HEALTH SYSTEM
74227 MID-WEST NATIONAL LIFE INSURANCE CO OF
59224 MID-WEST NATIONAL LIFE INSURANCE CO OF TENNESSEE
59224 MID-WEST NATIONAL LIFE OF TENN
37281 MIDAMERICA ASSOCIATES
IP004 MIDCOAST CARE
47081 MIDLANDS BENEFITS ADMIN
47080 MIDLANDS CHOICE
47080 MIDLANDS CHOICE
47080 MIDLANDS CHOICE, INC
47080 MIDLANDS HEALTH PARTNERS
62168 MIDSOUTH ADMINISTRATIVE GROUP
J1119 MIDWEST DRYWALL
J1685 MIDWEST FAMILY MUTUAL INSURANCE CO
J1685 MIDWEST FAMILY MUTUAL INSURANCE CO (AUTO ONLY)
61146 MIDWEST GROUP BENEFITS
61146 MIDWEST GROUP BENEFITS
MHP77 MIDWEST HEALTH PLAN
MSI01 MIDWEST SECURITY ADMINISTRATION
79480 MIDWEST SECURITY ADMINISTRATORS DENTAL
MSI01 MIDWEST SECURITY INSURANCE COMPANY
74227 MIDWEST UNITED LIFE
MSI01 MIDWESTER PREFERRED
J1482 MILLARD REFRIGERATED
A1402 MILLRIGHTS
MPMG1 MILLS PENINSULA MEDICAL GROUP
State
TN
CA
CA
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Inst
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Dental
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
68241
PR002
J1351
J1436
41556
41556
IP014
64084
37233
37233
75203
64088
41556
37275
37275
43179
J1085
J1692
J1692
J1694
J1694
37265
37265
J1622
J1622
13350
13350
Name
State
MINNEAPOLIS PRUD
MINNEAPOLIS PRUDENTIAL BUSINESS
MINNESOTA COUNTIES INS TRUST (MCIT)
MINNESOTA DEPARTMENT OF LABOR AND INDUSTRY CLAIMS SERVICES UNIT
MISSION AVIATION FELLOWSHIP
MISSION LODGE SANITARIUM
MISSION VALLEY IPA MEDICAL GROUPLOMPOC
CA
MISSISSIPPI PHYSICIANS CARE NETWORK
MISSISSIPPI PUBLIC EMPLOYEE BENEFIT TRUST
MS
MISSISSIPPI PUBLIC ENTITY EMPLOYEE BENEFIT TRUST
MISSISSIPPI SELECT
MISSISSIPPI SELECT HEALTH CARE
MS
MISSOULA CART CO, IN
MISSOULA COUNTY MEDICAL BENEFITS PLAN
MISSOULA COUNTY MEDICAL BENEFITS PLAN
MISSOURI CARE DOS BEFORE 5-01-2013
MITCHELL ENERGY AND DEVELOPMENT
MITSUI SUMITOMO INSURANCE GROUP
MITSUI SUMITOMO INSURANCE GROUP (AUTO ONLY)
MITSUI SUMITOMO INSURANCE USA INC
MITSUI SUMITOMO INSURANCE USA INC (AUTO ONLY)
MLINK
MLINK
MMIC
MMIC (AUTO ONLY)
MODA HEALTH PLAN - INST
MODA HEALTH PLAN FKA ODS HEALTH
MO
Payer
Type
CI
CI
WC
WC
WC
WC
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
WC
WC
AM
WC
AM
CI
CI
WC
AM
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
41556
26193
38333
38333
51062
51062
20934
20934
38334
71079
71079
20676
NM505
CX014
20149
46299
46299
20554
20554
SX109
38336
38336
38336
ABRI1
ABRI1
72135
IP095
Name
State
MODESTO IRRIGATION DISTRICT
MOLINA HEALTHCARE OF ARIZONA
MOLINA HEALTHCARE OF CALIFORNIA
MOLINA HEALTHCARE OF CALIFORNIA INST
MOLINA HEALTHCARE OF FLORIDA
MOLINA HEALTHCARE OF FLORIDA INST
MOLINA HEALTHCARE OF ILLINOIS
MOLINA HEALTHCARE OF ILLINOIS INST
MOLINA HEALTHCARE OF MICHIGAN
MOLINA HEALTHCARE OF MISSOURI - COMMUNITY CARE PLUS
MOLINA HEALTHCARE OF MISSOURI - INST
MOLINA HEALTHCARE OF NEVADA
MOLINA HEALTHCARE OF NEW MEXICO
AZ
CA
CA
FL
FL
IL
IL
MI
MO
MO
NV
NM
MOLINA HEALTHCARE OF NEW MEXICO (FORMERLY CIMARRON)
MOLINA HEALTHCARE OF OHIO
MOLINA HEALTHCARE OF SOUTH CAROLINA
MOLINA HEALTHCARE OF SOUTH CAROLINA INST
MOLINA HEALTHCARE OF TEXAS
MOLINA HEALTHCARE OF TEXAS INST
MOLINA HEALTHCARE OF UTAH
MOLINA HEALTHCARE OF WA
MOLINA HEALTHCARE OF WASHINGTON
MOLINA HEALTHCARE OF WASHINGTON INST
MOLINA HEALTHCARE OF WISCONSIN
MOLINA HEALTHCARE OF WISCONSIN - INST
OH
SC
SC
TX
TX
UT
WA
WA
WA
WI
WI
MOMENTUM HEALTH SERVICES
MONARCH HEALTHCARE IPA
CA
Payer
Type
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
N
Y
N
Y
Y
N
N
Y
N
Y
N
N
Y
N
Y
N
Y
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Dental
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
N
N
Y
Y
Y
N
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
50749
50749
MONEX
1759
13174
13174
J1424
A0179
J1530
J1530
MMLI3
MMLI2
MMLIC
J1644
J1644
52133
J1651
J1651
J1086
J1087
IP083
41556
MPI01
J1203
J1203
36111
36111
Name
State
MONDIAL ASSISTANCE
MONDIAL ASSISTANCE
MONEX HEALTH CARE
IL
MONITOR LIFE INS MORGAN WHITE ADMIN
MONTEFIORE CMO
MONTEFIORE CONTRACT MANAGEMENT ORGANIZATION
MONTGOMERY
MONTGOMERY COUNTY TEXAS
MONUMENT ADMINISTRATORS - CORNERSTONE COMP
MONUMENT ADMINISTRATORS - ELITE COUNTRY CLUB
MONUMENTAL LIFE INS CO (HURST, TX)
MONUMENTAL LIFE INS CO (KY)
MONUMENTAL LIFE INS CO (LITTLE ROCK, AR)
MORENO VALLEY UNIFIED SCHOOL DISTRICT (CA)
MORENO VALLEY UNIFIED SCHOOL DISTRICT (CA) (AUTO ONLY)
MORGAN WHITE
MORONGO BASIN TRANSIT AUTHORITY (CA)
MORONGO BASIN TRANSIT AUTHORITY (CA) (AUTO ONLY)
MORRIS MATERIAL HANDLING
MORRISON HEALTH CARE, INC
MOSAIC IPA MEDICAL GROUP
MOTION PICTURE AND TELEVISION FUND
MOTION PICTURE INDUSTRY HEALTH PLAN
MOTORIST MUTUAL INSURANCE
MOTORIST MUTUAL INSURANCE (AUTO ONLY)
MOTOROLA
MOTOROLA
CA
Payer
Type
CI
CI
CI
CI
CI
CI
WC
WC
WC
WC
CI
CI
CI
WC
AM
CI
WC
AM
WC
WC
CI
WC
CI
WC
AM
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
C1028 MOTORS INSURANCE CORPORATION
95655 MOUNT CARMEL SERVICES
TPC65 MOUNT VERNON WELFARE FUND
COMMAMOUNTAIN MEDICAL
86040 MOUNTAIN STATES ADMINISTRATIVE SERVICES
86040 MOUNTAIN STATES ADMINISTRATIVE SERVICES
80900 MPA - CUSTOM PROVIDER NETWORK
80900 MPA - CUSTOM PROVIDER NETWORK - INST
37233 MPE EMPLOYEE BENEFIT SERVICES
37233 MPE SERVICES INC
37233 MPEEBT
37233 MPEEBT
95444 MPLAN, INCHEALTHCARE GROUP, LLC
95444 MPLAN, INCHEALTHCARE GROUP, LLC
J1641 MTS
J1641 MTS (AUTO ONLY)
J1533 MTV (MURPHY AND BEANE)
45235 MULTIPLAN - GEHA
45235 MULTIPLAN - GEHA - INST
41204 MULTIPLAN BASIC PLUS
41204 MULTIPLAN BASIC PLUS
34080 MULTIPLAN WISCONSIN PREFERRED PROVIDER NETWORK
34080 MULTIPLAN WISCONSIN PREFERRED PROVIDER NETWORK
J1088 MUNFORD, INC
81883 MUNICIPAL HEALTH BENEFIT FUND
81883 MUNICIPAL HEALTH BENEFIT FUND
J1118 MUSCO
State
CO
MS
MS
Payer
Type
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
AM
WC
CI
CI
CI
CI
CI
CI
WC
CI
CI
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Format Claim Status Eligibility
Prof
Prof
Dental
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
A1681
37256
37256
70491
CX087
TEMU1
71412
71412
SDMC
71412
71412
TEMU1
14165
14165
65085
65085
65085
34159
53011
53011
NANPR
J1120
DMG01
NHCA1
58182
J1695
J1695
Name
MUSKEGON CARE - ACCESS HEALTH PLAN
MUTUAL ASSURANCE
State
MI
OK
MUTUAL ASSURANCE ADMINISTRATORS
MUTUAL GROUP (THE) (US)
MUTUAL OF OMAHA
MUTUAL OF OMAHA (MUST HAVE UCCI LISTED ON BACK OF ID CARD)
MUTUAL OF OMAHA INSURANCE COMPANY
MUTUAL OF OMAHA INSURANCE COMPANY
MUTUAL OF OMAHA MEDICARE
SD
MUTUALLY PREFERRED
MUTUALLY PREFERRED
MUTUALLY PREFERRED (MUST HAVE UCCI LISTED ON BACK OF ID CARD)
MVP HEALTH PLAN OF NY
MVP HEALTH PLAN OF NY INST
NY
NY
NAA
NAA (NORTH AMERICA ADMIN, LP)
NAA (NORTH AMERICAN ADMINISTRATORS, LP)
NABN
NALC HEALTH BENEFITS THRU DOS 12312007
NALCAFFORDABLE
NAMM PARTNERS INC
NAP TOOLS
NAPERVILLE - ILLINOIS HEALTH PARTNERS (DOS BEG JAN 2012)
NAPERVILLE HEALTH CARE ASSOC (DOS PRIOR JAN 2012)
NAPHCARE
NATIONAL AMERICAN INSURANCE CO (NAICO)
NATIONAL AMERICAN INSURANCE CO (NAICO) (AUTO ONLY)
IL
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
WC
AM
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Inst
Inst
Dental
Dental
Inst
Prof
Inst
Inst
Prof
Dental
Prof
Inst
Prof
Prof
Inst
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
AMS01
53011
53011
53011
56176
56175
56175
56176
J1551
J1484
90956
98205
C1028
88057
88050
75275
37232
NIA11
32620
41556
20044
J1021
52132
71412
71412
TEMU1
NTA11
Name
State
CI
CI
NATIONAL ASSOCIATION OF LETTER CARRIERS THRU 12312007
CI
NATIONAL ASSOCIATION OF LETTER CARRIERSNALC
CI
NATIONAL BENEFIT ADMINIS NC
CI
NATIONAL BENEFIT ADMINIS NJ
CI
NATIONAL BENEFIT ADMINISTRATORS OF NEW JERSEY
CI
NATIONAL BENEFIT ADMINISTRATORS OF NORTH CAROLINA
CI
NATIONAL CASUALTY COMPANY
WC
NATIONAL FARMERS UNION PROPERTY AND CASUALTY COMPANY - QBE DBA
WC
NATIONAL FINANCIAL INSURANCE CO
CI
NATIONAL FOUNDATION LIFE INSURANCE CO
CI
NATIONAL GENERAL INSURANCE ONLINE, INC FORMERLY GMAC INS
AM
NATIONAL HEALTH BENEFITS CORP (NHBC)
CI
NATIONAL HEALTH BENEFITS CORP - NHBC02
CI
NATIONAL HEALTH INSURANCE COMPANY
CI
NATIONAL HEALTHCARE EXCHANGE SERVICES
CI
NATIONAL IMAGING ASSOCIATES
CI
NATIONAL INTERSTATE
WC
NATIONAL JEWISH HEALTH
WC
NATIONAL LIABILITY AND FIRE INSURANCE COMPANY
WC
NATIONAL LOSS PREVENTION, INC
WC
NATIONAL RURAL ELECTRIC COOPERATIVE ASSOC
CI
NATIONAL RURAL LETTER CARRIER ASSOC (NALC)
CI
NATIONAL RURAL LETTER CARRIER ASSOCIATION
CI
NATIONAL RURAL LETTER CARRIER ASSOCIATION (MUST HAVE UCCI LISTED ON BACK OF ID CARD)
CI
NATIONAL TEACHERS ASSOCIATION
CI
NATIONAL ASSOC PREFERRED PRV TX
NATIONAL ASSOCIATION OF LETTER CARRIERS NALC
TX
Payer
Type
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Dental
Prof
Inst
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Dental
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
52103
52103
37120
37120
J1552
J1551
J1551
31417
31417
J1552
J1552
J1552
J1552
J1552
19191
J1359
J1660
J1660
75191
75190
75190
71412
95123
96107
4293
4293
11325
Name
State
NATIONAL TELECOMM COOP ASSOC (NTCA)
NATIONAL TELECOMM COOP ASSOC (NTCA) INST
NATIONAL TRAVELERS LIFE
NATIONAL TRAVELERS LIFE COMPANY
NATIONWIDE AFFINITY INS CO OF AMERICA (NAICOA)
NATIONWIDE AGRIBUSINESS COMPANIES
NATIONWIDE AGRIBUSINESS INS CO
NATIONWIDE HEALTH PLANS
NATIONWIDE HEALTH PLANS
NATIONWIDE INS CO OF AMERICA (NICOA)
NATIONWIDE INSURANCE COMPANIES
NATIONWIDE MUTUAL FIRE CO
NATIONWIDE MUTUAL INSURANCE COMPANY
NATIONWIDE PROPERTY AND CASUALTY INS CO
NATIVE CARE HEALTH LLC
NBC UNIVERSAL
NC DEPARTMENT OF PUBLIC INSTRUCTION
NC DEPARTMENT OF PUBLIC INSTRUCTION (AUTO ONLY)
NCAS CHARLOTTE
NCAS FAIRFAX VA
NCAS FAIRFAX VA
NC
VA
VA
NCCI
NEIGHBORHOOD HEALTH PARTNERSHIP
NEIGHBORHOOD HEALTH PARTNERSHIP OF FLORIDA
NEIGHBORHOOD HEALTH PLAN
NEIGHBORHOOD HEALTH PLAN - INST
NEIGHBORHOOD HEALTH PROVIDERS
FL
Payer
Type
CI
CI
CI
CI
WC
WC
WC
CI
CI
WC
WC
WC
WC
WC
CI
WC
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Format Claim Status Eligibility
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
11325
39164
39164
37255
37255
66055
66055
77076
4332
CX014
4332
39144
39111
AMS01
NDB01
90091
86067
86067
86067
95998
95998
NCHCA
NCHCA
NCHON
NCHON
66893
43351
Name
State
NEIGHBORHOOD HEALTH PROVIDERS INST
NEIGHBORLY CARE PLAN
NEIGHBORLY CARE PLAN
NESIKA HEALTH GROUP
NESIKA HEALTH GROUP INST
NETCARE LIFE AND HEALTH INSURANCE
NETCARE LIFE AND HEALTH INSURANCE (HAGATNA,
NETWORK PLATINUM PLUS
NETWORK HEALTH MASS
NETWORK HEALTH MASS - DENTAQUEST
NETWORK HEALTH MASS INST
NETWORK HEALTH PLAN OF WI
MA
MA
MA
WI
NETWORK HEALTH PLAN OF WISCONSIN
NETWORK HEALTH PPO (AMS01)
WI
NEVADA DENTAL BENEFITS
NEVADA HEALTH CO-OP
NEVADA HEALTH SOLUTIONS
NEVADACARE
NEVADACARE KIDS
NV
NV
NV
NV
NEW AVENUES INC
NEW AVENUES INC
NEW CENTURY HEALTH - CAREPLUS CARDIOLOGY
NEW CENTURY HEALTH - VISTA CARDIOLOGY - SUMMIT
NEW CENTURY INFUSION - CAREPLUS ONCOLOGY
NEW CENTURY INFUSION - VISTA ONCOLOGY
NEW ENGLAND
NEW ENGLAND DENTAL ADMINISTRATORS
FL
FL
FL
FL
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Dental
Inst
Prof
Inst
Prof
Dental
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Dental
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
76031
76031
75281
75281
22603
12122
45129
45129
TPC66
TPC67
C1028
84141
84141
38332
38332
66915
11334
48186
48186
24819
24819
NYT01
38225
38225
38225
62124
CX014
Name
State
NEW ERA EMPLOYEE WELFARE BENEFIT PLAN TRUST
NEW ERA EMPLOYEE WELFARE BENEFIT PLAN TRUST
NEW ERA LIFE
NEW ERA LIFE
NEW JERSEY CARPENTERS HEALTH FUND
NEW JERSEY MANUFACTURING
NEW MEXICO HEALTH CONNECTIONS
NEW MEXICO HEALTH CONNECTIONS INST
NM
NM
NEW ROCHELLE EMPLOYEES L663
NEW ROCHELLE FUSE WELFARE FUND
NEW SOUTH INSURANCE CO
NEW WEST HEALTH PLAN
NEW WEST HEALTH PLAN HOS
NEW WORLD CLAIMS SERVICE
NEW WORLD CLAIMS SERVICES
NEW YORK LIFE INSURANCE CO
NEW YORK NETWORK MANAGEMENT
NY
NEW YORK PRESBYTERIAN COMMUNITY HEALTH PLAN
NEW YORK PRESBYTERIAN COMMUNITY HEALTH PLAN
NEW YORK PRESBYTERIAN SYSTEM SELECT HEALTH
NEW YORK PRESBYTERIAN SYSTEM SELECT HEALTH
NY
NY
NY
NEW YORK STATE TEAMSTERS UNION
NGS AMERICAN
NGS AMERICAN INST
NGS CORESOURCE
NHC HEALTH BENEFIT PLAN
NHP COMMONWEALTH CARE - DENTAQUEST
MA
Payer
Type
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Dental
Dental
Prof
Prof
Inst
Prof
Inst
Inst
Prof
Inst
Prof
Inst
Prof
Dental
Prof
Inst
Prof
Inst
Dental
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
5047
J1533
81264
81264
81264
TPC68
35197
IP080
J1360
J1453
64157
34159
34159
34159
E3510
IP079
93100
64157
37314
NCLME
41556
41556
320
17516
46227
36392
36392
Name
NHPRI (NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND)
State
RI
NICKELODIAN (MURPHY AND BEANE)
NIPPON LIFE INSURA
NIPPON LIFE INSURANCE CO
NIPPON LIFE INSURANCE DENTAL
NJDCEA WELFARE FUND
NNPN CONSECO HOS
NOBLE COMMUNITY
CA
NORDSTROM, INC
NORGUARD INSURANCE COMPANY - GUARD DBA
NORTH AMERICAN ADMINISTRATORS
NORTH AMERICAN BENEFITS NETWORK
NORTH AMERICAN BENEFITS NETWORK
NORTH AMERICAN BENEFITS NETWORK
NORTH AMERICAN MEDICAL MANAGEMENT NORTHERN CALIFORNIA
NORTH AMERICAN MEDICAL MANAGEMENT SO CALIFORNIA
NORTH AMERICAN MEDICAL MANAGEMENT TEXAS
CA
CA
TX
NORTH AMERICAN PREFERRED
NORTH BROWARD HOSPITAL DISTRICT
NORTH CAROLINA LME REFERRALS - MEDICAID
NC
NORTH CLACKAMAS SCHOOL DISTRICT NO 12
NORTH COUNTY TRANSIT DISTRICT
NORTH DAKOTA WORKFORCE SAFETY AND INS
NORTH SHORE - LIJ (HEALTHFIRST)
NORTH SHORE - LIJ CARECONNECT INSURANCE CO
NORTH SUBURBAN ASSOCIATED PHYS
NORTH SUBURBAN ASSOCIATED PHYS
ND
Payer
Type
CI
WC
CI
CI
CI
CI
CI
CI
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
MC
WC
WC
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Inst
Prof
Dental
Dental
Inst
Prof
Prof
Prof
Prof
Dental
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
NTX11
PROSP
2027
13376
38238
41556
36347
88027
C1031
48026
48026
52627
91060
36234
36234
J1361
J1361
NPN11
NPN11
36346
36346
J1089
16114
16114
41556
41556
16644
Name
NORTH TEXAS HEALTHCARE NETWORK
NORTH WEST ORANGE COUNTY MEDICAL GROUP
State
TX
CA
NORTHEAST DELTA DENTAL (ME-NH-VT)
NORTHEAST GEORGIA HEALTH SYSTEM
NORTHERN CALIFORNIA SHEET METAL WORKERS HEALTH CARE PLAN
CA
NORTHERN COLORADO SCHOOL DISTRICTS WORKERS' COMPENSATION POOL
NORTHERN ILLINOIS HEALTH PLAN
IL
NORTHERN NEVADA TRUST FUND
NORTHLAND AUTO
NORTHSHORE PHYSICIANS ASSOCIATES
NORTHSHORE PHYSICIANS ASSOCIATES INST
NORTHSTAR ADVANTAGE HMO (MHP)
NORTHWEST ADMINISTRATORS
NORTHWEST COMMUNITY HEALTH PARTNERS
NORTHWEST COMMUNITY HEALTH PARTNERS
NORTHWEST INSURANCE
NORTHWEST INSURANCE (AUTO ONLY)
NORTHWEST PHYSICIANS NETWORK
NORTHWEST PHYSICIANS NETWORK
NORTHWEST SUBURBAN IPA (ILLINOIS)
NORTHWEST SUBURBAN IPA (ILLINOIS)
NORWOOD
NOVA CASUALTY CO
NOVA CASUALTY CO
NOVA DEALERSHIP ADVANTAGE PROGRAM - WC
NOVA ELITE COMP PROGRAM
NOVA HEALTHCARE ADMINISTRATORS AZEROS
MN
Payer
Type
CI
CI
CI
CI
CI
WC
CI
CI
AM
CI
CI
CI
CI
CI
CI
WC
AM
CI
CI
CI
CI
WC
CI
CI
WC
WC
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Dental
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Dental
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
16644
16644
41556
J1056
6226
71080
71080
NTX11
41556
91136
91136
91136
91136
91136
91136
TPC69
TPC70
CX014
14142
14142
TPC71
TPC72
TPC73
TPC74
TPC75
45052
J1670
Name
State
NOVA HEALTHCARE ADMINISTRATORS - DENTAL
NOVA HEALTHCARE ADMINISTRATORS - INST
NOVA METALS ADVANTAGE PLUS PROGRAM - WC
NOVA PRO RISK SOLUTIONS
NOVANET
NOVASYS
NOVASYS HEALTH NETWORK
NTHN
AR
AR
TX
NUEVO ENGINEERING
NW IRONWORKERS HEALTH SECURITY TRUST FUND INST
NW IRONWORKERS HLTH SECURITY TRUST FUND
NW ROOFERS EMPLOYERS HEALTH SECURITY INST
NW ROOFERS EMPLOYERS HLTH SECURITY TRUST FUND
NW TEXTILE PROCESSORS
NW TEXTILE PROCESSORS GRP F14
NY OIL HEAT ASSOCIATION
NY STATE NURSES - WESTCHESTER
NY-PRESBYTERIAN COMMUNITY HEALTH PLAN
NYC DEPARTMENT OF HEALTH (ADAP)
NYC DEPARTMENT OF HEALTH (ADAP) - INST
NYC MUNICIPAL PLUMBERPIPEFITTERS
NYC RETIREES WELFARE FUND
NYC STEAMFITTERS
NYC STEAMFITTERS RETIREES
NYDCC WELFARE FUND
NYSIF
O'REILLY AUTO PARTS
NY
Payer
Type
CI
CI
WC
WC
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Dental
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Dental
Dental
Dental
Prof
Inst
Dental
Dental
Dental
Dental
Dental
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
J1670
20044
NAOAK
NAOAK
IP016
72127
OCH01
61101
72127
L0140
72087
13310
14163
14163
OAC01
OAC99
24074
AMS01
34189
34189
74431
74431
24147
OLRMC
91150
65074
68037
Name
State
O'REILLY AUTO PARTS (AUTO ONLY)
OAK RIVER INSURANCE COMPANY (MEMBER OF BHHC)
OAK WEST PRIMARY PHYSICIANS ASSOCIATION
OAK WEST PRIMARY PHYSICIANS ASSOCIATION
OAKVIEW MEDICAL GROUP
CA
OCHSNER HEALTH PLAN
OCHSNER HEALTH PLAN
OCHSNER HEALTH PLAN INST
OCHSNER HEALTH PLANS
LA
OCULAR BENEFITS
OFFICE OF GROUP BENEFITS LOUISIANA
OFFICE OF THE ADMINISTRATOR
OHANA HEALTH PLAN
OHANA HEALTH PLAN
LA
DC
HI
HI
OHIO AFSCME CARE PLAN
OHIO AFSCME CARE PLAN
OH
OHIO CASUALTY GROUP
OHIO HEALTH CHOICE PLAN
OHIO HEALTH CHOICE PPO
OH
OH
OHIO HEALTH CHOICE, PPO
OHIO PPO CONNECT
OHIO PPO CONNECT - INST
OH
OH
OLD REPUBLIC INSURANCE CO
OLOLRMC UNINSURED PATIENT SERVICES PROGRAM
OLYMPIC HLTH MANAGEMENT SYSTEMS
OLYMPUS MANAGED HEALTH CARE
OMNI MEDICORE HP
LA
Payer
Type
AM
WC
CI
CI
CI
CI
CI
CI
CI
CI
BL
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Dental
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
MDCOR OMNI IPA MEDCARE HP
IP088 OMNICARE MEDICAL GROUP (CA)
ISL11 ON INSURANCE SERVICE OF LUBBOCK
20621 ONE BEACON
C1026 ONE BEACON INSURANCE - AUTO
22321 ONE CALL MEDICAL
22321 ONE CALL MEDICAL INST
95379 ONE HEALTH PLAN OF CA HOSPITAL
95412 ONE HEALTH PLAN OF CO HOSPITAL
95412 ONE HEALTH PLAN OF COLORADO
95388 ONE HEALTH PLAN OF IL HOSPITAL
95388 ONE HEALTH PLAN OF ILLINOIS
95415 ONE HEALTH PLAN OF TEXAS
51459 ONE HEALTH PLAN OF TX HOSPITAL
96559 ONE HEALTH PLANOF GA HOSPITAL
52149 ONENET PPO
52149 ONENET PPO INST
TPC76 OPEIU -DC
91136 OPERATING ENGINEERS LOCALS 302 612 HEALTH
91136 OPERATING ENGINEERS LOCALS 302 612 HLTH SECURITY FUND
56190 OPTICARE EYE HEALTH NETWORK
54154 OPTIMA HEALTH PLAN
54154 OPTIMA HEALTH PLAN
87726 OPTIMUM CHOICE INC
51248 OPTIMUM CHOICE INC HOSPITAL
52151 OPTIMUM CHOICE OF PENNSYLVANIA
52152 OPTIMUM CHOICE OF THE CAROLINAS
State
CA
CO
IL
TX
PA
Payer
Type
CI
CI
CI
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Inst
Prof
Inst
Prof
Prof
Inst
Inst
Prof
Inst
Dental
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
87726
87726
GP133
20133
20133
37125
41194
21455
TPC77
J1090
13383
25681
13381
58204
58204
OSFMC
62171
CLF01
CLFR2
36365
36365
41556
41556
6111
OXHTH
6111
41556
Name
State
OPTIMUM CHOICE OF THE CAROLINAS, INC (OCCI)
OPTIMUM CHOICE, INC (OCI)
OPTIMUM HEALTH GOVERNMENT PROGRAMS
OPTIMUM HEALTHCARE INC
OPTIMUM HEALTHCARE INC
OPTION SERVICES GROUP
OPTUMHEALTH CARE SOLUTIONS
OREGONS HEALTH CO-OP
ORGANIZATION OF STAFF ANALYSTS
ORICA, INC
ORTHONET - AETNA
ORTHONET - HEALTHNET
ORTHONET CORPORATION
ORTHOPEDIX NETWORK INC - HUMANA - OHU
ORTHOPEDIX NETWORK INC - VISTA - OVI
OSF CARE ADVANTAGE
OSF HEALTHPLANS
IL
OSMA HEALTH (FORMERLY PLICO OKLAHOMA)
OSMA HEALTH - C L FRATES AND COMPANY
OUR LADY OF THE RESURRECTION
OUR LADY OF THE RESURRECTION PHYSICIAN ASSOCIATION
OUTRIGGER LODGING
OVERHILL FARMS, INC
OXFORD HEALTH
OXFORD HEALTH
OXFORD HEALTH - INST
PACIFIC HYDROTECH CO
IL
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
CI
CI
CI
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
Format Claim Status Eligibility
Inst
Inst
Dental
Inst
Prof
Inst
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
C1040
PCFCI
IP101
41556
J1364
J1364
41556
33053
HM012
COFHP
95964
95964
95999
95959
95959
95999
COPHS
95962
95999
95959
95959
95999
95959
95959
95999
95959
95959
Name
State
PACIFIC INSURANCE COMPANY LTD
PACIFIC IPA
PACIFIC LUMBER COMPANY PALCO
CA
PACIFIC LUMBER COMPANY (MARATHON)
PACIFIC MOTOR COMPANY
PACIFIC MOTOR COMPANY (AUTO ONLY)
PACIFIC SPECIALTY INSURANCE
PACIFICARE BEHAVIORAL HEALTH
PACIFICARE ENCOUNTERS
PACIFICARE FHP COLORADO
PACIFICARE OF ARIZONA HMO
PACIFICARE OF ARIZONA HMO CLAIMS
PACIFICARE OF ARIZONA PPO
PACIFICARE OF CALIFORNIA HMO CLAIMS
PACIFICARE OF CALIFORNIA HMO
PACIFICARE OF CALIFORNIA PPO
PACIFICARE OF COLORADO HMO
PACIFICARE OF COLORADO HMO
PACIFICARE OF COLORADO PPO
PACIFICARE OF OKLAHOMA HMO CLAIMS
PACIFICARE OF OKLAHOMA HMO
PACIFICARE OF OKLAHOMA PPO
PACIFICARE OF OREGON HMO CLAIMS
PACIFICARE OF OREGON HMO
PACIFICARE OF OREGON PPO
PACIFICARE OF TEXAS HMO
PACIFICARE OF TEXAS HMO CLAIMS
CO
AZ
AZ
AZ
CA
CA
CA
CO
CO
CO
OK
OK
OK
OR
OR
OR
TX
TX
Payer
Type
AM
CI
CI
WC
WC
AM
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
N
Y
N
Y
Y
Y
N
Y
Y
N
Y
N
Y
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
95999
95959
95959
95999
95999
50014
50014
93029
93029
93029
20377
20377
37287
TPC78
TPC79
41556
J1475
37268
41556
4218
J1091
PAPER
J1001
58174
58174
PARHC
J1533
Name
PACIFICARE OF TEXAS PPO
PACIFICARE OF WASHINGTON HMO
PACIFICARE OF WASHINGTON HMO CLAIMS
PACIFICARE OF WASHINGTON PPO
State
TX
WA
WA
WA
PACIFICARE PPO - ALL STATES
PACIFICSOURCE COMMUNITY - MEDICAID
PACIFICSOURCE COMMUNITY - MEDICAID - INST
PACIFICSOURCE HEALTH PLAN
OR
OR
OR
PACIFICSOURCE HEALTH PLAN - DENTAL
PACIFICSOURCE HEALTH PLAN - INST
PACIFICSOURCE MEDICARE
PACIFICSOURCE MEDICARE - INST
PAI
PAINTERS LOCAL 155 WELFARE FUND
PAINTING INDUSTRY INSURANCE
PAJARO VLY COMNTY HEALTH TRUST
PALADIN MANAGED CARE SERVICES, INC
PALLADIAN EAP FKA PRISM
PALO ALTO MEDICAL FOUNDATION
PAN AMERICAN LIFE INSURANCE GROUP
PAPA JOHN'S INTERNATIONAL INC
PAPER CLAIMS PROFESSIONAL
PARADIGM
PARAGON BENEFITS INC
PARAGON BENEFITS INC
PARAMOUNT HEALTH CARE
PARAMOUNT PICTURES (MURPHY AND BEANE)
OR
OR
OR
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
CI
WC
CI
WC
CI
WC
CI
CI
CI
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
Y
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Dental
Inst
Prof
Inst
Inst
Dental
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
58204
J1365
66917
66917
AMS01
56152
PHP02
41556
J1643
J1643
CX014
61129
CX014
61129
22248
PPN11
PAN01
10525
PPN11
41556
PRW99
27048
37210
95885
61101
65000
65007
Name
State
PARITY SOLUTIONS
PARK DISTRICT RISK MANAGEMENT ASSOCIATION (PDRMA)
PARKLAND COMMUNITY HEALTH PLAN - AETNA
PARKLAND COMMUNITY HEALTH PLAN - AETNA - INST
PARTNERS IN PRACTICE
PARTNERS NATIONAL HEALTH PLANS OF NORTH CAROLINA
PARTNERSHIP HEALTH PLAN
TX
NC
CA
PAS COFFEE ROASTERS
PASADENA UNIFIED SCHOOL DISTRICT (CA)
PASADENA UNIFIED SCHOOL DISTRICT (CA) (AUTO ONLY)
PASSPORT FFS - KY - DENTAL
PASSPORT HEALTH PLAN
PASSPORT HEALTH PLAN - DENTAL
PASSPORT HEALTH PLAN - INST
PASSPORT KENTUCKY
KY
PATIENT PHYSICIAN NETWORK
PATIENT ACCESS NETWORK FOUNDATION
PATIENT ADVOCATES LLC
PATIENT-PHYSICIAN NETWORK (PPN)
PATTERSON BRO LIGHT
PAVERS ROAD BUILDERS WELFARE FUND
PAYER FUSION
PAYNET, INC
PCA HEALTH PLANS OF TEXAS
PCA STAR MEDICAID
PCMCICSL ALLERGY
PCMCICSL CHIROPRACTIC
TX
Payer
Type
CI
WC
CI
CI
CI
CI
CI
WC
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
Y
N
N
N
Y
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Dental
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
65001
65003
65002
68049
68049
20472
J1423
J1092
J1054
J1093
37086
37086
J1573
J1573
41556
41556
J1439
J1466
PBLIC
52133
72126
72126
J1623
J1623
TLX74
95397
25146
Name
State
PCMCICSL DERMATOLOGY
PCMCICSL GASTROENTEROLOGY
PCMCICSL PODIATRY
PEACH STATE HEALTH PLAN
PEACH STATE HEALTH PLAN - INST
PEDIATRIC ASSOCIATES
PEERLESS
PEG DISCOVER RE
PEG DISCOVER RE( FOOOD MERCHANT)
PEGI-FAMILY DINING
PEKIN INSURANCE
PEKIN INSURANCE
PENN MILLERS INSURANCE CO
PENN MILLERS INSURANCE CO (AUTO ONLY)
PENNSYLVANIA MANUFACTURERS INDEMNITY COMPANY
PENNSYLVANIA MANUFACTURERS' ASSOCIATION INSURANCE COMPANY
PENNSYLVANIA MANUFACTURING ASSOCIATES
PEOPLE 20
PEOPLES BENEFIT LIFE INSURANCE
PEOPLES BENEFIT LIFE INSURANCE COMPANY
PEOPLES HEALTH NETWORK
PEOPLES HEALTH NETWORK INST
PERMA
PERMA (AUTO ONLY)
PERSONAL CHOICE (PA)
PERSONAL INSURANCE ADMINISTRATORS
PERSONAL PHYSICIAN CARE
GA
GA
Payer
Type
CI
CI
CI
MC
MC
CI
WC
WC
WC
WC
CI
CI
WC
AM
WC
WC
WC
WC
CI
CI
CI
CI
WC
AM
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Inst
Prof
Prof
Dental
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
41556
41556
63088
J1570
J1570
45275
72099
72099
13306
13306
J1094
PHIF4
67814
67814
3440
74647
PHP01
67814
67814
67814
67814
37330
12399
12399
PA513
58204
PHPMD
Name
State
PETALUMA VALLEY HOSPITAL
PFLUGERVILLE ISD
PHA ADMIN SERV, PRIME HEALTH OF ALABAMA
PHARMACIST MUTUAL INSURANCE CO
PHARMACIST MUTUAL INSURANCE CO (AUTO ONLY)
PHCS - GEHA
PHCS CLAIMS FKA AMERICAN LIFECARE
PHCS CLAIMS FKA AMERICAN LIFECARE
PHCS SAVILITY
PHCS SAVILITY INST
PHH FLEETAMERICA
PHIFER WIRE PRODUCTS, INC
PHOENIX AMERICAN
PHOENIX AMERICAN LIFE
PHOENIX HEALTH PLAN
AZ
PHOENIX HEALTH PLAN
PHOENIX HEALTH PLAN (PHP) CLAIMS ONLY
PHOENIX HOME LIFE
PHOENIX HOME LIFE
PHOENIX MUTUAL
PHOENIX MUTUAL LIFE
PHP MID MICHIGAN
PHP OF NORTHERN INDIANA
PHP OF NORTHERN INDIANA INST
PHYSICIAN ASSOCIATES OF GREATER SAN GABRIEL VALLEY
MI
IN
IN
CA
PHYSICIAN ASSOCIATES OF LOUSIANA
PHYSICIAN HEALTH PARTNERS MEDICARE
CO
Payer
Type
WC
WC
CI
WC
AM
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Dental
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
28943 PHYSICIANS ACCOUNTABLE CARE ORG - STONES RIVER IPA
57098 PHYSICIANS CARE NETWORK
36345 PHYSICIANS CARE NETWORK (ROCKFORD, IL)
PCN12 PHYSICIANS CARE NETWORKPOLYCLINIC
36345 PHYSICIANS CARE ROCKFORD,IL
37136 PHYSICIANS HEALTH ASSOC OF IL
37136 PHYSICIANS HEALTH ASSOCIATION OF ILLINOIS
59221 PHYSICIANS HEALTH CARE SERVICES
PHCS1 PHYSICIANS HEALTH CHOICE
PHCS1 PHYSICIANS HEALTH CHOICE
20398 PHYSICIANS HEALTH COLLABORATIVE
20398 PHYSICIANS HEALTH COLLABORATIVE
MHCM2 PHYSICIANS HEALTH NETWORK (PHN)
TLX05 PHYSICIANS HEALTH PARTNERS CDOC (CO)
87726 PHYSICIANS HEALTH PLAN
12399 PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA
65031 PHYSICIANS HEALTHCARE PLANS
PHIPA PHYSICIANS HEALTHWAYS IPA
47027 PHYSICIANS MUTUAL INSURANCE COMPANY
47027 PHYSICIANS MUTUAL INSURANCE COMPANY
PHD03 PHYSICIANS NETWORK OF COLORADO SPRINGS
91171 PHYSICIANS OF SOUTHWEST WASHINGTON
CX014 PHYSICIANS PLUS INSURANCE CO, PRIMECARE, WISCONSIN STATE EMPLOYEES
39156 PHYSICIANS PLUS INSURANCE CORP
39156 PHYSICIANS PLUS INSURANCE CORPORATION
10775 PHYSICIANS UNITED PLAN
56151 PIEDMONT ADMINISTRATORS
State
MO
IN
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
Y
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Dental
Prof
Inst
Prof
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
56151
251PD
J1369
41556
TPC80
24735
24735
84109
CCIA1
IP104
PIP01
PIP99
PIP98
PIP02
59700
73074
73074
37224
37224
37224
AMS01
AMS01
AMS01
41556
PLAN
SC886
37287
Name
State
PIEDMONT ADMINISTRATORS EMPLOYERS
PIEDMONT WELLSTAR HEALTH PLAN
PIER 1 INC USA
PIMA COUNTY
PINE BUSH TEACHERS
PINNACLE CLAIMS MANAGEMENT
PINNACLE CLAIMS MANAGEMENT, INC
PINNACOL ASSURANCE
PINNACOL ASSURANCE
CO
CO
PIONEER MEDICAL GROUP
PIPE TRADES INDUSTRY HEALTH WELFARE FUND
PIPE TRADES INDUSTRY HEALTH WELFARE FUND
PIPEFITTERS 597
IL
PIPEFITTERS 597 (CHICAGO, IL)
PIPEFITTERS LOCAL 597
PIPELINE INDUSTRY BENEFIT
PIPELINE INDUSTRY BENEFIT FUND (TULSA, OK)
PITTMAN ASSOC
PITTMAN AND ASSOC
PITTMAN AND ASSOCIATES
PLAINES ADVISOR (AMS01)
PLAINES IOWA (AMS01)
IA
PLAINES NETWORKS ENVOY
PLAINVIEW ISD
PLAN VISTA
PLANNED ADMINISTRATORS INC - PAI - BCBSSC
PLANNED ADMINISTRATORS, INC
SC
Payer
Type
CI
CI
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Dental
Prof
Inst
Inst
Prof
Prof
Dental
Prof
Prof
Dental
Prof
Prof
Inst
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
37287
PCM99
TPC81
41556
333
PMGSJ
58204
POD1S
59324
59324
59069
J1370
32680
32680
41556
16111
16111
41556
TPC82
J1627
J1627
TPC83
6161
PPN11
PPN11
72148
72148
Name
State
PLANNED ADMINISTRATORS, INC
PLASTERERS CEMENT MASONS HEALTH WELFARE FUND
PLASTERERS' AND CEMENT MASONS L262
PLOTT HEALTH CARE
PLUMBERS AND PIPEFITTERS LOCAL 33
PMG OF SAN JOSE
IA
CA
PODI CARE MANAGED CARE
PODIATRY FIRST
PODIATRY NETWORK FLORIDA
PODIATRY NETWORK FLORIDA
FL
FL
POE BROWN
POLY AMERICA LP
POLY AMERICA MEDICAL DENTAL BENEFITS PLAN
POLY AMERICA MEDICAL BENEFITS PLAN
POLY-AMERICA
POMCO
POMCO INST
PONDEROSA LANDSCAPE
PORT CHESTER TEACHERS ASSOC WF
PORT OF OAKLAND (CA)
PORT OF OAKLAND (CA) (AUTO ONLY)
PORT WASHINGTON TEACHERS ASSOC
PPHN PENNSYLVANIA PREFERRED HEALTH NETWORK
PPN
PPN
PPO PLUS
PPO PLUS
PA
Payer
Type
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
WC
CI
CI
WC
CI
WC
AM
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Dental
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
PPOM1
72148
4334
J1118
36373
16105
53476
53476
61665
16112
SX089
PCNY0
65088
73145
73145
AMS01
60054
J1095
J1096
J1496
33898
61106
61106
31478
31478
60110
4320
Name
State
PPOM
MI
PPOPLUS LLC
PRACTICARE, INC
PRAIRIE MEADOWS
PRAIRIE STATES ENTERPRISES, INC
PRE-PAID HEALTHPLAN
PREFERRED BENEFIT ADMINISTRATORS
PREFERRED BENEFIT ADMINISTRATORS
PREFERRED BENEFITS ADMINISTRATOR (PBA)
PREFERRED CARE
PREFERRED CARE
PREFERRED CARE NEW YORK
NY
NY
PREFERRED CARE PARTNERS
PREFERRED COMMUNITY
PREFERRED COMMUNITY CHOICE
PREFERRED COMMUNITY CHOICE
PREFERRED DENTAL ORGANIZATION
PREFERRED EMPLOYERS
PREFERRED EMPLOYERS GROUP
PREFERRED EMPLOYERS INSURANCE COMPANY (PEI)
PREFERRED HEALTH CARE PPO
PREFERRED HEALTH PLAN
KY
PREFERRED HEALTH PLAN (LOUISVILLE, KY)
PREFERRED HEALTH PROFESSIONALS - DENTAL
PREFERRED HEALTH PROFESSIONALS KANSAS
KS
PREFERRED HEALTH SYSTEMS INSURANCE CO (PHSIC)
PREFERRED HEALTHCARE SYSTEMS PPO
PA
Payer
Type
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
WC
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Dental
Prof
Prof
Prof
Inst
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Inst
Dental
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
4320
PFIPA
66059
36401
14163
14162
41147
41147
60110
41147
41147
BSAK1
430
430
CX078
61101
65054
251PR
251PR
90440
PREHP
PREHP
CX014
PRESA
45056
77003
45056
Name
PREFERRED HEALTHCARE SYSTEMS PPO - INST
State
PA
PREFERRED IPA
PREFERRED MEDICARE CHOICE (PMC)
PR
PREFERRED NETWORK ACCESS, INC (DARIEN, IL)
PREFERRED ONE (CT) WELLCARE
CT
PREFERRED ONE (CT), A DIVISION OF FIRST CHOICE
PREFERRED ONE ADMINISTRATIVE SERVICES
PREFERRED ONE COMMUNITY HEALTH PLAN
PREFERRED PLUS OF KANSAS
PREFERREDONE
PREFERREDONE MN
PREMERA BLUE CROSS BLUE SHIELD ALASKA
KS
MN
MN
AK
PREMERA BLUE CROSS WASH ALASKA - INST
PREMERA BLUE CROSS WASHINGTON
WA
PREMIER ACCESS INSURANCE
PREMIER BENEFITS SYSTEM
PREMIER EYE CARE
PREMIER HEALTH PLAN (OHIO)
PREMIER HEALTH PLAN (OHIO) INST
PREMIER HEALTH SYSTEMS INC
PRESBYTERIAN HEALTH PLAN
PRESBYTERIAN HEALTH PLAN (COMMERCIAL)
NM
PRESBYTERIAN SALUD
PRESBYTERIAN SALUD MEDICAID
PRESTIGE HEALTH CHOICE
PRESTIGE HEALTH CHOICE BEGIN 5-01-2014
PRESTIGE HEALTH CHOICE THRU DOS 4-30-2014
NM
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
BL
BL
BL
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Inst
Prof
Prof
Prof
Prof
Inst
Dental
Dental
Prof
Inst
Prof
Prof
Inst
Prof
Dental
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Dental
Prof
Inst
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
N
N
N
N
N
N
N
Y
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
PCACZ
IP080
73288
PRIME
PMC11
PMC11
56144
56144
63088
63088
J1673
J1673
56190
11678
61604
61604
IP079
IP079
IP079
IP079
IP079
IP079
IP079
IP079
IP079
IP079
CX014
Name
PRIMARY CARE ASSOCIATES OF CALIFORNIA MEDICAL
PRIMARY CARE PHYSICIANS
State
CA
CA
PRIMARY DELIVERY SYSTEM
PRIMARY HEALTH NETWORK
PRIMARY MEDICAL CARE
PRIMARY MEDICAL CLINIC
PRIMARY PHYSICIAN CARE INC
PRIMARY PHYSICIANCARE, INC
PRIME HEALTH
PRIME HEALTH
PRIME HEALTHCARE
PRIME HEALTHCARE (AUTO ONLY)
PRIME VISION HEALTH PLAN
PRIME WEST (MEDICAID)
PRIME WEST HEALTH PLAN
PRIME WEST HEALTH PLAN
PRIMECARE MEDICAL NETWORK CHINO
PRIMECARE MEDICAL NETWORK CORONA
PRIMECARE MEDICAL NETWORK HEMET
PRIMECARE MEDICAL NETWORK INLAND VALLEY
PRIMECARE MEDICAL NETWORK MORENO
PRIMECARE MEDICAL NETWORK REDLANDS
PRIMECARE MEDICAL NETWORK RIVERSIDE
PRIMECARE MEDICAL NETWORK SUN CITY
PRIMECARE MEDICAL NETWORK TEMECULA
PRIMECARE MEDICAL NETWORK - INST
PRIMECARE, WISCONSIN STATE AND FEDERAL EMPLOYEES AND MEDICAID
MN
MN
MN
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Dental
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
PTIME
PRI01
61271
61271
PRINT
SPRNT
99999
99999
38217
CX014
37303
37268
38329
70259
TPC84
36331
36331
36331
59296
41163
41163
34134
34134
J1748
C1040
PR081
PROSP
Name
PRIMETIME HEALTH PLAN
State
OH
PRINCETON PREMIER IPA
PRINCIPAL FINANCIAL GROUP - DENTAL
PRINCIPAL LIFE INSURANCE COMPANY
PRINT TO PAPER
PRINT TO PAPER
PRINT TO PAPER - HCFA
PRINT TO PAPER - UB
PRIORITY HEALTH
PRIORITY PARTNERS - DENTAL
PRISM FIRST HEALTH
PRISM HEALTH NETWORKS
PRO CARE HEALTH PLAN, INC
PROCARE HEALTH PLAN MEDICAID
PRODUCERS HEALTH BENEFIT PLAN
PROFESSIONAL BEN OAK BROOK IL
PROFESSIONAL BENEFIT ADMINISTRATORS, INC
PROFESSIONAL BENEFIT ADMINISTRATORS, INC (OAK BROOK, IL)
PROFESSIONAL BENEFITS ADMINISTRATORS
PROFESSIONAL CLAIM ADMINISTRATORS
PROFESSIONAL CLAIM ADMINISTRATORS
PROFESSIONAL RISK MANAGEMENT
PROFESSIONAL RISK MANAGEMENT
PROGRESSIVE
PROPERTY AND CASUALTY CO OF HARTFORD (AUTO ONLY)
PROSALUD PUERTO RICO
PROSPECT MEDICAL GROUP
PR
CA
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
AM
AM
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Inst
Prof
Dental
Prof
Prof
Prof
Prof
Dental
Inst
Dental
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
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FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
PR027
J1568
J1568
70408
70408
PHP01
PHP01
PHP01
PHP00
PHP01
PHP01
PHP01
PHP01
PHP01
91131
PHPPP
PHP01
PHP01
62308
62308
62308
62308
62308
68195
51032
51032
9822
Name
PROSSAM PLUS
State
PR
PROTECTIVE INSURANCE CO
PROTECTIVE INSURANCE CO (AUTO ONLY)
PROTECTIVE LIFE
PROTECTIVE LIFE INSURANCE COMPANY (BIRMINGHAM AL)
PROVIDENCE CHOICE OPTION
PROVIDENCE GOOD HEALTH PLAN
PROVIDENCE HEALTH PLAN
PROVIDENCE HEALTH PLAN (PROVIDENCE PREFERRED PPO)
PROVIDENCE HEALTH PLAN HMO
PROVIDENCE MEDICAID
PROVIDENCE MEDICAID OPTION
PROVIDENCE MEDICARE EXTRA
PROVIDENCE OPTION
PROVIDENCE PREFERRED OF WASHINGTON
PROVIDENCE PREFERRED(PRINT TO PAPER)
PROVIDENCE TRADITIONAL OPTION
PROVIDENCE TRADITIONAL OPTION
PROVIDENT
PROVIDENT HEALTHSOURCE
PROVIDENT LIFE ACCIDENT
PROVIDENT LIFE CASUALTY
PROVIDENT PREFERRED NETWORK
PROVIDENT PREFERRED NETWORK DENTAL
PROVIDER NETWORKS OF AMERICA (PRO-NET)
PROVIDER NETWORKS OF AMERICA (PRONET)
PROVIDER SERVICE NETWORK MEDICAID (JMHP)
OR
Payer
Type
CI
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Dental
Inst
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
N
N
N
N
For questions, please contact
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FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
9822
48100
48100
68241
PR002
PR002
68241
PR002
60054
PR002
PR002
87056
PR002
PR002
PR002
PR002
41556
PR002
PR002
PR002
PR002
PR002
PR002
PR002
PR002
PR002
68241
Name
State
PROVIDER SERVICE NETWORK MEDICAID (JMHP) INST
PROVIDRS CARE NETWORK - WPPA
PROVIDRS CARE NETWORK - WPPA - INST
KS
KS
PRUCARE
PRUCARE ASO
PRUCHOICE
PRUD
PRUDENTIAL
PRUDENTIAL DENTAL ORGANIZATION
PRUDENTIAL HEALTH CARE SYSTEMS
PRUDENTIAL HEALTH INSURANCE
PRUDENTIAL HEALTHDELEGATED PROVIDER GROUP
PRUDENTIAL INDEMNITY
PRUDENTIAL INNETWORK
PRUDENTIAL MANAGED HEALTH CARE
PRUDENTIAL OUTOFNETWORK
PRUDENTIAL OVERALL SUPPLY - AZ, CA
PRUDENTIAL PHARMACY MGT
PRUDENTIAL PLUS
PRUDENTIAL POINT OF SERVICE
PRUDENTIAL PSYCHIATRIC MGT
PRUDENTIAL RESOURCES MGT
PRUDENTIAL SELECT
PRUDENTIAL TRADITIONAL
PRUNET
PRUNET WORK
PRUNETWORK
CA
CA
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Inst
Prof
Inst
Inst
Prof
Prof
Inst
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
PR002
PR002
PR002
PR002
51052
SX106
91136
91136
91136
91136
42172
42172
J1485
J1483
J1486
J1487
J1488
J1489
J1490
J1484
J1609
J1609
39197
39197
39197
35174
35174
Name
State
PRUNETWORK
PRUNETWORK PPO
PRUPPO
PRUPSYCH
PSYCHCARE LLC
PUBLIC EMPLOYEES HEALTH PROGRAMS
PUGET SOUND BENEFITS TRUST
PUGET SOUND BENEFITS TRUST
PUGET SOUND ELECTRICAL WORKERS TRUST
PUGET SOUND ELECTRICAL WORKERS TRUST
PUGET SOUND HEALTH PARTNERS
PUGET SOUND HEALTH PARTNERS
QBE - GENERAL CASUALTY - EDEN PRAIRIE
QBE - GENERAL CASUALTY - FARMERS UNION
QBE - GENERAL CASUALTY - FREEPORT
QBE - GENERAL CASUALTY - INDIANAPOLIS
QBE - GENERAL CASUALTY - SIMSBURY
QBE - GENERAL CASUALTY - SUN PRAIRIE
QBE - GENERAL CASUALTY - WEST DES MOINES
QBE - GENERAL CASUALTY CO OF WISCONSIN
QPS EMPLOYMENT GROUP
QPS EMPLOYMENT GROUP (AUTO ONLY)
QUAD MED
QUAD MED
QUAD MED LLC (PEWAUKEE, WI)
QUAL CHOICE OF ARKANSAS
QUAL CHOICE OF ARKANSAS INST
AR
AR
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
WC
WC
WC
WC
WC
WC
WC
AM
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Dental
Prof
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
For questions, please contact
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FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
1250 QUAL CHOICE OF OHIO
QMDNJ QUAL-MED NEW JERSEY
QUANM QUAL-MED NEW MEXIICO
QMDPH QUAL-MED PHILADELPHIA
QMDCO QUAL-MED, COLORADO (CO)
QMDCE QUAL-MED, COLORADO EPO
QMDPO QUAL-MED, PORTLAND (PO)
QMDSE QUAL-MED, SEATTLE (SE)
QMDSP QUAL-MED, SPOKANE (SP)
23342 QUALCARE
23342 QUALCARE INST
41556 QUALITY CARE CONV
89461 QUALITY CARE PARTNERS (QCP)
89461 QUALITY CARE PARTNERS (QCP) - INST
41556 QUALITY HEALTH M G
QHP01 QUALITY HEALTH PLANS INC
QHPNY QUALITY HEALTH PLANS NEW YORK
41556 QUEEN OF ANGELS - HOLLYWOOD
73067 QUICKTRIP
73067 QUICKTRIP
37129 QUINCY HEALTH CARE MANAGEMENT INC
37129 QUINCY HEALTH CARE MANAGEMENT INC
57117 QVI RISK SOLUTIONS
J1522 RALEY'S FAMILY OF FINE STORES
38512 RAMPART INSURANCE COMPANY
J1663 RAMSEY COUNTY (MN)
J1663 RAMSEY COUNTY (MN) (AUTO ONLY)
State
OH
NJ
NM
PA
CO
CO
OR
WA
WA
NY
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
WC
CI
CI
WC
CI
CI
CI
CI
CI
WC
WC
WC
AM
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
J1635
J1635
91176
41556
J1675
J1675
A0205
20044
IP122
IP120
IP123
BSUT2
UTFEP
38221
J1484
47076
47076
J1467
41556
RENGQ
RLHA1
76066
12475
J1008
J1597
J1597
J1376
Name
State
RANCHO SANTIAGO COMMUNITY COLLEGE DISTRICT (CA)
RANCHO SANTIAGO COMMUNITY COLLEGE DISTRICT (CA) (AUTO ONLY)
RBMS
AK
RCH PROTECTIVE - SNCC
RECOLOGY
RECOLOGY (AUTO ONLY)
RED OAK INDEPENDENT SCHOOL DISTRICT
REDWOOD FIRE AND CASUALTY INSURANCE COMPANY (MEMBER OF BHHC)
REGAL BAKERFIELD
REGAL MEDICAL GROUP IPA
REGAL VICTOR VALLEY
REGENCE BCBS UTAH
REGENCE BCBS UTAH FEDERAL
REGENCY EMPLOYEE BENEFITS
REGENT INSURANCE COMPANY - QBE DBA
REGIONAL CARE, INC
REGIONAL CARE, INC
REGIS BRANDS
REHAB CENTER OF BEVERLY HILLS
RENAISSANCE GULF QUEST
RENAISSANCE LIFE AND HEALTH
RENAISSANCE PHYSICIANS ORGANIZATION
REPUBLIC FRANKLIN INSURANCE
REPUBLIC INDEMNITY COMPANY OF AMERICA
REPUBLIC WESTERN INS CO
REPUBLIC WESTERN INS CO (AUTO ONLY)
RESCARE, INC
CA
CA
CA
UT
UT
Payer
Type
WC
AM
CI
WC
WC
AM
WC
WC
CI
CI
CI
BL
BL
CI
WC
CI
CI
WC
WC
CI
CI
CI
WC
WC
WC
AM
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
73066
73066
J1097
J1098
41556
37277
RPPG1
J1202
37270
37270
VESTA
J1099
41556
J1100
74205
74205
37331
J1491
J1101
RCMG1
J1546
J1477
45281
16117
16117
16117
41556
Name
State
RESERVE NATIONAL
RESERVE NATIONAL
RESIDENTIAL SERVICES GROUP
RESTAURANT REINSURANCE LIMITED
RESTORATION PROF
RESURRECTION HEALTH CARE HEALTH PREFERRED
RESURRECTION PHYSICIAN PROVIDERS GROUP
RETURN TO WORK
REYNOLDS AND REYNOLDS
REYNOLDS AND REYNOLDS INST
RH ADMINISTRATORS - INST
RHONE-POULENC,INC
RICK CONCRETE CONST
RIETH-RILEY CONSTRUCTION COMPA
RIGHT CARE SCOTT WHITE
RIGHT CARE SCOTT WHITE INST
RIGHTCHOICE BENEFITS ADMINISTRATORS
RISK ENTERPRISE MANAGEMENT (REM)
RISK TRANSFER TECHNOLOGIES, INC
RIVER CITY MEDICAL GROUP
RIVERPORT INSURANCE (MN SCHOOL BOARD ASSOCIATION)
RIVERPORT INSURANCE COMPANY (AGRICULTURAL ONLY)
RIVERSIDE HEALTH INC
RMSCO
RMSCO, INC
RMSCO, INC
ROBSTOWN ISD
CA
MN
Payer
Type
CI
CI
WC
WC
WC
CI
CI
WC
CI
CI
CI
WC
WC
WC
CI
CI
CI
WC
WC
CI
WC
WC
CI
CI
CI
CI
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Inst
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
41625 ROCHESTER PUBLIC SCHOOLS
27065 ROCKFORD MUTUAL INSURANCE COMPANY
27065 ROCKFORD MUTUAL INSURANCE COMPANY (AUTO ONLY)
41556 ROCKWALL ISD
75196 ROCKWELL INTERNATIONAL
RMHM1 ROCKY MOUNTAIN HMO
RMHM1 ROCKY MOUNTAIN HMO INST
TRW01 ROOFERS WATERPROOFERS LOCAL 136 HW FUND
37602 ROONEY LIFE INC
37602 ROONEY LIFE INC - INST
41556 ROSE GARDEN GUEST HO
36215 ROSEMONT OF DES PLAINES, IL
41556 ROSEWOOOD EQUIPMENT
TPC85 ROSLYN TEACHERS ASSOC BENEFIT FUND
41556 ROSSI CONCRETE, INC
J1516 ROTH STAFFING COMPANIES
RR001 ROYAL RESOURCES
J1102 RSC INSURANCE SERVICES, LTD
41556 RURAL SPECIAL DISTRICT INSURANCE PROGRAM
36339 RUSH HEALTH ASSOCIATION
36339 RUSH HEALTH ASSOCIATION
36332 RUSH HEALTH PROVIDERS
36389 RUSH PRUDENTIAL HMO
36389 RUSH PRUDENTIAL HMO
63070 RWDSU BENEFIT FUND
63070 RWDSU BENEFIT FUND
J1009 RYDER SERVICES, INC
State
CO
CO
Payer
Type
CI
WC
AM
WC
CI
CI
CI
CI
CI
CI
WC
CI
WC
CI
WC
WC
CI
WC
WC
CI
CI
CI
CI
CI
CI
CI
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Dental
Prof
Prof
Prof
Prof
Prof
Inst
Dental
Prof
Inst
Prof
Inst
Prof
Dental
Prof
Prof
Dental
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
31441
31441
J1728
J1728
24740
CX030
J1103
35164
35164
37105
J1658
J1658
41556
J1730
J1730
66063
41556
62308
TFQ67
J1690
J1690
J1638
J1638
41556
41556
41556
41556
Name
State
S S HEALTHCARE STRATEGIES
S S HEALTHCARE STRATEGIES
SA RECYCLING, LLC
SA RECYCLING, LLC (AUTO ONLY)
SAFECO INSURANCE
SAFEGUARD DENTAL VISION
SAFETY-KLEEN CORPORATION
SAGAMORE HEALTH NETWORK
SAGAMORE HEALTH NETWORK
SAGE TECHNOLOGIES
SAINT LOUIS COUNTY (MN)
SAINT LOUIS COUNTY (MN) (AUTO ONLY)
SALT LAKE CITY CORPORATION
SALT LAKE CITY CORPORATION
SALT LAKE CITY CORPORATION (AUTO ONLY)
SALUD DORADA MEDICARE
SAM KANE BEEF PROCESSORS, INC
SAMBA (CIGNA)
SAMBA FEDERAL EMPLOYEE BENEFIT ASSOC
SAN BERNARDINO COUNTY SUPERINTENDENT OF SCHOOLS (CA)
SAN BERNARDINO COUNTY SUPERINTENDENT OF SCHOOLS (CA) (AUTO ONLY)
SAN DIEGO COMMUNITY COLLEGE DISTRICT (CA)
SAN DIEGO COMMUNITY COLLEGE DISTRICT (CA) (AUTO ONLY)
SAN DIEGO HOSPICE AND THE INSTITUTE FOR PALLIATIVE MEDICINE
SAN DIEGO METROPOLITAN TRANSIT SYSTEM (SCHIP LIABILITY)
SAN DIEGO TRANSIT CORP
SAN DIEGO TROLLEY, INC
PR
Payer
Type
CI
CI
WC
AM
WC
CI
WC
CI
CI
CI
WC
AM
WC
WC
AM
CI
WC
CI
CI
WC
AM
WC
AM
WC
WC
WC
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Inst
Prof
Prof
Prof
Dental
Prof
Prof
Inst
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
J1656
J1656
37236
41556
91184
TPC05
TPC86
TPC87
37288
37288
SBIPA
41556
10378
24077
J1518
IP027
77038
80705
73172
73172
SCAN1
SCAN1
20460
20460
TPC88
16146
J1104
Name
State
SAN DIEGOIMPERIAL SCHOOLS JPA (CA)
SAN DIEGOIMPERIAL SCHOOLS JPA (CA) (AUTO ONLY)
SAN FRANCISCO ELEC WKR HLTH
SAN JOAQUIN COUNTY
SANFORD HEALTH PLAN
SANFORD HEALTH PLAN - DENTAL
SANITATION OFFICERS RETIREE
SANITATION OFFICERS SECURITY FUND
SANTA BARBARA COTTAGE HOSPITAL
SANTA BARBARA COTTAGE HOSPITAL
SANTA BARBARA SELECT IPA MEDICAL GROUP
CA
CA
SANTA CLARA CO OFFICE OF EDUC
SANTA CLARA COUNTY IPA (SCCIPA)
CA
SANTA CLARA FAMILY HEALTH PLAN
SANTA CLARA VALLEY TANSPORTATION AUTHORITY
SANTA MARTA MEDICAL GROUP
CA
SANTE HEALTH SYSTEMS
SANUS PPO - GREAT WEST
SCAN HEALTH PLAN ARIZONA
SCAN HEALTH PLAN ARIZONA - INST
SCAN HEALTH PLAN CALIF
SCAN HEALTH PLAN CALIF - INST
SCAN LONG TERM CARE
SCAN LONG TERM CARE - DENTAL
SCCEA WELFARE FUND
SCHC TOTAL CARE
SCHLUMBERGER TECHNOLOGY
AZ
AZ
CA
CA
Payer
Type
WC
AM
CI
WC
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Y
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Inst
Prof
Prof
Dental
Dental
Dental
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Dental
Dental
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
41556
J1560
TLW27
J1538
SCION
88030
88030
J1049
SHPS1
SHPS1
IP112
J1499
13310
13310
J1379
TLY98
28530
28530
87726
95959
95964
COFHP
95962
95959
95959
95959
95959
Name
State
SCHNEIDER GAIN
SCHNUCK MARKET, INC
SCHOOL CLAIM SERVICES, LLC (PA)
SCIF AZ
SCION DENTAL
SCOTT WHITE HEALTH CARE PLAN
SCOTT WHITE HEALTH CARE PLAN INST
TX
TX
SCOTTS MIRACLE-GRO COMPANY
SCRIPPS HEALTH PLAN SERVICES
SCRIPPS HEALTH PLAN SERVICES
SEA VIEW IPA
SEABRIGHT (SBIC)
SEABURY SMITH
SEABURY SMITH
SECURA INSURANCE A MUTUAL COMPANY
SECURE CARE DENTAL
SECURE HEALTH PLANS OF GEORGIA
SECURE HEALTH PLANS OF GEORGIA
SECURE HORIZONS DIRECT FFS UNITED HEALTHCARE
SECURE HORIZONS OF CALIFORNIA HMO
SECURE HORIZONS OF ARIZONA HMO
SECURE HORIZONS OF COLORADO
SECURE HORIZONS OF COLORADO HMO
SECURE HORIZONS OF OKLAHOMA HMO
SECURE HORIZONS OF OREGON HMO
SECURE HORIZONS OF TEXAS HMO AKA MEDICARE COMPLETE
SECURE HORIZONS OF WASHINGTON HMO
CA
AZ
CO
CO
OK
OR
TX
WA
Payer
Type
WC
WC
CI
WC
CI
CI
CI
WC
CI
CI
CI
WC
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
Y
Y
Y
Y
Format Claim Status Eligibility
Prof
Prof
Dental
Prof
Dental
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Dental
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
N
Y
Y
Y
Y
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
42142
39045
39045
39045
J1661
J1661
TP097
41556
41556
41556
64088
64088
64088
93031
42137
42137
CX018
93031
37282
37282
23285
23285
J1446
14
14
GTPA1
KLSY1
Name
State
Payer
Type
CI
CI
SECURITY HEALTH PLAN DENTAL
CI
SECURITY HEALTH PLAN INST
CI
SEDGWICK CARGILL, INC
WC
SEDGWICK CARGILL, INC (AUTO ONLY)
AM
SEDGWICK CMS
WC
SEENO CONSTRUCTION (CHARTIS)
WC
SEENO HOMES
WC
SELA HEALTH CARE
WC
SELECT ADMINISTRATIVE SERVICES
MS
CI
SELECT ADMINISTRATIVE SERVICES DENTAL
CI
SELECT ADMINISTRATIVE SVC SAS
CI
SELECT BENEFIT ADMINISTRATORS
CI
SELECT BENEFIT ADMINISTRATORS
IA
CI
SELECT BENEFIT ADMINISTRATORS (DES MOINES,
CI
SELECT BENEFIT ADMINISTRATORS (OR)
CI
SELECT BENEFIT ADMINISTRATORS INC
CI
SELECT BENEFIT ADMINISTRATORS OF AMERICA (ASHLAND, WI)
CI
SELECT BENEFITS ADMINISTRATORS OF AMERICA
CI
SELECT HEALTH OF SOUTH CAROLINA
CI
SELECT HEALTH OF SOUTH CAROLINA
CI
SELECT STAFFING (KOOSHAREM, REAL TIME STAFFING, REMEDY, SELECTREMEDY AND WESTAFF)
WC
SELECTCARE
CI
SELECTCARE - INST
CI
SELECTCARE OF TX (BEAUMONT)
CI
SELECTCARE OF TX (KELSEY-SEYBOLD)
CI
SECURECARE OF IOWAINFOTRUST
SECURITY HEALTH PLAN
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Dental
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Inst
Prof
Prof
Inst
Dental
Inst
Prof
Inst
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
SX107
12572
34131
52196
59111
36404
36404
34131
J1520
34131
41556
36426
36426
36390
36390
83035
83035
CX014
54154
54154
C1040
23249
23249
C1033
J1417
39033
39033
Name
SELECTHEALTH - IHC (UHIN)
State
UT
SELECTIVE
SELF FUNDED PLANS INC DENTAL
SELF FUNDING ADMINISTRATORS
SELF INSURED BENEFIT ADMINISTRATORS (CLEARWATER, FL)
SELF INSURED PLANS
SELF INSURED PLANS LLC
FL
SELF-FUNDED PLANS, INC
SELF-INSURED SCHOOLS OF CALIFORNIA (SISC)
CA
SELFFUNDED PLANS
SELMAN BREITMAN
SENDERO HEALTH
SENDERO HEALTH INST
TX
TX
SENIOR CARE PARTNERS
SENIOR CARE PARTNERS
SENIOR WHOLE HEALTH
SENIOR WHOLE HEALTH
SENIOR WHOLE HEALTH MASS - DENTAQUEST
MA
SENTARA FAMILY CARE
SENTARA HEALTH MANAGEMENT
SENTINEL INSURANCE COMPANY LTD
SENTINEL MANAGEMENT SERVICES
SENTINEL MANAGEMENT SERVICES
SENTRY AUTO
SENTRY INSURANCE
SENTRY INSURANCE
SENTRY INSURANCE
PA
Payer
Type
CI
WC
CI
CI
CI
CI
CI
CI
WC
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
AM
CI
CI
AM
WC
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Dental
Inst
Dental
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Inst
Prof
Dental
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
State
AMM07 SEOUL MEDICAL GROUP
CA
TPC89 SERVICE EMPLOYEES 32BJ NORTH HEALTH
J1593 SERVICE LLOYDS INSURANCE CO
J1593 SERVICE LLOYDS INSURANCE CO (AUTO ONLY)
TSG01 SET SEG SET, INC
76056 SETON CHIP
SHEBP SETON EMPLOYEE PLAN
TX
SHPCH SETON HEALTH PLAN CHIP
TX
EPNSH SETON HEALTH PLAN EXCLUSIVE PROVIDER NETWORK
TX
SHMAP SETON HEALTH PLAN - MAP PROGRAM
TX
SET22 SETON HEALTH PLAN - STAR MEDICAID
STAR1 SETON STAR
TX
25404 SEVEN CORNERS
25404 SEVEN CORNERS
J1456 SFN GROUP (SPHERION, TECHNISOURCE, TATUM, THE MERGIS GROUP, SOURCE RIGHT)
87726 SHARE ADVANTAGE HEALTH PLAN
UH005 SHARE HEALTH PLAN ILLHMO
87726 SHARE HEALTH PLAN ILXHMO
IL
UH006 SHARE HEALTH PLAN ILLPPO
41556 SHARYLAND INDEPENDENT SCHOOL DISTRICT
75280 SHASTA ADMINISTRATIVE SERVICES
75280 SHASTA ADMINISTRATIVE SERVICES
J1468 SHAWSSTARMARKET
SMW01 SHEET METAL 91 HEALTH WELFARE FUND
OBASM SHEET METAL WORKERS LOCAL 263 HEALTH WELFARE FUND
OBASM SHEET METAL WORKERS LOCAL 263 HEALTH AND WELFARE FUND
SMW01 SHEET METAL WORKERS LOCAL 91
Payer
Type
CI
CI
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
WC
CI
CI
WC
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Dental
Prof
Prof
Dental
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Dental
Prof
Prof
Dental
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
SMW99 SHEET METAL WORKERS LOCAL 91
SLI01 SHENANDOAH LIFE INSURANCE COMPANY
SC359 SHERMANCHOICE
HM024 SHIELD 65
TPC90 SHOPMEN IRONWORKERS WELFARE PLA
76342 SIERRA HEALTH PLAN
76342 SIERRA HEALTH PLAN - INST
41556 SIERRA NEVADA MEMORIAL
23250 SIGNIFICA BENEFIT SERVICES FKA ERIN GROUP
23250 SIGNIFICA BENEFIT SERVICES FKA ERIN GROUP
41556 SILBERBERGER ENGN
27094 SIMPLY HEALTHCARE PLANS
84076 SINCLAIR HEALTH PLAN
SVH01 SIOUX VALLEY HEALTH PLAN
SVH01 SIOUX VALLEY HEALTH PLAN
540
SISCO - SELF INSURED SERVICES COMPANY
41556 SKB CORPORATION
84096 SLOANS LAKE MANAGED CARE
84096 SLOANS LAKE MANAGED CARE
84096 SLOANS LAKE MANAGED CARE
2057 SMITH ADMINISTRATORS
2057 SMITH ADMINISTRATORS INST
J1105 SNAP-ON INCORPORATED
J1106 SOLVAY AMERICA INC
J1381 SONIC AUTOMOTIVE INC
E3510 SONOMA COUNTY PRIMARY CARE
94156 SONOMA FOUNDATION CAL
State
CA
NV
CA
Payer
Type
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
WC
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
WC
WC
WC
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Dental
Prof
Prof
Dental
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
41556
41556
AMS01
AMS01
91131
91131
TPC11
23266
32266
J1731
J1731
SX142
25147
25147
86068
STGEB
SEI01
SEI99
37318
37318
SCP01
BPA01
J1690
J1690
56131
25128
J1648
Name
State
SONOMA VALLEY HEALTHCARE DISTRICT
SONOMA VALLEY HLTH
SONORAN DESERT HEALTH
SOONER HEALTH NETWORK
SOUND HEALTH
MT
SOUND HEALTH (NOW KNOWN AS FIRST CHOICE
SOUTH CAROLINA HEALTHY CONNECTIONS DENTAL
SOUTH CENTRAL PREFERRED
SOUTH CENTRAL PREFERRED
SOUTH COAST AREA TRANSIT (CA)
SOUTH COAST AREA TRANSIT (CA) (AUTO ONLY)
SOUTH INDIANA HEALTH ORG (SIHO)
IN
SOUTHCARE HEALTHCARE PREFERRED
SOUTHCAREHEALTHCARE PREFERRED
SOUTHEAST IOWA HEALTH PLAN
SOUTHEAST TEXAS GOVT EMPLOYEE BENEFITS
IA
TX
SOUTHEASTERN SERVICE EMPLOYEE INTERNATIONAL UNION (SEIU)
SOUTHEASTERN SERVICE EMPLOYEES INTERNATIONAL UNION
SOUTHERN BENEFIT SERVICES LLC
SOUTHERN BENEFIT SERVICES LLC
SOUTHERN CAL PHYSICIANS MANAGED
SOUTHERN CALIFORNIA LUMBER
SOUTHERN CALIFORNIA RISK MANAGEMENT
SOUTHERN CALIFORNIA RISK MANAGEMENT (AUTO ONLY)
SOUTHERN GROUP ADMINISTRATORS
SOUTHERN HEALTH SERVICES COVENTRY
SOUTHERN TEXTILE RECYCLING, INC (CA)
CA
Payer
Type
WC
WC
CI
CI
CI
CI
CI
CI
CI
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
AM
CI
CI
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Inst
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Dental
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
J1648
SIPA1
SSGAB
IP113
J1233
41556
37266
37266
60054
68241
PR002
PR002
PR002
52190
52190
41556
773
41556
48117
48117
22240
22240
35199
35199
37264
37264
68033
Name
State
SOUTHERN TEXTILE RECYCLING, INC (CA) (AUTO ONLY)
SOUTHLAND IPA
SOUTHLAND SAN GABRIEL VALLEY MEDICAL GROUP
CA
SOUTHWEST ADMINISTRATORS
SOUTHWEST AIRLINES (SWA)
SOUTHWEST GAS CORPORATION
SOUTHWEST SERVICE LIFE
SOUTHWEST SERVICE LIFE
TX
SOUTHWESTERN BELL
SOUTHWESTERN BELL
SOUTHWESTERN BELL
SOUTHWESTERN BELL EXEC CUSTOM CARE
SOUTHWESTERN BELL EXEC SOUTHWESTERN BELL
SPECIAL RISK INTERNATIONAL
SPECIAL RISK INTERNATIONAL
SPECIALTY COFFEE
SPECTERA UNITED HEALTHCARE VISION
SPOONER'S WOODWORKS
SSM EXCLUSIVE CHOICE (CORESOURCE)
SSM EXCLUSIVE CHOICE (CORESOURCE) - INST
ST BARNABAS SYSTEM HEALTH PLAN
ST BARNABAS SYSTEM HEALTH PLAN
ST CATHERINE HOSPITAL PHO (MDWISE)
ST FRANCIS HEALTH NETWORK
ST JOHNS CLAIMS ADMINIS
ST JOHNS CLAIMS ADMINISTRATION
ST JOSEPH HEALTH FOUNDATION OF NO CA
IN
Payer
Type
AM
CI
CI
CI
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Dental
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
STJOE
IP106
88029
41556
37116
37116
STM01
PDT01
J1118
41556
86304
86304
J1385
J1107
59225
59225
61425
61425
STR01
35076
STMSS
J1548
J1548
31053
31053
J1553
J1553
Name
ST JOSEPH HERITAGE HEALTHCARE
State
CA
ST JUDE
ST MARYS HEALTH PLAN
ST ROSE HOSPITAL
ST THERESE PHYSICIAN ASSOCIATES
IL
ST THERESE PHYSICIAN ASSOCIATION
ST THOMAS MEDICAL NETWORK (GULFQUEST)
ST VINCENT IPA
CA
STANDARD FORWARDING
STANDARD FRUIT AND VEG
STANDARD SECURITY LIFE
STANDARD SECURITY LIFE INST
STANLEY WORKS, INC
STANT CORPORATION
STAR HRG - STARBRIDGE PHOENIX PO BOX
STAR HRG - STARBRIDGE PHOENIX PO BOX INST
STARMARK
STARMARK
STARMOUNT LIFE INSURANCE COMPANY
STATE COMPENSATION INSURANCE FUND (SCIF)
STATE EMPLOYEES MISSISSIPPI
STATE FARM
STATE FARM (AUTO ONLY)
STATE FARM GROUP MEDICAL INDIV HEALTH
STATE FARM GROUP MEDICAL INDIV HEALTH INST
STATE FUND MUTUAL
STATE FUND MUTUAL (AUTO ONLY)
MS
Payer
Type
CI
CI
CI
WC
CI
CI
CI
CI
WC
WC
CI
CI
WC
WC
CI
CI
CI
CI
CI
WC
CI
WC
AM
CI
CI
WC
AM
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Dental
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
Y
N
N
Y
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
MERIT
69140
J1555
J1555
J1659
J1659
J1418
14163
14163
91151
91151
67829
41556
6089
31121
31121
31121
15752
41556
58128
TPC91
74227
74227
68381
74227
35199
CX014
Name
STATE MERIT GEORGIA
State
GA
STATE MUTUAL LIFE ASSUR CO AM
STATE OF MINNESOTA - DOER
STATE OF MINNESOTA - DOER (AUTO ONLY)
STATE OF NORTH CAROLINA
STATE OF NORTH CAROLINA (AUTO ONLY)
STATE OFFICE OF RISK MANAGEMENT
STAYWELL - STAYWELL HEALTHY KIDS
STAYWELL HEALTH PLAN
STERLING OPTION 1
STERLING OPTION 1
STERLING PARTNERS PPO
STIMSON LUMBER COMPANY - MT, OR, WA
STIRLING AND STIRLING BENEFITS
STONER ASSOCIATES (CINCINNATI, OH)
STONER AND ASSOCIATES (CINCINNATI, OH)
STONER AND ASSOCIATES (CINCINNATI, OH)
STONES RIVER REGIONAL IPA (SRRIPA) WINDSOR
STONINGTON C CLUB
STOWE ASSOCIATES (ATLANTA, GA)
STRUCTURAL STEEL BRIDGE PAINTERS
STUDENT INSURANCE - MID-WEST NATIONAL LIFE
STUDENT INSURANCE - THE MEGA LIFE HEALTH
STUDENT INSURANCE DENTAL
STUDENT INSURANCE DIVISION
SUBURBAN HEALTH ORGANIZATION
SUFFOLK COUNTY
FL
Payer
Type
CI
CI
WC
AM
WC
AM
WC
MC
MC
CI
CI
CI
WC
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Format Claim Status Eligibility
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Dental
Prof
Inst
Prof
Prof
Prof
Dental
Inst
Inst
Dental
Prof
Prof
Dental
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
11325
95202
95202
86071
37301
37301
J1108
J1437
31147
J1610
J1610
68241
PR002
68069
41556
68057
68057
J1584
J1584
41556
23218
23218
31117
SHP11
39188
39188
41556
Name
State
SUFFOLK HEALTH PLAN OF NEW YORK (NHP)
SUMMACARE HEALTH PLAN
SUMMACARE HEALTH PLAN INST
SUMMERLIN LIFE HEALTH
HI
SUMMIT AMERICA INSURANCE SERVICES LC
SUMMIT AMERICA INSURANCE SERVICES LC
SUMMIT HEALTH LTD
SUMMIT HOLDINGS
SUMMITCORP (OHIO BWC)
OH
SUN MAR HEALTHCARE
SUN MAR HEALTHCARE (AUTO ONLY)
SUN TRUST BANK
SUN TRUST BANK
SUNFLOWER STATE HEALTH PLAN KANSAS
KS
SUNRISE COUNTRY CLUB
SUNSHINE STATE HEALTH PLAN
SUNSHINE STATE HEALTH PLAN INST
FL
FL
SUNZ INSURANCE COMPANY
SUNZ INSURANCE COMPANY (AUTO ONLY)
SUPERIOR ACCESS INS SERVICES
SUPERIOR BENEFITS
SUPERIOR BENEFITS
SUPERIOR DENTAL CARE
SUPERIOR HEALTH PLAN
SUPERIOR HEALTH PLAN TEXAS
SUPERIOR HEALTH PLAN TEXAS INST
SUPERIOR INDUSTRIES INTERNATIONAL, INC
TX
TX
TX
Payer
Type
CI
CI
CI
CI
CI
CI
WC
WC
CI
WC
AM
CI
CI
CI
WC
CI
CI
WC
AM
WC
CI
CI
CI
CI
CI
CI
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
N
N
N
N
N
N
N
N
Y
N
N
Format Claim Status Eligibility
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Dental
Prof
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
Y
N
Y
Y
N
N
N
N
N
N
Y
Y
Y
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
41556
CPPSW
29076
29076
TPC92
TPC93
CX088
IP100
IP090
HM057
IP092
HM059
IP099
HM062
IP091
HM058
IP131
HM066
IP130
J1512
PR002
J1109
SYMED
SYMED
TALMG
88067
88067
Name
State
SUPERIOR READY MIX
SUPERIORSTAR PREGNANT WOMEN
SUPERMED PPO - 1ST MEDICAL
SUPERMED PPO -1ST MEDICAL
SUPREME COURT REPORTERS (ACTIVE)
SUPREME COURT REPORTERS (RETIREE)
SURENCY LIFE AND HEALTH DENTAL
SUTTER CONNECT DELTA CLAIMS
SUTTER CONNECT SANTA ROSA NETWORK CLAIMS
SUTTER CONNECT SANTA ROSA NETWORK ENCOUNTERS
SUTTER CONNECT SIP CLAIMS
SUTTER CONNECT SIP ENCOUNTERS
SUTTER CONNECT SOLANO REGIONAL MEDICAL GROUP CLAIMS
SUTTER CONNECT SOLANO REGIONAL MEDICAL GROUP ENCOUNTERS
SUTTER CONNECT SUTTER GOULD MEDICAL FOUNDATION CLAIMS
SUTTER CONNECT SUTTER GOULD MEDICAL FOUNDATION ENCOUNTERS
SUTTER CONNECT CENTRAL VALLEY CLAIMS
SUTTER CONNECT CENTRAL VALLEY ENCOUNTERS
SUTTER EAST BAY MEDICAL FOUNDATION
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
SUTTER HEALTH
SW BELL
SWIFT TRANSPORTATION
SYNERMED
SYNERMED - INST
TALBERT MEDICAL GROUP
TALL TREES ADMINISTRATORS
TALL TREES ADMINISTRATORS
CA
CA
Payer
Type
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
WC
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Dental
Inst
Prof
Dental
Dental
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
41556
37228
J1533
39157
41556
ADSL1
75139
75133
75133
75216
36215
36215
36215
WT008
88054
94304
94304
TPC97
TPC94
TPC95
TPC96
MC390
MC390
37293
37293
GTPA1
HPN11
Name
State
TAN MEDICAL GROUP
TARRANT HEALTH SERVICES
TX
TAYLOR CORPORATION (MURPHY AND BEANE)
TBG ADMINISTRATIVE SERVICES
WI
TD TILE
TEAM CHOICE - ALPHA CARE GOLD
TEAM CHOICE GOLD
TEAM CHOICE PPO
TEAM CHOICE PPO
TEAM CHOICE UMC
TEAMCARE
TEAMCARE
TEAMCARE
TEAMSTER CONSTRUCTION INDUSTRY WELFARE TRUST
TEAMSTERS (UTIDMT) GROUP BENEFIT ADMIN
TEAMSTERS BENEFIT TRUST
TEAMSTERS BENEFIT TRUST
TEAMSTERS LOCAL 1205 WELFARE FU
TEAMSTERS LOCAL 531
TEAMSTERS LOCAL 945
TEAMSTERS LOCAL 966
TENNCARE BLUECARE MEDICAID
TENNCARE BLUECARE MEDICAID INST
TN
TN
TENNESSEE BENEFIT ADMINISTRATORS
TENNESSEE BENEFIT ADMINISTRATORS, LLC
TEXAN PLUS (BEAUMONT)
TEXAN PLUS (HOUSTON)
TX
TX
Payer
Type
WC
CI
WC
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
MC
MC
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Dental
Prof
Inst
Prof
Dental
Dental
Dental
Dental
Prof
Inst
Prof
Inst
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
HPN11
KLSY1
A0235
A0234
J1581
J1581
76048
76048
TXCSM
45210
45210
77045
TX1ST
TOPA1
TOPA1
13185
86916
THS01
THS01
TMA11
74214
22945
A0245
TXP11
J1676
J1676
J1110
Name
TEXAN PLUS (INTEGRANET)
TEXAN PLUS (KELSEY-SEYBOLD)
State
TX
TX
TEXAS A AND M
TEXAS ASSOCIATION OF SCHOOL BOARDS
TEXAS BUILDERS INSURANCE CO
TEXAS BUILDERS INSURANCE CO (AUTO ONLY)
TEXAS CHILDRENS HEALTH PLAN
TEXAS CHILDRENS HEALTH PLAN
TEXAS CHILDRENS STAR MEDICAID
TX
TX
TX
TEXAS CHRISTUS
TEXAS CHRISTUS - MEDICAID
TX
TEXAS COMMUNITY CARE THRU DOS 12-31-2012
TEXAS FIRST HEALTH PLANS
TEXAS FIRST HEALTH PLANS (TIOPA) INST
TEXAS FIRST HEALTH PLANS (TIOPA)
TX
TX
TX
TEXAS FIRST HEALTH PLANS NORTH TX
TEXAS HEALTH STEPS
TEXAS HEALTHSPRING
TEXAS HEALTHSPRING INST
TX
TX
TX
TEXAS MEDICAL ASSN INSURANCE TRUST
TEXAS MUNICIPAL LEAGUE TML (COMMERCIAL)
TX
TEXAS MUTUAL INSURANCE
TEXAS MUTUAL LEAGUE (TML)
TEXAS PLAN ADMINISTRATORS TPA CONTACT DEBBIE MORALES AT
TEXAS ROADHOUSE, INC
TEXAS ROADHOUSE, INC (AUTO ONLY)
TEXAS SMALL BUSINESS POOL
TX
Payer
Type
CI
CI
WC
WC
WC
AM
CI
CI
MC
CI
CI
CI
CI
CI
CI
CI
MC
CI
CI
CI
CI
WC
WC
CI
WC
AM
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
TTCEC
TTCEC
TTCEC
UPGUT
68423
59223
74227
74227
TDN01
TDN02
28777
28777
J1671
J1671
16126
J1422
20356
34150
34150
35206
35206
58200
58200
23223
59227
59221
74227
Name
TEXAS TRUE CHOICE
TEXAS TRUE CHOICE
TEXAS TRUE CHOICE INST
TEXAS UNIVERSITY HEALTH PLAN UPG COMMERCIAL
THE CARE NETWORK AKA SAVANNAH BUSINESS GROUP
THE CHESAPEAKE LIFE INS
THE CHESAPEAKE LIFE INSURANCE COMPANY THE CHESAPEAKE LIFE INSURANCE COMPANY - STUDENT INSURANCE
THE DENTAL NETWORK (IN STATE DENTISTS ONLY)
THE DENTAL NETWORK (OUT OF STATE DENTISTS -- NOT IN MD OR DC)
THE EPOCH GROUP
THE EPOCH GROUP
THE GAP, INC
THE GAP, INC (AUTO ONLY)
THE GUARDIAN CHOICE
THE HARTFORD
THE HEALTH EXCHANGE
THE HEALTH PLAN
THE HEALTH PLAN
THE HEALTHCARE GROUP
THE HEALTHCARE GROUP
THE INTEGRITY BENEFIT GROUP, INC
THE INTEGRITY BENEFIT NETWORK, INC (MARRIETA, GA)
THE LOOMIS COMPANY - TPA (IHS GATEWAY)
THE MEGA LIFE HEALTH - OKLAHOMA CITY
THE MEGA LIFE HEALTH INS CO
THE MEGA LIFE HEALTH INSURANCE COMPANY -
State
TX
TX
TX
TX
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
AM
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
Format Claim Status Eligibility
Prof
Prof
Inst
Prof
Prof
Inst
Inst
Dental
Dental
Dental
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
74227
59227
59221
J1615
J1615
70491
70491
70491
63092
13522
67814
CX025
68241
J1472
J1111
38200
38200
13269
THERA
COTHE
6131
6131
SC315
SC315
J1746
J1746
41556
Name
State
THE MEGA LIFE HEALTH INSURANCE COMPANY - STUDENT INSURANCE
THE MEGA LIFE HEALTH INSURANCE COMPANY-OKC
THE MEGA LIFE AND HEALTH INSURANCE
THE MEN'S WEARHOUSE, INC
THE MEN'S WEARHOUSE, INC (AUTO ONLY)
THE MUTUAL GROUP
THE MUTUAL GROUP (US)
THE MUTUAL GROUP TMG LIFE INSURANCE GROUP
THE OATH HEALTH PLAN FOR ALABAMA
AL
THE PERFECT HEALTH INSURANCE COMPANY
THE PHOENIX
THE PHYSICIANS ASSURANCE CORP - TPAC
THE PRUDENTIAL
THE SALVATION ARMY
THE SCOTTS COMPANY
THE WELLNESS PLAN
THE WELLNESS PLAN
THE ZENITH
THERAPHYSICS
THERAPHYSICS PACIFICARE COLORADO ONLY
THIRD PARTY CLAIMS
THIRD PARTY CLAIMS MANAGEMENT
THOMAS COOPER AND CO - BCBSSC
THOMAS COOPER AND CO - BCBSSC - INST
THOMAS MCGEE
THOMAS MCGEE (AUTO ONLY)
THOMAS STAFFING SERVICES, INCVENTURI STAFFING
CO
Payer
Type
CI
CI
CI
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
CI
CI
WC
CI
CI
CI
CI
CI
CI
WC
AM
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Dental
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
MP340
THRIV
TIC99
TIC01
J1392
J1392
39065
70491
74214
74214
WITH1
WITH1
48055
48055
TOPTN
TOPTN
AFL01
92620
92620
61425
61425
J1537
41556
THIPA
THIPA
TCARE
TCS01
Name
State
THREE RIVERS PREFERRED
THRIVENT FINANCIAL
TIC INTERNATIONAL
TIC INTERNATIONAL, INC
TIDEWATER MARINE WESTERN
TIDEWATER MARINE WESTERN (AUTO ONLY)
TIME INS CO FORTIS BENEFITS INS COMPANY
TMG LIFE INSURANCE COMPANY
TML INTERGOVERNMENTAL EMPLOYEE BENEFIT POOL
TML INTERGOVERNMENTAL EMPLOYEE BENEFITS POOL
TX
TX
TODAYS HEALTH
TODAYS HEALTH
TODAYS OPTION - PYRAMID BENEFITS
TODAYS OPTION - PYRAMID BENEFITS - INST
TODAYS OPTIONS MEDICARE ADVANTAGE (PYRAMID LIFE)
TODAYS OPTIONS MEDICARE ADVANTAGE (PYRAMID LIFE) INST
TOLEDO PUBLIC SCHOOLS
TONGASS TIMBER TRUST
AK
TONGASS TIMBER TRUST - INST
TOOLING MANUFACTURING ASSOCIATION
TOOLING AND MANUFACTURING ASSOCATION
TOPA INSURANCE COMPANY
CA
TOPANGA ROSCOE CORP
TORRANCE HOSPITAL IPA
TORRANCE HOSPITAL IPA
TOTAL CARE NEW YORK
TOTAL CLAIMS SOLUTIONS
CA
CA
NY
Payer
Type
CI
CI
CI
CI
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Inst
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Dental
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
N
N
N
Y
Y
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
TCS99
TCS99
38201
38201
38202
39202
J1112
41202
41202
13402
23856
23856
J1604
J1604
40134
69493
J1668
J1668
TXP11
37230
37230
J1505
59222
TFLIC
TLIN2
TLIN3
59222
Name
State
TOTAL CLAIMS SOLUTIONS
TOTAL CLAIMS SOLUTIONS
TOTAL HEALTH CARE MICHIGAN
TOTAL HEALTH CARE MICHIGAN INST
TOTAL HEALTH CHOICE FLORIDA
TOTAL HEALTH CHOICE FLORIDA INST
MI
MI
FL
FL
TOTAL PETROLEUM, INC
TOTAL PLAN SERVICES
TOTAL PLAN SERVICES INST
TOUCHSTONE HEALTH HEALTH NET SMART CHOICE
TOUCHSTONE PSO
TOUCHSTONE PSO INST
TOWER ENERGY GROUP
TOWER ENERGY GROUP (AUTO ONLY)
TOWER INSURANCE COMPANY (FORMERLY SUA INSURANCE)
TOWER LIFE INSURANCE CO
TOWN OF COLMA (CA)
TOWN OF COLMA (CA) (AUTO ONLY)
TPA (TEXAS PLAN ADMINISTRATORS)
TX
TR PAUL INC
TR PAUL, INC
TRACTOR SUPPLY COMPANY
TRANSAMERICA
TRANSAMERICA FINANCIAL LIFE INS CO
TRANSAMERICA LIFE INS CO (HURST TX)
TRANSAMERICA LIFE INS CO (LOUISVILLE KY)
TRANSAMERICA LIFE INSURANCE CO
KY
Payer
Type
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
WC
AM
WC
CI
WC
AM
CI
CI
CI
WC
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Format Claim Status Eligibility
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
TOLI2
20807
37284
37284
37284
TRAN1
19046
C1032
87726
87726
4284
41556
41556
J1477
20538
39181
73117
CX002
TDFIC
TDFIC
38520
38520
38520
99726
99726
WESTR
WESTR
Name
State
TRANSAMERICA OCCIDENTAL LIFE INS CO
TRANSCHOICE - FIRST SERVICE ADMINISTRATORS
TRANSCHOICE KBA
TRANSCHOICE KEY BENEFIT ADMINISTRATORS
TRANSCHOICE-KEY BENEFIT ADMINISTRATORS
TRANSWESTERN
TRAVELERS
TRAVELERS AUTO
TRAVELERS HEALTH NETWORK
TRAVELERS INST
TRAVELERSCGT
TRI-CITY HEALTHCARE DISTRICT
TRI-CITY LINEN SUPPL
TRI-STATE INSURANCE COMPANY
TRI-VALLEY MEDICAL GROUP
TRIAD HEALTHCARE
TRIBUTE SELECTCARE OF OKLAHOMA
TRICARE DENTAL PLAN (UCCI)
TRICARE FOR LIFE
TRICARE FOR LIFE - INST
TRICARE NORTH AND SOUTH REGION - INST
TRICARE NORTH REGION - PGBA
TRICARE SOUTH REGION - PGBA
TRICARE WEST - UHC
TRICARE WEST - UHC - INST
TRICARE WEST REGION INST THRU DOS 03-31-2013
TRICARE WEST REGION THRU DOS 03-31-2013
OK
Payer
Type
CI
CI
CI
CI
CI
CI
WC
AM
CI
CI
CI
WC
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Y
Y
Y
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Inst
Inst
Prof
Prof
Prof
Inst
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
41556
J1442
J1674
J1674
62777
62777
IP060
C1030
11983
PR973
973MA
12M15
AMS01
31144
34185
34185
C1034
37875
37875
TCUSA
TCUCH
C1040
91078
91078
91078
61425
61425
Name
State
TRICITY UNIFORM
TRIDENT INSURANCE
TRILLIUM STAFFING SOLUTIONS
TRILLIUM STAFFING SOLUTIONS (AUTO ONLY)
TRILOGY NETWORK
TRILOGY NETWORK INST
TRINIDAD RANCHERIA
CA
TRINITY UNIVERSAL INSURANCE
TRIPLE A (AUTO ONLY)
TRIPLE-S (BCBS PUERTO RICO)
TRIPLE-S MEDICARE ADVANTAGE (AHM)
TRISPAN HEALTH SERVICES
TRISTATE
TRISTATE BENEFIT SOLUTIONS
TRISURANT - FKA HAS
TRISURANT - FKA HAS
TRUCK INSURANCE EXCHANGE (AUTO ONLY)
TRUE BENEFIT ADMIN
TRUE BENEFIT ADMIN INST
TRUE CHOICE USA
TRUE CHOICE USA-CHRISTUS HEALTH PLAN
TRUMBALL INSURANCE COMPANY
TRUSTEED PLANS SERVICE CORPORATION
TRUSTEED PLANS SERVICE CORPORATION
TRUSTEED PLANS SERVICE CORPORATION (TACOMA, WA)
TRUSTMARK INSURANCE - INST
TRUSTMARK INSURANCE INCL STARMARK
PR
PR
MO
Payer
Type
WC
WC
WC
AM
CI
CI
CI
AM
AM
CI
MB
CI
CI
CI
CI
CI
AM
CI
CI
CI
CI
AM
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Dental
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
Y
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
76054
76054
41556
4298
C1040
76048
UPGUT
75206
62308
OBAPL
PAPER
PAPER
87726
68241
52629
CX014
52629
TPC98
65006
UFW01
A5205
UFC01
UFC02
99026
87726
87726
86049
Name
State
TTPA COMM
TTPA COMM
TUCSON UNIFIED SCHOOL DIST WC
TUFTS ASSOCIATED HEALTH PLAN
TWIN CITIES FIRE INSURANCE CO
TX CHILDREN HEALTH PLAN
TX UNIVERSITY HEALTH PLAN UPG COMMERCIAL
TXEN ALTPROS
TX
TX
TX
TYSON FOODS
UA 125 HEALTH AND WELFARE PLAN
UB04 PRINT TO PAPER WITH MHS IDS
UB92 PRINT TO PAPER
UBH UNITED BEHAVIORAL HEALTH
UC CARE
UCARE MINNESOTA
MN
UCARE MINNESOTA DENTAL
UCARE MINNESOTA INST
MN
UCE OF FIT WELFARE FUND
UCSFCSL PULMONARY
UFCW LOCAL 1
UFCW LOCAL 400-5205
UFCW OF CENTRAL OHIO
UFCW OF CLEVELAND
UHA - UNIVERSITY HEALTH ALLIANCE HAWAII
HI
UHC - UNITED HEALTHCARE
UHC MIDWEST MEDICARE COMPLETE
UHC OF PENNSYLVANIA FKA AMERICHOICE PA MEDICAID
PA
Payer
Type
CI
CI
WC
CI
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
Y
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
Y
N
N
Format Claim Status Eligibility
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Inst
Prof
Inst
Prof
Dental
Inst
Dental
Prof
Dental
Dental
Dental
Dental
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
Y
N
N
N
Y
N
Y
N
Y
N
N
N
N
N
N
Y
Y
Y
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
75240 UICI - ADMINISTRATORS
75245 UICI ADMINISTRATORS
75245 UICI-ADMINISTRATORS - ST OF NEVADA
41206 ULTRA BENEFITS INC
75130 UMC HEALTH PLAN
95266 UMR - HARRINGTON
95266 UMR - HARRINGTON
95266 UMR - HARRINGTON BENEFIT SERVICES (COLUMBUS)
62061 UMR - KANSAS FKA FISERV HEALTH
62061 UMR - KANSAS FKA FISERV HEALTH
79480 UMR - MIDWEST SECURITIES
79480 UMR - MIDWEST SECURITIES INST
39026 UMR - WAUSAU BENEFITS - INST
39026 UMR - WAUSAU BENEFITS - UHIS - INST
39026 UMR - WAUSAU BENEFITS INC
39026 UMR WAUSAU DENTAL
52180 UMWA HEALTH RETIREMENT FUND
52180 UMWA HEALTH RETIREMENT FUND - INST
TP108 UNDERWRITERS SAFETY AND CLAIMS
80314 UNICARE
80314 UNICARE
UNICAREUNICARE DENTAL
80314 UNICARE DENTAL
80314 UNICARE GIC INDEMNITY PLAN
80314 UNICARE MEDICAID
80314 UNICARE OF TEXAS HMO
80314 UNICARE OF TEXAS HMO
State
NV
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
MC
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
Y
N
N
N
N
N
N
Format Claim Status Eligibility
Inst
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Inst
Inst
Prof
Dental
Prof
Inst
Prof
Inst
Prof
Dental
Dental
Prof
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
Y
Y
N
Y
Y
N
Y
Y
N
N
N
Y
Y
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
TX314
35198
35198
TLA03
62170
62170
34638
75243
75243
J1484
52133
J1629
J1629
PR046
J1274
25844
C1029
87042
87042
70408
52133
25175
25175
CX014
UAGBT
87726
87726
Name
UNICARE TEXAS HEALTH STEPS
State
TX
UNIFIED GROUP SERVICES
UNIFIED GROUP SERVICES
UNIFIED GROUP SERVICES DENTAL
UNIFIED HEALTH SERVICES
UNIFIED HEALTH SERVICES
UNIFIED PHYSICIANS NETWORK
UNIFORM MEDICAL PLAN
UNIFORM MEDICAL PLANHARRINGTON BENEFIT
UNIGARD INSURANCE COMPANY - QBE DBA
UNIMERICA DENTAL
UNION CONSTRUCTION WORKERS' COMP PROGRAM
UNION CONSTRUCTION WORKERS' COMP PROGRAM (AUTO ONLY)
UNION DE CARPINTEROS
PR
UNION INSURANCE COMPANY
UNION INSURANCE COMPANY OF PROVIDENCE
UNION INSURANCE COMPANY OF PROVIDENCE
UNION PACIFIC RAILROAD EMPLOYEES
UNION PACIFIC RAILROAD EMPLOYEES HEALTH SYSTEM
UNION SECURITY INSURANCE
UNIQUE DENTACARE
UNISON - THREE RIVERS HEALTH PLAN THRU 2-28-2014
UNISON DENTAL
UNISON HEALTH PLAN
UNITED AGRICULTURAL BENEFIT TRUST
UNITED BEHAVIORAL HEALTH
UNITED BEHAVIORAL HEALTH
CA
Payer
Type
MC
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
WC
AM
CI
WC
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
Y
N
Format Claim Status Eligibility
Prof
Inst
Prof
Dental
Inst
Prof
Prof
Prof
Inst
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Dental
Prof
Dental
Dental
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
Y
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
59069
59069
20090
CX002
CX013
CB865
Z9901
CX007
41556
70408
J1048
J1401
J1401
21850
UFWIF
87726
52133
87726
87726
87726
87726
87726
87726
87726
87726
87726
87726
Name
State
UNITED BENEFITS
UNITED BENEFITS INST
UNITED CLAIM SOLUTIONS
UNITED CONCORDIA (TRICARE FMDP)
UNITED CONCORDIA DENTAL PLUS
UNITED CONCORDIA- FEDERAL CLAIMS (CB865)
UNITED CONCORDIA- NON-PAR
UNITED CONCORDIA-FEE FOR SERVICE
UNITED CONVALESCENT
UNITED DENTAL - TEXAS
TX
UNITED DOMINION REALTY TRUST
UNITED FIRE
UNITED FIRE (AUTO ONLY)
UNITED FOOD COMMERCE WRKRS LOCAL 1529
UNITED FURNITURE WORKERS INSURANCE
UNITED HEALTHCARE
UNITED HEALTHCARE -- DENTAL
UNITED HEALTHCARE FKA JOHN DEERE HEALTH CARE
TN
UNITED HEALTHCARE GROUP
UNITED HEALTHCARE GROUP
UNITED HEALTHCARE HERITAGE
UNITED HEALTHCARE INST
UNITED HEALTHCARE MEDICARE COMPLETE
UNITED HEALTHCARE OF COLORADO
UNITED HEALTHCARE OF FLORIDA
UNITED HEALTHCARE OF GEORGIA
UNITED HEALTHCARE OF NEW YORK
CO
FL
GA
NY
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
WC
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Y
Y
N
Y
Y
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Y
Y
N
Y
Y
N
N
N
N
Format Claim Status Eligibility
Prof
Inst
Prof
Dental
Dental
Dental
Dental
Dental
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
87726
87726
87726
87726
87726
CX014
31107
33108
31107
71412
MUT
71412
TEMU1
84132
41194
81108
J1113
13545
13193
J1235
J1235
87726
25175
3432
3432
25175
87726
Name
UNITED HEALTHCARE OF OHIO
State
OH
UNITED HEALTHCARE OF THE MIDATLANTIC
UNITED HEALTHCARE OF THE MIDLANDS HMO
UNITED HEALTHCARE OF THE MIDWEST CHOICE
UNITED HEALTHCARE OF UTAH
UT
UNITED HEALTHCARE OF WISCONSIN
UNITED MEDICAL RESOURCES - UMR
UNITED MEDICAL RESOURCES - UMR - DENTAL
UNITED MEDICAL RESOURCES - UMR - INST
UNITED OF OMAHA
UNITED OF OMAHA
UNITED OF OMAHA
UNITED OF OMAHA (MUST HAVE UCCI LISTED ON BACK OF ID CARD)
UNITED PHYSICIANS OF NORTHERN COLORADO
UNITED RESOURCES NETWORK
UNITED SECURITY LIFE AND HEALTH
UNITED STATES COLD STORAGE
UNITED STATES LIFE INSURANCE COMPANY
UNITED TEACHER ASSOC INSURANCE COMPANY - MEDICARE SUPPLEMENTAL
UNITED WISCONSIN INSURANCE COMPANY
UNITED WISCONSIN INSURANCE COMPANY (AUTO ONLY)
UNITEDHEALTHCARE COMMUNITY PLAN
UNITEDHEALTHCARE COMMUNITY PLAN (UNISON) THRU 2-28-2014
UNITEDHEALTHCARE COMMUNITY PLAN AZ (APIPA)
UNITEDHEALTHCARE COMMUNITY PLAN AZ (APIPA) - INST
UNITEDHEALTHCARE COMMUNITY PLAN DE,PA (UNISON) THRU 2-28-2014
UNITEDHEALTHCARE COMMUNITY PLAN DE,PA BEG 03-01-2014
AZ
AZ
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
WC
AM
CI
CI
CI
CI
CI
CI
Real Time
Real Time
Y
N
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Dental
Inst
Inst
Inst
Prof
Dental
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
N
Y
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
87726
87726
96385
96385
87726
87726
86047
86047
95378
95378
87726
87726
87726
87726
81400
C1030
C1030
16063
C1030
66705
AMS01
16107
16107
UNINW
16105
33001
33001
Name
State
UNITEDHEALTHCARE COMMUNITY PLAN DE,PA BEG 03-01-2014
UNITEDHEALTHCARE COMMUNITY PLAN IOWA HAWK-I
UNITEDHEALTHCARE COMMUNITY PLAN KANSAS (KANCARE)
UNITEDHEALTHCARE COMMUNITY PLAN KANSAS (KANCARE) INST
UNITEDHEALTHCARE COMMUNITY PLAN MISSISSIPPI
UNITEDHEALTHCARE COMMUNITY PLAN NEW YORK
UNITEDHEALTHCARE COMMUNITY PLAN NJ - INST
UNITEDHEALTHCARE COMMUNITY PLAN NJ FKA AMERICHOICE
UNITEDHEALTHCARE COMMUNITY PLAN TN TENNCARE
UNITEDHEALTHCARE COMMUNITY PLAN TN TENNCARE - INST
UNITEDHEALTHCARE OF THE RIVER VALLEY
IA
KS
KS
MS
NY
NJ
NJ
TN
TN
TN
UNITEDHEALTHCARE OF THE RIVER VALLEY - INST
UNITEDHEALTHCARE WEST (FKA PACIFICARE AZ, CO)
UNITEDHEALTHCARE WEST (FKA PACIFICARE CA, OK, OR, TX, WA)
UNITEDHEALTHONE
UNITRIN AUTO AND HOME INSURANCE
UNITRIN DIRECT AUTO INSURANCE
UNITRIN DIRECT PROPERTY AND CASUALTY COMPANY (AUTO ONLY)
UNITRIN SAFEGUARD INSURANCE
UNITY HEALTH INSURANCE
UNITY PRECISION HEALTH PLANS
UNIVERA HEALTHCARE HMO
UNIVERA HEALTHCARE HOS
UNIVERA HEALTHCARE PPO
UNIVERA OF NEW YORK
UNIVERSAL CARE CALIFORNIA
UNIVERSAL CARE - CALIFORNIA
CA
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
AM
AM
AM
AM
CI
CI
CI
CI
CI
CI
CI
CI
Real Time
Real Time
Y
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
N
N
N
N
Y
Y
N
Y
N
Y
Y
Y
N
N
N
N
N
Y
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Dental
Prof
Inst
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
N
N
N
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
Y
N
Y
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
9830
9830
58248
58248
CX014
58247
7503
41556
87043
SX155
91136
91136
76053
23281
23281
38337
38337
TPC99
93092
USFHP
13407
J1114
60054
50383
41556
J1115
J1396
Name
UNIVERSITY FAMILY CARE - UNIV OF ARIZONA
UNIVERSITY FAMILY CARE - UNIV OF ARIZONA INST
State
AZ
AZ
UNIVERSITY HEALTH PLAN
UNIVERSITY HEALTH PLAN
UNIVERSITY HEALTH PLAN (DORAL)
UNIVERSITY HEALTH PLAN MEDICAID INST
UNIVERSITY HEALTHCARE GROUP - UNIV OF ARIZONA
AZ
UNIVERSITY OF COLORADO
UNIVERSITY OF MISSOURI CHOICE - COVENTRY
UNIVERSITY OF UTAH HEALTH PLANS
MO
UT
UNIVERSITY OF WASHINGTON STUDENTS GRADUATE
UNIVERSITY OF WASHINGTON STUDENTS GRADUATE APPTS
UPG CHIP
UPMC HEALTH PLAN
UPMC HEALTH PLAN INST
UPPER PENINSULA HEALTH PLAN
UPPER PENINSULA HEALTH PLAN
UPSEU CARLE PLACE SCHOOL DISTRICT
US BENEFITS
US FAMILY HEALTH PLAN (USFHP) - TEXAS AND LOUISIANA
US FAMILY HEALTH PLAN - NEW JERSEY
US FOODSERVICE, INC
US HEALTHCARE - AETNA
US IMAGING NETWORK - NY
US MOBILE WIRELESS
US NATIONAL RESOURCES (AIGRM)
US STEEL
OR
Payer
Type
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
WC
WC
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
N
N
N
N
Y
N
N
N
N
N
N
N
N
Y
N
N
N
N
Format Claim Status Eligibility
Prof
Inst
Prof
Inst
Dental
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Inst
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
Y
Y
N
N
N
N
N
N
N
Y
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
74095
74095
76031
13407
23217
J1534
UTICA
C1027
EXC02
25976
43478
36369
UHSCH
41556
12115
12115
VPN01
WT001
41556
82238
82420
82420
41556
TPC19
41556
41556
VHP01
Name
State
USAA (UNITED STATES AUTOMOBILE ASSOCIATION)
USAA LIFE INSURANCE
USABLE LIFE
USFHP - ST VINCENT CATHOLIC MEDICAL CENTERS OF NY
USI ADMINISTRATORS
USS-POSCO INDUSTRIES
CA
UTICA
UTICA (AUTO ONLY)
UTICA BLUE CROSS
UTICA MUTUAL INSURANCE CO
UTICA NATIONAL INSURANCE CO OF TEXAS
UTILIMED
UTMB- CHOICEONE CHIP
TX
V AND M RESTORATION
VA FEE BASIS PROGRAMS
VA FEE BASIS PROGRAMS - INST
VA PREMIER HEALTH PLAN INC
VA SMILES FOR CHILDREN
VALENZUELA ENG INC
VALLEY BAPTIST ADVANTAGE
VALLEY BAPTIST HEALTH PLAN
VALLEY BAPTIST HEALTH PLAN INST
VALLEY CASEWORK INC
VALLEY CENTRAL TEACHERS ASSOCIATION
VALLEY HARVESTING AND PACKING, INC
VALLEY HEALTH CARE MANAGEMENT SERVICES, LLC
VALLEY HEALTH PLAN (COMMERCIAL)
CA
Payer
Type
CI
CI
CI
CI
CI
WC
CI
AM
CI
WC
WC
CI
CI
WC
CI
CI
MC
CI
WC
CI
CI
CI
WC
CI
WC
WC
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Inst
Prof
Dental
Inst
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Dental
Prof
Prof
Prof
Inst
Prof
Dental
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
VHP02
41556
41556
IP044
23253
V1001
V1001
V1005
V1006
V1003
V1004
V1002
23173
21172
72128
72128
PPM01
PPM02
68241
60054
73288
53172
41556
75256
75256
J1118
41556
Name
VALLEY HEALTH PLAN (MEDI-CAL)
State
CA
VALLEY HEALTH SYSTEM
VALLEY MEMORIAL HOSPITAL
VALLEY OF THE MOON
CA
VALLEY PREFERRED PPO FKA SPECTRUM ADMIN
VALUE OPTIONS COMMERCIAL
VALUE OPTIONS COMMERCIAL
VALUE OPTIONS KANSAS
VALUE OPTIONS MARYLAND PUBLIC MENTAL HEALTH
VALUE OPTIONS MASS BEHAVIORAL HEALTH (MBHP)
VALUE OPTIONS PENN BEHAVIORAL HEALTH
VALUE OPTIONS TEXAS NORTHSTAR
KS
MD
MA
PA
TX
VANDERBILT - VHP COMMUNITY CARE
VANLINERS INSURANCE COMPANY
VANTAGE HEALTH PLAN
VANTAGE HEALTH PLAN - INST
VANTAGE MEDICAL GROUP
VANTAGE MEDICAL GROUP - ENCOUNTERS
VARIAN HEALTH CARE
VARIAN HEALTH CARE PLAN
VENCOR
VENTANA HEALTH SYSTEMS
VENTURE PAC DEVELOP
VERITY NATIONAL GROUP
VERITY NATIONAL GROUP
VERMEER
VERTICAL CONCRETE
CA
CA
Payer
Type
CI
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
WC
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
Y
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
VESTA
VAPC3
VAP5A
VAP5B
VAPC6
23173
J1533
J1403
J1116
J1118
41556
VFP11
BVVP1
54176
CX014
J1404
J1404
37297
86079
55248
55248
41556
63114
63114
77073
59266
J1750
Name
State
VESTA CARE
VETERANS AFFAIRS PCCC REGION 3 (TRIWEST)
VETERANS AFFAIRS PCCC REGION 5A (TRIWEST)
VETERANS AFFAIRS PCCC REGION 5B (TRIWEST)
VETERANS AFFAIRS PCCC REGION 6 (TRIWEST)
VHP COMMUNITY CARE
VIACOM (MURPHY AND BEANE)
VIAD CORP
VICORP RESTAURANTS, INC
VICTOR PLASTICS
VICTORIA ISD
VILLAGE FAMILY PRACTICE
VIPA
VIRGINIA PREMIER HEALTH PLAN
VIRGINIA SMILES FOR CHILDREN
VIRGINIA SURETY COMPANY, INC
VIRGINIA SURETY COMPANY, INC (AUTO ONLY)
VISION CARE INCORPORATED
VISTA DEL SOL HEALTH CARE
VISTA HEALTH PLAN - COVENTRY FLORIDA
VISTA HEALTH PLAN - MEDICAID
VISTA HILLS C CLUB
VIVA HEALTH PLAN
VIVA MEDICARE PLUS
VNS CHOICE MEDICARE
VOLUSIA HEALTH NETWORK
VONS SAFEWAY
FL
Payer
Type
CI
CI
CI
CI
CI
CI
WC
WC
WC
WC
WC
CI
CI
CI
CI
WC
AM
CI
CI
CI
CI
WC
CI
CI
CI
CI
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Y
Y
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
Y
Y
Y
Y
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
J1750
J1405
22264
22264
41556
85256
85256
J1004
41556
37294
41556
WC001
OBALB
73155
73155
58082
58082
41556
41556
39026
41556
62111
39151
39151
75261
75261
36337
Name
State
VONS SAFEWAY (AUTO ONLY)
VOUGHT AIRCRAFT INDUSTRIES
VYTRA
NY
VYTRA - INST
W CO RADIOLOGY CNTR
WABASH MEMORIAL HOSPITAL ASSOCIATION
WABASH MEMORIAL HOSPITAL ASSOCIATION
WAL-MART
WASHINGTON COUNTY
WASHINGTON EMPLOYERS TRUST
WASHINGTON HOSPITAL
WASHINGTON LABOR AND INDUSTRY
WA
WATERLOO MUNICIPAL EMPLOYEES HEALTH PLAN
WATERSTONE BENEFIT ADMINISTRATOR (OKLAHOMA)
WATERSTONE BENEFIT ADMINISTRATORS (OKLAHOMA)
WATKINS ASSOCIATED INDUSTRIES
WATKINS ASSOCIATED INDUSTRIES, INC
WATKINS MANUFACTURING CORPORATION
WATTSHEALTH FOUNDATION, INC (SNCC)
WAUSAU BENEFITS
WAWONA PACKING
WC BEELER COMPANY
WEA INSURANCE GROUP
WEA INSURANCE GROUP
WEB TPA
WEBTPACOMMUNITY HEALTH ELECTRONIC
WEISS HEALTH PROVIDERS
TN
Payer
Type
AM
WC
CI
CI
WC
CI
CI
WC
WC
CI
WC
WC
CI
CI
CI
CI
CI
WC
WC
CI
WC
CI
CI
CI
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
Name
13337 WELL SENSE HEALTH PLAN (BMCHP)
WELL4 WELLCARE CMO GA MEDICAID
WELL4 WELLCARE CMO GA MEDICAID INST
14163 WELLCARE CONNECTICUT
CX014 WELLCARE DENTAL
14163 WELLCARE HEALTH PLAN
59354 WELLCARE HEALTH PLAN ENCOUNTER
14163 WELLCARE HMO
14163 WELLCARE MANAGEMENT GROUP
14163 WELLCARE OF CONNECTICUT
14163 WELLCARE OF NEW YORK
77072 WELLCARE PFFS MEDICARE
77072 WELLCARE PFFS MEDICARE
FAMR1 WELLMARK ADMIN
FAMR1 WELLMARK SD ADMIN INC
WELM2 WELLMED (CLAIMS)
WELM2 WELLMED (CLAIMS) - INST
12053 WELLNET DENTAL
25711 WELLNET HEALTH PLAN
22334 WELLPATH OF CAROLINA INC HOS
87815 WELLS FARGO TPA
87815 WELLS FARGO TPA - INST
22925 WELS BENEFIT PLAN OFFICE
41556 WESLACO INDEPENDENT SCHOOL DISTRICT
41556 WEST COAST HOSPITALS, INC
91136 WEST COAST STATIONARY ENGINEERS HEALTH
WCMG1 WEST COVINA MEDICAL GROUP
State
GA
GA
CT
CT
NY
SD
SD
CA
Payer
Type
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Inst
Prof
Dental
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Inst
Prof
Inst
Dental
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
N
Y
N
Y
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
41556
80942
41556
75196
41556
IP026
24735
24735
24735
24735
WEST
37247
37247
J1569
J1569
J1586
J1586
J1495
J1495
31048
31048
91068
IP023
J1453
90560
38232
33711
Name
State
WEST OSO ISD
WEST SUBURBAN HEALTH PLAN (WSHP)
WEST TEXAS RURAL COUNTIES ASSOCIATION PREFERRED RISK POOL - WC
WEST VIRGINIA STATE EMPLOYEES
WV
WESTAMERICAPHIL LONG DEALERSHIPS
WESTERN ARIZONA REGIONAL PHYSICIANS
AZ
WESTERN GROWERS ASSURANCE TRUST
WESTERN GROWERS ASSURANCE TRUST
WESTERN GROWERS INSURANCE COMPANY
WESTERN GROWERS INSURANCE COMPANY
WESTERN HEALTH PROVIDERS
WESTERN MUTUAL INSURANCE
WESTERN MUTUAL INSURANCE WMITPA
WESTERN NATIONAL ASSURANCE
WESTERN NATIONAL ASSURANCE (AUTO ONLY)
WESTERN NATIONAL INSURANCE PIONEER SPECIALTIES
WESTERN NATIONAL INSURANCE PIONEER SPECIALTIES (AUTO ONLY)
WESTERN NATIONAL INSURANCE GROUP
WESTERN NATIONAL INSURANCE GROUP (AUTO ONLY)
WESTERN SOUTHERN FINANCIAL GROUP (CINCINNATI,
WESTERN SOUTHERN FINANCIAL GROUP (CINCINNATI, OH)
WESTERN TEAMSTER WELFARE TRUST
WESTGROVE MEDICAL GROUP
WESTGUARD INSURANCE COMPANY - GUARD DBA
WESTLAKE FINANCIAL GROUP INC
WEYCO - MERITIAN HEALTH
WILLAMETTE VALLEY COMM HEALTH PLAN CCO
CA
Payer
Type
WC
CI
WC
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
WC
AM
WC
AM
WC
AM
CI
CI
CI
CI
WC
CI
CI
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
41556
98010
98010
J1473
62061
41556
41095
41095
62153
62153
27327
39200
J1408
J1408
41556
WOA99
J1500
20333
20333
75276
75276
34080
235
23710
23710
J1117
CX014
Name
State
WILLAMETTE VIEW
WILLIAM J SUTTON COMPANY
WILLIAM J SUTTON COMPANY, LTD (TORONTO)
WILLIAMS SONOMA
WILLIS ADMINISTRATIVE SERVICES (UMR KANSAS)
WILMER-HUTCHINS ISDDALLAS ISD
WILSON MCSHANE
WILSON MCSHANE INST
WINDSOR MEDICARE EXTRA DOS THRU 4-30-2014
WINDSOR MEDICARE EXTRA INST - DOS THRU 4-30-2014
WINHEALTH PARTNERS
WISCONSIN AUTO AND TRUCK DEALERS
WOODLAND FARMS
WOODLAND FARMS (AUTO ONLY)
WOODLAND PARK WEST
WOODMAN OF THE WORLD OMAHA WOODMAN
WORKFORCE SAFETY AND INSURANCE (WSI)
WORKSITE BENEFIT SERVICES - GA
WORKSITE BENEFIT SERVICES - GA
GA
GA
WORLD INSURANCE COMPANY
WORLD INSURANCE COMPANY
WPPN
WPS COMMERCIAL
WRITERS GUILD - INDUSTRY HEALTH PLAN
WRITERS GUILD INDUSTRY HEALTH PLAN
WYMAN-GORDON COMPANIES
XANTUS HEALTH PLAN-TENNESSEE (NASHVILLE, TN)
WI
Payer
Type
WC
CI
CI
WC
CI
WC
CI
CI
CI
CI
CI
CI
WC
AM
WC
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Dental
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
For questions, please contact
EDI Support at [email protected]
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer
ID
J1628
J1628
J1412
J1055
60646
41556
J1421
J1421
34083
30120
J1409
J1015
16535
Name
XCEL ENERGY
XCEL ENERGY (AUTO ONLY)
XCHANGING, INC
XL ENVIRONMENTAL, INC
YALE UNIV HEALTH PLAN
YMCA
YORK CLAIM SERVICES
YORK CLAIM SERVICES (AUTO ONLY)
YOUNGSTOWN ELEC FUND HOSP
Z-NAT INSURANCE (ZENITH NATIONAL)
ZACHRY CONSTRUCTION
ZURICH FARMERS
ZURICH INSURANCE NA
State
Payer
Type
WC
AM
WC
WC
CI
WC
WC
AM
CI
WC
WC
WC
WC
Real Time
Real Time
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Format Claim Status Eligibility
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Claim
Enrollment
Required
ERA
Enrollment
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N

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