Payer Name |
Payer ID |
Status |
Enrollment Required |
ERAs |
Eligibility |
Claim Status |
5010 |
Info |
Comments |
ANTHEM HOME HEALTH
|
34009
|
Non
|
|
Yes
|
|
|
X |
|
|
CMS MMA SPECIALTY PLAN TITLE XIX
|
EM843
|
Par
|
|
Yes
|
|
|
X |
|
Enroll for ERA under payer ID 58379.
|
EL PASO HEALTH MEDICAID
|
EPF02
|
Par
|
|
Yes
|
|
|
X |
|
MEDICAID - TEXAS - PREMIER PLAN
|
EVICORE
|
62160
|
Par
|
|
Yes
|
|
|
X |
|
|
LONGEVITY HEALTHPLAN OF OK
|
LOK01
|
Non
|
|
Yes
|
|
|
X |
|
IN NETWORK PROVIDERS ONLY - ERA'S AUTOMATIC NO ENROLLMENT REQ
|
M&S BLUE AND GOLD FLEET (AUTO)(ATTACHMENT)
|
J3782
|
Non
|
|
|
|
|
X |
|
|
MABUHAY MEDICAL GROUP
|
CAPMN
|
Par
|
|
Yes
|
|
|
X |
|
|
MAC TOOLS - AUTO
|
J3237
|
Non
|
|
|
|
|
X |
|
|
MACALJON / SCL, INC. - WC
|
J2859
|
Non
|
|
|
|
|
X |
|
|
MACHINIST DISTRICT 9 WELFARE
|
37292
|
Par
|
|
|
|
|
X |
|
|
MACKINAW ADMINISTRATORS (WC)
|
J1343
|
Non
|
|
|
|
|
X |
|
|
MACNEAL HEALTH PROVIDERS - CHS
|
36334
|
Par
|
|
Yes
|
|
|
X |
|
|
MACYS DEPT STORES CORPORATE SERVICES, INC (WC)(ATTACHMENT)
|
J1347
|
Non
|
|
|
|
|
X |
|
|
MACYS INCORPORATED - WC
|
J2860
|
Non
|
|
|
|
|
X |
|
|
MADERA COMMUNITY HOSPITAL (WC)
|
41556
|
Non
|
|
Yes
|
|
|
X |
|
|
MAGELLAN BEHAVIORAL HEALTH
|
01260
|
Non
|
|
Yes
|
|
|
X |
|
VA Medicaid claims, address field must be completed:
PO Box 1099
Maryland Heights, MO 63043.
For FL COMPLETE CARE claims, address field must be completed:
PO BOX 2097
MARYLAND HEIGHTS, MO 63043
|
MAGELLAN BEHAVIORAL HEALTH - CASE RATE
|
MBHCR
|
Non
|
|
Yes
|
|
|
X |
|
|
MAGELLAN COMPLETE CARE OF FLORIDA
|
01260
|
Non
|
|
Yes
|
|
|
X |
|
VA Medicaid claims, address field must be completed:
PO Box 1099
Maryland Heights, MO 63043.
For FL COMPLETE CARE claims, address field must be completed:
PO BOX 2097
MARYLAND HEIGHTS, MO 63043
|
MAGNA CARTA - CORVEL (AUTO)
|
J2173
|
Non
|
|
|
|
|
X |
|
|
MAGNA CARTA - CORVEL (WC)
|
P2173
|
Non
|
|
|
|
|
X |
|
|
MAGNACARE
|
11303
|
Non
|
|
Yes
|
|
|
X |
|
|
MAGNOLIA HEALTH
|
68069
|
Par
|
|
Yes
|
|
|
X |
|
A Centene Plan
|
MAGNOLIA HEALTH AMBETTER
|
68069
|
Par
|
|
Yes
|
|
|
X |
|
A Centene Plan
|
MAIN STREET AMERICA ASSURANCE - AUTO
|
C1115
|
Non
|
|
|
|
|
X |
|
THE MAIN STREET AMERICA GROUP - MAIN STREET AMERICA ASSURANCE
|
MAIN STREET AMERICA ASSURANCE - WC
|
P1837
|
Non
|
|
|
|
|
X |
|
THE MAIN STREET AMERICA GROUP/MAIN STREET AMERICAN ASSURANCE
|
MAINE COMMUNITY HEALTH OPTIONS
|
45341
|
Par
|
|
|
|
|
X |
|
ERAs not available
|
MAJCO LLC DBA BIG BRAND TIRE CORVEL
|
J4423
|
Non
|
|
Yes
|
|
|
X |
|
|
MAJOR LEAGUE BASEBALL - WC
|
J2861
|
Non
|
|
|
|
|
X |
|
|
MAJOR LEAGUE BASEBALL (CONDUENT - FORMERLY (WC)
|
J1435
|
Non
|
|
|
|
|
X |
|
|
MAJOR LEAGUE BASEBALL 8 (WC)
|
J1082
|
Non
|
|
|
|
|
X |
|
|