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