Payer Name

Payer ID

837P

837I

837D

999

277CA

835

270/
271

276/
277

278

Aetna Inc.

60054/57604

Aetna Strategic Resources

57604

AvMed Health Plans

59274

CCIWI

39126001

Cigna Healthcare

62308

Cigna Behavioral Health

62308 (formerly CBH)

Cigna Medicare AZ

62308 (formerly 86033)

CMO – Care Management Company

13174

ConnectiCare

06105

ConnectiCare – VIP Medicare Advantage

78375/783750001

EmblemHealth

EmblemHealth Realtime

EMBLEMHEALTH

GHI – New York (Group Health Inc)

135511997

Vytra Healthcare

222647447

GHI HMO

255311997

HIP – Health Insurance Plan of Greater New York

552470001

Fidelis Care of NY

11315

Great West (Cigna)

62308 (formerly 80705/63665)

HealthPartners of MN (HPMN)

HPAMN

Landmark Healthcare

LANDMARK/LNDMK

MVP Healthcare

14165

MVP Alternate Payer ID

141650868

MVP Alternate Payer ID

PREFERREDCARENY

Oxford Health Plans

06111

River Valley

87726 (formerly 95378)

University Health Alliance (UHA)

990263440

UnitedHealthcare/UHC Affiliates

UnitedHealthcare (UHC)

87726

AARP

AARP Hospital Indemnity Plans

36273

AARP Medicare Supplement

36273

AARP MedicareComplete

87726

Optum Medical Network/AZ, UT (formerly Lifeprint Network)

LIFE1

AARP MedicareComplete Mosaic – Oxford Mosaic Network

87726 (formerly 06111)

Arnett Health Plan

Arnett Health Plan

87726 (formerly 95440)

Harvard Pilgrim

Harvard Pilgrim

04271

Harvard Pilgrim Passport Connect

87726

Health Plan of Nevada

Health Plan of Nevada

76342

Health Plan of Nevada (encounters)

76343

Medica

Medica

94265

Medica HealthCare Plans

78857

Neighborhood Health Partnership

Neighborhood Health Partnership (NHP)

95123/96107

OptumHealth

OptumHealth – Physical Health (includes Oxford)

41161 (formerly 41159, 41160)

OptumHealth Behavioral Solutions (formerly United Behavioral Health & PacifiCare Behavioral Health)

87726 (formerly 33053)

OptumHealth Behavioral Solutions of NM

87726

OptumHealth – Complex Medical Conditions (formerly OptumHealthcare Solutions & United Resource Networks)

41194 (formerly 52190)

Sirerra Health and Life

Sierra Health and Life

76342

Sierra Health & Life (Encounters)

76343

The Alliance

The Alliance

88461

UMR

UMR (formerly UMR Wausau)

39026 (formerly 31107, 33108, 74223, 75196, 75243)

UnitedHealthcare

All Savers Alternate Funding

81400

All Savers Insurance

81400

Definity Health Plan

87726 (formerly 64159)

Empire Plan

87726

 Harken Health

43313

 ✅

 Iowa HealthLink

87726 (For Remits Use 95378)

MAHP (MD IPA, Optimum Choice)

87726 (formerly 52148)

UHIS – UnitedHealth Integrated Services

39026

UnitedHealthcare

87726

UnitedHealthcare Plan of the River Valley

87726 (formerly 95378)

UnitedHealthcare Student Resources

74227

UnitedHealthcare West (UnitedHealthcare of CA, OK, OR, TX, WA, and PacifiCare of AZ, CO, NV) (formerly known as PacifiCare)

87726 (formerly 95959, 95962, 95964, 95999)

UnitedHealthcare West (formerly known as PacifiCare)

95958

UnitedHealthCare Community Plan

AZ (formerly Arizona Physicans IPA & APIPA)

03432

DE, FL, HI, LA, MD, MS CAN, NM, OH, PA, RI, TX, WA, WI (formerly AmeriChoice or Unison)

87726 (formerly 25175, 86003, 86049)

IA, hawk-l (formerly AmeriChoice of Iowa)

87726 (formerly 95378)

KS (Kancare)

96385

MI (formerly Great Lakes Health Plan)

95467

MO

86050

MS CHIP (formerly AmeriChoice MS CHIP)

87726 (formerly 95378)

NE (formerly AmeriChoice NE)

87726

NJ (formerly AmeriChoice NJ Medicaid, NJ Family Care, NJ Personal Care Plus)

86047 (formerly 86001)

NY (formerly AmeriChoice by UHC, AmeriChoice NY Medicaid & Child Health Plus, AmeriChoice NY Personal Care Plus)

87726 (formerly 86002, 86048)

SC (formerly Unison)

25175 (claims with DOS prior to 10/1/13)

TN (formerly AmeriChoice TN: TennCare, Secure Plus Complete)

95378

UnitedHealthcare Dual Complete (formerly Evercare)

87726

UnitedHealthcare Long Term Care (formerly Evercare)

87726

UnitedHealthcare Medicare Solutions
Care Improvement Plus

77082

Preferred Care Partners

65088

UnitedHealthcare Chronic Complete (formerly Evercare)

87726

UnitedHealthcare Dual Complete – Oxford Medicare Network

87726

UnitedHealthcare Group Medicare Advantage

87726

UnitedHealthcare MedicareComplete (formerly SecureHorizons)

87726

UnitedHealthcare MedicareDirect (formerly SecureHorizons)

87726

UnitedHealthcare Nursing Home Plan (formerly Evercare)

87726

UnitedHealthcare/Oxford
Oxford

06111

UnitedHealthOne

Golden Rule

37602

PacifiCare Life and Health Insurance Company

81400

UnitedHealthcare Life Insurance Company (formerly American Medical Security)

81400

Updated: 8/24/2017