Explore

FOXFIRE SYSTEMS GROUP PAYER LIST
download Report

Transcription

FOXFIRE SYSTEMS GROUP PAYER LIST 
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
13162
13162
J1585
J1585
41556
41556
93044
93044
11983
41556
36273
36273
41556
48185
48185
E3510
68055
68055
J1477
AHS01
TLZ17
COACC
A1680
AMG01
AMM06
19305
64071
64071
21356
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
ABSOLUTE TOTAL CARE - SC
ABSOLUTE TOTAL CARE - SC INST
NY
CA
SC
SC
ACADIA INSURANCE COMPANY
ACCESS ADMINISTRATORS
ACCESS ADMINISTRATORS (CA ONLY)
ACCESS HEALTH BENEFIT SOLUTIONS (AHBS)
ACCESS HEALTH PLAN (MI)
ACCESS MEDICAL GROUP (CA)
ACCESS MEDICAL GROUP (SANTA MONICA)
ACCESS MEDICARE - CUATRO
ACCLAIM
ACCLAIM INST
ACCLAIM REPRICING - INST
CO
MI
CA
CA
Payer
Type
Format
CI
CI
WC
AM
WC
WC
CI
CI
AM
WC
CI
CI
WC
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Real Time
Real Time
Claim
Eligibility
Status
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
N
N
Y
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
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
Y
Y
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
IAC01
IAC01
MPM23
AHIPA
J1024
41556
TLX81
J1578
J1578
87066
72467
38254
38254
38254
J1240
J1667
J1690
95285
J1241
22384
59141
CX076
37278
37278
22384
J1242
J1608
58202
68056
State
ACCOUNTABLE HEALTH PLAN
ACCOUNTABLE HEALTH PLAN
ACCOUNTABLE HEALTHCARE IPA (MPM)
ACCOUNTABLE IPA
ACCURIDE CORPORATION
ACE PROPERTY AND CASUALTY INS CO
ACEC HEALTH PLANS (SALT LAKE CITY, UT)
ACIG INSURANCE COMPANY
ACIG INSURANCE COMPANY (AUTO ONLY)
ACMG FKA FORMAX INC
ACS BENEFIT SERVICES INC
ACTIVA BENEFIT SERVICES, LLC
ACTIVA BENEFITS
ACTIVA BENEFITS
ACUITY, A MUTUAL INSURANCE COMPANY
AD-COMP (AUTO ONLY)
ADELANTO SCHOOL DISTRICT (CA) (AUTO ONLY)
ADMAR CORPORATION MED NETWORK
ADMINISTAFF
ADMINISTRATIVE CONCEPTS
ADMINISTRATIVE SERVICES INC (ASI)
ADMINISTRATIVE SERVICES ONLY (ASO) SELF INSURED DENTAL SERVICES (NY)
ADMINONE
ADMINONE
ADMINSTRATIVE CONCEPTS, INC INST
ADP TOTAL SOURCE INC
ADVANCE SERVICES, INC (AUTO ONLY)
ADVANCED DATA SOLUTIONS
ADVANTAGE BY BRIDGEWAY HEALTH SOLUTIONS
AZ
Payer
Type
Format
CI
CI
CI
CI
WC
WC
CI
WC
AM
CI
CI
CI
CI
CI
WC
AM
AM
CI
WC
CI
CI
CI
CI
CI
CI
WC
AM
CI
CI
Inst
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Y
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
68056
68056
68056
ACIPA
93524
35209
35219
35219
83077
83077
43168
59374
25141
95340
13373
45423
45423
36320
36320
65093
65093
AEGIS
60054
60054
60054
57604
57604
26337
26337
ADVANTAGE BY BUCKEYE COMMUNITY HEALTH
ADVANTAGE BY MANAGED HEALTH SERVICES
ADVANTAGE BY SUPERIOR HEALTH PLAN
State
OH
IN
TX
ADVANTAGE CARE IPA
ADVANTAGE DENTAL PLAN
ADVANTAGE HEALTH SOLUTIONS
ADVANTAGE HEALTH SOLUTIONS (DUNMORE, PA)
ADVANTAGE HEALTH SOLUTIONS (DUNMORE, PA) -INST
ADVANTEK BENEFIT ADMINISTRATORS
ADVANTEK BENEFIT ADMINISTRATORS INST
ADVANTICA DENTAL (FKA ESSEX)
ADVANTICA EYE CARE
ADVANTRA GHP
ADVENTIST HEALTH SYSTEM
ADVICA NEW YORK HOSPITAL COMMUNITY HEALTH PLAN
ADVICARE
ADVICARE INST
ADVOCATE HEALTH CENTERS
IL
ADVOCATE HEALTH CENTERS INST
ADVOCATE HEALTH PARTNERS
IL
ADVOCATE HEALTH PARTNERS - INST
AEGIS SECURITY - AMERICAN SENTINEL
AETNA
AETNA
AETNA - INST
AETNA AFFORDABLE HEALTH CHOICES - SRC
AETNA AFFORDABLE HEALTH CHOICES - SRC - INST
AETNA BETTER HEALTH - ILLINOIS MEDICAID
AETNA BETTER HEALTH - ILLINOIS MEDICAID - INST
IL
IL
Payer
Type
Format
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
CI
CI
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Inst
Prof
Inst
Dental
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
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
Y
Y
Y
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
Y
N
Claim Enroll
Required
ERA
N
N
N
N
N
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
Y
N
N
N
N
Y
N
Y
N
N
Y
Y
Y
N
Y
Y
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
128KY
128KY
128LA
128LA
128MI
128MO
128MO
42130
42130
46320
46320
34734
34734
50023
50023
23228
23228
38692
38692
60054
68246
60054
60054
60054
60054
B0054
ADOCS
23334
13334
AETNA BETTER HEALTH - KENTUCKY
AETNA BETTER HEALTH - KENTUCKY INST
AETNA BETTER HEALTH - LOUISIANA
AETNA BETTER HEALTH - LOUISIANA INST
AETNA BETTER HEALTH - MICHIGAN
AETNA BETTER HEALTH - MISSOURI
AETNA BETTER HEALTH - MISSOURI INST
AETNA BETTER HEALTH - NEBRASKA
AETNA BETTER HEALTH - NEBRASKA - INST
AETNA BETTER HEALTH - NEW JERSEY
AETNA BETTER HEALTH - NEW JERSEY - INST
AETNA BETTER HEALTH - NEW YORK MEDICAID
AETNA BETTER HEALTH - NEW YORK MEDICAID - INST
AETNA BETTER HEALTH - OHIO
AETNA BETTER HEALTH - OHIO - INST
AETNA BETTER HEALTH - PENN MEDICAID
AETNA BETTER HEALTH - PENN MEDICAID INST
AETNA BETTER HEALTH - TEXAS MEDICAID CHIP
AETNA BETTER HEALTH- TEXAS MEDICAID CHIP INST
State
KY
KY
LA
LA
MI
MO
MO
NE
NE
NJ
NJ
NY
NY
OH
OH
PA
PA
TX
TX
AETNA DENTAL
AETNA DMO
AETNA HMO
AETNA MANAGED CHOICE
AETNA PDO (PREFERRED DENTAL ORGANIZATION)
AETNA US HEALTHCARE
AETNA WITH AETNA ID REQ
AFFILIATED DOCTORS ORANGE COUNTY
AFFINITY ESSENTIALS
AFFINITY HEALTH PLAN - MEDICAID
CA
Payer
Type
Format
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
CI
CI
CI
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Dental
Dental
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
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
Y
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
N
N
N
N
N
N
N
N
N
Y
Claim Enroll
Required
ERA
N
N
N
N
N
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
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
Y
N
Y
Y
N
N
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
13334
13333
46594
95426
34444
34444
13346
13346
37280
LIPA1
AWNY6
95241
31138
STMSS
19402
22195
22195
6311
IP108
AIPAZ
91136
91136
91136
92600
92600
91136
91136
J1577
J1577
State
AFFINITY HEALTH PLAN - MEDICAID - INST
AFFINITY HEALTH PLAN - MEDICARE
AFFINITY MEDICAL GROUP (CA)
CA
AFFORDABLE BENEFIT ADMINISTRATORS INC
AFL CIO FOOD BEV TRUST HOS
AFLCIO FOOD BEVERAGE DEALERS TRUST FUND
AFTRA HEALTH FUND (DOS THRU 12-31-2014)
OH
NY
AFTRA HEALTH FUND INST (DOS THRU 12-31-2014)
AGA
AGATE RESOURCES INC (LIPA)
AGEWELL NEW YORK
NY
AGIA INC
AHPO
AHS STATE NETWORK - MISSISSIPPI STATE TEACHERS
MS
AIG
AIG EDUCATIONAL MARKETS
AIG EDUCATIONAL MARKETS - INST
ALABAMA MEDICAL SURGICAL ASSOCIATES
ALAMEDA ALLIANCE
ALAMITOS IPA
CA
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)
AK
AK
Payer
Type
Format
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
CI
WC
AM
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Inst
Prof
Inst
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
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
Y
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
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
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
91136
91136
91136
91136
J1244
13550
13550
58213
39160
81400
81400
AC101
26158
26158
J1245
81040
81040
99588
99588
ADSL1
23071
23071
96218
23251
23251
13079
22417
52149
87726
State
ALASKA PIPE TRADES LOCAL 375
ALASKA PIPE TRADES LOCAL GRP F24
ALASKA UNITED FOOD COMMERCIAL WORKERS
ALASKA UNITED FOOD COMMERCIAL WORKERS HEALTH WELFARE TRUST GRP F45
ALCOA FASTENERS SYSTEMS
ALICARE
ALICARE INST
ALIGNIS
ALL SAINTS COVENANT
ALL SAVERS INSURANCE (UNITEDHEALTHONE)
ALL SAVERS INSURANCE (UNITEDHEALTHONE) - INST
ALLCARE IPA
ALLCARE PEBB
ALLCARE PEBB - INST
OR
OR
ALLEGHENY TECHNOLOGIES
ALLEGIANCE BENEFIT PLAN MANAGEMENT
ALLEGIANCE BENEFIT PLAN MANAGEMENT - INST
ALLEGIANCE HEALTH MANAGEMENT
ALLEGIANCE HEALTH MANAGEMENT INST
ALLIANCE - ALPHA CARE GOLD
ALLIANCE BEHAVIORAL HEALTH
ALLIANCE BEHAVIORAL HEALTH - INST
ALLIANCE HEALTH NETWORK INST
ALLIANCE HEALTH PLAN PENNSYLVANIA
PA
ALLIANCE HEALTH PLAN (PA)
ALLIANCE HEALTHCARE SRRIPA
ALLIANCE PHYSICIANS OF THE HIGH DESERT
ALLIANCE PPO
ALLIANCE PPO, LLC
CA
Payer
Type
Format
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
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
Y
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
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
N
N
Y
Y
N
N
N
N
Y
Y
N
N
N
Y
Y
N
N
N
N
N
N
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
81400
88461
88461
J1619
58234
58234
J1452
37308
37308
J1733
J1550
J1550
J1589
J1589
C1037
77066
77083
ALOHA
ALOHA
ALQST
ADSYS
75261
ALPHA
87043
87043
41556
E3510
IP080
25133
State
ALLIANCE SELECT
ALLIANCE, THE (A WISCONSIN PROVIDER NETWORK)
ALLIANCE, THE (A WISCONSIN PROVIDER NETWORK)
ALLIANT ENERGY (AUTO ONLY)
ALLIANT HEALTH PLANS OF GEORGIA
ALLIANT HEALTH PLANS OF GEORGIA - INST
GA
GA
ALLIANZ
ALLIED BENEFIT SYSTEMS
ALLIED BENEFIT SYSTEMS
ALLIED CLAIMS ADMINISTRATION, INC
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 MEDICAID
HI
HI
HI
ALPHA DATA SYSTEMS
ALPHA DATA SYSTEMS - WEB TPA
ALPHACARE
ALTA HEALTH STRATEGIES - COVENTRY
ALTA HEALTH STRATEGIES - COVENTRY
ALTA HEALTHCARE
ALTA SENIOR CARE
ALTAMED
ALTIUS HEALTH PLAN (COVENTRY)
CA
CA
UT
Payer
Type
Format
CI
CI
CI
AM
CI
CI
WC
CI
CI
WC
WC
WC
WC
AM
AM
CI
CI
CI
CI
MC
CI
CI
CI
CI
CI
WC
CI
CI
CI
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Y
Claim Enroll
Required
ERA
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
Y
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
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
50503
J1025
J1248
TH071
13550
13550
68069
68069
68069
68069
68069
68069
68069
68069
68069
76061
76061
76061
J1550
38219
75137
75137
J1427
26378
26378
26378
75240
75240
63103
State
ALTUS DENTAL
ALVEY SYSTEMS (AON RISK)
ALVEY SYSTEMS (AON RISK) (AUTO ONLY)
AMA INSURANCE AGENCY
AMALGAMATED LIFE
AMALGAMATED LIFE - INST
AMBETTER FROM BUCKEYE HEALTH PLAN
AMBETTER FROM CELTICARE
AMBETTER FROM COORDINATED CARE
AMBETTER FROM MAGNOLIA HEALTH SERVICES
OH
MA
WA
MS
AMBETTER FROM MANAGED HEALTH SERVICES
AMBETTER FROM PEACH STATE HEALTH PLAN
AMBETTER FROM SUNSHINE HEALTH PLAN
AMBETTER FROM SUPERIOR HEALTH PLAN
AMBETTER OF ARKANSAS
GA
FL
TX
AR
AMCARE OF LOUISIANA
AMCARE OF OKLAHOMA
AMCARE OF TEXAS
AMCO INS CO
AMERAPLAN
AMERIBEN SOLUTIONS
AMERIBEN SOLUTIONS - INST
AMERICA FIRST
AMERICAID AMERIGROUP (MARYLAND) INST
AMERICAID AMERIGROUP (NEW JERSEY) INST
AMERICAID AMERIGROUP (NEW MEXICO) INST
AMERICAN ADMINISTRATIVE GROUP
AMERICAN ADMINISTRATIVE GROUP - AAG - UICI
AMERICAN BEHAVIORAL
MD
NJ
NM
Payer
Type
Format
CI
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
Dental
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Inst
Inst
Inst
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Y
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
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
Y
Y
N
Y
Y
Y
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
63106
95170
ACN01
J1236
J1236
J1026
37128
37128
37128
J1027
IP080
TH095
56071
41556
62030
62030
1066
1066
66065
J1250
J1250
36369
81949
41556
23212
81400
81400
J1524
74048
State
AMERICAN BEHAVIORAL FED-ITS
AMERICAN BENEFIT PLAN ADMINISTRATORS
AMERICAN CHIROPRACTIC NETWORK
AMERICAN CLAIMS MANAGEMENT (ACM)
AMERICAN CLAIMS MANAGEMENT (ACM) (AUTO ONLY)
AMERICAN COIN MERCHANDISING, INC
AMERICAN COMMERCIAL BARGE LINES
AMERICAN COMMERCIAL BARGE LINES - INST
AMERICAN COMMERCIAL LINES
AMERICAN CYANAMID
AMERICAN FAMILY HEALTH PROVIDERS
CA
AMERICAN FAMILY INSURANCE GROUP
AMERICAN FAMILY PPO POLICIES
AMERICAN FURNITURE WAREHOUSE
AMERICAN GENERAL
AMERICAN GENERAL - INST
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
AMERICAN MEDICAL SECURITY
AMERICAN MEDICAL SECURITY - INST
AMERICAN MINING INSURANCE GROUP, LLC
AMERICAN NATIONAL INS CO (ANICO)
PR
Payer
Type
Format
CI
CI
CI
WC
AM
WC
CI
CI
CI
WC
CI
CI
CI
WC
CI
CI
CI
CI
MB
WC
AM
CI
CI
WC
CI
CI
CI
WC
CI
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
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
Y
N
N
N
N
N
N
N
N
N
Y
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Y
N
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
74048
44444
44444
60801
42011
42011
17965
J1028
ASH01
J1029
ATHAL
37322
20553
20553
55649
55349
20029
20029
ARAZ
16120
86048
86048
86048
86002
86002
86049
86003
86003
26375
State
AMERICAN NATIONAL INS CO (ANICO) - INST
AMERICAN POSTAL WORKERS UNION
AMERICAN POSTAL WORKERS UNION - INST
AMERICAN PUBLIC LIFE (APL)
AMERICAN REPUBLIC INSURANCE CO
AMERICAN REPUBLIC INSURANCE CO - INST
AMERICAN SENTINEL INSURANCE
AMERICAN SPECIALTY COMPANIES
AMERICAN SPECIALTY HEALTH
AMERICAN SPECIALTY INS MIB
AMERICAN THERAPY ADMINISTRATORS (ATA)
AMERICAN WORKER HEALTH PLUS
AMERICAS 1ST CHOICE HEALTH PLANS - SOUTH CAROLINA
AMERICAS 1ST CHOICE HEALTH PLANS - SOUTH CAROLINA - INST
AMERICAS 1ST CHOICE OF SOUTH CAROLINA INC
AMERICAS 1ST CHOICE OF SOUTH CAROLINA INC - INST
AMERICAS CHOICE HEALTH PLANS NMA
AMERICAS CHOICE HEALTH PLANS NMA - INST
AMERICAS PPO
AMERICAS PPO
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
AMERICHOICE PENNSYLVANIA MEDICAID INST
AMERICHOICE PENNSYLVANIA PERSONAL CARE
AMERICHOICE PENNSYLVANIA PERSONAL CARE PLUS
AMERIGROUP
NY
NY
NY
NY
NY
PA
PA
PA
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
WC
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Inst
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
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
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
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
Y
Y
N
N
Y
Y
N
N
Y
N
Y
Y
Y
Y
Y
Y
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
28809
28808
28804
28804
26375
26375
26375
26374
26374
26378
26375
27514
27514
26375
CX014
26378
26378
26378
26378
26378
26375
26375
26375
27518
27518
26375
54763
54763
54763
AMERIGROUP FLORIDA
AMERIGROUP ILLINOIS
AMERIGROUP MARYLAND DC
AMERIGROUP NEW JERSEY
AMERIGROUP (AUSTIN DFW)
AMERIGROUP (AUSTIN DFW) - INST
AMERIGROUP (FT WORTH)
AMERIGROUP (HOUSTON CORPUS SA)
AMERIGROUP (HOUSTON CORPUS SA) - INST
State
FL
IL
MD
NJ
TX
TX
TX
TX
TX
AMERIGROUP - INST
AMERIGROUP - MULTI STATES
AMERIGROUP COMMUNITY CARE
AMERIGROUP COMMUNITY CARE - INST
AMERIGROUP COMMUNITY CARE NEVADA INST
KS
KS
NV
AMERIGROUP DENTAL
AMERIGROUP FLORIDA
AMERIGROUP FLORIDA - INST
AMERIGROUP GEORGIA
AMERIGROUP GEORGIA - INST
AMERIGROUP ILLINOIS
AMERIGROUP KENTUCKY
AMERIGROUP LOUISIANA BAYOU HEALTH
AMERIGROUP NEW JERSEY
AMERIGROUP OHIO
AMERIGROUP OHIO - INST
AMERIGROUP TEXAS
AMERIHEALTH ADMINISTRATORS
AMERIHEALTH ADMINISTRATORS - DENTAL
AMERIHEALTH ADMINISTRATORS - INST
FL
FL
GA
GA
IL
KY
LA
NJ
OH
OH
TX
Payer
Type
Format
CI
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
CI
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Inst
Prof
Prof
Inst
Inst
Dental
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Dental
Inst
Real Time
Real Time
Claim
Eligibility
Status
Y
Y
Y
Y
Y
N
Y
Y
N
N
Y
Y
N
N
N
Y
N
Y
N
Y
N
Y
Y
Y
N
Y
N
N
N
Y
Y
Y
Y
N
N
N
Y
N
N
Y
Y
N
N
N
Y
N
Y
N
Y
N
N
N
Y
N
N
Y
N
N
Claim Enroll
Required
ERA
N
N
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
Y
Y
Y
Y
Y
Y
N
N
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
77075
27357
27357
77001
22248
22248
77013
77051
93688
77002
23037
95044
CX014
95044
60061
60061
22355
77007
77006
26374
26375
12504
J1206
47009
1757
1757
64090
J1868
J1453
AMERIHEALTH CARITAS IOWA
AMERIHEALTH CARITAS LOUISIANA - INST
AMERIHEALTH CARITAS LOUISIANA FKA LACARE
State
IA
LA
LA
AMERIHEALTH CARITAS NORTHEAST
AMERIHEALTH CARITAS PENN FKA MERCY - INST
AMERIHEALTH CARITAS PENN FKA MERCY HEALTH PLAN
AMERIHEALTH CARITUS VIP CARE PLUS MICHIGAN
AMERIHEALTH CONNECT (HEALTHY PA)
AMERIHEALTH DELAWARE PPO
AMERIHEALTH DISTRICT OF COLUMBIA (DC)
MI
PA
DE
DC
AMERIHEALTH HMO NEW JERSEY AND DELAWARE
AMERIHEALTH HMO NEW JERSEY AND DELAWARE
AMERIHEALTH MERCY DENTAL
AMERIHEALTH NEW JERSEY HMO POS - INST
AMERIHEALTH NEW JERSEY PPO
NJ
AMERIHEALTH NEW JERSEY PPO - INST
AMERIHEALTH VIP CARE
AMERIHEALTH VIP CARE DC
AMERIHEALTH VIP CARE LA
AMERIKIDS - HOUSTON
AMERIKIDS- FORT WORTH
AMERIPRISE AUTO AND HOME INSURANCE (AUTO ONLY)
AMERISURE INSURANCE
AMERITAS INSURANCE - DENTAL
AMFIRST INS - MORGAN WHITE ADMIN
AMFIRST INS - MORGAN WHITE ADMIN - INST
AMFIRST INSURANCE CO
AMFIRST INSURANCE CO WORK COMP
AMGUARD INSURANCE COMPANY - GUARD DBA
DC
LA
TX
TX
Payer
Type
Format
CI
MC
MC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
AM
WC
CI
CI
CI
CI
WC
WC
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Inst
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
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
Y
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
Y
N
Y
Y
N
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
N
N
Y
N
N
Y
N
Y
Y
N
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
12287
24818
24818
79966
79966
76052
AMILR
IP080
41556
41556
53085
53085
J1919
86062
86062
J1620
J1620
43101
34192
41556
16140
16140
34196
34196
APP01
44444
J1502
ARAZ
52312
State
AMICA MUTUAL INSURANCE COMPANY (AUTO ONLY)
AMIDA CARE
AMIDA CARE - INST
AMIDA CARE MEDICARE
AMIDA CARE MEDICARE - INST
AMIL ARIA
AMILARIA VIA MEDIVIEW
AMVI
TX
CA
ANACO
ANAIC CIBUS
ANCHOR BENEFIT CONSULTING
ANCHOR BENEFIT CONSULTING, INC
ANCHOR CLAIMS MANAGEMENT WC
ANCILLARY BENEFITS - ARIZONA FOUNDATION FOR MEDICAL CARE
ANCILLARY BENEFITS - ARIZONA FOUNDATION FOR MEDICAL CARE
ANHEUSER BUSCH
ANHEUSER BUSCH (AUTO ONLY)
ANPAC (AUTO ONLY)
ANTARES MANAGEMENT SOLUTIONS
OH
ANTELOPE VALLEY RET
APA PARTNERS INC
APA PARTNERS, INC - INST
APEX BENEFIT SERVICES
APEX BENEFIT SERVICES INST
APPLECARE MEDICAL MANAGEMENT
CA
APWU AFFORDABLE NETWORK
ARAMARK
ARAZ
ARBOR HEALTH PLAN
NE
Payer
Type
Format
AM
CI
CI
CI
CI
CI
CI
CI
WC
WC
CI
CI
WC
CI
CI
WC
AM
AM
CI
WC
CI
CI
CI
CI
CI
CI
WC
CI
CI
Prof
Prof
Inst
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Y
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
77045
77045
J1735
J1735
19801
39185
39185
41556
AZFMC
53172
27154
27154
75278
75278
62176
62176
87726
87726
IP002
TPC16
56192
PR027
38265
38265
ASRM1
ASRM1
35326
FAABC
FAABC
State
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)
ARGONAUT INSURANCE COMPANY(ARGO)
ARISE HEALTH PLAN
ARISE HEALTH PLAN - INST
ARIZONA AND 21ST CORP DBA BERKLEY EAST CONV HOSPITAL
ARIZONA FOUNDATION FOR MEDICAL CARE - AFMC
AZ
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
ASOCIACION DE MAESTROS (PROSSAM)
PR
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)
NJ
NJ
Payer
Type
Format
CI
CI
WC
AM
WC
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Inst
Prof
Inst
Prof
Prof
Dental
Inst
Prof
Prof
Inst
Prof
Inst
Inst
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
ATPA1
36326
36326
37294
C1034
70408
39065
ASNTH
41099
39065
58730
58730
39065
75068
88035
88035
76044
74240
93221
93221
TPC18
TPC19
95691
95691
J1914
ADN01
22285
19895
ATPA1
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)
ASSURANT HEALTH - JOHN ALDEN LIFE
ASSURANT HEALTH - TIME AKA FORTIS INSURANCE
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
ASURIS NORTHWEST HEALTH - INST
ATE ASEA CWA 1181 (ACTIVES)
ATE ASEA CWA 1181 (RETIREES)
ATHENS AREA HEALTH PLAN SELECT
ATHENS AREA HEALTH PLAN SELECT
ATHENS WORK COMP
ATLANTIC DENTAL (ADI)
ATLANTIC MEDICAL INSURANCE
ATLANTIC MUTUAL INSURANCE
ATPA
State
Payer
Type
Format
CI
CI
CI
CI
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
WC
CI
Prof
Inst
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Dental
Dental
Inst
Prof
Prof
Dental
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
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
Y
Y
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
ATRIO
ATRIO
AULTC
37242
37242
PHD01
J1682
J1682
CMSEB
11983
11983
J1580
J1580
J1583
J1583
J1699
J1699
J1688
J1688
J1556
J1556
J1596
J1596
38259
38259
37280
37280
37280
91136
State
ATRIO HEALTH PLAN
ATRIO HEALTH PLAN - INST
AULTCARE
OH
AULTRA ADMINISTRATIVE GROUP
AULTRA ADMINISTRATIVE GROUP
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 (ABS)
AUTOMATED BENEFIT SERVICES INST
AUTOMATED GROUP ADMINISTRATION
AUTOMATED GROUP ADMINISTRATION, INC
AUTOMATED GROUP ADMINISTRATION, INC
AUTOMOTIVE MACHINISTS LOCAL 289 HEALTH
MI
MI
IN
Payer
Type
Format
CI
CI
CI
CI
CI
CI
WC
AM
CI
AM
AM
WC
AM
WC
AM
WC
AM
WC
AM
WC
AM
WC
AM
CI
CI
CI
CI
CI
CI
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
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
N
N
Claim Enroll
Required
ERA
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
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
91136
AH001
46045
46045
87098
41556
59274
59274
AXM01
J1018
A2051
41556
BKRFM
J1729
J1729
12X42
12X42
SX145
65026
65026
74275
J1503
J1686
J1686
41556
37248
38238
16112
59279
State
AUTOMOTIVE MACHINISTS LOCAL 289 HEALTH WELFARE TRUST GRP F32
AVANTE HEALTH
AVERA HEALTH PLANS
AVERA HEALTH PLANS
AVESIS VISION CLAIMS
AVIR INC
AVMED HEALTH PLAN
AVMED HEALTH PLAN - INST
AXMINSTER MEDICAL GROUP
FL
FL
CA
AYERS TRUCKING
BAC LOCAL 15 WELFARE FUND (KANSAS)
BAKER TANKS, INC
BAKERSFIELD FAMILY MEDICAL CENTER
BANK OF AMERICA
BANK OF AMERICA (AUTO ONLY)
BANNER HEALTH CO
BANNER HEALTH CO - INST
BANNER HEALTH PLAN
BAPTIST HEALTH SOUTH FLORIDA
BAPTIST HEALTH SOUTH FLORIDA - INST
BAPTIST HEALTHCARE NETWORK
BARNES
BARRETT BUSINESS SERVICES INC (BBSI)
BARRETT BUSINESS SERVICES INC (BBSI) (AUTO ONLY)
BASIC RESOURCES, INC
BASS ADMINISTRATORS INC
BASS ADMINISTRATORS, INC
BATAVIA CITY SCHOOLS TRI-COUNTY MEDICAL PLAN
BAYCARE LIFE MANAGEMENT
FL
FL
Payer
Type
Format
CI
CI
CI
CI
CI
WC
CI
CI
CI
WC
CI
WC
CI
WC
AM
CI
CI
CI
CI
CI
CI
WC
WC
AM
WC
CI
CI
CI
CI
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
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
Y
Y
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
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
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
59279
BLUPP
83470
TFQ45
76031
TLF02
HMSA1
CB621
84105
BSIA2
47163
CX014
23739
23738
CBMA1
CBMA1
FE210
FEPMI
TBS03
TBS04
EXC02
EXC01
EXC01
EXC02
EXC01
52133
BSNDV
TBOK1
84980
State
BAYCARE LIFE MANAGEMENT - INST
BCBS ALL PAPER HCFA
BCBS ARKANSAS
BCBS ARKANSAS FEP CLAIMS ONLY
BCBS FLORIDA (FLORIDA COMBINED LIFE) DENTAL
BCBS FLORIDA - FEDERAL EMPLOYEE DENTAL
FL
FL
BCBS HAWAII (HMSA) - COMMERCIAL DENTAL
BCBS ILLINOIS DENTAL
BCBS INDIANA DENTAL
BCBS IOWA MEDICARE COB
BCBS KANSAS
IL
IN
IA
KS
BCBS KANSAS CITY DENTAL
BCBS LOUISIANA
BCBS LOUISIANA POS - HMO LOUISIANA
BCBS MASSACHUSETTS DENTAL
BCBS MASSACHUSETTS DENTAL BLUE
BCBS MICHIGAN FEP FEDERAL EMPLOYEES - INST
BCBS MICHIGAN FEP FEDERAL EMPLOYEES - PROF
LA
MA
MA
MI
MI
BCBS MISSISSIPPI (CHIP CLAIMS ONLY)
BCBS MISSISSIPPI (CHIP PRE-D'S ONLY)
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
BCBS OF OKLAHOMA
BCBS TEXAS DENTAL
NC
ND
OK
TX
Payer
Type
Format
CI
BL
BL
BL
BL
CI
CI
BL
BL
BL
BL
BL
CI
BL
BL
BL
CI
CI
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
Inst
Prof
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Prof
Dental
Dental
Dental
Prof
Dental
Dental
Inst
Prof
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Prof
Dental
Dental
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
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
Y
N
N
Y
Y
N
N
N
N
N
N
N
N
Y
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
66001
66001
BCVA1
301
SC400
SC402
SC402
SC481
SC403
SC400
49153
43324
43324
J1234
J1030
J1690
J1690
45967
95377
95377
41556
63100
60054
68241
PR002
MPM10
J1257
J1257
37125
BCBS TEXAS STAR AND CHIP MEDICAID
BCBS TEXAS STAR AND CHIP MEDICAID - INST
BCBS VIRGINIA - INST
State
TX
TX
VA
BCBS WESTERN NEW YORK (WNY)
BCBSSC STATE EMPLOYEES HEALTH PLAN
BCBSSC FEDERAL EMPLOYEES PLAN FEP
BCBSSC FEDERAL EMPLOYEES PLAN FEP INST
BCBSSC PREFERRED BLUE
BCBSSC PREFERRED HEALTH SYSTEMS-HMO BLUE
BCBSSC STATE EMPLOYEES HEALTH PLAN INST
SC
SC
SC
SC
SC
SC
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
BELLA VISTA MED GRP
BENCHMARK INSURANCE
BENCHMARK INSURANCE (AUTO ONLY)
BENEFIRST
CA
Payer
Type
Format
CI
CI
BL
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
Prof
Inst
Inst
Dental
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Dental
Inst
Prof
Prof
Prof
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
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
Y
N
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
41205
41205
36149
36149
99320
25145
25145
BMATP
BMG01
48611
48611
56139
999
37212
37212
13310
88052
39081
39081
39081
88052
37118
37118
37222
37222
2053
34178
38257
36342
State
BENEFIT ADMINISTRATION SERVICES (BAS LTD)
BENEFIT ADMINISTRATION SERVICES DENTAL
BENEFIT ADMINISTRATIVE SYSTEMS - BAS HEALTH
BENEFIT ADMINISTRATIVE SYSTEMS INST
BENEFIT AND RISK MANAGEMENT SERVICES
BENEFIT COORDINATORS CORP
PA
BENEFIT COORDINATORS CORPORATION (PITTSBURGH,
BENEFIT MANAGEMENT ADMIN (SAN ANTONIO)
BENEFIT MANAGEMENT GROUP INC (BMG)
BENEFIT MANAGEMENT INC OF KANSAS
BENEFIT MANAGEMENT INC OF KANSAS INST
KS
KS
BENEFIT MANAGEMENT SERVICES
BENEFIT MANAGEMENT SERVICES OF LOUISIANA
LA
BENEFIT MANAGEMENT SYSTEMS INC - MISSISSIPPI
BENEFIT MANAGEMENT SYSTEMS INC - MISSISSIPPI
BENEFIT PLAN ADMIN ST LOUIS
MO
BENEFIT PLAN ADMINISTRATORS
BENEFIT PLAN ADMINISTRATORS (EAU CLAIRE WI)
BENEFIT PLAN ADMINISTRATORS (EAU CLAIRE WI) - DENTAL
BENEFIT PLAN ADMINISTRATORS (EAU CLAIRE WI) - INST
BENEFIT PLAN ADMINISTRATORS - INST
BENEFIT PLAN ADMINISTRATORS INC (ROANOKE)
BENEFIT PLAN ADMINISTRATORS INC (ROANOKE) - INST
VA
VA
BENEFIT PLAN MANAGEMENT
BENEFIT PLAN MANAGEMENT
BENEFIT RESOURCES
BENEFIT SERVICES (AKRON OH)
BENEFIT SOURCE, INC
BENEFIT SYSTEMS SERVICES
IN
OH
Payer
Type
Format
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
CI
CI
CI
Prof
Dental
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Dental
Inst
Inst
Prof
Inst
Inst
Prof
Prof
Prof
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
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
Y
N
N
N
Y
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
36342
75135
75135
42148
BMX01
87265
87265
37248
37248
32838
BNMK1
J1477
J1477
J1523
J1477
J1526
TP019
41556
20044
23243
95606
41556
J1031
95604
95604
20488
32006
41556
44219
State
BENEFIT SYSTEMS SERVICES, INC (BSSI)
BENEFITS MANAGEMENT
BENEFITS MANAGEMENT HOS
BENEFITS, INC
BENEMAX
BENESIGHT (UMR) - INST
BENESIGHT (UMR)
BENESYS
BENESYS
BENESYS
BENMARK
MS
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)
BERKSHIRE LEHIGH PARTNERS
BERNARDO H CO CLUB
BERWIND CORPORATION
BEST LIFE HEALTH INSURANCE CO
BEST LIFE HEALTH INSURANCE CO
BETTER HEALTH OF FLORIDA
BETTER HEALTH PLAN OF SOUTH CAROLINA
BEVERLY HILLS CARMEL
BHP-UNITY
FL
SC
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
WC
WC
WC
WC
WC
WC
CI
CI
WC
WC
CI
CI
CI
CI
WC
CI
Inst
Inst
Inst
Inst
Dental
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
BSHS1
J1738
J1738
CX025
41556
J1691
J1691
J1579
J1579
BV001
J1347
870
TLY26
3036
3036
37244
BN210
BCNMI
510
53589
BS020
50
60
BC590
BC101
130
47163
160
53120
State
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 (SUPERIOR VISION)
BLOOMINGDALE'S
BLUE SHIELD RHODE ISLAND
RI
BLUE ADVANTAGE (BCBS OF AR)
BLUE BENEFIT ADMINISTRATORS OF MA
BLUE BENEFIT ADMINISTRATORS OF MA - INST
MA
MA
BLUE BONNET ADMINISTRATORS
BLUE CARE NETWORK MICHIGAN - INST
BLUE CARE NETWORK MICHIGAN - PROF
BLUE CROSS BLUE SHIELD ALABAMA - DENTAL
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
MI
MI
AL
AZ
AR
CO
CT
FL
GA
IN
KS
KY
LA
Payer
Type
Format
CI
WC
AM
CI
WC
WC
AM
WC
AM
CI
WC
BL
BL
CI
CI
CI
CI
CI
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Inst
Inst
Inst
Prof
Dental
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Real Time
Real Time
Claim
Eligibility
Status
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
N
Y
N
N
Y
Y
N
N
Y
N
N
N
Y
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
Y
N
N
Y
N
N
N
N
N
Y
N
Y
N
N
N
N
N
N
N
N
N
Y
N
Y
N
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
200
BC210
220
BS230
241
760
265
790
BSNC2
77078
621
621
332
BSOK1
SC401
SC481
BSSD1
BC390
BC980
450
932
BC305
BCCIL
BCCMI
BCD01
BCND1
60147
47198
47198
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 MISSOURI - INST
BLUE CROSS BLUE SHIELD NEBRASKA INST
BLUE CROSS BLUE SHIELD NEVADA (ANTHEM) - INST
BLUE CROSS BLUE SHIELD NEW MEXICO INST
BLUE CROSS BLUE SHIELD NORTH CAROLINA - INST
State
MA
MI
MN
MS
MO
NE
NV
NM
NC
BLUE CROSS BLUE SHIELD OF ARIZONA ADVANTAGE
BLUE CROSS BLUE SHIELD OF ILLINOIS ( HCSC)
BLUE CROSS BLUE SHIELD OF ILLINOIS (HCSC) INST
BLUE CROSS BLUE SHIELD OHIO INST
BLUE CROSS BLUE SHIELD OKLAHOMA INST
BLUE CROSS BLUE SHIELD SOUTH CAROLINA
BLUE CROSS BLUE SHIELD SOUTH CAROLINA INST
BLUE CROSS BLUE SHIELD SOUTH DAKOTA - INST
BLUE CROSS BLUE SHIELD TENNESSEE INST
BLUE CROSS BLUE SHIELD TEXAS INST
BLUE CROSS BLUE SHIELD WISCONSIN - INST
BLUE CROSS BLUESHIELD WA REGENCE INST
BLUE CROSS CENTRAL NEW YORK - INST
BLUE CROSS COMMUNITY ILLINOIS
BLUE CROSS COMPLETE MICHIGAN - PROF
IL
IL
OH
OK
SC
SC
SD
TN
TX
WI
WA
NY
IL
MI
BLUE CROSS DENTAL (MD) DOMINION CAPITAL BLUE CROSS
BLUE CROSS NORTH DAKOTA
BLUE CROSS NORTHEASTERN PENNSYLVANIA
BLUE CROSS OF CALIFORNIA (ANTHEM)
BLUE CROSS OF CALIFORNIA (ANTHEM) - INST
ND
PA
CA
CA
Payer
Type
Format
BL
BL
BL
CI
BL
BL
BL
BL
BL
CI
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
CI
BL
CI
CI
BL
BL
BL
CI
BL
Inst
Inst
Inst
Prof
Inst
Inst
Inst
Inst
Inst
Prof
Prof
Inst
Inst
Inst
Prof
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Prof
Prof
Dental
Inst
Prof
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
Y
N
N
Y
Y
N
Y
N
N
N
N
Y
Y
N
N
N
N
N
N
N
Y
N
N
Y
N
Y
N
N
N
N
N
N
N
N
N
N
Y
N
N
Y
N
Y
N
Y
N
Y
N
N
Y
Y
N
Claim Enroll
Required
ERA
Y
Y
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
Y
N
Y
N
N
N
N
N
Y
Y
Y
Y
Y
N
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
N
Y
N
N
Y
Y
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
TEL47198
610
610
IP061
56152
56152
53589
BS520
570
BS590
621
BSIA1
47163
53120
200
720
BSMT0
760
BS804
BS801
BS806
BSND1
BSOK1
54771
BSSD1
BS390
BSVT1
BSWY1
510
BLUE CROSS OF CALIFORNIA (TELEMEDICINE)
BLUE CROSS OF IDAHO
BLUE CROSS OF IDAHO INST
BLUE LAKE RANCHERIA
BLUE MEDICARE ADVANTAGE NORTH CAROLINA
BLUE MEDICARE ADVANTAGE NORTH CAROLINA INST
BLUE SHIELD ARIZONA
BLUE SHIELD ARKANSAS
BLUE SHIELD DELAWARE HIGHMARK
BLUE SHIELD FLORIDA
BLUE SHIELD ILLINOIS
BLUE SHIELD IOWA
BLUE SHIELD KANSAS
BLUE SHIELD LOUISIANA
BLUE SHIELD MASSACHUSETTS
BLUE SHIELD MINNESOTA
BLUE SHIELD MONTANA
BLUE SHIELD NEBRASKA
BLUE SHIELD NEW YORK ROCHESTER (EXCELLUS)
BLUE SHIELD NEW YORK WESTERN - BUFFALO
BLUE SHIELD NEW YORK UTICA WATERTOWN (EXCELLUS)
BLUE SHIELD NORTH DAKOTA
BLUE SHIELD OKLAHOMA
BLUE SHIELD PENN HIGHMARK BCBS
BLUE SHIELD SOUTH DAKOTA
BLUE SHIELD TENNESSEE
BLUE SHIELD VERMONT
BLUE SHIELD WYOMING
BLUE SHIELD ALABAMA
State
Payer
Type
Format
CA
ID
ID
CA
NC
NC
AZ
AR
DE
FL
IL
IA
KS
LA
MA
MN
MT
NE
NY
NY
NY
ND
OK
PA
SD
TN
VT
WY
AL
CI
CI
CI
CI
CI
CI
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
Y
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
Y
N
N
Y
N
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Claim Enroll
Required
ERA
N
Y
Y
N
N
N
N
Y
Y
N
N
Y
Y
Y
Y
N
N
Y
Y
Y
Y
Y
N
Y
Y
N
N
Y
N
N
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
84980
BS805
50
TEL00050
60
TEL00060
601
TEL00601
BS115
630
TEL00630
47171
BS660
TEL00660
680
TEL00680
BS710
241
TEL00241
265
TEL00265
770
TEL00770
790
BSNC1
BS800
94036
52133
94036
BLUE SHIELD BCBS TEXAS
BLUE SHIELD CENTRAL NEW YORK (EXCELLUS)
BLUE SHIELD COLORADO
BLUE SHIELD COLORADO (TELEMEDICINE)
BLUE SHIELD CONNECTICUT (ANTHEM)
BLUE SHIELD CONNECTICUT (TELEMEDICINE)
BLUE SHIELD GEORGIA
BLUE SHIELD GEORGIA (TELEMEDICINE)
BLUE SHIELD HAWAII (HMSA)
BLUE SHIELD INDIANA (ANTHEM)
BLUE SHIELD INDIANA (TELEMEDICINE)
BLUE SHIELD KANSAS CITY REGION
BLUE SHIELD KENTUCKY (ANTHEM)
BLUE SHIELD KENTUCKY (TELEMEDICINE)
BLUE SHIELD MAINE (ANTHEM)
BLUE SHIELD MAINE (TELEMEDICINE)
BLUE SHIELD MICHIGAN - PROF
BLUE SHIELD MISSOURI (ANTHEM)
BLUE SHIELD MISSOURI (TELEMEDICINE)
BLUE SHIELD NEVADA (ANTHEM)
BLUE SHIELD NEVADA (TELEMEDICINE)
BLUE SHIELD NEW HAMPSHIRE (ANTHEM)
BLUE SHIELD NEW HAMPSHIRE (TELEMEDICINE)
BLUE SHIELD NEW MEXICO
BLUE SHIELD NORTH CAROLINA
BLUE SHIELD NORTHEASTERN NEW YORK
BLUE SHIELD OF CALIFORNIA
State
TX
NY
CO
CO
CT
CT
GA
GA
HI
IN
IN
MO
KY
KY
ME
ME
MI
MO
MO
NV
NV
NH
NH
NM
NC
NY
CA
BLUE SHIELD OF CALIFORNIA DENTAL
BLUE SHIELD OF CALIFORNIA INST
CA
Payer
Type
Format
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
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
Dental
Inst
Real Time
Real Time
Claim
Eligibility
Status
Y
N
Y
N
Y
N
Y
N
N
Y
N
N
Y
N
N
N
N
Y
N
Y
N
N
N
Y
N
N
N
N
N
Y
Y
Y
N
Y
N
Y
N
Y
Y
N
Y
Y
N
N
N
Y
Y
N
Y
N
N
N
Y
Y
Y
Y
N
N
Claim Enroll
Required
ERA
N
Y
N
N
N
N
N
N
Y
N
N
Y
N
N
N
N
Y
N
N
N
N
N
N
N
N
Y
N
N
N
Y
Y
Y
N
Y
N
Y
N
Y
Y
N
Y
Y
N
Y
N
Y
Y
N
Y
N
Y
N
Y
Y
Y
Y
N
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
611
611
800
CB865
CBPA2
932
BSWA2
834
TEL00834
851
BSVA1
TELBSVA1
54828
950
TEL00950
SC922
SC922
403
61124
61124
CX014
13337
13337
43178
43178
J1258
J1259
41556
36609
BLUE SHIELD OF IDAHO (REGENCE)
BLUE SHIELD OF IDAHO (REGENCE) - INST
State
ID
ID
BLUE SHIELD OF NORTHEASTERN NEW YORK (NENY)
BLUE SHIELD OF PENNSYLVANIA
BLUE SHIELD OF PENNSYLVANIA - DENTAL PLUS (UCCI)
BLUE SHIELD OF WASHINGTON (REGENCE)
BLUE SHIELD OF WASHINGTON REGENCE (PIN)
BLUE SHIELD OHIO (ANTHEM)
BLUE SHIELD OHIO (TELEMEDICINE)
BLUE SHIELD OREGON (REGENCE)
BLUE SHIELD VIRGINIA
BLUE SHIELD VIRGINIA (TELEMEDICINE)
BLUE SHIELD WEST VIRGINIA
BLUE SHIELD WISCONSIN (ANTHEM)
BLUE SHIELD WISCONSIN (TELEMEDICINE)
BLUECHOICE HEALTH PLAN (BCBSSC)
BLUECHOICE HEALTH PLAN (BCBSSC) - INST
BLUECHOICE SOUTH CAROLINA MEDICAID (WELLPOINT)
WA
WA
OH
OH
OR
VA
VA
WV
WI
WI
SC
SC
SC
BLUEGRASS FAMILY HEALTH DBA BAPTIST HEALTH PLAN
BLUEGRASS FAMILY HEALTH DBA BAPTIST HEALTH PLAN - INST
BMC COMMONWEALTH MASS - DENTAQUEST
BMC HEALTHNET PLAN (BOSTON MEDICAL)
BMC HEALTHNET PLAN - INST
BMI - JOPLIN CLAIMS
BMI - JOPLIN CLAIMS
BMW MANUFACTURING CORP
BMW NORTH AMERICA
BOBRICK WASHROOM
BOILERMAKERS NATIONAL HEALTH WELFARE FUND
MA
MA
MA
Payer
Type
Format
CI
CI
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
BL
CI
CI
MC
CI
CI
CI
CI
CI
CI
CI
WC
WC
WC
CI
Prof
Inst
Dental
Dental
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Dental
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
Y
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
Y
N
N
N
N
Y
Y
Y
N
Y
Y
N
Y
Y
N
Y
N
Y
Y
N
N
Y
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
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
Y
N
N
N
Y
Y
Y
N
Y
Y
N
Y
Y
N
Y
N
Y
Y
Y
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
36609
BOLL1
BOLL1
TLX71
BOONG
BOONG
74238
74238
38324
38324
41556
37273
37273
37273
37273
48964
UC001
UC002
52192
65005
41556
J1761
38365
BRIDG
68054
68054
TP021
51037
51037
State
BOILERMAKERS NATIONAL HEALTH WELFARE FUND
BOLLINGER INC
BOLLINGER INC
BOLLINGER INSURANCE
BOON GROUP
BOON GROUP - INST
BOON-CHAPMAN BENEFIT ADMINISTRATORS
BOON-CHAPMAN BENEFIT ADMINISTRATORS - INST
BOTSFORD HEALTH PLAN
MI
BOTSFORD HEALTH PLAN (FARMINGTON HILLS, MI)
BOULDER COMMUNITY HOSPITAL
BOYD BROS TRANSPORTATION INC
BOYD BROS TRANSPORTATION, INC
BOYDCARE
BOYDCARE
BPS, INC
BRAND NEW DAY
BRAND NEW DAY ENCOUNTERS
BRAVO HEALTH ELDER HEALTH
BREATHCOCSL PULMONARY
BREMCO CONSTRUCTION
BRICKSTREET
BRIDGE BENEFITS
BRIDGESPAN HEALTH
BRIDGEWAY HEALTH SOLUTIONS ARIZ INST
BRIDGEWAY HEALTH SOLUTIONS ARIZONA
BROADSPIRE, A CRAWFORD COMPANY
BROCKERAGE CONCEPTS - INST
BROKERAGE CONCEPTS
OH
UT
AZ
AZ
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
CI
CI
CI
CI
WC
CI
CI
Prof
Inst
Prof
Dental
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
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
Y
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
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
N
N
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
BIPAZ
J1445
J1445
94316
94316
BTSS1
41556
11150
J1032
932
32004
32004
50240
J1501
J1435
J1033
41556
42150
42150
41556
23708
16126
59129
41556
J1535
68069
IP020
41556
CWS99
BROOKSHIRE IPA
State
CA
BROTHERHOOD MUTUAL INSURANCE
BROTHERHOOD MUTUAL INSURANCE (AUTO ONLY)
BROWN AND TOLAND MEDICAL GROUP
BROWN AND TOLAND MEDICAL GROUP INST
BROWN AND TOLAND SUTTER SELECT
CA
CA
CA
BROWNSVILLE INDEPENDENT SCHOOL DISTRICT
BROWNYARD GROUP INC (ARCH INSURANCE)
BRUNSWICK CORPORATION
BS WASHINGTON (REGENCE)
BUCKEYE COMMUNITY HEALTH PLAN OHIO
BUCKEYE COMMUNITY HEALTH PLAN OHIO INST
WA
OH
OH
BUENAVENTURA MEDICAL GROUP
BUFFETS INC (OLD COUNTRY BUFFETT, RYAN'S, HOMETOWN BUFFET)
BUNCH AND ASSOCIATES
BURLINGTON COAT FACTORY WAREHO
BURTON WAY CARMEL
BUTLER BENEFITS
IA
BUTLER DENTAL (LA)
BYCOR GEN CONTRACT
C AND O EMPLOYEES HOSPITAL ASSOCIATION
C NY MANAGED CARE
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
CA
Payer
Type
Format
CI
WC
AM
CI
CI
CI
WC
WC
WC
BL
CI
CI
CI
WC
WC
WC
WC
CI
CI
WC
CI
CI
CI
WC
WC
CI
CI
WC
CI
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
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
Y
N
N
N
N
Y
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
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
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
41556
CALOP
59334
CAMAA
41556
37105
37105
71057
37105
CAPMN
38245
38245
J1637
J1637
CBC01
CAPBC
CAPBC
CDPHP
95112
95112
68011
68011
J1262
J1262
CAPHP
CAPHP
CAPHP
41556
86044
State
CALLAHAN, MCCUNE
CALOPTIMA DIRECT
CA
CAMBRIDGE ISG
CAMERON ASSOCIATES
CAMPBELL UNION SCHOOL DISTRICT
CANNON COCHRAN MANAGEMENT SERV
CANNON COCHRAN MANAGEMENT SERVICES INC
CANNON COCHRAN MANAGEMENT SERVICES, INC
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
AZ
Payer
Type
Format
WC
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
WC
AM
CI
BL
BL
CI
CI
CI
CI
CI
WC
AM
CI
CI
CI
WC
CI
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Dental
Prof
Inst
Prof
Prof
Prof
Dental
Prof
Inst
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Dental
Inst
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Y
N
N
Y
N
N
N
N
Claim Enroll
Required
ERA
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
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
86044
GCVCP
57116
57116
C1SCA
EC1CA
C1SCA
65063
77082
77082
340
11331
43172
43172
11345
14182
14179
14180
14188
75190
SB580
SB690
SB580
SB690
SB691
25140
CLUHS
91136
CARMO
CAPSTONE HEALTH PLAN
State
AZ
CARDIOVASCULAR CARE PROVIDERS INC (CVCP)
CARE 1ST HEALTH PLAN OF ARIZONA
CARE 1ST HEALTH PLAN OF ARIZONA - INST
CARE 1ST HEALTH PLAN OF CALIF
CARE 1ST HEALTH PLAN OF CALIF - ENCOUNTER
CARE 1ST HEALTH PLAN OF CALIF - INST
CARE ACCESS PSN
AZ
AZ
CA
CA
CA
FL
CARE IMPROVEMENT PLUS - INST THRU DOS 12-31-2015
CARE IMPROVEMENT PLUS THRU DOS 12-31-2015
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 FAIRFAX)
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 HEALTH PLAN
CA
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
BL
BL
BL
BL
CI
CI
CI
CI
CI
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Inst
Prof
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
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
Y
Y
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
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
Y
Y
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
N
Y
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
CARMO
93975
93975
65031
95092
95092
INCS1
INCS1
KYCS1
31114
31114
MRCHP
MRCHP
DAKC
DAKC
35167
10010
77015
62073
62073
62072
62072
37245
29076
29076
56195
56195
25125
25125
CAREMORE HEALTH PLAN - INST
CAREOREGON
CAREOREGON
State
CA
OR
OR
CAREPLUS HEALTH PLAN
CAREPLUS HEALTH PLANS
CAREPLUS HEALTH PLANS - INST
CARESOURCE INDIANA
CARESOURCE INDIANA INST
CARESOURCE KENTUCKY
CARESOURCE OHIO
CARESOURCE OHIO INST
CARESOURCE OREGON
CARESOURCE OREGON INST
CAREWEST
CAREWEST
CAREWISE
CAREWORKS
CARILION CLINIC MEDICARE HEALTH PLAN
CARITEN HEALTH PLAN
CARITEN HEALTHCARE - INST
CARITEN SENIOR HEALTH
CARITEN SENIOR HEALTH - INST
CAROLINA BENEFIT ADMINISTRATOR
CAROLINA CARE PLAN (FORMERLY 57105)
CAROLINA CARE PLAN (FORMERLY 57105) - INST
CAROLINA SUMMIT HEALTHCARE
CAROLINA SUMMIT HEALTHCARE - INST
CARPENTERS HEALTH WELFARE ST LOUIS
CARPENTERS HEALTH AND WELFARE TRUST FUND OF
IN
IN
KY
OH
OH
OR
OR
SD
Payer
Type
Format
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
CI
CI
Inst
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Inst
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
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
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
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
Y
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
CAS01
93040
93040
J1630
J1630
37060
37060
41556
41556
41556
3036
31158
65391
CCAI
85468
J1010
CCSTPA
10050
88022
OBAEW
95166
41556
95167
95167
CELTC
68063
68060
68060
37250
CASCADE EAST HEALTH PLAN
State
OR
CASCADE EAST HEALTH PLANS
CASCADE EAST HEALTH PLANS
CASITAS MUNICIPAL WATER DISTRICT (CA)
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)
CBIZ BENEFITS INSURANCE SERVICES
CBNHP HEALTH CHOICES
CCAI
CCAIL - COMMUNITY CARE ALLIANCE OF ILLINOIS
IL
CCMSI
CCSTPA - BLUE LINK TPA MINNESOTA
MN
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 HEALTH PLAN
CELTICARE HEALTH PLAN INST
CEMARA ADMINISTRATORS
MA
MA
Payer
Type
Format
CI
CI
CI
WC
AM
CI
CI
WC
WC
WC
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Dental
Prof
Prof
Inst
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Y
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
37250
91136
91136
95386
CEN01
J1034
68068
68048
68048
68058
68050
68065
68065
68052
68068
68047
68068
68068
68068
68051
68059
68053
68068
42138
68056
68056
42139
19895
13360
State
CEMARA ADMINISTRATORS INC
CEMENT MASONS PLASTERERS HEALTH WELFARE
CEMENT MASONS PLASTERERS HLTH WELFARE TRUST GRP F16
CENCAL HEALTH (95386)
CENCAL INST
CA
CA
CENDANT CORPORATION
CENPATICO BEHAVIORAL HEALTH
CENPATICO BEHAVIORAL HEALTH ARIZONA
CENPATICO BEHAVIORAL HEALTH ARIZONA - INST
CENPATICO BEHAVIORAL HEALTH FLORIDA
CENPATICO BEHAVIORAL HEALTH GEORGIA
CENPATICO BEHAVIORAL HEALTH ILLINOIS
CENPATICO BEHAVIORAL HEALTH ILLINOIS INST
CENPATICO BEHAVIORAL HEALTH INDIANA
AZ
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 OHIO
CENPATICO BEHAVIORAL HEALTH SOUTH CAROLINA
CENPATICO BEHAVIORAL HEALTH TEXAS
CENPATICO BEHAVIORAL HEALTH WISCONSIN
CENPATICO TPA
CENTENE ADVANTAGE PLANS
CENTENE ADVANTAGE PLANS
CENTENE TPA
CENTENNIAL INSURANCE COMPANY
CENTERLIGHT HEALTHCARE
KS
KY
MA
NH
OH
SC
TX
WI
Payer
Type
Format
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
Inst
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
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
Y
Y
Y
N
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
N
N
N
N
N
Y
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
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
Y
Y
Y
Y
Y
N
N
Y
Y
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
CPHL1
CPHL1
IP080
MPM03
CCA01
WH001
IP037
J1605
J1605
J1035
2041
2041
IP010
34097
34097
36215
36215
37214
IP131
42140
48120
36393
36393
20356
20356
23171
J1646
J1646
84146
State
CENTERS PLAN FOR HEALTHY LIVING
CENTERS PLAN FOR HEALTHY LIVING - INST
CENTINELA IPA
CENTINELA VALLEY IPA
CENTRAL CALIFORNIA ALLIANCE FOR HEALTH
CENTRAL CALIFORNIA WOMENS HEALTH
CENTRAL COAST IPA
CA
CA
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 - INST
CENTRAL STATES HEALTH WELFARE FUNDS
CENTRAL STATES HEALTH WELFARE FUNDS
CENTRAL STATES JOINT BOARD HEALTH WELFARE TRUST FUND
CENTRAL VALLEY MEDICAL GROUP
CENTURION
CENTURY HEALTH SOLUTIONS
CENTURY PHO
CENTURY PHO - INST
CERNER HEALTHPLAN SERVICES (THE HEALTH EXCHANGE)
CERNER HEALTHPLAN SERVICES - INST
CHA HEALTH
CHAFFEY JOINT UNION H S DISTRICT (CA)
CHAFFEY JOINT UNION H S DISTRICT (CA) (AUTO ONLY)
CHAMP VA HAC
IL
CA
MN
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
WC
AM
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
AM
CI
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Inst
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
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
Y
N
N
N
N
N
N
Y
N
N
N
N
Y
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
84146
41556
41556
J1036
16600
16600
25131
25131
75261
J1908
34154
34154
J1479
J1479
COACC
41556
41556
DCHCH
UHSCH
TTPCH
UPGCH
CM001
CASD1
LNDMK
CMG01
76049
76049
PR002
60054
State
CHAMP VA HAC - INST
CHANDLER'S P VERDES
CHAPMAN CONVALESCENT
CHARMING SHOPPES, INC
CHAUTAUQUA COUNTY HEALTHCARE PLAN
CHAUTAUQUA COUNTY HEALTHCARE PLAN - INST
CHC DIAMOND MEDICAID INST
CHC DIAMOND MEDICAID MARYLAND
MD
CHEC - WEB TPA
CHESAPEAKE INSURANCE WC
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
TX
TX
TX
TX
CHIROMETRICS
CHIROPRACTIC ASSOC OF SOUTH DAKOTA - DAKOTA CARE
SD
CHIROPRACTIC CARE OF MINNESOTA
CHOICE MEDICAL GROUP
CHOICE ONE UTMB CHIP HEALTH PLAN
CHOICE ONEUTMB CHIP HEALTH PLAN
CHOICE PLUS
CHOICE PLUS (TRW)
TX
Payer
Type
Format
CI
WC
WC
WC
CI
CI
CI
CI
CI
WC
CI
CI
WC
AM
CI
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Inst
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Dental
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
68241
UHSCH
90441
90441
38308
38308
59355
59355
75544
21062
21062
52106
52106
SPOHN
37288
J1554
J1554
J1561
J1561
41556
J1265
J1725
J1264
J1532
J1532
62308
62308
10050
62308
State
CHOICE PLUS (TRW)
CHOICEONE- UTMB CHIP
TX
CHP DIRECT SUPERMED
CHP DIRECT SUPERMED
CHRISTIAN BROTHERS SERVICES
CHRISTIAN BROTHERS SERVICES - INST
CHRISTIAN CARE MINISTRIES (MEDISHARE)
CHRISTIAN CARE MINISTRIES INST
CHRISTIE STUDENT HEALTH PLANS
CHRISTUS HEALTH NEW MEXICO HIX
CHRISTUS HEALTH NEW MEXICO HIX - INST
CHRISTUS HEALTH TEXAS HIX
CHRISTUS HEALTH TEXAS HIX - INST
CHRISTUS SPOHN NETWORK
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 (AUTO ONLY)
CIGA CALIFORNIA INSURANCE GUARANTEE ASSN WC
CIGNA
CIGNA PPO
CIGNA (DHMO)
CIGNA - INST
NM
NM
TX
TX
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
AM
WC
AM
WC
WC
WC
AM
AM
WC
CI
CI
CI
CI
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
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
Y
Y
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
2331
2331
62308
62308
52192
52192
86033
86033
13193
62308
62308
C1028
CIMHP
J1562
J1562
J1582
J1582
TLU52
10207
J1613
J1613
COA01
J1118
A0033
41556
J1516
41556
41556
41556
State
CIGNA BEHAVIORAL HEALTH
CIGNA BEHAVIORAL HEALTH - INST
CIGNA DENTAL
CIGNA HEALTH PLAN
CIGNA HEALTHSPRING
CIGNA HEALTHSPRING - INST
CIGNA MEDICARE ADVANTAGE
CIGNA MEDICARE ADVANTAGE - INST
CIGNA MEDICARE SUPPLEMENT
CIGNA PREMIER PLUS
CIGNA PROVIDER PIN
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 DENTAL
CITRUS HEALTH PLAN
CITRUS VALLEY HEALTH PARTNERS
CITRUS VALLEY HEALTH PARTNERS (AUTO ONLY)
CITY OF AMARILLO HEALTH PLAN
CITY OF AMES
CITY OF ARLINGTON
CITY OF ASHLAND
CITY OF ATLANTA
CITY OF BEAVERTON
CITY OF BELMONT (SELF INSURED)
CITY OF CAMPBELL
TX
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
AM
CI
WC
AM
WC
AM
CI
CI
WC
AM
CI
WC
WC
WC
WC
WC
WC
WC
Prof
Inst
Dental
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
Y
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
Y
N
Y
N
Y
Y
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
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
Y
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
41556
41556
41556
41556
41556
41556
J1441
41556
J1118
41556
A0046
41556
41556
J1680
J1680
J1632
J1632
J1634
J1634
41556
41556
J1444
41556
41556
J1504
J1711
J1711
J1653
J1653
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
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)
State
Payer
Type
Format
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
AM
WC
AM
WC
AM
WC
WC
WC
WC
WC
WC
WC
AM
WC
AM
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
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
41556
41556
J1536
41556
J1269
J1714
J1714
41556
41556
75600
J1721
J1721
41556
J1657
J1657
J1617
J1617
41556
J1497
J1727
J1727
41556
J1598
J1598
41556
41556
J1602
J1602
J1636
CITY OF LEMON GROVE
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 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)
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 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)
State
Payer
Type
Format
WC
WC
WC
WC
WC
WC
AM
WC
WC
CI
WC
AM
WC
WC
AM
WC
AM
WC
WC
WC
AM
WC
WC
AM
WC
WC
WC
AM
WC
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
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
J1636
J1664
J1664
J1607
J1607
J1645
J1645
41556
41556
J1118
J1700
J1700
J1708
J1708
41556
41556
CLFR2
TLZ18
CMS01
39141
62413
J1271
39141
39141
11752
57080
SHP11
J1037
CCS99
State
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 DES MOINES
CITY OF WESTMINSTER (CA)
CITY OF WESTMINSTER (CA) (AUTO ONLY)
CITY OF YORBA LINDA (CA)
CITY OF YORBA LINDA (CA) (AUTO ONLY)
CITY OF YUMA
CIVIL CONSTRUCTORS
CL FRATES
CL FRATES (OK) DENTAL
CLAIM MANAGEMENT SERVICES (WI)
CLAIM MANAGEMENT SERVICES INC
CLAIMS ADMINISTRATION CORP (CAC)
CLAIMS ADMINISTRATIVE SERVICES (CAS)
CLAIMS MANAGEMENT SERVICES
CLAIMS MANAGEMENT SERVICES
CLAIMSBRIDGE HPN
CLAIMSWARE
CLARENDON KIDS CHIP PROGRAM
CLASSIC RESIDENCE BY HYATT
CLAYTON COUNTY HEALTH BENEFIT PLAN
TX
Payer
Type
Format
AM
WC
AM
WC
AM
WC
AM
WC
WC
WC
WC
AM
WC
AM
WC
WC
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
MC
WC
CI
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Dental
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
77201
34172
41201
41201
J1739
J1739
77023
77023
2041
20443
C1035
CHCNT
CHCNT
37227
16126
16126
41556
J1272
41556
77052
CCPN1
J1038
38335
38335
38335
41556
COACC
COACC
PHD02
CLEAR CHOICE HEALTH PLANS
State
OR
CLEVELAND HEALTH NETWORK INST
CLIENT FIRST
CLIENT FIRST - INST
CLOUGHERTY PACKING, LLC
CLOUGHERTY PACKING, LLC (AUTO ONLY)
CLOVER INSURANCE
CLOVER INSURANCE - INST
CMHC
CNA INSURANCE
CNA INSURANCE (AUTO ONLY)
CNIC - CHOICENET - INTERCARE
CNIC - CHOICENET - INTERCARE - INST
CO
CO
CNIC HEALTH SOLUTIONS
CNY MANAGE CARE
CNY MANAGED CARE
CO GRANDE CASINO
COACH USA
COAST CONVERTERS
COASTAL ADMINISTRATIVE SERVICES
COASTAL COMMUNITIES PHYSICIAN NETWORK
COCA-COLA ENTERPRISES INC
COFINITY (PPOM)
COFINITY (PPOM)
COFINITY FKA SLOANS LAKE
COLLIN COUNTY
COLORADO ACCESS
COLORADO ACCESS - INST
COLORADO ASSOCIATED PRIMARY CARE
CO
CO
Payer
Type
Format
CI
CI
CI
CI
WC
AM
CI
CI
CI
WC
AM
CI
CI
CI
CI
CI
WC
WC
WC
CI
CI
WC
CI
CI
CI
WC
CI
CI
CI
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
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
Y
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
COHMO
J1428
41556
49718
41556
41556
25351
25351
J1039
91162
CHP02
41556
37271
37271
62308
34181
34181
77170
37237
37237
CATPA
14315
14315
23171
85468
23282
23282
60995
CCI01
COLORADO BLUE ADVANTAGE
State
CO
COLORADO CASUALTY
COLORADO CONTRACTORS PROGRAM
COLORADO HEALTH INSURANCE COOPERATIVE
CO
COLORADO HEALTHCARE ASSOC - SAFETY NATIONAL CASUALTY CORP
COLORADO PRIME CORP
COLUMBIA CORNELL CARE
COLUMBIA CORNELL CARE
COLUMBIA SUSSEX CORPORATION
COLUMBIA UNITED PROVIDERS
COLUMBINE HEALTH PLAN
COLUMBINE HEALTH SYSTEMS
COMBINED BENEFITS, INC
COMBINED BENEFITS, INC
COMED CIGNA
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 ALLIANCE OF ILLINOIS
COMMUNITY CARE BEHAVIORAL HEALTH ORG
COMMUNITY CARE BEHAVIORAL HEALTH ORG - INST
COMMUNITY CARE INC - FAMILY CARE (WISCONSIN)
COMMUNITY CARE IPA (CA)
CA
Payer
Type
Format
CI
WC
WC
CI
WC
WC
CI
CI
WC
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Dental
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
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
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
73143
73143
39126
39126
26231
26231
26231
J1655
J1655
CAPMN
COMMF
COMMF
39162
35193
27905
27905
60495
60495
48145
48145
75261
75261
66170
66170
CHPWA
CHPWA
90010
90010
39162
COMMUNITY CARE MHP OF OKLAHOMA
COMMUNITY CARE MHP OF OKLAHOMA - INST
State
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
COMMUNITY FIRST
COMMUNITY FIRST STAR HEALTH PLAN
COMMUNITY HEALTH
COMMUNITY HEALTH ALLIANCE (CHA) NETWORK
COMMUNITY HEALTH ALLIANCE TN
COMMUNITY HEALTH ALLIANCE TN- INST
TN
TN
COMMUNITY HEALTH CHOICE - MARKETPLACE
COMMUNITY HEALTH CHOICE - MARKETPLACE - INST
COMMUNITY HEALTH CHOICE - MEDICAID
COMMUNITY HEALTH CHOICE - MEDICAID INST
COMMUNITY HEALTH ELEC CLAIMS
COMMUNITY HEALTH ELECTRONIC
COMMUNITY HEALTH GROUP
COMMUNITY HEALTH GROUP - INST
COMMUNITY HEALTH PLAN OF WASHINGTON
COMMUNITY HEALTH PLAN OF WASHINGTON - INST
CA
CA
WA
WA
COMMUNITY HEALTH PLAN ST JOSEPH
COMMUNITY HEALTH PLAN ST JOSEPH - INST
COMMUNITY HEALTH PLAN-MILWAUKEE, WI
MO
WI
Payer
Type
Format
CI
CI
CI
CI
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
Prof
Inst
Inst
Prof
Dental
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
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
Y
N
N
N
N
Y
N
N
N
N
N
Y
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
CMGWV
13374
32481
32481
34177
34177
J1925
PA331
J1040
CX021
34177
15243
59314
59314
3036
3036
CCMC1
37363
37363
J1652
J1652
COMPU
80667
6105
6105
78375
78375
37307
37307
COMMUNITY MEDICAL GROUP OF THE WEST VALLEY
State
CA
COMMUNITY PREMIER PLUS
COMMUNITY PREMIER PLUS
COMMUNITY PREMIER PLUS FOR NEIGHBORHOOD
COMP - OHIO (AUSTINTOWN, OH)
COMP - OHIO (AUSTINTOWN, OH)
COMP WEST WC
COMPASS ACS BENEFIT SERVICES
COMPASS GROUP USA, INC
COMPBENEFITS (CHICAGO) - DENTAL
COMPENSATION PROGRAMS OF OHIO
COMPMANAGEMENT HEALTH SYSTEMS
COMPREHENSIVE BEHAVIORAL CARE
COMPREHENSIVE BEHAVIORAL CARE - INST
COMPREHENSIVE BENEFITS ADMIN
COMPREHENSIVE BENEFITS ADMINISTRATOR
COMPREHENSIVE CARE MANAGEMENT GROUP
COMPSYCH
COMPSYCH - INST
COMPTON UNIFIED SCHOOL DISTRICT (CA)
COMPTON UNIFIED SCHOOL DISTRICT (CA) (AUTO ONLY)
COMPUSYS OF COLORADO
CONFED ADMIN SERVICES, INC
CONNECTICARE
CONNECTICARE - INST
CONNECTICARE MEDICARE VIP
CONNECTICARE MEDICARE VIP INST
CONNECTICUT CARPENTERS HEALTH FUND
CONNECTICUT CARPENTERS HEALTH FUND
CO
Payer
Type
Format
CI
CI
CI
CI
CI
CI
WC
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Dental
Dental
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Dental
Inst
Real Time
Real Time
Claim
Eligibility
Status
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
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
Y
N
Y
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
37307
62308
62308
62308
37135
37135
75284
75284
61305
4274
87843
87843
66077
CNTNM
37295
37295
58112
58112
45321
J1041
J1042
71404
71404
35315
35315
J1274
13397
J1715
47046
State
CONNECTICUT CARPENTERS HEALTH FUND
CONNECTICUT GENERAL
CONNECTICUT GENERAL (CIGNA) DENTAL
CONNECTICUT GENERAL - INST
CONSOCIATE GROUP
CONSOCIATE GROUP - INST
CONSOLIDATED ASSOCIATES RAILROAD
CONSOLIDATED ASSOCIATES RAILROAD
CONSOLIDATED GROUP DENTAL
CONSOLIDATED GROUP HPS
CONSOLIDATED HEALTH PLANS
CONSOLIDATED HEALTH PLANS INST
CONSTELLATION HEALTH
CONSULTEC - NEW MEXICO MEDICAID
PR
NM
CONSUMER HEALTH SOLUTIONS
CONSUMER HEALTH SOLUTIONS - INST
CONSUMER MUTUAL OF MICHIGAN
CONSUMER MUTUAL OF MICHIGAN - INST
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
MI
MI
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
MC
CI
CI
CI
CI
CI
WC
WC
CI
CI
CI
CI
WC
CI
WC
CI
Prof
Prof
Dental
Inst
Prof
Inst
Prof
Inst
Dental
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
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
N
N
Y
N
N
N
N
N
Y
N
N
N
Y
N
Y
N
N
Y
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
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
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
47046
J1043
41556
CCHP1
CCHP1
CCHP9
CCHP9
35149
35149
52132
52132
52132
52132
35199
7003
14829
14829
68069
68069
58204
58231
35182
75136
75136
35182
35182
35180
35182
35182
State
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
TX
TX
TX
TX
COOK GROUP HEALTH PLAN
COOK GROUP HEALTH PLAN
COOPERATIVE BENEFIT ADMINISTRATORS
COOPERATIVE BENEFIT ADMINISTRATORS (CBA)
COOPERATIVE BENEFIT ADMINISTRATORS (CBA) - INST
COOPERATIVE BENEFIT ADMINISTRATORS - DENTAL
COOPERATIVE MANAGED CARE SERVICES
COOPORTUNITY HEALTH INST
COORDINATED BENEFIT PLANS
COORDINATED BENEFIT PLANS - INST
COORDINATED CARE WASHINGTON
COORDINATED CARE WASHINGTON INST
WA
WA
COORDINATED MEDICAL SPECIALISTS
CORE MANAGEMENT RESOURCES GROUP
CORESOURCE AZ MN
CORESOURCE LITTE ROCK - INST
CORESOURCE LITTLE ROCK
CORESOURCE MD PA IL
CORESOURCE NC IN
CORESOURCE NC-IN DENTAL
CORESOURCE OF AZ - MN
CORESOURCE OF MD-PA-IL
AR
Payer
Type
Format
CI
WC
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
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Inst
Prof
Prof
Prof
Inst
Dental
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Inst
Prof
Inst
Inst
Dental
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
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
N
N
N
N
N
Y
N
N
N
N
N
Y
N
N
N
Y
Y
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
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
Y
N
Y
N
N
N
Y
Y
Y
Y
Y
N
Y
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
35182
35183
35183
35187
35187
43160
CORIZ
35202
CB268
37246
37246
CCIH1
CCIH1
J1044
J1045
48146
37288
37288
J1683
J1683
J1684
J1684
J1712
J1712
J1572
J1572
J1591
J1591
62553
State
CORESOURCE OF NC-IN
CORESOURCE OHIO
CORESOURCE OHIO - INST
CORESOURCE-INTERNAL
CORESOURCE-INTERNAL
CORIZON FKA CORRECTIONAL MEDICAL SERVICES
CORIZON HEALTH INC
CORNERSTONE BENEFIT ADMINISTRATORS INDIANA
IN
CORNERSTONE PREFERRED RESOURCES
CORPORATE SYSTEMS ADMINISTR
CORPORATE SYSTEMS ADMINISTRATION
CORRECTCARE INTEGRATED HEALTH (CA PRISON HEALTH CARE SERVICES)
CORRECTCARE INTEGRATED HEALTH INST
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 LIFE INSURANCE COMPANY
CA
CA
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
CI
CI
CI
WC
AM
WC
AM
WC
AM
WC
AM
WC
AM
CI
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
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
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
62553
J1702
J1702
J1705
J1705
41556
41556
41556
J1603
J1603
J1935
J1625
J1723
J1625
J1722
41556
J1513
J1631
J1631
J1631
J1631
J1631
J1631
J1616
J1616
J1662
J1662
J1666
J1666
COUNTRY LIFE INSURANCE COMPANY
COUNTRY MUTUAL INSURANCE COMPANY
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 KERN WC
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)
State
Payer
Type
Format
CI
WC
AM
WC
AM
WC
WC
WC
WC
AM
WC
WC
WC
AM
WC
WC
WC
WC
AM
WC
AM
WC
AM
WC
AM
WC
AM
WC
AM
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
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
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
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
60827
41556
58102
58102
58102
CMSEB
CMSEB
25133
25152
25152
25152
25152
25139
25140
25142
25142
CX014
25133
25133
25133
25133
87043
25149
25130
25130
25133
25127
25127
25146
COUNTYCARE (CLAIMS TO 42139)
State
IL
COURTYARD HEALTH C
COVENANT ADMIN ATLANTA, GA
COVENANT ADMINISTRATORS
COVENANT ADMINISTRATORS, INC (ATLANTA, GA)
COVENANT MGMT SYSTEMS EMPLOYEE BENEFIT PLAN
COVENANT MGMT SYSTEMS EMPLOYEE BENEFIT PLAN - INST
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 CARENET - INST
COVENTRY DIAMOND PLAN DENTAL
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
GA
IL
Payer
Type
Format
CI
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
CI
Prof
Prof
Inst
Dental
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Dental
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
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
Y
Y
Y
Y
Y
N
N
Y
Y
N
N
Y
Y
Y
N
Y
N
Y
Y
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
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
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
25132
25132
25133
25133
25133
25135
25135
25141
25136
25136
25129
25128
25133
25147
25131
25129
25143
87043
87043
25133
25150
25133
25133
25133
J1046
41556
19
119
41556
COVENTRY HEALTH CARE OF IOWA
State
IA
COVENTRY HEALTH CARE OF IOWA - INST
COVENTRY HEALTH CARE OF KANSAS (KANSAS CITY)
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
COVENTRYONE
COWORX STAFFING, LLC
COX CONSTRUCTION CO
COX HEALTH PLAN
COX HEALTH PLAN INST
CPS SECURITY SOLUTIONS
KY
MI
NE
PA
Payer
Type
Format
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
CI
WC
Prof
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
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
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
N
Y
Y
Y
N
N
N
Y
N
Y
Y
Y
Y
N
Y
N
N
Y
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
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
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
N
Y
Y
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
CPSA1
J1516
64068
64068
37320
J1455
56213
J1550
37266
31348
46120
46120
42141
J1690
J1690
59140
39170
82056
82056
68241
PR002
60054
J1457
88056
47083
20044
DEW99
DEW01
J1118
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
CRUM FORSTER INDEMNITY CO
CRYSTAL RUN HEALTH PLAN
CRYSTAL RUN HEALTH PLAN - INST
CTI ADMINISTRATORS
CUCAMONGA SCHOOL DISTRICT (CA)
CUCAMONGA SCHOOL DISTRICT (CA) (AUTO ONLY)
CULINARY HEALTH FUND
CUSTOM BENEFIT ADMINISTRATORS (LACROSSE, WI)
CUSTOM DESIGN BENEFITS
CUSTOM DESIGN BENEFITS
CUSTOMCARE
CUSTOMCARE
CUSTOMCARE (PRUDENTIAL)
CVSCAREMARKMINUTE CLINIC
CYPRESS BENEFIT ADMINISTRATORS
CYPRESS BENEFIT ADMINISTRATORS- GMS INC
CYPRESS INSURANCE COMPANY (MEMBER OF BHHC)
D EDWARD WRIGHT
D EDWARD WRIGHT TPA
DAHL'S FOODS
State
AZ
Payer
Type
Format
MC
WC
CI
CI
CI
WC
CI
WC
CI
WC
CI
CI
CI
WC
AM
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
WC
CI
CI
WC
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Real Time
Real Time
Claim
Eligibility
Status
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
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
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
Y
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
41556
21415
C1029
DAK01
DAK01
65099
41556
J1494
J1051
J1936
CB987
CB987
41556
41556
DCHSF
DCHSF
J1058
39113
39113
87726
87726
J1681
J1681
25137
63081
63081
25137
94276
94276
State
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
DARIGOLD
DART MEMBER CARE
DART MEMBER CARE - INST
DAVIS MECH SYSTEMS
DAYLIGHT TRANSPORT
DCHS MEDICAL FOUNDATION
DCHS MEDICAL FOUNDATION
DE BARTOLOS, INC
DEAN HEALTH PLAN
DEAN HEALTH PLAN - INST
DEFINITY HEALTH PLAN (UNITEDHEALTHCARE)
DEFINITY HEALTH PLAN (UNITEDHEALTHCARE) - INST
DEL TACO, LLC
DEL TACO, LLC (AUTO ONLY)
DELAWARE CARE (CHC OF DELAWARE MEDICAID) INST
DELAWARE HEALTH PLAN CONSORTIUM
DE
DELAWARE HLTH PLAN CONSORTIUM
DELAWARECARE
DELTA DENTAL INSURANCE COMPANY DDIC
DELTA DENTAL OF ALABAMA
AL
Payer
Type
Format
WC
WC
AM
CI
CI
CI
WC
WC
WC
WC
CI
CI
WC
WC
CI
CI
WC
CI
CI
CI
CI
WC
AM
CI
CI
CI
CI
CI
CI
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Dental
Dental
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
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
N
N
N
N
N
N
N
N
N
Y
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
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
Y
Y
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
CDOR1
DELAR
77777
CDCA1
84056
22189
51022
94276
94276
82029
47598
DELTI
CDKS1
CDKY1
94276
23166
4614
DELTA
CDMN1
94276
43090
TFQ69
94276
7027
94276
22189
DELTM
11198
56101
State
DELTA DENTAL OF ALASKA
DELTA DENTAL OF ARKANSAS
DELTA DENTAL OF CALIFORNIA
CA
DELTA DENTAL OF CALIFORNIATRICARE RETIREE DENTAL (TRICARE ONLY - NOT DD OF CA)
DELTA DENTAL OF COLORADO
CO
DELTA DENTAL OF CONNECTICUT
DELTA DENTAL OF DELAWARE
DELTA DENTAL OF FLORIDA
DELTA DENTAL OF GEORGIA
FL
GA
DELTA DENTAL OF IDAHO
DELTA DENTAL OF ILLINOIS
DELTA DENTAL OF INDIANA
DELTA DENTAL OF KANSAS
DELTA DENTAL OF KENTUCKY
DELTA DENTAL OF LOUISIANA
LA
DELTA DENTAL OF MARYLAND
DELTA DENTAL OF MASSACHUSETTS
MA
DELTA DENTAL OF MICHIGAN
DELTA DENTAL OF MINNESOTA
MN
DELTA DENTAL OF MISSISSIPPI
DELTA DENTAL OF MISSOURI (CLAIMS ONLY)
DELTA DENTAL OF MISSOURI (PRE-DETERMINATIONS ONLY)
DELTA DENTAL OF MONTANA
DELTA DENTAL OF NEBRASKA
NE
DELTA DENTAL OF NEVADA
DELTA DENTAL OF NEW JERSEY
NJ
DELTA DENTAL OF NEW MEXICO
DELTA DENTAL OF NEW YORK
DELTA DENTAL OF NORTH CAROLINA
NY
NC
Payer
Type
Format
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
CI
CI
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
Dental
Dental
Dental
Dental
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
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
Y
Y
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
Y
N
Y
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
DELTO
DELOK
23166
5029
43091
54097
DELTN
94276
94276
CDVA1
91062
52147
31096
39069
7025
94235
94235
DHS01
CDCA2
52133
DCP01
DSL01
4356
84135
84135
41556
J1449
J1448
DELTA DENTAL OF OHIO
DELTA DENTAL OF OKLAHOMA
DELTA DENTAL OF PENNSYLVANIA
DELTA DENTAL OF RHODE ISLAND
DELTA DENTAL OF SOUTH CAROLINA
DELTA DENTAL OF SOUTH DAKOTA
DELTA DENTAL OF TENNESSEE
DELTA DENTAL OF TEXAS
DELTA DENTAL OF UTAH
DELTA DENTAL OF VIRGINA
DELTA DENTAL OF WASHINGTON
DELTA DENTAL OF WASHINGTON DC
DELTA DENTAL OF WEST VIRGINIA
DELTA DENTAL OF WISCONSIN
DELTA DENTAL OF WYOMING
State
OH
OK
PA
RI
SC
SD
TN
TX
UT
VA
WA
DC
WV
WI
WY
DELTA HEALTH SYSTEMS
DELTA HEALTH SYSTEMS - INST
DELTA HEALTH SYSTEMS CALIFORNIA
DELTACARE USA PRIVATE MEDICAL CARE (PMI) - CLAIMS ONLY
DENTAL BENEFIT PROVIDERS (CA)
DENTAL CARE PLUS (DCP)
DENTAL SELECT, INC
DENTAQUEST COMMERCIAL
DENVER HEALTH MEDICAL PLAN
DENVER HEALTH MEDICAL PLAN
DENVER PUBLIC SCHOOLS
DEPARTMENT OF ENERGY
DEPARTMENT OF LABOR BLACK LUNG
CA
Payer
Type
Format
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
WC
WC
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Prof
Inst
Prof
Dental
Dental
Dental
Dental
Dental
Prof
Inst
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
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
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
J1514
J1550
41556
IP114
41556
MDL99
56240
56240
25172
41556
DHFIE
23706
J1059
J1611
J1611
J1060
J1118
77104
77103
6102
6102
SX105
16003
17003
18003
19003
IP110
DOM01
CX014
State
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 (METROPOLITAN)
DETROIT MEDICAL CENTER
DETROIT MEDICAL CENTER
MI
MI
MI
DH EVANS AND ASSOCIATES
DIAMOND FARMING COMPANY
DIGNITY HEALTH MEDICAL GROUP - INLAND EMPIRE
DIRECTORS GUILD OF AMERICA
DIRECTORY DISTRIBUTING ASSOC
DISCOUNT TIRE
DISCOUNT TIRE (AUTO ONLY)
DISCOVER RE (BURGER KING)
DISCOVERY HY-VEE
DIV COAL MINE WORKER (USDOL BLACK LUNG)
DIV ENERGY EE OCCUPATIONAL (USDOL)
DIVERSIFIED ADMINISTRATION CORPORATION
DIVERSIFIED ADMINISTRATION CORPORATION
DMBA - DESERET MUTUAL BENEFITS ASSOCIATION
DMERC REGION A
DMERC REGION B
DMERC REGION C
DMERC REGION D
DOCTORS MEDICAL GROUP
DOMINION DENTAL USA (DHMO AND COMMERCIAL)
DORAL DENTAL OF ARIZONA NON GLOBAL BUDGET
UT
Payer
Type
Format
WC
WC
WC
CI
WC
CI
CI
CI
CI
WC
CI
CI
WC
WC
AM
WC
WC
WC
WC
CI
CI
CI
MB
MB
MB
MB
CI
CI
CI
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Dental
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Y
N
N
Y
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
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
Y
N
N
Y
Y
Y
Y
Y
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
CX014
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
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
State
Payer
Type
Format
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
CI
CI
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
Dental
Dental
Dental
Dental
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
CX014
CX014
CX014
CX014
CX014
CX014
41556
74284
74284
74284
35186
J1061
41556
J1118
J1062
34159
34159
75232
41556
36434
J1690
J1690
J1639
J1639
J1453
13853
24770
62308
81039
State
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 CHIP
DRISCOLL CHILDRENS HEALTH PLAN - INST
TX
TX
TX
DUNN AND ASSOCIATES
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
EBMS - EMPLOYEE BENEFIT MANAGEMENT SERVICES
OH
Payer
Type
Format
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
WC
WC
WC
WC
CI
CI
CI
WC
CI
WC
AM
WC
AM
WC
CI
CI
CI
CI
Dental
Dental
Dental
Dental
Dental
Dental
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
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
N
N
N
N
N
N
N
N
N
N
N
Y
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
12X44
37257
41556
J1289
41556
22521
22521
J1204
98006
EPF37
EPF37
A0106
EPF03
EPF03
EPF02
EPF02
EPF10
EPF10
J1017
J1737
J1737
MPM04
41556
31625
EWF99
EWF01
41556
ECISF
37253
State
EBMS - EMPLOYEE BENEFIT MANAGEMENT SERVICES - INST
EBSO AKA EMPLOYEE BENEFIT CONSULTANTS INC
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
EL PASO - HEALTHCARE OPTIONS
TX
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)
EL PROYECTO DE BARRIO
ELC ELECTRIC INC
ELDERPLAN, INC
ELECTRICAL WORKERS BENEFIT FUND
ELECTRICAL WORKERS BENEFIT FUND DENTAL
ELITE COMP
ELLIS CONSULTANTS, INC
ELMCO
TX
TX
TX
TX
TX
TX
Payer
Type
Format
CI
CI
WC
WC
WC
CI
CI
WC
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
WC
WC
AM
CI
WC
CI
CI
CI
WC
CI
CI
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
Y
Y
N
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
Y
Y
N
Y
Y
Y
Y
Y
Y
N
N
N
N
N
Y
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
37253
C1029
21415
C1029
21407
34167
34167
J1679
J1679
SX110
PR002
60054
73288
TELBS803
BC303
BS803
IP115
IP079
87726
CX025
95288
38241
38241
38241
92135
92135
31074
81039
3036
State
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 - INST
EMERITUS CORPORATION
EMERITUS CORPORATION (AUTO ONLY)
EMIA EDUCATORS MUTUAL INSURANCE ASSN
UT
EMORYCARE
EMORYCARE (PRUDENTIAL)
EMPHESYS
EMPIRE BCBS NEW YORK (TELEMEDICINE)
EMPIRE BLUE CROSS BLUE SHIELD NEW YORK INST
EMPIRE BLUE SHIELD NEW YORK
NY
NY
NY
EMPIRE MEDICAL GROUP
EMPIRE PHYSICIANS MEDICAL GROUP EPMG
EMPIRE PLAN (UNITEDHEALTHCARE)
EMPLOYEE BENEFIT MANAGEMENT CORP (EBMC) - DENTAL
EMPLOYEE BENEFIT ADMINISTRATORS MGMT
EMPLOYEE BENEFIT CONCEPTS
EMPLOYEE BENEFIT CONCEPTS (FARMINGTON HILLS,
EMPLOYEE BENEFIT CONCEPTS DENTAL
EMPLOYEE BENEFIT LOGISTICS (EBL)
EMPLOYEE BENEFIT LOGISTICS (EBL) INST
EMPLOYEE BENEFIT MANAGEMENT CORP (EBMC)
EMPLOYEE BENEFIT MANAGEMENT SVCS
EMPLOYEE BENEFIT PLAN ADMIN
CA
Payer
Type
Format
CI
AM
WC
AM
WC
CI
CI
WC
AM
CI
CI
CI
CI
BL
BL
BL
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Inst
Dental
Prof
Inst
Prof
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
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
N
N
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
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
N
N
N
N
Y
N
Y
N
N
Y
Y
N
N
Y
N
N
N
N
N
N
N
N
Y
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
3036
3036
37216
EBSSA
37216
41198
37257
75184
75299
35112
35112
35112
J1232
74212
74212
J1559
J1232
MSI01
36335
MIDSC
J1232
75232
75236
75235
75233
75223
J1696
J1696
MSI01
State
EMPLOYEE BENEFIT PLAN ADMINISTRATION
EMPLOYEE BENEFIT PLAN ADMINISTRATION, INC (EBPA)
EMPLOYEE BENEFIT SERVICES (EBS)
EMPLOYEE BENEFIT SERVICES (EBS) OF SAN ANTONIO
EMPLOYEE BENEFIT SERVICES - INST
EMPLOYEE BENEFIT SERVICES OF LA(DIVISION OF HARRINGTON BENEFIT SVCS)
LA
EMPLOYEE BENEFITS CONSULTANTS DENTAL
EMPLOYEE CLAIM ADJUDICATION SERVICES
EMPLOYEE HEALTH SYSTEM MEDICAL GROUP
EMPLOYEE PLANS, LLC
EMPLOYEE PLANS, LLC
EMPLOYEE PLANS, LLC
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
TX
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
WC
WC
CI
CI
CI
WC
CI
CI
CI
CI
CI
WC
AM
CI
Prof
Dental
Prof
Prof
Inst
Prof
Dental
Prof
Prof
Dental
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
MIDSC
73288
20508
20508
39206
J1912
37249
37249
37249
C1029
EMPLOYERS HEALTH COOPERATIVE (EHC)
21415
59298
59298
J1232
37110
37110
35206
36364
36364
91136
91136
36878
36878
J1063
41556
41556
EPNSH
28777
EMPLOYERS MUTUAL CASUALTY - WC ONLY
State
EMPLOYERS HEALTH INSURANCE
EMPLOYERS HEALTH NETWORK
EMPLOYERS HEALTH NETWORK
EMPLOYERS INS OF WAUSAU HOSP
EMPLOYERS INSURANCE (BUNCH)
EMPLOYERS LIFE INSURANCE CORP
EMPLOYERS LIFE INSURANCE CORP
EMPLOYERS LIFE INSURANCE CORP ELIC
EMPLOYERS MUTUAL CASUALTY - AUTO 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
ENTRUST
ENTRUST INST
ENVIROSOURCE
ENVISION RADIOLOGY, LLC
EPLICA, INC
EPN - SETON HEALTH EXCLUSIVE PROVIDER NETWORK
EPOCH GROUP
TX
Payer
Type
Format
CI
CI
CI
CI
CI
WC
CI
CI
CI
AM
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
WC
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
WC
CI
CI
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
62308
62308
62308
62308
73126
73126
73126
41556
74234
J1022
34108
TP043
J1064
J1451
J1454
20818
25712
87726
35605
35605
45319
45319
93240
93240
J1065
59313
59313
IP080
TEMU1
State
EQUICOR
EQUICOR PPO
EQUICOR PPO
EQUICOREQUITABLE
EQUITABLE PLAN SERVICES (OKLAHOMA CITY)
EQUITABLE PLAN SERVICES (OKLAHOMA CITY) - INST
EQUITABLE PLAN SERVICES - DENTAL
OK
ERICKSON-HALL CONSTR
ERISA
ERMC
ES BEVERIDGE AND ASSOCIATES
OH
ESIS
ESIS - FIRST AMERICAN INSURANCE CO
ESIS - KELLY SERVICES
ESIS - LOCKHEED MARTIN CORPORATION
ESSENCE HEALTHCARE
ESURANCE INSURANCE COMPANY (AUTO ONLY)
EVERCARE VIA UNITED HEALTHCARE
EVERENCE
EVERENCE INST
EVERGREEN HEALTH
EVERGREEN HEALTH - INST
EVERGREEN HEALTH COOPERATIVE (VALENCE)
EVERGREEN HEALTH COOPERATIVE (VALENCE) - INST
EVOLUTION INSURANCE COMPANY
EVOLUTIONS HEALTHCARE SYSTEMS
EVOLUTIONS HEALTHCARE SYSTEMS
EXCEPTIONAL CARE MEDICAL
EXCLUSICARE (MUST HAVE UCCI ON BACK OF MEMBER CARD)
CA
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
WC
CI
WC
CI
WC
WC
WC
WC
CI
AM
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
Prof
Prof
Prof
Prof
Prof
Inst
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Dental
Real Time
Real Time
Claim
Eligibility
Status
Y
Y
Y
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
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
Y
N
Y
N
Y
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
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
Y
N
N
N
N
Y
N
Y
Y
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
71412
J1606
J1606
63740
41556
37289
95432
37300
37300
J1019
J1624
J1624
J1697
J1697
J1618
J1618
22254
IP017
FCD01
PHR01
FCM01
FCS01
IP080
41556
85468
85468
31472
31472
43173
State
EXCLUSICARE - INST
EXXONMOBIL CORPORATION
EXXONMOBIL CORPORATION (AUTO ONLY)
EYEQUEST
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
CA
FAMILY CARE MEDICAID
FAMILY CARE MEDICARE (FCR01)
FAMILY CARE MENTAL HEALTH
FAMILY CARE SPECIALISTS
FAMILY CHOICE MEDICAL
CA
CA
FAMILY HEALTH AND HOUSING
FAMILY HEALTH NETWORK
FAMILY HEALTH NETWORK - INST
FAMILY HEALTH PARTNERS - HEALTHWAVE
FAMILY HEALTH PARTNERS - HEALTHWAVE - INST
FAMILY HEALTH PARTNERS MISSOURI
KS
KS
MO
Payer
Type
Format
CI
WC
AM
CI
WC
CI
CI
CI
CI
WC
WC
AM
WC
AM
WC
AM
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
43173
96865
39518
36396
FPA11
FPA11
37289
37289
37289
37289
14140
J1687
J1687
J1703
J1703
J1706
J1706
J1710
J1710
J1701
J1701
J1713
J1713
C1025
C1034
C1034
J1563
J1551
59069
FAMILY HEALTH PARTNERS MISSOURI
FAMILY HEALTH PLAN CONTACT PAM CAMPBELL
State
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
FARMERS NEIGHBORHOOD SPIRIT PROPERTY & 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)
FARMLAND MUTUAL INS CO
FBMC
NY
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
AM
WC
AM
WC
AM
WC
AM
WC
AM
WC
AM
AM
AM
AM
WC
WC
CI
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
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
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
33033
33033
71056
37300
37300
J1297
J1297
37300
37300
41556
41041
41041
13935
11118
28304
J1909
59321
11315
CX014
11315
77054
77054
FBI99
21873
J1274
88055
FSTAG
56196
56196
State
FCE BENEFIT ADMINISTRATORS
FCE BENEFIT ADMINISTRATORS - INST
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
FFVA MUTUAL INSURANCE WC
FHHS - FLORIDA HOSPITAL HEALTHCARE SYSTEMS
FIDELIS CARE NEW YORK
FL
NY
FIDELIS CARE NEW YORK DENTAL
FIDELIS CARE NEW YORK INST
NY
FIDELIS SECURECARE SENIOR CARE
FIDELIS SECURECARE - INST
FIDELITY BENEFIT ADMINISTRATORS
FIREMAN'S FUND INSURANCE COMPANY
FIREMEN'S INSURANCE COMPANY
FIRST AGENCY
FIRST AGENCY INST
FIRST CAROLINA CARE
FIRST CAROLINA CARE - INST
NC
Payer
Type
Format
CI
CI
CI
CI
CI
WC
WC
CI
CI
WC
CI
CI
WC
WC
WC
WC
CI
CI
CI
CI
CI
CI
CI
WC
WC
CI
CI
CI
CI
Prof
Inst
Dental
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Y
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
14163
FIRST CHOICE (CT)
14163
91131
91131
FCMG1
75138
75138
77009
37510
TLU63
73159
73159
66053
PR053
22324
FP660
23241
59276
63080
94999
94999
94998
94998
J1011
CX014
90060
90061
11244
FIRST CHOICE (CT) WELLCARE - INST
State
FIRST CHOICE HEALTH NETWORK (FCHN)
FIRST CHOICE HEALTH NETWORK (FCHN) - INST
FIRST CHOICE MEDICAL GROUP
CA
FIRST CHOICE OF MIDWEST (PPO)
FIRST CHOICE OF MIDWEST (PPO)
FIRST CHOICE VIP CARE PLUS SOUTH CAROLINA
FIRST CHOICE VIP CARE SOUTH CAROLINA
SC
SC
FIRST DENTAL HEALTH (FDH)
FIRST HEALTH NETWORK - COVENTRY - INST
FIRST HEALTH NETWORK FKA PPO OKLAHOMA
FIRST MEDICAL (IMC) PR
FIRST MEDICAL GHP
PR
PR
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
FITZHARRIS COMPANY (FARMINGTON, NY)
KS
MO
Payer
Type
Format
CI
Prof
CI
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
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Dental
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Dental
Prof
Prof
Dental
Real Time
Real Time
Claim
Eligibility
Status
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
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
N
Y
N
N
N
N
N
N
N
N
Y
N
N
Y
N
Y
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
11244
J1047
60054
60054
59276
59276
J1910
59322
12611
59321
48116
48116
95411
68241
60054
26492
26492
48117
48117
37305
11185
J1529
39065
39065
70408
70408
39065
39065
TKFMC
State
FITZHARRIS COMPANY, INC (FARMINGDALE, NY)
FKI INDUSTRIES, INC
FLEXCARE
FLEXCARE
FLORIDA 1ST
FL
FLORIDA 1ST - INST
FLORIDA FRUIT AND VEGETABLE ASSN WC
FLORIDA HEALTH CARE PLANS (FHCP)
FLORIDA HEALTH CARE PLUS (FHP)
FLORIDA HOSPITAL HEALTHCARE SERVICES
FL
FL
FL
FLORIDA HOSPITAL WATERMAN
FLORIDA HOSPITAL WATERMAN EMPLOYEE BENEFIT PLAN
FLORIDA PHC (MCO) AND PHP (MEDICARE)
FL
FL
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
CA
Payer
Type
Format
CI
WC
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
AM
WC
CI
CI
CI
CI
CI
CI
CI
Prof
Prof
Dental
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Dental
Inst
Dental
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
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
Y
N
Y
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
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
Y
Y
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
FH001
FH002
FH002
FH002
64069
FVMCH
FVMC1
64069
64069
64067
41556
J1440
71768
71768
41212
41212
62324
62324
23130
41556
41556
59204
34171
J1633
J1633
TP117
TP057
30005
30005
FOUNDATION HEALTH
FOUNDATION HEALTH HMO
FOUNDATION HEALTH AMERIMED HMO
FOUNDATION HEALTH AMERIMED SENIOR HMO
State
CA
CA
CA
CA
FOX EVERETT INGALLS SHIP BUILDING
FOX VALLEY MEDICINE SITE 199
FOX VALLEY MEDICINE SITE 451
FOX-EVERETT INC
FOX-EVERETT, INC
FOXEVERETT INGALLS SHIP BLDG
FRANCO CONSTRUCTION
FRANKENMUTH MUTUAL
FREEDOM BLUE MEDICARE WV - INST THRU DOS 12-31-2014
FREEDOM BLUE MEDICARE WV THRU DOS 12-31-2014
FREEDOM HEALTH PLAN
WV
WV
FL
FREEDOM HEALTH PLAN - INST
FREEDOM LIFE INSURANCE CO
FREEDOM LIFE INSURANCE COMPANY OF AMERICA
FRESENIUS MEDICAL CARE
FRESNO COUNTY OFFICE OF EDUCATION
FRESNO COUNTY SELF INSURANCE GROUP
FRINGE BENEFIT COORDINATORS
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 - INST
FL
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
CI
CI
CI
CI
CI
CI
CI
WC
WC
CI
CI
WC
AM
WC
WC
CI
CI
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
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
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
J1519
41556
GARET
J1302
J1302
J1066
41556
41556
25169
25169
60550
60550
91741
5506
43175
4317M
41556
J1557
J1557
67815
67815
44054
57254
44054
45275
44054
GEHA9
GEHA9
6603
State
GARDEN GROVE UNIFIED SCHOOL DISTRICT
GARDEN REGIONAL HOSPITAL AND MED CENTER, INC
GARRETSON RESOLUTION GROUP
GATEGOURMET 836
GATEGOURMET 836 (AUTO ONLY)
GATES CORP DBA GATES RUBBER CO
GATES ODOHERTY
GATES ODOHERTY G AND G
GATEWAY HEALTH PLAN - MEDICAID PA
GATEWAY HEALTH PLAN - MEDICAID PA INST
PA
PA
GATEWAY HEALTH PLAN - MEDICARE ASSURED
GATEWAY HEALTH PLAN - MEDICARE ASSURED INST
GATEWAY HEALTH PLAN - OH MEDICARE ASSURED
GATEWAY HEALTHY (PLUS) PA
GATEWAY TO BETTER HEALTH PLAN - ENCOUNTERS
GATEWAY TO BETTER HEALTH PLAN - FFS
OH
PA
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 - PHCS NETWORK DOS THRU 12-31-2015
GEHA DENTAL
GEHA HEALTH GROUP NEVADA
GEHA HEALTH GROUP NEVADA INST
GEHA-ASA
NV
Payer
Type
Format
WC
WC
CI
WC
AM
WC
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Dental
Prof
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
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
N
Y
N
Y
Y
N
N
N
N
N
N
N
Y
N
Y
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
6603
J1747
75273
75273
MCS03
J1678
J1678
GHEDI
16112
41556
IP087
J1895
J1461
52098
1124
23212
CX014
13551
13551
25531
13551
25141
58204
J1927
7205
7205
91136
91136
41556
State
GEHA-ASA - INST
GEICO
GEISINGER HEALTH PLAN
GEISINGER HEALTH PLAN INST
GEMCARE HEALTH PLAN - KERN COUNTY EPO
CA
GENERAL PARTS INTERNATIONAL
GENERAL PARTS INTERNATIONAL (AUTO ONLY)
GENERATIONS HEALTHCARE HMO
GENESEE COUNTY MEDICAL PLAN
GENESIS CONSTRUCTION
GENESIS HEALTHCARE
CA
GENEX CARE FOR OHIO
GEO
GEORGE WASHINGTON HP HSP
GEORGIA POWER CO
GETTYSBURG HEALTH
GHI - DORAL DENTAL
GHI GROUP HEALTH INC - INST
GHI GROUP HEALTH NEW YORK
GHI HMO GROUP HEALTH
GHI PPO
GHP (GROUP HEALTH PLAN)
GI INNOVATIVE MANAGEMENT
GILLETTE CHILDRENS SPECIALTY HEALTHCARE WC
GILSBAR
GILSBAR - INST
GLASSWORKERS HEALTH WELFARE FUND
GLASSWORKERS HLTH WELFARE FUND
GLENDALE ELEMENTARY SCHOOL DISTRICT NO 40
NY
NY
NY
NY
Payer
Type
Format
CI
AM
CI
CI
CI
WC
AM
CI
CI
WC
CI
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
WC
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Dental
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
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
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
N
N
Y
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
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
Y
Y
Y
Y
N
N
Y
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
80241
80241
7689
7689
MPM05
GEM01
GHOKC
C1028
C1028
77160
77160
J1067
J1430
37602
37602
J1306
J1306
72189
J1647
J1647
IP086
76923
J1462
J1621
J1621
44054
44054
48143
58204
State
GLOBAL BENEFIT SERVICES (GBS)
GLOBAL BENEFIT SERVICES (GBS) - INST
GLOBAL CARE
GLOBAL CARE INST
GLOBAL CARE IPA
CA
GLOBAL EXCEL MANAGEMENT
GLOBAL HEALTH
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 - UNITEDHEALTHONE
GOLDEN RULE - UNITEDHEALTHONE - INST
GOLDEN STATE SUPPLY
GOLDEN STATE SUPPLY (AUTO ONLY)
GOLDEN TRIANGLE PHYSICIAN ALLIANCE (GTPA)
GOOD SAMARITAN HOSPITAL (AUTO ONLY)
GOOD SAMARITAN HOSPITAL (WORK COMP)
GOOD SAMARITAN MEDICAL PRACTICE ASSOCIATION
GOOD SHEPHERD HOSPICE
GOODRICH
GOODWILL INDUSTRIES
GOODWILL INDUSTRIES (AUTO ONLY)
GOVERNMENT EMPLOYEES HOSP ASSN (GEHA)
GOVERNMENT EMPLOYEES HOSPITAL ASSOCIATION
GPA - GROUP AND PENSION ADMINISTRATORS
GRADY HEALTHCARE
CA
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
AM
AM
CI
CI
WC
WC
CI
CI
WC
AM
CI
AM
WC
CI
CI
WC
WC
AM
CI
CI
CI
CI
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
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
Y
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
N
Claim Enroll
Required
ERA
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
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
95453
10322
14060
37234
37234
25984
GCU99
26832
26344
16691
22136
13193
13193
J1308
J1308
25224
80705
80705
80705
80705
GCMG1
GNOCH
GNPMG
NMM01
95379
66893
95569
J1642
J1642
GRAND VALLEY HEALTH PLAN
State
MI
GRANGE MUTUAL CASUALTY COMPANY
GRANGE WC
GRANT PHYSICIANS PRACTICE ASSOCIATION
GRANT PHYSICIANS PRACTICE ASSOCIATION
GRAPHIC ARTS MUTUAL
GRAPHIC COMMUNICATIONS UNION LOCAL 8M 96B HEALTH WELFARE FUND
GREAT AMERICAN ALLIANCE INS CO
GREAT AMERICAN ASSURANCE CO
GREAT AMERICAN INS CO
GREAT AMERICAN INS CO OF NY
GREAT AMERICAN LIFE INS
GREAT AMERICAN LIFE INSURACE CO
GREAT CENTRAL
GREAT CENTRAL (AUTO ONLY)
GREAT DIVIDE INSURANCE
GREAT WEST HEALTHCARE
GREAT WEST HEALTHCARE
GREAT WEST HEALTHCARE
GREAT WEST LIFE
GREATER COVINA MEDICAL GROUP
GREATER NEW ORLEANS COMMUNITY HEALTH CONNECTION (GNOCHC)
GREATER NEWPORT PHYSICIANS
GREATER ORANGE COUNTY MEDICAL GROUP
GREATWEST HEALTHCARE CA
CA
LA
CA
CA
CA
GREATWEST HEALTHCARE FKA NEW ENGLAND FINANCIAL
GREATWEST HEALTHCARE GA
GREEN DIAMOND WA
GREEN DIAMOND WA (AUTO ONLY)
GA
Payer
Type
Format
CI
AM
WC
CI
CI
WC
CI
WC
WC
WC
WC
CI
CI
WC
AM
WC
CI
CI
CI
CI
CI
MC
CI
CI
CI
CI
CI
WC
AM
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
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
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
Claim Enroll
Required
ERA
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
Y
Y
Y
N
Y
N
N
Y
Y
Y
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
41556
78521
41556
41556
41556
41556
J1571
J1571
J1541
J1541
GASA1
36338
36338
48143
48143
72153
72153
38223
72087
GE001
39167
39168
39168
39167
91121
95192
95192
91051
91051
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 ADMIN SELFFUNDED ALTERNATIVE
GROUP ADMINISTRATORS LTD
GROUP ADMINISTRATORS LTD
GROUP AND PENSION ADMINISTRATORS
GROUP AND PENSION ADMINISTRATORS - INST
GROUP BENEFIT ADMINISTRATORS (HENDERSONVILLE,
GROUP BENEFIT ADMINISTRATORS (HENDERSONVILLE, TN)
GROUP BENEFIT SVCS MI HOS
GROUP BENEFITS LOUISIANA
GROUP HEALTH
GROUP HEALTH COOP - SO CENTRAL WISCONSIN
LA
MO
WI
GROUP HEALTH COOP - SO CENTRAL WISCONSIN (ENCOUNTERS)
GROUP HEALTH COOP - SO CENTRAL WISCONSIN (ENCOUNTERS)
GROUP HEALTH COOP - SO CENTRAL WISCONSIN - INST
GROUP HEALTH COOPERATIVE - EAST
GROUP HEALTH COOPERATIVE OF EAU CLAIRE
GROUP HEALTH COOPERATIVE OF EAU CLAIRE DENTAL
GROUP HEALTH COOPERATIVE PACIFIC NORTHWEST
GROUP HEALTH COOPERATIVE PACIFIC NORTHWEST - INST
WA
WA
Payer
Type
Format
WC
CI
WC
WC
WC
WC
WC
AM
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
BL
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Inst
Inst
Prof
Dental
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
13551
91121
91051
91051
37276
28680
CX015
41556
41556
J1068
J1453
64246
64246
64246
J1590
J1590
J1574
J1574
RENBL
CB624
RENGQ
CB624
39180
39180
J1672
J1672
65101
65101
C1029
State
GROUP HEALTH INSURANCE - GHI DENTAL
GROUP HEALTH NORTHWEST
GROUP HEALTH OPTIONS (WA)
GROUP HEALTH OPTIONS (WA) - INST
WA
WA
GROUP INSURANCE SERVICE CENTER
GROUP RESOURCES PPO (PHCS)
GROUPLINK - INDIANA
GRUNDFOS MANUFACTURING CORPORATION
GS METALS
GSE LINING TECHNOLOGY, INC
GUARD
GUARDIAN LIFE INSURANCE CO AMERICA
GUARDIAN LIFE INSURANCE CO AMERICA - INST
GUARDIAN LIFE INSURANCE COMPANY DENTAL
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)
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 - INST
HAMILTON MUTUAL - AUTO
TX
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
WC
WC
WC
WC
CI
CI
CI
WC
AM
WC
AM
CI
CI
CI
CI
CI
CI
WC
AM
CI
CI
AM
Dental
Prof
Prof
Inst
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Inst
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
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
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
21415
J1463
J1693
J1693
J1588
J1588
58305
58305
43313
43313
J1595
J1595
36406
36406
36405
75126
59143
59143
75201
75202
C1046
C1041
41556
C1040
C1040
C1040
C1043
C1044
C1047
State
HAMILTON MUTUAL - WC
HANNAFORD
HANOVER INSURANCE COMPANY
HANOVER INSURANCE COMPANY (AUTO ONLY)
HANOVER LLOYD'S INSURANCE COMPANY
HANOVER LLOYD'S INSURANCE COMPANY (AUTO ONLY)
HARBOR MEDICARE ADVANTAGE
HARBOR MEDICARE ADVANTAGE - INST
HARKEN HEALTH (UHC)
HARKEN HEALTH (UHC) - INST
HARLEYSVILLE INSURANCE COMPANY
HARLEYSVILLE INSURANCE COMPANY (AUTO ONLY)
HARMONY HEALTH PLAN OF ILLINOIS
HARMONY HEALTH PLAN OF ILLINOIS
HARMONY HEALTH PLAN OF INDIANA
HARPETH IPA - AMERIVANTAGE (SRRIPA)
HARRINGTON HEALTH NON EPO
HARRINGTON HEALTH NON EPO - INST
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
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)
IL
IL
IN
Payer
Type
Format
WC
WC
WC
AM
WC
AM
CI
CI
CI
CI
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
AM
AM
WC
AM
AM
AM
AM
AM
AM
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
C1045
C1042
4271
4271
4271
4245
41556
48330
TFQ61
TPC08
J1426
86068
41556
J1450
HCCMI
HCCMI
37329
37329
37111
37111
82018
82018
HDMCO
HDMCO
77950
77950
38224
38224
25126
State
HARTFORD LIFE INSURANCE COMPANY (AUTO ONLY)
HARTFORD UNDERWRITERS INSURANCE COMPANY (AUTO ONLY)
HARVARD COMMUNITY HEALTH PLAN
HARVARD PILGRIM HEALTH CARE
HARVARD PILGRIM HEALTH CARE - INST
HARVARD PILGRIM HEALTH PLAN STRIDE
HASTINGS COLLEGE OF THE LAW
HAWAII MEDICAL ASSURANCE ASSN (HMAA HWMG)
HI
HAWAII MEDICAL ASSURANCE ASSOCIATION (HMAA)
HAWAII-WESTERN MANAGEMENT GROUP (HWMG)
HAWKEYE
HAWKI
IA
HAYHOE CONSTRUCTION
HCA-HOSPTIAL CORPORATION OF AMERICA
HCC LIFE INSURANCE CO
HCC LIFE INSURANCE CO - INST
HCH ADMINISTRATION ALBQ SELF FUNDED
HCH ADMINISTRATION ALBQ-SELF FUNDED
HCH ADMINISTRATION (ILLINOIS)
HCH ADMINISTRATION (ILLINOIS)
HCS HEALTH CLAIMS SERVICE (BOISE, ID)
HCS HEALTH CLAIMS SERVICES
HDM BENEFIT SOLUTIONS
HDM BENEFIT SOLUTIONS
HEALTH ALLIANCE MEDICAL PLAN (IL)
IL
HEALTH ALLIANCE MEDICAL PLAN - INST
HEALTH ALLIANCE PLAN OF MICHIGAN (HAP)
HEALTH ALLIANCE PLAN OF MICHIGAN INST
HEALTH AMERICA
MI
MI
Payer
Type
Format
AM
AM
CI
CI
CI
CI
WC
CI
CI
CI
WC
CI
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Dental
Dental
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
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
Y
N
Y
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
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
Y
Y
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
BOONG
25126
25126
TLX24
68241
60054
HCDPB
42102
34193
34193
88028
56142
56142
62180
46221
62179
62179
45399
22521
22521
62111
34158
34158
16112
16112
95019
95019
30946
30946
State
HEALTH AND WELFARE BENEFIT SYSTEMS (HWBS)
HEALTH ASSURANCE HEALTH AMERICA
HEALTH ASSURANCE HEALTH AMERICA ADVANTRA
HEALTH BENEFIT CLAIMS DEPT
HEALTH CARE ALLIAN
HEALTH CARE ALLIANCE SEARS
HEALTH CARE DISTRICT PALM BEACH COUNTY
HEALTH CARE NETWORK OF WISCONSIN (HCN)
HEALTH CARE PAYERS HCPC HOS
HEALTH CARE PAYERS COALITION
OH
HEALTH CARE RESOURCES INC
HEALTH CARE SAVINGS
HEALTH CARE SAVINGS, INC
HEALTH CHOICE GENERATIONS
HEALTH CHOICE INSURANCE CO
HEALTH CHOICE OF ARIZONA
HEALTH CHOICE OF ARIZONA INST
HEALTH CHOICE OF UTAH
HEALTH CHOICE OKLAHOMA (EGID)
HEALTH CHOICE OKLAHOMA (EGID) - INST
HEALTH COST SOLUTIONS (HCS)
HEALTH DESIGN PLUS
HEALTH DESIGN PLUS - INST
HEALTH ECONOMICS GROUP, INC
HEALTH ECONOMICS GROUP, INC
HEALTH FIRST HEALTH PLAN
HEALTH FIRST HEALTH PLAN - INST
HEALTH FUTURE
HEALTH FUTURE
AZ
AZ
UT
OK
OK
TN
Payer
Type
Format
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
CI
CI
CI
CI
Prof
Prof
Inst
Dental
Inst
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Dental
Prof
Prof
Inst
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
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
Y
N
N
Y
N
Y
N
N
N
N
Y
N
N
Y
Claim Enroll
Required
ERA
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
Y
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
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
59087
95570
95568
38309
38309
95567
95567
SX185
20199
65062
PHD05
4286
4286
58216
31478
80142
62157
62157
80142
CX014
20270
63719
76342
83253
83253
68035
HPSM1
HPSM1
94254
State
HEALTH HELP NETWORK INC
HEALTH NET CALIFORNIA (ENCOUNTER)
HEALTH NET CALIFORNIA INST (ENCOUNTER)
HEALTH NET OF ARIZONA
HEALTH NET OF ARIZONA - INST
CA
CA
AZ
AZ
HEALTH NET OF CALIFORNIA AND OREGON
HEALTH NET OF CALIFORNIA AND OREGON - INST
HEALTH NET PEARL
HEALTH NETWORK AMERICA
HEALTH NETWORK ONE (HN1)
HEALTH NETWORKS OF COLORADO SPRINGS
CO
HEALTH NEW ENGLAND
HEALTH NEW ENGLAND INST
HEALTH ONE ALLIANCE PPO HOS
HEALTH PARTNERS OF KANSAS (HPK)
HEALTH PARTNERS OF PHILADELPHIA
HEALTH PARTNERS TN
HEALTH PARTNERS TN - INST
KS
PA
TN
TN
HEALTH PARTNERS, PA
HEALTH PARTNERS, PHILADELPHIA
HEALTH PAYMENT SYSTEMS INC
HEALTH PLAN MANAGEMENT SERVICES
HEALTH PLAN NEVADA
HEALTH PLAN OF MICHIGAN - MERIDIAN
HEALTH PLAN OF MICHIGAN - MERIDIAN - INST
NV
MI
MI
HEALTH PLAN OF SAN JOAQUIN
HEALTH PLAN OF SAN MATEO (HPSM)
HEALTH PLAN OF SAN MATEO (HPSM) - INST
HEALTH PLAN OF THE REDWOODS
CA
Payer
Type
Format
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
CI
CI
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Inst
Inst
Dental
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
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
Y
N
N
N
Y
N
N
N
N
N
N
Y
N
N
Y
Y
N
N
Claim Enroll
Required
ERA
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
Y
Y
N
N
Y
N
N
N
N
N
N
N
N
N
Y
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
HPUOV
HPUOV
59256
44273
44273
28804
63363
23342
HSNMA
HSNMA
20896
20896
37290
37290
HSM01
16105
34167
OBAVG
36332
HTHTX
41154
61101
MPM06
HCP02
HCP02
HCP01
11328
11328
20501
State
HEALTH PLAN OF UPPER OHIO VALLEY
HEALTH PLAN OF UPPER OHIO VALLEY - INST
HEALTH PLAN SE TALLAHASSEE FL
HEALTH PLANS INC
HEALTH PLANS, INC
HEALTH PLUS PHSP (AMERIGROUP)
NY
HEALTH PLUS PHYSICIANS ORGANIZATION (HPPO)
HEALTH REPUBLIC - NEW JERSEY COOP (QUALCARE NETWORK)
HEALTH SAFETY NET (HSN) MASS - INST
HEALTH SAFETY NET (HSN) MASSACHUSETTS
NJ
MA
MA
HEALTH SERVICES CONSULTING GROUP (HSCG)
HEALTH SERVICES CONSULTING GROUP (HSCG) - INST
HEALTH SERVICES FOR CHILDREN (HSCSN)
HEALTH SERVICES FOR CHILDREN (HSCSN)
HEALTH SERVICES MANAGEMENT (HSM)
HEALTH SERVICES MEDICAL GROUP
HEALTH SERVICES PREFERRED (HSP) BY EMERALD
HEALTH SERVICES PURCHASING COALITION
HEALTH STAR
HEALTH TEXAS MEDICAL GROUP
HEALTH TRADITION HEALTH PLAN (MMSI)
TX
WI
HEALTH VALUE MANAGEMENT
HEALTHCARE LA IPA
HEALTHCARE PARTNERS AZ HCP02
HEALTHCARE PARTNERS AZ HCP02 - INST
HEALTHCARE PARTNERS CALIFORNIA (HCP01)
HEALTHCARE PARTNERS IPA
HEALTHCARE PARTNERS IPA NY
HEALTHCARE PARTNERS OF NEVADA
CA
AZ
AZ
CA
NY
NY
NV
Payer
Type
Format
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
CI
CI
Prof
Inst
Inst
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
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
Y
N
N
N
N
Y
N
Y
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
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
Y
N
N
Y
Y
N
N
Y
Y
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
90001
82468
82468
73147
25143
CX014
36335
36335
HCOMP
85729
HCOMP
85729
14163
14163
95213
41178
41178
CX014
80141
80141
80141
75289
75289
34185
34185
75234
75234
56144
56144
State
HEALTHCARE PLAN PPO
HEALTHCARE RESOURCE GROUP
HEALTHCARE RESOURCES GROUP (HRG)
HEALTHCARE SOLUTIONS GROUP
HEALTHCARE USA
HEALTHCARE, USA - ST LOUIS
HEALTHCARES FINEST NETWORK (HFN)
HEALTHCARES FINEST NETWORK (HFN) - INST
HEALTHCOMP
HEALTHCOMP (CA) DENTAL
HEALTHCOMP - INST
HEALTHCOMP INC
HEALTHEASE - WELLCARE
FL
HEALTHEASE - WELLCARE - INST
HEALTHEDGE ADMINISTRATORS
HEALTHEZ
HEALTHEZ
HEALTHFIRST
HEALTHFIRST INC INST
HEALTHFIRST NEW JERSEY
HEALTHFIRST NEW YORK
HEALTHFIRST TPA - AUSTIN
HEALTHFIRST TPA - AUSTIN - INST
HEALTHFIRST TPA - HOUSTON
HEALTHFIRST TPA - HOUSTON - INST
HEALTHFIRST TPA - TYLER TX
HEALTHFIRST TPA - TYLER TX - INST
HEALTHGRAM INC
HEALTHGRAM INC - INST
NY
NJ
NY
TX
TX
TX
TX
TX
TX
Payer
Type
Format
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
CI
CI
Prof
Prof
Inst
Prof
Inst
Dental
Prof
Inst
Prof
Dental
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Dental
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
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
Y
N
N
N
Y
Y
N
N
N
N
N
N
Y
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
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
Y
Y
N
N
N
N
N
Y
Y
N
N
N
N
N
N
Y
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
23274
23226
23226
59087
96475
96475
90001
90001
CX014
52133
55204
55204
44547
HPAMN
HPAMN
7003
59140
59140
59256
11271
TLZ11
95009
38216
38216
68195
31106
6142
71063
71063
State
HEALTHGROUP LIMITED
HEALTHGUARD
HEALTHGUARD OF LANCASTER
HEALTHHELP NETWORK, INC (HHNI)
HEALTHLINK HMO
HEALTHLINK HMO - INST
HEALTHLINK PPO
HEALTHLINK PPO - INST
HEALTHNET - DORAL DENTAL
HEALTHNET OF OREGON
HEALTHNOW NEW YORK
HEALTHNOW NY
NY
NY
HEALTHPARTNERS
HEALTHPARTNERS MN
HEALTHPARTNERS MN INST
MN
MN
HEALTHPARTNERS MNCOOPORTUNITY HEALTH
HEALTHPLAN SERVICES
HEALTHPLAN SERVICES INST
HEALTHPLAN SOUTHEAST HPSE
FL
HEALTHPLEX, INC
HEALTHPLEX, INC - CHILD HEALTH PLUS (CHP) FAMILY HEALTH PLUS (PHP) CLAIMS ONLY
HEALTHPLUS OF LOUISIANA
HEALTHPLUS OF MICHIGAN
HEALTHPLUS OF MICHIGAN - INST
HEALTHPOINT CORP
HEALTHPOWER HMO
HEALTHRIGHT INC
HEALTHSCOPE BENEFITS
HEALTHSCOPE BENEFITS - INST
LA
MI
MI
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Dental
Dental
Prof
Dental
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Dental
Dental
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Y
N
N
N
N
Y
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
Y
Y
N
Y
Y
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
Y
N
N
Y
Y
N
N
N
N
N
N
N
Y
N
N
N
N
Y
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
J1481
75237
37272
37272
37283
37283
87815
87815
HSPC1
75250
HSPC1
62308
62308
62308
62308
62308
62308
62308
62308
62308
62308
62308
2041
62308
62308
62308
2041
16126
68195
State
HEALTHSMART
HEALTHSMART ACCEL
HEALTHSMART BENEFIT SOLUTIONS (FKA J SMITH LANIER)
HEALTHSMART BENEFIT SOLUTIONS (FKA J SMITH LANIER) INST
HEALTHSMART BENEFIT SOLUTIONS (HSBS)
HEALTHSMART BENEFIT SOLUTIONS (HSBS) - INST
HEALTHSMART BENEFIT SOLUTIONS FKA WELLS FARGO TPA
HEALTHSMART BENEFIT SOLUTIONS FKA WELLS FARGO TPA - INST
HEALTHSMART PREFERRED CARE
HEALTHSMART PREFERRED CARE INC
HEALTHSMART PREFERRED CARE INC
HEALTHSOURCE AR
HEALTHSOURCE IN
HEALTHSOURCE KY
HEALTHSOURCE MA
HEALTHSOURCE ME
HEALTHSOURCE N TX
HEALTHSOURCE NC
HEALTHSOURCE NH
HEALTHSOURCE OH
HEALTHSOURCE SC
HEALTHSOURCE TENNESSEE
HEALTHSOURCE CMHC
HEALTHSOURCE GA - INST
HEALTHSOURCE IN - INST
HEALTHSOURCE KY - INST
HEALTHSOURCE MASSACHUSETTS, INC
HEALTHSOURCE NEW YORK
HEALTHSOURCE PROVIDENT
AR
IN
KY
MA
ME
TX
NC
NH
OH
SC
TN
Payer
Type
Format
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
CI
CI
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Real Time
Real Time
Claim
Eligibility
Status
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
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
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
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
62308
68195
62308
71074
71075
71075
58210
HEALTHSOURCE PROVIDENT ADMINISTRATORS
35167
61127
1041
75255
56147
2038
31141
6119
62129
34092
34092
31434
RH007
RH007
HSPAN
HSPAN
63092
63092
HT001
36332
36332
HEALTHSOURCE, IN
State
HEALTHSOURCE PROVIDENT ADMINISTRATORS (CIGNA)
HEALTHSOURCE PROVIDENT INS CO
HEALTHSOURCE, AR
HEALTHSOURCE, AR (MED) (CIGNA)
HEALTHSOURCE, AR (MED) (CIGNA) - INST
AR
AR
HEALTHSOURCE, GA (CIGNA)
HEALTHSOURCE, KY
HEALTHSOURCE, ME
HEALTHSOURCE, N TX (CIGNA)
HEALTHSOURCE, NC (CIGNA)
HEALTHSOURCE, NH
HEALTHSOURCE, OH
HEALTHSOURCE, SC
HEALTHSOURCE, TN (CIGNA)
HEALTHSPAN
HEALTHSPAN - INST
HEALTHSPAN INC MARKETPLACE
HEALTHSPAN INTEGRATED (FKA KAISER OHIO)
HEALTHSPAN INTEGRATED (FKA KAISER OHIO) - INST
OH
OH
HEALTHSPAN NETWORK REPRICING
HEALTHSPAN NETWORK REPRICING INST
HEALTHSPRING HMO MEDICARE CHOICE
HEALTHSPRING HMO MEDICARE CHOICE - INST
HEALTHSPRING TN
HEALTHSTAR
HEALTHSTAR, INC
TN
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
Prof
Dental
Prof
Inst
Prof
Inst
Inst
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
Claim Enroll
Required
ERA
Y
N
Y
N
N
N
N
Y
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
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
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
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
HESUN
TLZ34
95827
68064
77180
77180
41556
J1677
J1677
62224
HGL01
HGL99
33600
J1654
J1654
37114
37114
37114
59230
J1069
VVMG1
IP125
41556
91164
91164
5477C
5477W
47181
47181
State
HEALTHSUN HEALTH PLAN
HEALTHY FAMILIES (CA)
HEALTHY PALM BEACHES
HEALTHY TEXAS
HEALTHYCT CO-OP
HEALTHYCT CO-OP INST
TX
CT
CT
HEARTLAND EMPLOYMENT SERVICES, LLC
HEARTLAND EXPRESS
HEARTLAND EXPRESS (AUTO ONLY)
HEARUSA HLTC ENCOUNTER (62224)
HEAVY GENERAL LABORERS - DENTAL
HEAVY GENERAL LABORERS WELFARE FUND
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 VICTOR VALLEY MEDICAL GROUP
HIGH DESERT MEDICAL GROUP
CA
CA
HIGHLAND GOLF
HIGHLINE MEDICAL SERVICE ORGANIZATION
HIGHLINE MEDICAL SERVICE ORGANIZATION INST
HIGHMARK BCBS PENN CENTRAL INST
HIGHMARK BCBS PENN WESTERN INST
HIGHMARK DE HEALTH OPTIONS
HIGHMARK DE HEALTH OPTIONS INST
PA
PA
DE
DE
Payer
Type
Format
CI
CI
CI
CI
CI
CI
WC
WC
AM
CI
CI
CI
WC
WC
AM
CI
CI
CI
CI
WC
CI
CI
WC
CI
CI
BL
BL
CI
CI
Prof
Dental
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Inst
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
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
N
N
Y
Y
Y
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
35145
35145
15460
15460
15459
15459
HIL01
59347
59347
37105
55247
55247
HPIPA
HPFFS
HMA01
HMA01
86066
86066
75318
HM033
84980
53172
84980
HMOBR
84555
84555
COHMO
BS115
FE115
State
HIGHMARK KEY FAMILY
HIGHMARK KEY FAMILY INST
HIGHMARK SENIOR HEALTH-PA MEDICARE AVANTAGE
HIGHMARK SENIOR HEALTH-PA MEDICARE AVANTAGE - INST
HIGHMARK SENIOR WV MEDICARE ADVANTAGE
HIGHMARK SENIOR WV MEDICARE ADVANTAGE - INST
HILL PHYSICIANS MEDICAL GROUP
PA
PA
WV
WV
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
NY
NY
HISPANIC PHYSICIANS IPA - ENCOUNTERS
HISPANIC PHYSICIANS IPA - FEE FOR SERVICE
HMA HEALTHCARE MANAGEMENT ADMINISTRATORS
HMA HEALTHCARE MANAGEMENT ADMINISTRATORS - INST
HMA INC - HAWAII
HMA INC - HAWAII - INST
HMC HEALTHWORKS AKA HEALTH MANAGEMENT CO
HMO BLUE MEDICAID
HMO BLUE SHIELD
TX
TX
HMO BLUE STAR PLUS HOUSTON ONLY CONTACT MARK MESSER
HMO BLUE TEXAS
TX
HMO BLUE TEXASARIA
HMO LOUISIANA (BLUE ADVANTAGE)
HMO LOUISIANA (BLUE ADVANTAGE) - INST
HMO OF COLORADO
HMSA AKAMAI ADVANTAGE (MEDICARE)
HMSA FEDERAL EMPLOYEE PLAN (FEP)
LA
LA
CO
HI
HI
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
BL
CI
CI
CI
CI
BL
CI
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
Y
Y
N
N
Y
N
N
N
N
N
Y
N
Y
N
N
N
N
N
N
N
N
Y
Y
Y
N
N
N
N
N
Y
N
N
N
Y
N
Y
N
N
N
N
N
Y
N
Y
N
N
Y
Y
Claim Enroll
Required
ERA
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
Y
N
N
Y
Y
Y
Y
N
N
N
N
Y
Y
N
N
Y
Y
N
N
N
N
Y
N
Y
N
N
N
N
Y
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
MC115
J1612
J1612
41556
41556
J1070
68069
68069
41556
88023
88023
CX015
CX015
22099
220SP
22099
22326
22326
22326
HVMG1
13978
91136
91136
J1071
A0107
J1020
22521
94254
58227
HMSA QUEST (MEDICAID)
State
HI
HMSHOST
HMSHOST (AUTO ONLY)
HOGAN MOTOR LEASING
HOGAN PERSONELL
HOLLY FARMS CORP
HOME STATE HEALTH PLAN MISSOURI
HOME STATE HEALTH PLAN MISSOURI INST
MO
MO
HOME SWEET HOME
HOMETOWN HEALTH PLAN NEVADA
HOMETOWN HEALTH PLAN NEVADA INST
NV
HOOSIER DENTAL BENEFIT TRUST
HOOSIER DENTAL PLANS
HORIZON BCBS NEW JERSEY
HORIZON BCBS NEW JERSEY - SPECIALIST
HORIZON BLUE CROSS BLUE SHIELD NEW JERSEY INST
HORIZON MERCY NEW JERSEY
HORIZON NJ HEALTH
HORIZON NJ HEALTH - INST
HORIZON VALLEY MEDICAL GROUP
NJ
NJ
NJ
NJ
NJ
NJ
CA
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
HPR
HPS PARADIGM
OK
Payer
Type
Format
MC
WC
AM
WC
WC
WC
CI
CI
WC
CI
CI
CI
CI
BL
BL
BL
CI
CI
CI
CI
WC
CI
CI
WC
WC
WC
CI
CI
CI
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Dental
Dental
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
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
Y
N
N
N
Y
Y
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
Y
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
Y
N
N
N
N
N
Y
N
N
Y
N
N
N
Y
Y
Y
N
Y
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
58277
58227
36410
31172
HSM01
13335
J1072
61101
73288
61101
61101
61101
61102
61101
95348
61101
61101
61101
61125
61125
PR000
61120
IP059
37260
37260
J1626
J1626
J1118
37279
State
HPS PARADIGM INC HOSPITAL
HPS PARADIGM, INC
HRH OF ILLINOIS
HSBS WORLD TRADE CENTER HEALTH PROGRAM
HSM
HUDSON HEALTH PLAN
NY
HUGHES TOOL COMPANY
HUMANA CARE PLAN
HUMANA DENTAL
HUMANA EMPHESYS
HUMANA EMPLOYERS HEALTH INST
HUMANA EMPLOYERS HEALTH INSURANCE
HUMANA ENCOUNTERS
HUMANA GOLD PLUS
HUMANA HEALTH PLANS OF OHIO
OH
HUMANA INC
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
HUMBOLDT (CALIF CARE)
HUNT INSURANCE GROUP
HUNT INSURANCE GROUP
HUTCHINSON TECHNOLOGY
HUTCHINSON TECHNOLOGY (AUTO ONLY)
HY-VEE
IAA
CA
Payer
Type
Format
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
AM
WC
CI
Inst
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
Y
N
Y
Y
Y
N
Y
N
Y
Y
Y
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
Y
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
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
Y
Y
Y
N
Y
N
Y
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
IAT99
54704
89070
54704
A1117
A1464
A1317
IBE98
A1461
A4681
IBE97
81810
68241
68241
60054
11695
11695
26054
37296
75185
75185
27847
12504
22175
22175
97661
97661
68066
68066
State
IATSE ATLANTA HEALTH WELFARE FUND
IBC - INDEPEN BLUE CROSS PERSONAL CHOICE
PA
IBC - INDEPEN BLUE CROSS PERSONAL CHOICE - DENTAL
IBC - INDEPEN BLUE CROSS PERSONAL CHOICE - INST
PA
IBEW LOCAL 117
IBEW LOCAL 364
IBEW LOCAL 38
IBEW LOCAL 38
IBEW LOCAL 461
IBEW LOCAL 481
IBEW LOCAL 481
IBG ADMINISTRATORS LLC
IBM MEDICAL PLANS
IBM MEDICAL PLANS
IBM MEDICAL PLANS
ICARE (INDEPENDENT CARE HEALTH PLAN)
ICARE (INDEPENDENT CARE HEALTH PLAN)
WI
WI
ICARE HEALTH OPTIONS, TPA
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)
IEC GROUP - AMERIBEN
IEC GROUP - AMERIBEN - INST
ILLINICARE GROUP HEALTH
ILLINICARE GROUP HEALTH
ID
ID
IL
IL
Payer
Type
Format
CI
BL
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
AM
CI
CI
CI
CI
CI
CI
Prof
Prof
Dental
Inst
Dental
Dental
Dental
Prof
Dental
Dental
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Dental
Prof
Prof
Inst
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
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
Y
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
Y
N
N
Y
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
J1575
J1575
36600
21415
C1029
86069
72091
72091
41600
41600
IMGIN
IMGIN
41556
IMSMS
86070
41556
40585
TA720
IMG01
IMG02
95308
46166
DELOK
290
ICW01
ICW99
ICHIA
ESP01
J1425
State
ILLINOIS CASUALTY
ILLINOIS CASUALTY (AUTO ONLY)
ILLINOIS CENTRAL HOSPITAL ASSOC
ILLINOIS EMCASCO
ILLINOIS EMCASCO
ILLINOIS HEALTH SOLUTIONS
IMA LOUISIANA
IMA LOUISIANA
IL
LA
LA
IMCARE
IMCARE - INST
IMG INTERNATIONAL MEDICAL GROUP
IMG INTERNATIONAL MEDICAL GROUP - INST
IMPERIAL IRRIGATION DISTRICT
IMS MANAGEMENT SERVICES
IMX EZ
TX
NV
INCONEN CORPORATION
INDECS CORP
INDEPENDENCE ADMINISTRATORS
INDEPENDENCE MEDICAL GROUP - KERN COUNTY
INDEPENDENCE MEDICAL GROUP - TULARE COUNTY
INDEPENDENT HEALTH NEW YORK
CA
CA
NY
INDEPENDENT LIVING SYSTEMS MANAGED LTC
INDIAN HEALTH SERVICES
INDIAN HEALTH SERVICES (IHS) - BCBSNM
NM
INDIANA CARPENTERS WELFARE PENSION FUND
INDIANA CARPENTERS WELFARE FUND
IN
INDIANA COMPREHENSIVE HEALTH INS (PAPER)
INDIANA IHCP ESP (ANTHEM)
INDIANA INSURANCE
IN
Payer
Type
Format
WC
AM
CI
WC
AM
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
BL
WC
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Dental
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
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
Y
N
N
Y
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
35161
35161
35107
TPC50
43471
43471
52196
52196
50946
50946
36348
IEHP1
IEHP1
MVMM1
IHORG
41556
40025
J1599
J1599
J1601
J1601
4320
4320
VAICE
J1073
68241
37279
37279
63082
INDIANA PRO HEALTH NETWORK
INDIANA PROHEALTH
State
IN
IN
INDIANA TEAMSTERS HEALTH BENEFIT FUNDS
INDUSTRY LOCAL 338 P W FU
INETICO INC
INETICO INC - INST
INFORMED
INFORMED LLC INST
INFORMED UHC COMPASS ROSE
INFORMED UHC COMPASS ROSE INST
INGALLS PROVIDER GROUP
INLAND EMPIRE HEALTH PLAN (IEHP)
INLAND EMPIRE HEALTH PLAN (IEHP) - INST
INLAND FACULTY MEDICAL GROUP
INLAND HEALTH ORGANIZATION (IHO)
INLAND VALLEY HOSPICE
INNOVATION HEALTH
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 (IAA)
INSURANCE ADMINISTRATORS OF AMERICA, INC
INSURANCE CLAIMS SERVICES (BIRMINGHAM, AL)
CA
CA
CA
CA
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
WC
AM
WC
AM
CI
CI
CI
WC
CI
CI
CI
CI
Prof
Prof
Dental
Dental
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
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
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
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
Y
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
63082
13315
13315
IMSMS
IMSMS
ISL11
39182
39182
IAC01
IAC01
IAC01
C1028
C1028
C1028
C1028
C1028
51020
51020
51020
31127
31129
31127
23229
23229
37124
34167
20050
20050
58200
State
INSURANCE CLAIMS SERVICES, INC (BIRMINGHAM,
INSURANCE DESIGN ADMINISTRATORS
INSURANCE DESIGN ADMINISTRATORS (IDA)
INSURANCE MANAGEMENT SERVICES OF TEXAS
INSURANCE MANAGEMENT SERVICES OF TEXAS - INST
INSURANCE SERVICE OF LUBBOCK
TX
INSURANCE TPACOM
INSURANCE TPACOM - INST
INSURER'S ADMINISTRATIVE CORP
INSURERS ADMINISTRATIVE CORPORATION (IAC)
INSURERS ADMINISTRATIVE CORPORATION (IAC) - INST
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 - CHA
INTEGRA GROUP - INST
INTEGRAL QUALITY CARE
INTEGRAL QUALITY CARE - INST
INTEGRATED BENEFIT SERVICES
INTEGRATED CARE NETWORK (ICN) BY EMERALD
INTEGRATED MEDICAL SOLUTIONS LLC
INTEGRATED MEDICAL SOLUTIONS LLC - INST
INTEGRITY BENEFITS NETWORK
IL
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
AM
AM
AM
AM
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Inst
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Dental
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
10322
14303
23252
J1542
J1542
60280
60280
23287
23287
IAT99
36609
48603
48603
37269
37269
84137
IHP01
IHP02
CX014
86068
OBALB
J1074
TPC51
TPC52
J1075
ISL11
J1911
42600
A0138
State
INTEGRITY MUTUAL INSURANCE COMPANY
INTEGRITY WC
INTER COUNTY HEALTH PLAN - ICHP (AHA)
PA
INTERCARE
INTERCARE (AUTO ONLY)
INTERFACE EAP
INTERFACE EAP (IEAP)
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 UNION OF OPERATING ENGINEERS - INST
INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 15, 15A, 15C, 15D
INTERWEST HEALTH (MONTANA) PPO
INTOTAL HEALTH FKA AMERIGROUP VIRGINIA
INTOTAL HEALTH FKA AMERIGROUP VIRGINIA INST
MT
VA
VA
ION HEALTH, INC
IOWA HEALTH SOLUTIONS
IOWA IRON WORKERS HEALTH PLAN
IREX CORPORATION
IRONWORKERS L40, L361, L417
IRONWORKERS LOCAL 455
IRONWORKING CONTRACT IP
ISOL
ISURITY WORK COMP
ITASCA MEDICAL CARE
J B HUNT TRANSPORT INC
IA
Payer
Type
Format
AM
WC
CI
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
WC
CI
WC
CI
WC
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Inst
Prof
Inst
Inst
Prof
Prof
Prof
Inst
Dental
Prof
Prof
Prof
Dental
Dental
Prof
Prof
Prof
Dental
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
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
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
JAI01
41556
41556
JPF01
JEN01
JEN99
41556
J1006
JISSP
59171
41099
41099
65099
65099
38310
38310
41556
JMH01
68031
37215
37215
66003
66003
52189
52189
52123
52123
J1118
J1076
State
JAI MEDICAL
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 INSURANCE CO - DENTAL
JOHN ALDEN LIFE INSURANCE CO - INST
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 ADVANTAGE MD
JOHNS HOPKINS ADVANTAGE MD - INST
JOHNS HOPKINS EHP - PRIORITY PARTNERS
JOHNS HOPKINS EHP - PRIORITY PARTNERS - INST
JOHNS HOPKINS US FAMILY HEALTH PLAN (USFHP)
JOHNS HOPKINS US FAMILY HEALTH PLAN (USFHP) - INST
JOHNSTON SCHOOLS
JONES TRUCK LINES,INC
CA
CA
Payer
Type
Format
CI
WC
WC
CI
CI
CI
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
Prof
Prof
Prof
Dental
Dental
Prof
Prof
Prof
Prof
Prof
Dental
Inst
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
34136
34136
34136
41556
J1077
91617
COKSR
COKSR
21313
21313
KS008
94135
93079
93079
94134
94134
KPIC1
94123
94123
KS003
KS001
94320
94320
47171
A2032
44030
81812
41556
37313
State
JP FARLEY CORPORATION
JP FARLEY CORPORATION
JP FARLEY CORPORATION
JUDSON ISD
JUVENILE JAIL FACILITY MANAGEM
KAISER FOUNDATION HEALTH PLAN COLORADO
KAISER FOUNDATION HEALTH PLAN COLORADO
KAISER FOUNDATION HEALTH PLAN COLORADO - INST
KAISER FOUNDATION HEALTH PLAN GEORGIA
KAISER FOUNDATION HEALTH PLAN GEORGIA - INST
CO
CO
CO
GA
GA
KAISER FOUNDATION HEALTH PLAN MID-ATLANTIC
KAISER FOUNDATION HEALTH PLAN NORTH CALIF
CA
KAISER FOUNDATION HEALTH PLAN NORTHWEST
KAISER FOUNDATION HEALTH PLAN NORTHWEST - INST
KAISER FOUNDATION HEALTH PLAN SOUTH CALIF
KAISER FOUNDATION HEALTH PLAN SOUTH CALIF - INST
CA
CA
KAISER PERMANENTE - PHCS PPO
KAISER PERMANENTE HAWAII
KAISER PERMANENTE HAWAII INST
KAISER PERMANENTE NORTHERN CA
KAISER PERMANENTE SOUTHERN CA
HI
HI
CA
CA
KAISER SELF FUNDED PLAN
KAISER SELF FUNDED PLAN - INST
KANSAS CITY BLUE SHIELD
KANSAS CITY LABORERS WELFARE FUND
KANSAS CITY LIFE INSURANCE CO
KATY MEDICAL GROUP (KMG)
KAUTZ VINYARDS
KBA ASSURANT HEALTH
KS
Payer
Type
Format
CI
CI
CI
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
BL
CI
CI
CI
WC
CI
Dental
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Dental
Dental
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
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
N
Y
N
Y
Y
N
N
N
N
N
N
N
N
Y
N
N
Claim Enroll
Required
ERA
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
N
Y
Y
N
N
Y
N
N
Y
N
Y
Y
Y
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
J1078
J1498
KEE01
KELSE
61453
61453
C1030
73100
73100
73100
73100
J1079
27215
27215
77894
77894
63077
63077
68067
68067
68067
37124
37124
KERN1
37217
37217
IP082
J1521
37321
State
KCI HOLDINGS USA
KEENAN AND ASSOCIATES (WC)
KEENAN AND ASSOCIATES COMMERCIAL
CA
KELSEY-SEYBOLD
KEMPER BENEFITS KEY BENEFIT ADMINISTRATORS
KEMPER BENEFITS KEY BENEFIT ADMINISTRATORS INST
KEMPER PREFERRED (AUTO)
KEMPTON COMPANY
KEMPTON COMPANY
KEMPTON GROUP ADMINISTRATORS
KEMPTON GROUP ADMINISTRATORS
KEN DAVIS INDUSTRIES INC
KENTUCKY HEALTH ADMINISTRATORS INC
KENTUCKY HEALTH ADMINISTRATORS INC - INST
KENTUCKY HEALTH COOPERATIVE
KENTUCKY HEALTH COOPERATIVE - INST
KY
KY
KY
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
KY
KY
KY
KY
IL
KEPPLE AND CO
KERN FAMILY HEALTH CA
CA
KEY BENEFIT ADMINISTRATORS (IN)
KEY BENEFIT ADMINISTRATORS (IN) - INST
KEY MEDICAL GROUP
KEY RISK MANAGEMENT SERVICES LLC
KEY SELECT
CA
Payer
Type
Format
WC
WC
CI
CI
CI
CI
AM
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
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
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Y
Y
Y
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
37323
37323
J1118
77050
77050
23284
23284
23045
95056
95056
CX014
84223
41556
41556
J1614
J1614
KPS01
3414A
3414A
34145
34145
KAMG1
41556
41556
LACAR
LACAR
HM039
66019
LSH01
State
KEY SOLUTION
KEY SOLUTION - INST
KEYSTONE
KEYSTONE CONNECT (AMERIHEALTH)
KEYSTONE CONNECT (AMERIHEALTH) - INST
KEYSTONE FIRST (MERCY)
KEYSTONE FIRST (MERCY) - INST
KEYSTONE HEALTH PLAN CENTRAL (CBC)
KEYSTONE HEALTH PLAN EAST
PA
PA
PA
PA
PA
PA
KEYSTONE HEALTH PLAN EAST - INST
KEYSTONE MERCY HEALTH PLAN - DENTAL
KEYSTONE VIP CHOICE
KING PAK POTATO COMPANY LLC
KING RANCH
KIRKLAND'S, INC
KIRKLAND'S, INC (AUTO ONLY)
KITSAP PHYSICIANS SERVICE
KLAIS COMPANY (REPRICING FOR HEALTHSPAN NETWORK ONLY)
KLAIS COMPANY (REPRICING FOR HEALTHSPAN NETWORK ONLY) - INST
KLAIS AND COMPANY
KLAIS AND COMPANY - INST
KOREAN AMERICAN MEDICAL GROUP
CA
KTA CONSTRUCTION (COSD2)
L ARROWHEAD C CLUB
LA CARE HEALTH PLAN (CALIF)
LA CARE HEALTH PLAN (CALIF) - INST
LA CARE HEALTH PLAN ENCOUNTERS ONLY
LA CRUZ AZUL (LCA)
LABORERS SOUTHEST HEALTH WELFARE PLAN - DENTAL
CA
CA
CA
PR
Payer
Type
Format
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
WC
AM
CI
CI
CI
CI
CI
CI
WC
WC
CI
CI
CI
CI
CI
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Dental
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
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
Y
Y
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
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
N
Y
Y
Y
N
Y
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
41556
41556
44827
44827
41556
37112
37112
LCHC1
95415
LMG11
LIPAZ
41556
41556
16109
90096
41556
41556
LNDMK
J1080
41556
41556
NMM02
NMM02
MPM14
41556
41556
52193
52193
J1527
State
LACLEDE CHAIN
LACLEDE STEEL
LAKE AREA COMMUNITY HEALTH PLAN - SISCO
LAKE AREA COMMUNITY HEALTH PLAN - SISCO - INST
LAKE ELSINORE SCHOOL DISTRICT
LAKE FOREST MANAGE CARE HOS
LAKE FOREST MANAGED CARE ASSOCIATES
LAKESIDE COMPREHENSIVE HEALTHCARE
LAKESIDE HEALTH SERVICES
LAKESIDE MEDICAL GROUP
LAKEWOOD IPA
CA
LAMAR CONSOLIDATED ISD
LAMESA ISD
LANCASTER GENERAL HEALTH GROUP
LAND OF LINCOLN HEALTH
LANDMARK GOLF CO
LANDMARK GRAD AND PAVING
LANDMARK HEALTHCARE
LANDSTAR BCO WC PROGRAM
LANE COUNTY
LARIMER COUNTY - WC
LASALLE MEDICAL ASSOCIATES
LASALLE MEDICAL ASSOCIATES - INST
LASALLE MEDICAL GROUP
CA
CA
CA
LB AUTOPACIFIC PART
LB AUTOPACIFIC SUPP
LBA HEALTH PLANS
LBA HEALTH PLANS - INST
LEAGUE OF MINNESOTA CITIES INSURANCE TRUST
MN
Payer
Type
Format
WC
WC
CI
CI
WC
CI
CI
CI
CI
CI
CI
WC
WC
CI
CI
WC
WC
CI
WC
WC
WC
CI
CI
CI
WC
WC
CI
CI
WC
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
41556
37316
41556
TPC54
J1650
J1650
32838
CX083
87071
90753
33600
33600
33600
37281
37281
33600
37281
37281
25181
76184
41136
41136
94245
LFGRD
53172
76870
27005
61104
EBSRM
LEKOS ELECTRIC
LEON MEDICAL CENTER HEALTH PLAN
LEVIN ENTERPRISES, INC
LEVTTTOWN UNITED TEACHERS
LFP CORPORATION
LFP CORPORATION (AUTO ONLY)
LHP CLAIMS UNIT
LIBERTY DENTAL PLAN
LIBERTY HEALTH ADVANTAGE
LIBERTY HEALTHSHARE MEDCOST SOLUTIONS
LIBERTY MUTUAL
LIBERTY MUTUAL MIDDLE MARKETS
LIBERTY NORTHWEST
LIBERTY UNION
LIBERTY UNION LIFE ASSURANCE CO
LIBERTY WAUSAU
LIFE ASSURANCE COMPANY
LIFE ASSURANCE COMPANY - INST
LIFE PITTSBURGH
LIFE ST MARY
LIFE TRAC
LIFE TRAC - INST
LIFEGUARD
LIFEGUARD
LIFEMARK CONTACT MARK MESSER
LIFEPATH HOSPICE
LIFESTYLE HEALTH PLANS
LIFESYNCH
LIFETIME BENEFIT SOLUTIONS (TPA)
State
Payer
Type
Format
WC
CI
WC
CI
WC
AM
CI
CI
CI
CI
WC
WC
WC
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Prof
Prof
Prof
Dental
Prof
Prof
Inst
Dental
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
EBS01
93093
91049
91049
CX061
73288
75283
75283
41556
41556
TPC55
TPC56
TPC57
35107
35107
PCM01
TPC58
TPC59
TPC60
TPC61
IBT99
TPC62
62308
TPC63
TPC64
41556
37267
37267
37267
State
LIFETIME BENEFITS (FKA EBS) DENTAL
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
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
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
OR
WA
WA
Payer
Type
Format
CI
CI
BL
BL
CI
CI
CI
CI
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
Dental
Prof
Prof
Inst
Dental
Prof
Prof
Inst
Prof
Prof
Dental
Dental
Dental
Inst
Prof
Dental
Dental
Dental
Dental
Dental
Prof
Dental
Prof
Dental
Dental
Prof
Prof
Inst
Inst
Real Time
Real Time
Claim
Eligibility
Status
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
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
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
Y
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
37267
37267
37267
37226
45289
J1515
J1464
PR002
LAF99
LAF01
88075
88075
68069
68069
J1547
CX014
SX159
90328
90328
J1465
13193
J1081
J1341
J1341
J1540
MP330
J1669
J1669
52133
State
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
LOUISIANA HEALTH COOPERATIVE - INST
LOUISIANA HEALTHCARE CONNECTIONS - BAYOU HEALTH
LOUISIANA HEALTHCARE CONNECTIONS INST
LA
LA
LA
LA
LOUISIANA WORKERS' COMPENSATION CORPORATION (LWCC)
LOVELACE COMMUNITY HEALTH PLAN
LOVELACE SALUD MEDICAID THRU 7-31-2013
NM
LOVELACE SANDIA HEALTH PLAN
LOVELACE SANDIA HEALTH PLAN INST
LOWE'S
LOYAL AMERICAN LIFE (MEDICARE SUPPLEMENT)
LSG SKY CHEFS INTERNATIONAL
LUBA CASUALTY INSURANCE COMPANY
LUBA CASUALTY INSURANCE COMPANY (AUTO ONLY)
LUMBERMEN'S UNDERWRITING ALLIANCE
LUTHERAN PREFERRED
LYNWOOD UNIFIED SCHOOL DISTRICT (CA)
LYNWOOD UNIFIED SCHOOL DISTRICT (CA) (AUTO ONLY)
M-PLAN DENTAL
CA
Payer
Type
Format
CI
CI
CI
CI
CI
WC
WC
CI
CI
CI
CI
CI
MC
MC
WC
CI
CI
CI
CI
WC
CI
WC
WC
AM
WC
CI
WC
AM
CI
Inst
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Inst
Prof
Inst
Prof
Dental
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
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
Y
N
N
Y
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
J1343
J1343
36334
J1345
J1346
J1347
41556
22445
1260
1260
11303
11303
68062
68062
34103
62413
62413
45341
26372
J1082
87726
87726
65030
35162
35162
MCS01
36312
CX014
22771
State
MACKINAW ADMINISTRATORS (AUTO)
MACKINAW ADMINISTRATORS (WC)
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
MAJESTACARE VIRGINIA
ME
VA
MAJOR LEAGUE BASEBALL 8
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 ASSOC (MHCA)
MANAGED HEALTH INC (MHI)
MANAGED HEALTH NETWORK
CA
IL
Payer
Type
Format
AM
WC
CI
WC
WC
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Dental
Prof
Inst
Prof
Prof
Dental
Prof
Real Time
Real Time
Claim
Eligibility
Status
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
N
Y
N
Y
N
N
Y
N
N
N
N
N
Y
N
Y
N
N
N
N
Y
Claim Enroll
Required
ERA
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
Y
N
N
N
Y
Y
N
Y
Y
Y
N
N
Y
Y
N
N
N
Y
N
N
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
CX014
39186
39187
39187
MHCA2
MHCA1
93900
41556
98010
75258
46000
52461
41556
41556
9908
CX014
IP097
41556
247
48055
20805
68241
PR002
MPHC1
C1034
22322
CX014
MCDMD
22348
State
MANAGED HEALTH SERVICES - WI STATE EMPLOYEES
MANAGED HEALTH SERVICES INDIANA
MANAGED HEALTH SERVICES WISCONSIN
MANAGED HEALTH SERVICES WISCONSIN - INST
IN
WI
WI
MANAGED HEALTHCARE ADMIN - BLUE CHOICE
MANAGED HEALTHCARE ADMIN - EPS
MANAGED PHYSICAL NETWORK
MANUFACTURERS ALLIANCE INSURANCE COMPANY
MANULIFE, W J SUTTON, CO (TORONTO, CANADA)
MAPCO
MAPFRE (CANADA LIFE)
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
MARIPOSA COUNTY
MARLAND PHYSICIANS CARE
MARQUETTE NATIONAL LIFE INSURANCE
MARRICK MEDICAL FINANCE LLC
MARRIOTT
MARRIOTT
MARTINS POINT HEALTH CARE ( MPHC)
MARYLAND CASUALTY COMPANY (AUTO ONLY)
MARYLAND HEALTH PARTNERS HOSP
MARYLAND HELIX
MARYLAND MEDICAID INST
MARYLAND PHYSICIANS CARE
MD
MD
Payer
Type
Format
CI
MC
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
WC
WC
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
AM
CI
CI
MC
CI
Dental
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Dental
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
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
Y
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Claim Enroll
Required
ERA
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
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
Y
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
22348
CX014
SX069
SX069
37121
37121
60230
J1689
J1689
MMPHB
TH111
41556
J1736
J1736
TP075
2030
J1083
J1347
88090
88090
41193
41154
41154
83028
83028
87065
J1084
25160
59331
MARYLAND PHYSICIANS CARE INST
State
MD
MARYLAND PHYSICIANS CARE MCO DENTAL
MARYLAND PMHS
MARYLAND PUBLIC MENTAL HEALTH SYSTEM
MASHANTUCKET PEQUOT TRIBAL NATION
MASHANTUCKET PEQUOT TRIBAL NATION
MASONRY INDUSTRY TRUST (UCS)
MASSACHUSETTS BAY INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY (AUTO ONLY)
MASTERS, MATES PILOTS PROGRAM
MASTERS, MATES PILOTS PROGRAM - INST
MATAGORDA COUNTY
MATHESON TRUCKING
MATHESON TRUCKING (AUTO ONLY)
MATRIX ABSENCE MANAGEMENT
MATTHEW THORNTON HEALTH PLAN
MAXIM CRANE WORKS
MAY DEPARTMENT STORES
MAYO CLINIC FLGA
MAYO CLINIC FLGA- INST
MAYO CLINICRECOVERY AND CLAIMS SERVICES
MAYO MANAGEMENT SERVICES
MAYO MANAGEMENT SERVICES - INST
MBA BENEFITS ADMINISTRATORS
MBA BENEFITS ADMINISTRATORS INST
MBA OF WYOMING
MC DONALD'S-MCOPCO
MCA ADMINISTRATORS
MCCREARY CORPORATION
MD
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
WC
AM
CI
CI
WC
WC
AM
WC
CI
WC
WC
CI
CI
WC
CI
CI
CI
CI
CI
WC
CI
CI
Inst
Dental
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
59331
36328
36328
3833C
3833N
3833T
3833R
3833A
38338
38338
87726
87726
MDAPN
6118
11338
11338
41556
20475
SX172
R6139
SX172
MDXHI
J1478
J1478
88058
M3CA1
M3F10
M3F12
M3F11
State
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
MD INDIVIDUAL PRACTICE ASSOC
MD - INDIVIDUAL PRACTICE ASSOCIATION, INC (MD
MD ANDERSON PHYSICIAN NETWORK
MD HEALTH PLAN
MDNY HEALTHCARE
MDNY HEALTHCARE
NY
NY
MDSI PHYS GROUP INC
MDWISE EXCEL NETWORK THRU DOS 12-31-2015
MDWISE MARKETPLACE
MDWISE SELECT HEALTH INDIANA
MDWISE TOTAL HEALTH FKA IU MEDICAL
MDX HAWAII (TPA)
IN
IN
IN
IN
HI
MEADOWBROOK INSURANCE GROUP (AUTO)
MEADOWBROOK INSURANCE GROUP WC (WR778)
MED PAY
MED3000 CALIFORNIA AFFILIATED PHYSICIAN GROUP
MED3000 CMS EARLY STEPS
MED3000 CMS MMA SPECIALTY PLAN
MED3000 CMS SAFETY NET
CA
FL
FL
FL
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
MC
CI
CI
CI
CI
AM
WC
CI
CI
CI
CI
CI
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
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
N
N
N
Y
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
M3F13
M3F14
M3I01
M3F03
M3F08
M3F06
M3I02
58202
58204
58204
74323
59231
59231
68241
56162
56162
95321
MCDCA
MCCA0
94265
94265
78857
12422
12422
75254
MCDAK
MCDAR
MCDAR
77016
MED3000 CMS TITLE 19 NONREFORM
MED3000 CMS TITLE 21
MED3000 HEALTHSELECT IPA BCBS
MED3000 HEALTHY KIDS
MED3000 PEDICARE TITLE 19
MED3000 PEDICARE TITLE 21
MED3000 SOUTHWEST IPA BCBS
State
FL
FL
IL
FL
FL
FL
IL
MEDADMIN SOLUTIONS
MEDADMIN SOLUTIONS
MEDADMIN SOLUTIONS
MEDBEN (NEWARK, OH)
MEDCOM
MEDCOM
MEDCONNECTION
MEDCOST
MEDCOST INST
MEDFOCUS
MEDI-CAL CALIFORNIA
MEDI-CAL CALIFORNIA 04 (OP) INST
CA
CA
MEDICA CHOICE (UHC)
MEDICA HEALTH (UHC) INST
MEDICA HEALTHCARE PLAN FLORIDA
FL
MEDICA2
MEDICA2 - INST
MEDICAID ALABAMA
MEDICAID ALASKA
MEDICAID ARKANSAS
MEDICAID ARKANSAS INST
MEDICAID COLORADO
AL
AK
AR
AR
CO
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
MC
MC
CI
CI
CI
CI
CI
MC
MC
MC
MC
MC
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Inst
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
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
Y
N
N
Y
Y
Y
N
N
N
N
Y
Y
Y
N
Y
Claim Enroll
Required
ERA
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
Y
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
Y
Y
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
77034
77034
MCDIN
18049
MCDKS
MCDKY
MCDME
MCDMD
MCDMA
MCDMA
MCDMI
MCDMN
77032
77032
77039
MCDNE
MCDNE
MCDNV
MCDNJ
MCDNY
MCDNY
DNC00
MCDOH
MCDOH
MCDOR
MCDPA
MCDSC
MCDVA
MCDWA
MEDICAID GEORGIA
MEDICAID GEORGIA INST
MEDICAID INDIANA
MEDICAID IOWA
MEDICAID KANSAS
MEDICAID KENTUCKY
MEDICAID MAINE
MEDICAID MARYLAND
MEDICAID MASSACHUSETTS
MEDICAID MASSACHUSETTS INST
MEDICAID MICHIGAN
MEDICAID MINNESOTA
MEDICAID MISSISSIPPI
MEDICAID MISSISSIPPI INST
MEDICAID MONTANA
MEDICAID NEBRASKA
MEDICAID NEBRASKA DENTAL
MEDICAID NEVADA
MEDICAID NEW JERSEY
MEDICAID NEW YORK
MEDICAID NEW YORK INST
MEDICAID NORTH CAROLINA INST
MEDICAID OHIO
MEDICAID OHIO INST
MEDICAID OREGON
MEDICAID PENNSYLVANIA
MEDICAID SOUTH CAROLINA
MEDICAID VIRGINIA
MEDICAID WASHINGTON
State
Payer
Type
Format
GA
GA
IN
IA
KS
KY
ME
MD
MA
MA
MI
MN
MS
MS
MT
NE
NE
NV
NJ
NY
NY
NC
OH
OH
OR
PA
SC
VA
WA
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
MC
MC
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Dental
Prof
Prof
Prof
Inst
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
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
N
Y
Y
Y
N
Y
N
N
Y
Y
Y
N
N
Y
N
Y
Y
Y
Y
Y
Claim Enroll
Required
ERA
Y
Y
N
Y
N
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
N
Y
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
Y
Y
Y
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
MCDWA
MCDWV
MCDWI
MC055
77046
75254
MCDAK
MCDPP
MCDAZ
CKCO1
77016
MCDCT
MCDCT
MCDDC
MCDDE
77027
77027
77060
MCDID
MCDID
MCDIL
CX014
MCDIL
CKIN1
MCDIN
18049
MCDKS
MCDLA
MCDME
MEDICAID WASHINGTON INST
MEDICAID WEST VIRGINIA
MEDICAID WISCONSIN
MEDICAID WISCONSIN HIRSP ONLY
MEDICAID WYOMING
MEDICAID ALABAMA DENTAL (EDS)
MEDICAID ALASKA INST
State
WA
WV
WI
WI
WY
AL
AK
MEDICAID ALL PAPER HCFA
MEDICAID ARIZONA (AHCCCS)
MEDICAID COLORADO - DENTAL
MEDICAID COLORADO INST
MEDICAID CONNECTICUT
MEDICAID CONNECTICUT INST
MEDICAID DC - DEPT OF HEALTHCARE FINANCE
MEDICAID DELAWARE
MEDICAID FLORIDA
MEDICAID FLORIDA DENTAL
MEDICAID HAWAII
MEDICAID IDAHO
MEDICAID IDAHO INST
MEDICAID ILLINOIS
AZ
CO
CO
CT
CT
DC
DE
FL
FL
HI
ID
ID
IL
MEDICAID ILLINOIS DENTAL
MEDICAID ILLINOIS INST
MEDICAID INDIANA - DENTAL
MEDICAID INDIANA INST
MEDICAID IOWA - INST
MEDICAID KANSAS INST
MEDICAID LOUISIANA
MEDICAID MAINE INST
IL
IN
IN
IA
KS
LA
ME
Payer
Type
Format
MC
MC
MC
CI
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
Inst
Prof
Prof
Prof
Prof
Dental
Inst
Prof
Prof
Dental
Inst
Prof
Inst
Prof
Prof
Prof
Dental
Prof
Prof
Inst
Prof
Dental
Inst
Dental
Inst
Inst
Inst
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
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
Y
N
N
Y
N
Y
Y
Y
N
Y
Y
N
Y
N
N
N
N
N
N
Y
N
Claim Enroll
Required
ERA
Y
N
N
N
Y
N
Y
N
N
N
Y
N
N
Y
Y
Y
Y
Y
N
N
Y
N
Y
N
N
Y
N
Y
N
Y
Y
Y
Y
Y
N
Y
N
Y
N
Y
Y
N
Y
Y
Y
Y
N
Y
Y
Y
N
Y
N
Y
Y
Y
Y
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
MNATP
MCDMN
MCDMO
CKMO1
MODME
MCDMO
MCDNE
MCDNH
MCDNM
DNC00
MCDND
MCDND
CKCT1
CKKY1
CKMA1
CKNH1
DNC00
CKSC1
TNC01
CKVT1
WRAP1
MCDOK
MCDOK
MCDOK
OKFOS
CX014
MCDPA
MCDRI
MCDSD
MEDICAID MINNESOTA (FOR ATYPICAL USE ONLY)
MEDICAID MINNESOTA - INST
MEDICAID MISSOURI
MEDICAID MISSOURI DENTAL
MEDICAID MISSOURI DME
MEDICAID MISSOURI INST
MEDICAID NEBRASKA INST
MEDICAID NEW HAMPSHIRE
MEDICAID NEW MEXICO
MEDICAID NORTH CAROLINA
MEDICAID NORTH DAKOTA
MEDICAID NORTH DAKOTA - INST
MEDICAID OF CONNECTICUT
State
MN
MN
MO
MO
MO
MO
NE
NH
NM
NC
ND
ND
CT
MEDICAID OF KENTUCKY REGION 3 (DORAL DENTAL)
MEDICAID OF MASSACHUSETTS DENTAL
MEDICAID OF NEW HAMPSHIRE
MEDICAID OF NORTH CAROLINA DENTAL
MEDICAID OF SOUTH CAROLINA DENTAL
MA
NH
NC
SC
MEDICAID OF TENNESSEE (TENNCARE)
MEDICAID OF VERMONT
MEDICAID OHIO - WRAP AROUND
MEDICAID OKLAHOMA
MEDICAID OKLAHOMA - DENTAL
MEDICAID OKLAHOMA - INST
MEDICAID OKLAHOMA FOSTER CARE FOR ATYPICAL USE ONLY
VT
OH
OK
OK
OK
OK
MEDICAID PENNSYLVANIA DENTAL
MEDICAID PENNSYLVANIA INST
MEDICAID RHODE ISLAND
MEDICAID SOUTH DAKOTA
PA
RI
SD
Payer
Type
Format
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
MC
MC
Prof
Inst
Prof
Dental
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Inst
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Prof
Prof
Dental
Inst
Prof
Dental
Inst
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
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
Y
Y
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
Y
Claim Enroll
Required
ERA
N
Y
N
Y
N
N
Y
Y
N
Y
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
Y
Y
N
Y
Y
N
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
Y
N
N
N
Y
Y
Y
Y
Y
N
Y
Y
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
CX014
EP916
86916
86916
86916
MCDUT
MCDVT
MCDVA
MCDWV
77046
MEDAD
MAHC1
MAHC1
41556
68041
37298
74323
74323
74323
74323
74323
66039
4258
4258
52181
29076
29076
CSMED
80026
State
MEDICAID TENNESSEE DENTAL
MEDICAID TEXAS EPSDT - PIN
MEDICAID TEXAS INST
MEDICAID TEXAS TMHP
MEDICAID TX
MEDICAID UTAH - FFS
MEDICAID VERMONT
MEDICAID VIRGINIA - INST
MEDICAID WEST VIRGINIA - INST
MEDICAID WYOMING - INST
TX
TX
TX
TX
UT
VT
VA
WV
WY
MEDICAL ADMINISTRATORS PAPER WPROV ID
MEDICAL ASSOCIATES HEALTH PLAN HEALTH CHOICES
MEDICAL ASSOCIATES HEALTH PLAN - INST
MEDICAL BEN ADMIN
MEDICAL BENEFITS ADMINISTRATION
MEDICAL BENEFITS ADMINISTRATORS OF MD
MEDICAL BENEFITS ADMINISTRATORS, INC (NEWARK,
MEDICAL BENEFITS COMPANIES (NEWARK, OH)
MEDICAL BENEFITS MUTUAL
MEDICAL BENEFITS MUTUAL (NEWARK, OH)
MEDICAL BENEFITS MUTUAL LIFE INSRANCE CO
MEDICAL CARD SYSTEM (MCS)
PR
MEDICAL CLAIMS SERVICE
MEDICAL CLAIMS SERVICE INC
MEDICAL DEVELOPMENT INTERNATIONAL
MEDICAL MUTUAL OF OHIO
MEDICAL MUTUAL OF OHIO - INST
MEDICAL NETWORK OF COLORADO SPRINGS
MEDICAL PARTNERS OF AMERICA
OH
OH
CO
Payer
Type
Format
MC
MC
MC
MC
MC
MC
MC
MC
MC
MC
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Dental
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Inst
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Inst
Prof
Inst
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
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
Y
N
N
N
N
N
N
Y
N
N
N
Claim Enroll
Required
ERA
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
Y
Y
Y
Y
Y
N
N
Y
N
N
N
N
N
N
N
N
N
Y
N
N
N
Y
Y
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
80026
13375
13375
IP186
38224
MBAL2
MAAL1
MBAK2
MBAZ2
MBAR2
MBCA1
MACA1
MBCO2
MBCT2
MBDC2
MBDE2
MBFL2
MBGA2
MBHI2
MBID2
MBIL2
MBIN2
MB849
MBKY2
MBLA2
MBME2
MBMA2
MBMI2
MBMN2
State
MEDICAL PARTNERS OF AMERICA
MEDICAL SELECT MANAGEMENT
MEDICAL SELECT MANAGEMENT HSP
MEDICAL SERVICES INITIATIVE
MEDICAL VALUE PLAN MVPOH
MEDICARE ALABAMA
MEDICARE ALABAMA PART A
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
MEDICARE HAWAII
MEDICARE IDAHO
MEDICARE ILLINOIS
MEDICARE INDIANA
MEDICARE IOWA
MEDICARE KENTUCKY
MEDICARE LOUISIANA
MEDICARE MAINE
MEDICARE MASSACHUSETTS
MEDICARE MICHIGAN
MEDICARE MINNESOTA
OH
AL
AL
AK
AZ
AR
CA
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KY
LA
ME
MA
MI
MN
Payer
Type
Format
CI
CI
CI
CI
CI
MB
MA
MB
MB
MB
MB
MA
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
Prof
Prof
Inst
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
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
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
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Claim Enroll
Required
ERA
N
N
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
N
N
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
MBMS2
MBMT2
655
MBNH2
MBNJ2
MBNY4
MBNY3
MBNC2
MBND2
MAND1
MBOK2
MBPA2
MBRI2
MBSC2
MBSD2
MBTN2
MBUT2
MBVT2
MBWA2
MBWV2
MBWI2
MBWY2
RH450
RH301
RH400
60
MR710
MR210
MAAR1
MEDICARE MISSISSIPPI
MEDICARE MONTANA
MEDICARE NEBRASKA
MEDICARE NEW HAMPSHIRE
MEDICARE NEW JERSEY
MEDICARE NEW YORK QUEENS COUNTY ONLY
MEDICARE NEW YORK UPSTATE
MEDICARE NORTH CAROLINA
MEDICARE NORTH DAKOTA
MEDICARE NORTH DAKOTA PART A
MEDICARE OKLAHOMA
MEDICARE PENNSYLVANIA
MEDICARE RHODE ISLAND
MEDICARE SOUTH CAROLINA
MEDICARE SOUTH DAKOTA
MEDICARE TENNESSEE
MEDICARE UTAH
MEDICARE VERMONT
MEDICARE WASHINGTON
MEDICARE WEST VIRGINIA
MEDICARE WISCONSIN
MEDICARE WYOMING
State
MS
MT
NE
NH
NJ
NY
NY
NC
ND
ND
OK
PA
RI
SC
SD
TN
UT
VT
WA
WV
WI
WY
MEDICARE A RURAL - FQHC - LEGACY - NGS
MEDICARE A RURAL - FQHC - LEGACY CAHABA
MEDICARE A RURAL - FQHC - NOVITAS
MEDICARE ADVANTAGE CONNECTICUT - BLUE
MEDICARE ADVANTAGE MICHIGAN PLUS BLUE - PROF
MEDICARE ADVANTAGE MICHIGAN - INST
MEDICARE ARKANSAS PART A
TX
CT
MI
MI
AR
Payer
Type
Format
MB
MB
MB
MB
MB
MB
MB
MB
MB
MA
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
MB
MA
MA
MA
BL
MB
MA
MA
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Inst
Prof
Prof
Inst
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
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
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
N
Y
Claim Enroll
Required
ERA
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
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
N
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
MBCA2
MACO1
MAFL1
MAJ11
MAHHH
MAID1
MAIL1
MAIN1
MAJ49
650
MBKS2
MAKS1
MAKY1
MALA1
MBMD2
MAMA1
MAMI1
MBMO2
MAMO1
740
MBKC2
MBNE2
MANE1
MBNV2
MANV1
MANH1
MBNM2
MBNY2
MANC1
MEDICARE CALIFORNIA SOUTHERN REG
MEDICARE COLORADO PART A
MEDICARE FLORIDA PART A
State
CA
CO
FL
MEDICARE HOME HEALTH HOSPICE J11 (PALMETTO)
MEDICARE HOME HEALTH HOSPICE J15 (CGS)
MEDICARE IDAHO PART A
MEDICARE ILLINOIS PART A
MEDICARE INDIANA J8 PART A
ID
IL
IN
MEDICARE J4901 PART A
MEDICARE KANSAS
MEDICARE KANSAS
MEDICARE KANSAS J5 PART A
MEDICARE KENTUCKY PART (A)
MEDICARE LOUISIANA PART A
MEDICARE MARYLAND
MEDICARE MASSACHUSETTS PART A
MEDICARE MICHIGAN PART A
MEDICARE MISSOURI EASTERN
MEDICARE MISSOURI J5 PART A
MEDICARE MISSOURI WEST - KANSAS CITY
MEDICARE MISSOURI WEST - KANSAS CITY
MEDICARE NEBRASKA
MEDICARE NEBRASKA J5 PART A
MEDICARE NEVADA
MEDICARE NEVADA PART A
MEDICARE NEW HAMPSHIRE PART A
MEDICARE NEW MEXICO
MEDICARE NEW YORK EMPIRE DOWNSTATE
MEDICARE NORTH CAROLINA PART A
KS
KS
KS
KY
LA
MD
MA
MI
MO
MO
MO
MO
NE
NE
NV
NV
NH
NM
NY
NC
Payer
Type
Format
MB
MA
MA
MA
MA
MA
MA
MA
MA
MB
MB
MA
MA
MA
MB
MA
MA
MB
MA
MB
MB
MB
MA
MB
MA
MA
MB
MB
MA
Prof
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Inst
Prof
Prof
Inst
Inst
Inst
Prof
Inst
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Inst
Prof
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
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
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
N
N
Y
Y
Y
N
N
Y
Y
Y
Claim Enroll
Required
ERA
Y
Y
Y
N
N
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
N
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
MBOH2
MAOH1
MAOK1
MBOR2
MCRPP
MAPA1
MBPR2
882
MATN1
MATX1
MBTX2
MAVA1
MBVA2
MAWV1
MAWI1
RH280
66058
23160
HDM04
23160
95655
94254
20039
37304
412MP
MPAS1
35205
62160
62160
MEDICARE OHIO
MEDICARE OHIO PART A
MEDICARE OKLAHOMA PART A
MEDICARE OREGON
State
OH
OH
OK
OR
MEDICARE PART B PAPER HCFA
MEDICARE PENNSYLVANIA PART A
MEDICARE PUERTO RICO
PA
PR
MEDICARE RAILROAD
MEDICARE TENNESSEE PART A
MEDICARE TEXAS PART A AND INDIAN HEALTH SERVICES
MEDICARE TEXAS PART B
MEDICARE VIRGINIA PART A
MEDICARE VIRGINIA PART B
MEDICARE WEST VIRGINIA PART A
MEDICARE WISCONSIN PART A
TN
TX
TX
VA
VA
WV
WI
MEDICARE WPS J5 NATIONAL PART A 05901
MEDICARE Y MUCHO MAS (MMM)
MEDICO INSURANCE COMPANY
PR
AL
MEDICO INSURANCE COMPANY
MEDICO INSURANCE COMPANY INST
MEDIGOLD AKA MOUNT CARMEL INS
MEDIPRIME
MEDITURE
MEDIVERSAL CLAIMS ADMINISTRATION
MEDPARTNERS (CHS)
MEDPARTNERS ADMIN SERVICES
MEDPARTNERS ADMIN SERVICES (IN)
MEDSOLUTIONS
MEDSOLUTIONS INST
AL
Payer
Type
Format
MB
MA
MA
MB
MB
MA
MB
MB
MA
MA
MB
MA
MB
MA
MA
MA
MB
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Prof
Inst
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Inst
Prof
Inst
Prof
Inst
Inst
Inst
Prof
Prof
Dental
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
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
N
Y
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
N
Y
N
N
N
N
N
N
Y
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
82160
39190
39190
251MS
251MS
11983
74227
11983
11030
MCA11
41556
MHHNP
MHHNP
MMFMC
36193
36196
33650
MNM01
MNM99
86052
MRC01
86052
43166
33628
IP079
41556
13189
13189
14145
State
MEDSPAN
MEDSTAR FAMILY CHOICE
MEDSTAR FAMILY CHOICE - INST
MEDSTAR SELECT MEDICARE CHOICE
MEDSTAR SELECT MEDICARE CHOICE - INST
MEEMIC (AUTO ONLY)
MEGA LIFE HEALTH INS (STUDENT INSURANCE)
MEMBER SELECT INSURANCE COMPANY (AUTO ONLY)
MEMIC INDEMNITY CO
MEMORIAL CLINICAL ASSOCIATES
TX
MEMORIAL HEALTH SERVICES
MEMORIAL HERMANN HEALTH NETWORK PLAN
MEMORIAL HERMANN HEALTH NETWORK PLAN INST
MEMORIALCARE MEDICAL FOUNDATION
TX
TX
CA
MEMPHIS MANAGED CARE
MEMPHIS MANAGED CARETLC HOS
MENDOTA INSURANCE COMPANY (AUTO ONLY)
MENNONITE MUTUAL AID
MENNONITE MUTUAL AID
MERCY CARE PLAN ARIZONA
MERCY CARE PLAN ARIZONA
MERCY CARE PLAN ARIZONA - INST
AZ
AZ
AZ
MERCY COVENTRY HEALTH PLAN
MERCY MARICOPA INTEGRATED CARE
MERCY PHYSICIANS MEDICAL GROUP SAN DIEGO MPMG
CA
MERIDIAN CONSTRUCTION PROGRAM - WC
MERIDIAN HEALTH PLAN OF ILLINOIS
MERIDIAN HEALTH PLAN OF ILLINOIS - INST
MERIDIAN HEALTH PLAN OF IOWA
IL
IL
IA
Payer
Type
Format
CI
CI
CI
CI
CI
AM
CI
AM
WC
CI
WC
CI
CI
CI
CI
CI
AM
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Inst
Prof
Dental
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
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
Y
N
N
N
N
N
N
Y
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
14145
52563
52563
41556
64158
64157
64157
38232
38232
37299
37299
41124
41124
45150
86062
41556
41556
85035
85035
65113
65113
65978
87726
87726
87726
87726
82135
CX014
13265
MERIDIAN HEALTH PLAN OF IOWA INST
MERIDIAN HEALTH PLAN OF MICHIGAN
MERIDIAN HEALTH PLAN OF MICHIGAN INST
State
IA
MI
MI
MERITAGE CORPORATION
MERITAIN HEALTH AGENCY SERVICES INST
MERITAIN HEALTH - NORTH AMERICAN
MERITAIN HEALTH - NORTH AMERICAN - INST
MERITAIN HEALTH - WEYCO
MERITAIN HEALTH - WEYCO - INST
MERITAIN HEALTH FKA NYHART COMPANY
MERITAIN HEALTH FKA NYHART COMPANY
MERITAIN HEALTH MINNEAPOLIS
MERITAIN HEALTH MINNEAPOLIS - INST
MERITUS HEALTH PARTNERS
MERITUS MUTUAL HEALTH PARTNERS PPO (AZ FOUNDATION)
AZ
MESA COUNTY COLORADO
MESA COUNTY VALLEY SCHOOL DISTRICT 51
MESA MENTAL HEALTH
MESA MENTAL HEALTH
METCARE HEALTH PLANS
METCARE HEALTH PLANS - INST
METLIFE DENTAL
METRAHEALTH NETWORK
METRAHEALTH NETWORK - INST
METRAHEALTH PLAN ADMINISTRATORS
METRAHEALTH RAILROAD
METRO ALLIANCE
METRO PLUS
METRO PLUS HEALTH PLAN
NM
NM
Payer
Type
Format
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Dental
Prof
Inst
Prof
Prof
Prof
Dental
Prof
Real Time
Real Time
Claim
Eligibility
Status
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
Y
Y
N
N
N
Y
N
Y
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
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
Y
Y
Y
Y
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
13265
J1355
10850
10850
10850
10850
AM726
J1238
MWP01
MWS01
41556
74289
74289
3918A
MICHILD
92579
C1028
C1028
41556
37127
37127
68069
68069
A1432
BCCMI
38238
A1404
25147
63079
State
METRO PLUS HEALTH PLAN INST
METROPOLITAN COUNCIL
METROPOLITAN HEALTH PLAN
METROPOLITAN HEALTH PLAN (MEDICAID)
METROPOLITAN HEALTH PLAN (MEDICAID)
METROPOLITAN HEALTH PLAN (MHP)
MN
MN
MN
METROPOLITAN PROPERTY AND CASUALTY INSURANCE COMPANY (AUTO ONLY)
METROPOLITAN TRANSIT AUTHORITY
METROWEST HEALTH PLANPREFERRED CARE
METROWEST STAR MEDICAID
MEXICANA AIRLINES
MHNET - MENTAL HEALTH NETWORK
MHNET - MENTAL HEALTH NETWORK INST
MHS WISCONSIN INST (ATYPICAL USE ONLY)
MI CHILD (ELIG ONLY)
MIAMI BEHAVIORAL HEALTH
WI
MI
FL
MIC GENERAL INSURANCE CORP
MIC PROPERTY AND CASUALTY INS CORP
MICHAEL HOGAN ASSOC
MICHAEL REESE PHYSICIANS GROUP
MICHAEL REESE PHYSICIANS GROUP
MICHIGAN FIDELIS SECURE CARE
MICHIGAN FIDELIS SECURE CARE - INST
MI
MI
MICHIGAN LABORERS HEALTH CARE FUND
MICHIGAN MEDICAID BCCCP
MI
MICHIGAN REGIONAL COUNCIL OF CARPENTERS EMPLOYEE BENEFIT PLAN
MICHIGAN STATE PAINTERS
MID AMERICA HEALTH (LEASED PPO)
MID ATLANTIC HEALTH PLAN
MO
Payer
Type
CI
WC
CI
MC
MC
CI
AM
WC
CI
CI
WC
CI
CI
CI
MC
CI
AM
AM
WC
CI
CI
CI
CI
CI
MC
CI
CI
CI
CI
Format
Inst
Prof
Inst
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Dental
Prof
Dental
Dental
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
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
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
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
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
Y
Y
N
Y
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
52149
87726
C1034
MRIPA
MRIPA
37281
37281
22823
63079
37281
IP004
47081
47080
47080
47080
47080
62168
J1119
J1685
J1685
61146
61146
MHP77
12T54
79480
MSI01
MSI01
MSI01
J1482
State
MID ATLANTIC PSYCHIATRIC SERVICES (MAPSI)
MID ATLANTIC PSYCHIATRIC SERVICES, INC (MAPSI)
MID CENTURY INSURANCE COMPANY (AUTO ONLY)
MID ROGUE OREGON HEALTH PLAN
MID ROGUE OREGON HEALTH PLAN - INST
OR
OR
MID-AMERICA ASSOCIATES
MID-AMERICA ASSOCIATES, INC
MID-AMERICAN BENEFITS
MID-ATLANTIC HEALTH SYSTEM
MIDAMERICA ASSOCIATES
MIDCOAST CARE
MIDLANDS BENEFITS ADMIN
MIDLANDS CHOICE
MIDLANDS CHOICE
MIDLANDS CHOICE, INC
MIDLANDS HEALTH PARTNERS
MIDSOUTH ADMINISTRATIVE GROUP
MIDWEST DRYWALL
MIDWEST FAMILY MUTUAL INSURANCE CO
MIDWEST FAMILY MUTUAL INSURANCE CO (AUTO ONLY)
MIDWEST GROUP BENEFITS
MIDWEST GROUP BENEFITS - INST
MIDWEST HEALTH PLAN
MIDWEST HEALTH PLAN - INST
MIDWEST SECURITIES DENTAL
MIDWEST SECURITY ADMINISTRATION
MIDWEST SECURITY INSURANCE COMPANY
MIDWESTER PREFERRED
MILLARD REFRIGERATED
CA
Payer
Type
Format
CI
CI
AM
CI
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
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Dental
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
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
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
A1402
SC050
MPMG1
68241
PR002
J1351
J1436
41556
41556
IP014
64084
37233
37233
75203
64088
41556
37275
37275
MMS01
J1085
J1692
J1692
J1694
J1694
37265
37265
J1622
J1622
PR065
State
MILLRIGHTS
MILLS PENINSULA MEDICAL GROUP (SUTTER)
MILLS PENINSULA MEDICAL GROUP THRU DOS 3-31-2014
CA
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 MEDICARE SELECT
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)
MMM MULTI HEALTH
PR
Payer
Type
Format
CI
CI
CI
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
Dental
Prof
Prof
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
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
13350
13350
41556
33373
26193
38333
38333
51062
51062
20934
20934
38334
38334
71079
71079
20676
CX014
NM505
4423
20149
81794
46299
46299
20554
20554
SX109
38336
38336
38336
State
MODA HEALTH PLAN - INST
MODA HEALTH PLAN FKA ODS HEALTH
MODESTO IRRIGATION DISTRICT
MOLINA HEALTHCARE CALIFORNIA - ENCOUNTER
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 MICHIGAN - INST
MOLINA HEALTHCARE OF MISSOURI - COMMUNITY CARE PLUS
MOLINA HEALTHCARE OF MISSOURI - INST
MOLINA HEALTHCARE OF NEVADA
CA
AZ
CA
CA
FL
FL
IL
IL
MI
MI
MO
MO
NV
MOLINA HEALTHCARE OF NEW MEXICO (FORMERLY CIMARRON)
MOLINA HEALTHCARE OF NEW MEXICO - SALUD (09824)
MOLINA HEALTHCARE OF NEW MEXICO - SCI
MOLINA HEALTHCARE OF OHIO
MOLINA HEALTHCARE OF PUERTO RICO
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
NM
NM
OH
PR
SC
SC
TX
TX
UT
WA
WA
WA
Payer
Type
Format
CI
CI
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
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
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
N
Y
N
N
N
Y
N
Y
Y
Y
N
Y
N
Y
N
Y
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
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
Y
Y
N
Y
Y
N
N
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
ABRI1
ABRI1
72135
IP095
50749
50749
MONEX
1759
1759
66004
13174
13174
J1424
A0179
J1530
J1530
MMLI3
MMLI2
MMLIC
52133
J1651
J1651
J1086
J1087
IP083
41556
MPI01
J1203
J1203
MOLINA HEALTHCARE OF WISCONSIN
MOLINA HEALTHCARE OF WISCONSIN - INST
State
WI
WI
MOMENTUM HEALTH SERVICES
MONARCH HEALTHCARE IPA
CA
MONDIAL ASSISTANCE
MONDIAL ASSISTANCE
MONEX HEALTH CARE
IL
MONITOR LIFE INS - MORGAN WHITE ADMIN
MONITOR LIFE INS - MORGAN WHITE ADMIN - INST
MONTANA MEDICAID HELP PLAN (BCBS)
MT
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)
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)
CA
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
WC
WC
CI
CI
CI
CI
WC
AM
WC
WC
CI
WC
CI
WC
AM
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
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
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
36111
36111
C1028
95655
TPC65
COMMA
86040
86040
80900
80900
37233
37233
37233
37233
95444
95444
MPM16
20572
20572
80019
80019
5587
J1641
J1641
45235
45235
41204
41204
34080
State
MOTOROLA
MOTOROLA
MOTORS INSURANCE CORPORATION
MOUNT CARMEL SERVICES
MOUNT VERNON WELFARE FUND
MOUNTAIN MEDICAL
CO
MOUNTAIN STATES ADMINISTRATIVE SERVICES
MOUNTAIN STATES ADMINISTRATIVE SERVICES
MPA - CUSTOM PROVIDER NETWORK
MPA - CUSTOM PROVIDER NETWORK - INST
MPE EMPLOYEE BENEFIT SERVICES
MS
MPE SERVICES INC
MPEEBT
MS
MPEEBT
MPLAN, INCHEALTHCARE GROUP, LLC
MPLAN, INCHEALTHCARE GROUP, LLC
MPM PROSPECT
MSA CARE GUARD
MSA CARE GUARD
MSC (MEDICAL SERVICE COMPANY) GROUP, INC
MSC (MEDICAL SERVICE COMPANY) GROUP, INC - INST
MSH REIMBURSEMENT (GENENTECH)
MTS
MTS (AUTO ONLY)
MULTIPLAN - GEHA - DOS THRU 12-31-2014
MULTIPLAN - GEHA - DOS THRU 12-31-2014 - INST
MULTIPLAN BASIC PLUS
MULTIPLAN BASIC PLUS - INST
MULTIPLAN WISCONSIN PREFERRED PROVIDER NETWORK
CA
Payer
Type
Format
CI
CI
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
AM
CI
CI
CI
CI
CI
Inst
Prof
Prof
Prof
Dental
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
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
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
34080
J1088
81883
81883
J1118
A1681
37256
37256
70491
CX087
TEMU1
71412
71412
SDMC
71412
TEMU1
71412
14165
14165
65085
34159
53011
53011
L0110
L0110
IP079
NANPR
J1120
DMG01
State
MULTIPLAN WISCONSIN PREFERRED PROVIDER NETWORK
MUNFORD, INC
MUNICIPAL HEALTH BENEFIT FUND
MUNICIPAL HEALTH BENEFIT FUND - INST
MUSCO
MUSKEGON CARE - ACCESS HEALTH PLAN
MI
MUTUAL ASSURANCE ADMINISTRATORS (MAA)
MUTUAL ASSURANCE ADMINISTRATORS (MAA) - INST
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 - INST
MUTUAL OF OMAHA MEDICARE
SD
MUTUALLY PREFERRED
MUTUALLY PREFERRED (MUST HAVE UCCI LISTED ON BACK OF ID CARD)
MUTUALLY PREFERRED - INST
MVP HEALTH PLAN OF NY
MVP HEALTH PLAN OF NY INST
NY
NY
NAA
NABN
NALC HEALTH BENEFITS
NALCAFFORDABLE
NAMCIGLOBAL CARE
NAMCIGLOBAL CARE - INST
NAMM NORTH AMERICAN MEDICAL MANAGEMENT SO CALIF
CA
NAMM PARTNERS INC
NAP TOOLS
NAPERVILLE - ILLINOIS HEALTH PARTNERS (DOS BEG JAN 2012)
IL
Payer
Type
Format
CI
WC
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Inst
Dental
Dental
Prof
Inst
Inst
Prof
Dental
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
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
Y
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
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
N
N
Y
Y
N
N
N
N
Y
Y
Y
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
NHCA1
58182
J1695
J1695
53011
53011
53011
56176
56176
J1551
J1484
90956
98205
C1028
88057
88050
75275
37232
NIA11
32620
41556
20044
J1021
52132
TEMU1
71412
NTA11
52103
52103
State
NAPERVILLE HEALTH CARE ASSOC (DOS PRIOR JAN 2012)
NAPHCARE
NATIONAL AMERICAN INSURANCE CO (NAICO)
NATIONAL AMERICAN INSURANCE CO (NAICO) (AUTO ONLY)
NATIONAL ASSOCIATION OF LETTER CARRIERS (NALC) - DENTAL
NATIONAL ASSOCIATION OF LETTER CARRIERS THRU 12312007
NATIONAL ASSOCIATION OF LETTER CARRIERSNALC
NATIONAL BENEFIT ADMINIS NC
NATIONAL BENEFIT ADMINISTRATORS OF NORTH CAROLINA
NATIONAL CASUALTY COMPANY
NATIONAL FARMERS UNION PROPERTY AND CASUALTY COMPANY - QBE DBA
NATIONAL FINANCIAL INSURANCE CO
NATIONAL FOUNDATION LIFE INSURANCE CO
NATIONAL GENERAL INSURANCE ONLINE, INC FORMERLY GMAC INS
NATIONAL HEALTH BENEFITS CORP (NHBC)
NATIONAL HEALTH BENEFITS CORP - NHBC02
NATIONAL HEALTH INSURANCE COMPANY
NATIONAL HEALTHCARE EXCHANGE SERVICES
NATIONAL IMAGING ASSOCIATES
NATIONAL INTERSTATE
NATIONAL JEWISH HEALTH
NATIONAL LIABILITY AND FIRE INSURANCE COMPANY
NATIONAL LOSS PREVENTION, INC
NATIONAL RURAL ELECTRIC COOPERATIVE ASSOC
NATIONAL RURAL LETTER CARRIER ASSOCIATION (MUST HAVE UCCI LISTED ON BACK OF ID CA
NATIONAL RURAL LETTER CARRIER ASSOCIATION - INST
NATIONAL TEACHERS ASSOCIATION
NATIONAL TELECOMM COOP ASSOC (NTCA)
NATIONAL TELECOMM COOP ASSOC (NTCA) INST
Payer
Type
Format
CI
CI
WC
AM
CI
CI
CI
CI
CI
WC
WC
CI
CI
AM
CI
CI
CI
CI
CI
WC
WC
WC
WC
CI
CI
CI
CI
CI
CI
Prof
Prof
Prof
Prof
Dental
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Inst
Prof
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
37120
37120
J1552
J1551
J1551
31417
31417
J1552
J1552
J1552
J1552
J1552
19191
J1359
75190
75191
75191
75190
51909
95123
96107
4293
4293
5047
96240
96240
11325
11325
39164
State
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 - INST
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
NCAS FAIRFAX VA
NCAS CHARLOTTE
NCAS CHARLOTTE - INST
NCAS FAIRFAX VA
VA
NC
NC
VA
NEIGHBORHOOD DOCTORS ORGANIZATION - FHN
NEIGHBORHOOD HEALTH PARTNERSHIP
NEIGHBORHOOD HEALTH PARTNERSHIP OF FLORIDA
NEIGHBORHOOD HEALTH PLAN MASS
NEIGHBORHOOD HEALTH PLAN MASS - INST
NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND (NHPRI)
NEIGHBORHOOD HEALTH PLAN RI - EXCHANGE - INST
NEIGHBORHOOD HEALTH PLAN RI - EXCHANGE, UNITY, INTEGRITY
NEIGHBORHOOD HEALTH PROVIDERS
NEIGHBORHOOD HEALTH PROVIDERS INST
NEIGHBORLY CARE PLAN
FL
MA
MA
RI
RI
RI
Payer
Type
Format
CI
CI
WC
WC
WC
CI
CI
WC
WC
WC
WC
WC
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
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
Y
N
Y
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
39164
66055
66055
4332
CX014
4332
39144
39111
77076
NDB01
90091
86067
86067
86067
95998
95998
NCHCA
NCHCA
NCHON
NCHON
66893
43351
76031
76031
75281
NEIGHBORLY CARE PLAN
75281
68069
22603
NEW ERA LIFE
State
NETCARE LIFE AND HEALTH INSURANCE
NETCARE LIFE AND HEALTH INSURANCE (HAGATNA,
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 PLATINUM PLUS
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
FL
FL
FL
FL
NEW ENGLAND
NEW ENGLAND DENTAL ADMINISTRATORS
NEW ERA EMPLOYEE WELFARE BENEFIT PLAN TRUST
NEW ERA EMPLOYEE WELFARE BENEFIT PLAN TRUST
NEW ERA LIFE
NEW HAMPSHIRE HEALTHY FAMILIES
NEW JERSEY CARPENTERS HEALTH FUND
NH
Payer
Type
Format
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
Inst
Prof
Inst
Prof
Dental
Inst
Prof
Inst
Prof
Dental
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Dental
Inst
Prof
Inst
CI
CI
CI
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
Claim Enroll
Required
ERA
N
N
N
N
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
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Y
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
12122
45129
45129
TPC66
TPC67
C1028
84141
84141
38332
38332
66915
11334
48186
48186
24819
24819
NYT01
69821
69821
38225
38225
38225
62124
CX014
81264
81264
81264
TPC68
35197
State
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
NEXT LEVEL HEALTH PARTNERS (MEDICAID)
NEXT LEVEL HEALTH PARTNERS (MEDICAID) - INST
NGS AMERICAN (CORESOURCE)
NGS AMERICAN (CORESOURCE) - INST
NGS CORESOURCE
NHC HEALTH BENEFIT PLAN
NHP COMMONWEALTH CARE - DENTAQUEST
NIPPON LIFE INSURANCE CO
NIPPON LIFE INSURANCE CO - INST
NIPPON LIFE INSURANCE DENTAL
NJDCEA WELFARE FUND
NNPN CONSECO HOS
MA
Payer
Type
Format
WC
CI
CI
CI
CI
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Prof
Prof
Inst
Dental
Dental
Prof
Prof
Inst
Prof
Inst
Inst
Prof
Inst
Prof
Inst
Prof
Dental
Prof
Inst
Prof
Inst
Prof
Inst
Dental
Prof
Inst
Dental
Dental
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
PDT01
IP080
OSM01
J1360
J1453
65085
65085
64157
34159
34159
34159
E3510
93100
64157
37314
NCLME
41556
41556
320
17516
46227
36392
36392
NTX11
PROSP
2027
58169
13376
38238
NOBLE AMA SELECT IPA
NOBLE COMMUNITY
NOBLE MID OC ORANGE COUNTY (HEALTH SMART)
State
CA
CA
CA
NORDSTROM, INC
NORGUARD INSURANCE COMPANY - GUARD DBA
NORTH AMERICA ADMINISTRATORS (NAA)
NORTH AMERICA ADMINISTRATORS (NAA) - INST
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 TEXAS
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
ND
NORTH SHORE - LIJ (HEALTHFIRST)
NORTH SHORE - LIJ CARECONNECT INSURANCE CO
NORTH SUBURBAN ASSOCIATED PHYS
NORTH SUBURBAN ASSOCIATED PHYS
NORTH TEXAS HEALTHCARE NETWORK
NORTH WEST ORANGE COUNTY MEDICAL GROUP
TX
CA
NORTHEAST DELTA DENTAL (ME-NH-VT)
NORTHEAST GEORGIA HEALTH SERVICES
NORTHEAST GEORGIA HEALTH SYSTEM
NORTHERN CALIFORNIA SHEET METAL WORKERS HEALTH CARE PLAN
CA
Payer
Type
Format
CI
CI
CI
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
MC
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Dental
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Dental
Prof
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
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
N
Claim Enroll
Required
ERA
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
Y
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
J1923
41556
36347
88027
88027
C1031
48026
48026
52627
91060
36234
36234
J1361
J1361
NPN11
NPN11
36346
36346
J1089
16114
16114
41556
41556
16644
16644
16644
41556
J1056
6226
State
NORTHERN CLAIMS MANAGEMENT
NORTHERN COLORADO SCHOOL DISTRICTS WORKERS' COMPENSATION POOL
NORTHERN ILLINOIS HEALTH PLAN
NORTHERN NEVADA TRUST FUND (BPA)
NORTHERN NEVADA TRUST FUND (BPA) - INST
IL
NV
NV
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 INST
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
NOVA HEALTHCARE ADMINISTRATORS - DENTAL
NOVA HEALTHCARE ADMINISTRATORS - INST
NOVA METALS ADVANTAGE PLUS PROGRAM - WC
NOVA PRO RISK SOLUTIONS
NOVANET
MN
Payer
Type
Format
WC
WC
CI
CI
CI
AM
CI
CI
CI
CI
CI
CI
WC
AM
CI
CI
CI
CI
WC
CI
CI
WC
WC
CI
CI
CI
WC
WC
CI
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Dental
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Dental
Inst
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
71080
71080
NTX11
41556
91136
91136
91136
91136
91136
91136
TPC69
TPC70
CX014
14142
14142
TPC71
TPC72
TPC73
TPC74
TPC75
45052
J1670
J1670
20044
NAOAK
NAOAK
IP016
72127
72127
NOVASYS
NOVASYS HEALTH NETWORK INST
NTHN
State
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
NY
O'REILLY AUTO PARTS
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
OCHSNER HEALTH PLAN
OCHSNER HEALTH PLAN INST
CA
LA
LA
Payer
Type
Format
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
AM
WC
CI
CI
CI
CI
CI
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Dental
Dental
Dental
Prof
Inst
Dental
Dental
Dental
Dental
Dental
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
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
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
L0140
72087
13310
14163
14163
OAC01
OAC99
24074
34189
34189
74431
74431
24147
OLRMC
91150
65074
68037
MDCOR
IP088
OMN02
ISL11
20621
C1026
22321
22321
95379
95412
95412
95388
State
OCULAR BENEFITS
OFFICE OF GROUP BENEFITS LOUISIANA
OFFICE OF THE ADMINISTRATOR
OHANA HEALTH PLAN
OHANA HEALTH PLAN - INST
LA
DC
HI
HI
OHIO AFSCME CARE PLAN
OHIO AFSCME CARE PLAN
OH
OHIO CASUALTY GROUP
OHIO HEALTH CHOICE PPO
OH
OHIO HEALTH CHOICE, PPO
OHIO PPO CONNECT
OHIO PPO CONNECT - INST
OH
OH
OLD REPUBLIC INSURANCE CO
OLOLRMC UNINSURED PATIENT SERVICES PROGRAM
LA
OLYMPIC HLTH MANAGEMENT SYSTEMS
OLYMPUS MANAGED HEALTH CARE
OMNI MEDICORE HP
OMNI IPA MEDCARE HP
OMNICARE MEDICAL GROUP (CA)
OMNICARE MEDICAL GROUP (OMNI)
CA
CA
ON INSURANCE SERVICE OF LUBBOCK
ONE BEACON
ONE BEACON INSURANCE - AUTO
ONE CALL MEDICAL
ONE CALL MEDICAL INST
ONE HEALTH PLAN OF CA HOSPITAL
ONE HEALTH PLAN OF CO HOSPITAL
ONE HEALTH PLAN OF COLORADO
ONE HEALTH PLAN OF IL HOSPITAL
CO
Payer
Type
Format
CI
BL
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
WC
AM
CI
CI
CI
CI
CI
CI
Prof
Prof
Prof
Prof
Inst
Dental
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Inst
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
95388
95415
51459
96559
52149
52149
TPC76
91136
91136
56190
54154
54154
87726
51248
52151
52152
87726
87726
20133
20133
37125
LIFE1
LIFE1
41194
41194
41161
OHMSP
45332
TPC77
ONE HEALTH PLAN OF ILLINOIS
ONE HEALTH PLAN OF TEXAS
State
IL
TX
ONE HEALTH PLAN OF TX HOSPITAL
ONE HEALTH PLANOF GA HOSPITAL
ONENET PPO
ONENET PPO INST
OPEIU -DC
OPERATING ENGINEERS LOCALS 302 612 HEALTH
OPERATING ENGINEERS LOCALS 302 612 HLTH SECURITY FUND
OPTICARE EYE HEALTH NETWORK
OPTIMA HEALTH PLAN
OPTIMA HEALTH PLAN
OPTIMUM CHOICE INC
OPTIMUM CHOICE INC HOSPITAL
OPTIMUM CHOICE OF PENNSYLVANIA
PA
OPTIMUM CHOICE OF THE CAROLINAS
OPTIMUM CHOICE OF THE CAROLINAS, INC (OCCI)
OPTIMUM CHOICE, INC (OCI)
OPTIMUM HEALTHCARE INC
OPTIMUM HEALTHCARE INC
OPTION SERVICES GROUP
OPTUM MEDICAL NETWORK AZ, UT (FORMERLY LIFEPRINT NETWORK)
OPTUM MEDICAL NETWORK AZ, UT (FORMERLY LIFEPRINT NETWORK)
OPTUMHEALTH COMPLEX MEDICAL CONDITIONS
OPTUMHEALTH COMPLEX MEDICAL CONDITIONS - INST
OPTUMHEALTH PHYSICAL HEALTH (ACN)
OREGON HEALTH MANAGEMENT SERVICES (OHMS)
OREGONS HEALTH CO-OP (2015)
ORGANIZATION OF STAFF ANALYSTS
OR
OR
Payer
Type
Format
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
CI
CI
Prof
Prof
Inst
Inst
Prof
Inst
Dental
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Inst
Inst
Prof
Inst
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Dental
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
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
N
Y
Y
N
N
N
Y
Y
Y
Y
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
J1090
13383
13383
25681
13381
13381
58204
58204
OSCAR
OSCAR
OSFMC
62171
CLF01
CLFR2
36365
36365
41556
41556
6111
OXHTH
6111
J1913
J1916
41556
C1040
PCFCI
IP101
41556
J1364
State
ORICA, INC
ORTHONET - AETNA
ORTHONET - AETNA - INST
ORTHONET - HEALTHNET
ORTHONET CORPORATION
ORTHONET CORPORATION - INST
ORTHOPEDIX NETWORK INC - HUMANA - OHU
ORTHOPEDIX NETWORK INC - VISTA - OVI
OSCAR INSURANCE CO OF TEXAS
OSCAR INSURANCE CO OF TEXAS - INST
OSF CARE ADVANTAGE
OSF HEALTHPLANS
IL
OSMA HEALTH (FORMERLY PLICO OKLAHOMA)
OSMA HEALTH - C L FRATES AND COMPANY
OUR LADY OF THE RESURRECTION
IL
OUR LADY OF THE RESURRECTION PHYSICIAN ASSOCIATION
OUTRIGGER LODGING
OVERHILL FARMS, INC
OXFORD HEALTH
OXFORD HEALTH
OXFORD HEALTH - INST
PACIFIC COMPENSATION INS CO WC
PACIFIC GAS AND ELECTRIC - 115 WC
PACIFIC HYDROTECH CO
PACIFIC INSURANCE COMPANY LTD
PACIFIC IPA
PACIFIC LUMBER COMPANY PALCO
PACIFIC LUMBER COMPANY (MARATHON)
PACIFIC MOTOR COMPANY
CA
Payer
Type
Format
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
CI
CI
CI
WC
WC
WC
AM
CI
CI
WC
WC
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Dental
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
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
N
N
Y
Y
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
J1364
41556
33053
HM012
COFHP
95964
95964
95999
95959
95959
95999
COPHS
95962
95999
95959
95959
95999
95959
95959
95999
95959
95959
95999
95959
95959
95999
95999
20416
20416
State
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
PACIFICARE OF TEXAS PPO
PACIFICARE OF WASHINGTON HMO
PACIFICARE OF WASHINGTON HMO CLAIMS
PACIFICARE OF WASHINGTON PPO
CO
AZ
AZ
AZ
CA
CA
CA
CO
CO
CO
OK
OK
OK
OR
OR
OR
TX
TX
TX
WA
WA
WA
PACIFICARE PPO - ALL STATES
PACIFICSOURCE COMMUNITY - MEDICAID
PACIFICSOURCE COMMUNITY - MEDICAID - INST
OR
OR
Payer
Type
Format
AM
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
CI
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
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
Y
N
Y
Y
N
Y
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
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
Y
Y
Y
Y
Y
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
93029
93029
93029
20377
20377
37287
TPC78
TPC79
41556
J1475
37268
41556
4218
J1091
PAPER
J1001
58174
PARHC
58204
J1365
66917
66917
56152
PHP02
41556
J1643
J1643
97652
97652
PACIFICSOURCE HEALTH PLAN
State
OR
PACIFICSOURCE HEALTH PLAN - DENTAL
PACIFICSOURCE HEALTH PLAN - INST
PACIFICSOURCE MEDICARE
PACIFICSOURCE MEDICARE - INST
OR
OR
OR
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
PARAMOUNT HEALTH CARE
PARITY SOLUTIONS
PARK DISTRICT RISK MANAGEMENT ASSOCIATION (PDRMA)
PARKLAND COMMUNITY HEALTH PLAN - AETNA
PARKLAND COMMUNITY HEALTH PLAN - AETNA - INST
PARTNERS NATIONAL HEALTH PLANS OF NORTH CAROLINA
PARTNERSHIP HEALTH PLAN
PAS COFFEE ROASTERS
PASADENA UNIFIED SCHOOL DISTRICT (CA)
PASADENA UNIFIED SCHOOL DISTRICT (CA) (AUTO ONLY)
PASSPORT ADVANTAGE
PASSPORT ADVANTAGE - INST
NC
CA
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
CI
WC
CI
WC
CI
WC
CI
CI
CI
WC
CI
CI
CI
CI
WC
WC
AM
CI
CI
Prof
Dental
Inst
Prof
Inst
Inst
Dental
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
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
N
Y
N
N
N
N
N
Claim Enroll
Required
ERA
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
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Y
N
Y
Y
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
CX014
61129
CX014
61129
PPN11
PAN01
10525
PPN11
26335
41556
PRW99
27048
27048
37210
95885
61101
65000
65007
65001
65003
65002
68049
68049
20472
J1423
J1092
J1054
J1924
J1093
State
PASSPORT FFS - KY - DENTAL
PASSPORT HEALTH PLAN
KY
PASSPORT HEALTH PLAN - DENTAL
PASSPORT HEALTH PLAN - INST
PATIENT PHYSICIAN NETWORK
PATIENT ACCESS NETWORK FOUNDATION
PATIENT ADVOCATES LLC
PATIENT-PHYSICIAN NETWORK (PPN)
PATIENTPAY INC - PATIENT PAY
PATTERSON BRO LIGHT
PAVERS ROAD BUILDERS WELFARE FUND
PAYER FUSION (INCL GLOBALITES)
PAYER FUSION (INCL GLOBALITES) - INST
PAYNET, INC
PCA HEALTH PLANS OF TEXAS
TX
PCA STAR MEDICAID
PCMCICSL ALLERGY
PCMCICSL CHIROPRACTIC
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)
PEGASUS RISK MANAGEMENT CA WC
PEGI-FAMILY DINING
GA
GA
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
MC
MC
CI
WC
WC
WC
WC
WC
Dental
Prof
Dental
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
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
N
N
N
Y
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
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
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
37086
37086
J1573
J1573
41556
41556
J1439
J1466
52133
72126
72126
J1940
J1623
J1623
TLX74
95397
25146
41556
41556
63088
J1570
J1570
72099
72099
13306
13306
J1094
PHIF4
67814
PEKIN INSURANCE
PEKIN INSURANCE - INST
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 COMPANY
PEOPLES HEALTH NETWORK
PEOPLES HEALTH NETWORK INST
PERFORMANCE CONTRACTING WC
PERMA
PERMA (AUTO ONLY)
PERSONAL CHOICE (PA)
PERSONAL INSURANCE ADMINISTRATORS (PIA)
PERSONAL PHYSICIAN CARE
PETALUMA VALLEY HOSPITAL
PFLUGERVILLE ISD
PHA ADMIN SERV, PRIME HEALTH OF ALABAMA
PHARMACIST MUTUAL INSURANCE CO
PHARMACIST MUTUAL INSURANCE CO (AUTO ONLY)
PHCS CLAIMS FKA AMERICAN LIFECARE
PHCS CLAIMS FKA AMERICAN LIFECARE
PHCS SAVILITY
PHCS SAVILITY INST
PHH FLEETAMERICA
PHIFER WIRE PRODUCTS, INC
PHOENIX AMERICAN LIFE (PAL)
State
Payer
Type
Format
CI
CI
WC
AM
WC
WC
WC
WC
CI
CI
CI
WC
WC
AM
CI
CI
CI
WC
WC
CI
WC
AM
CI
CI
CI
CI
WC
CI
CI
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Inst
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
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
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
67814
55649
55649
3443
3443
3440
22729
22729
PHP01
67814
67814
67814
67814
37330
12399
12399
91171
58204
PHPMD
PDT01
28943
57098
38265
36345
PCN12
36345
37136
37136
PHCS1
State
PHOENIX AMERICAN LIFE (PAL)
PHOENIX CHOICE
PHOENIX CHOICE - INST
PHOENIX HEALTH PLAN (ABRAZO ADVANTAGE)
PHOENIX HEALTH PLAN (ABRAZO ADVANTAGE) - INST
PHOENIX HEALTH PLAN (MEDICAID)
PHOENIX HEALTH PLAN (MEDICARE - ABRAZO)
PHOENIX HEALTH PLAN (MEDICARE - ABRAZO) - INST
AZ
AZ
AZ
AZ
AZ
PHOENIX HEALTH PLAN (PHP) CLAIMS ONLY
PHOENIX HOME LIFE
PHOENIX HOME LIFE - INST
PHOENIX MUTUAL LIFE
PHOENIX MUTUAL LIFE - INST
PHP MID-MICHIGAN (NETWORK)
PHP OF NORTHERN INDIANA
PHP OF NORTHERN INDIANA INST
MI
IN
IN
PHYSICANS OF SOUTHWEST WASHINGTON
PHYSICIAN ASSOCIATES OF LOUSIANA
PHYSICIAN HEALTH PARTNERS MEDICARE
PHYSICIAN'S DATA TRUST
PHYSICIANS ACCOUNTABLE CARE ORG - STONES RIVER IPA
PHYSICIANS CARE NETWORK
PHYSICIANS CARE NETWORK (PCHP)
PHYSICIANS CARE NETWORK (ROCKFORD, IL)
PHYSICIANS CARE NETWORKPOLYCLINIC
PHYSICIANS CARE ROCKFORD,IL
PHYSICIANS HEALTH ASSOC OF IL
PHYSICIANS HEALTH ASSOCIATION OF ILLINOIS
PHYSICIANS HEALTH CHOICE
CO
CA
Payer
Type
Format
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
CI
CI
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Dental
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
PHCS1
20398
20398
MHCM2
TLX05
87726
12399
65031
PHIPA
47027
47027
PHD03
91171
CX014
39156
39156
56151
56151
251PD
J1369
BHP01
41556
TPC80
24735
24735
95271
CCIA1
84109
IP104
State
PHYSICIANS HEALTH CHOICE - INST
PHYSICIANS HEALTH COLLABORATIVE
PHYSICIANS HEALTH COLLABORATIVE - INST
PHYSICIANS HEALTH NETWORK (PHN)
PHYSICIANS HEALTH PARTNERS CDOC (CO)
PHYSICIANS HEALTH PLAN
PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA
MO
IN
PHYSICIANS HEALTHCARE PLANS
PHYSICIANS HEALTHWAYS IPA
PHYSICIANS MUTUAL INSURANCE COMPANY
PHYSICIANS MUTUAL INSURANCE COMPANY
PHYSICIANS NETWORK OF COLORADO SPRINGS
PHYSICIANS OF SOUTHWEST WASHINGTON
PHYSICIANS PLUS INSURANCE CO, PRIMECARE, WISCONSIN STATE EMPLOYEES
PHYSICIANS PLUS INSURANCE CORP (PPIC)
PHYSICIANS PLUS INSURANCE CORP INST
PIEDMONT ADMINISTRATORS
PIEDMONT ADMINISTRATORS EMPLOYERS
PIEDMONT WELLSTAR HEALTH PLAN
PIER 1 INC USA
PIH HEALTH (FORMERLY BRIGHT HEALTH)
CA
PIMA COUNTY
PINE BUSH TEACHERS
PINNACLE CLAIMS MANAGEMENT
PINNACLE CLAIMS MANAGEMENT - INST
PINNACLE MEDICAL GROUP
PINNACOL ASSURANCE
PINNACOL ASSURANCE - INST
PIONEER MEDICAL GROUP
CA
CO
CO
Payer
Type
Format
CI
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
CI
CI
Inst
Prof
Inst
Prof
Dental
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Dental
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Inst
Prof
Prof
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
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
Y
N
N
N
Y
N
N
N
Y
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
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
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
PIP01
PIP99
PIP98
PIP02
59700
73074
73074
37224
37224
41556
66020
66063
PLAN
SC886
37287
37287
PCM99
TPC81
41556
333
PR059
PMGSJ
58204
POD1S
59324
59324
59069
32680
32680
State
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 AND ASSOCIATES
PITTMAN AND ASSOCIATES - INST
PLAINVIEW ISD
PLAN DE BIENESTAR UTM-PRSSA
PLAN DE SALUD HOSPITAL MENONITA
PR
PR
PLAN VISTA
PLANNED ADMINISTRATORS INC - PAI - BCBSSC
SC
PLANNED ADMINISTRATORS, INC
PLANNED ADMINISTRATORS, INC
PLASTERERS CEMENT MASONS HEALTH WELFARE FUND
PLASTERERS' AND CEMENT MASONS L262
PLOTT HEALTH CARE
PLUMBERS AND PIPEFITTERS LOCAL 33
PMC MEDICARE CHOICE GOVT HEALTH PLAN
PMG OF SAN JOSE
IA
PR
CA
PODI CARE MANAGED CARE
PODIATRY FIRST
PODIATRY NETWORK FLORIDA
PODIATRY NETWORK FLORIDA INST
POE BROWN
POLY AMERICA MEDICAL BENEFITS PLAN
POLY AMERICA MEDICAL BENEFITS PLAN - INST
FL
FL
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Dental
Prof
Prof
Dental
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
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
Y
N
N
N
N
N
N
N
Y
N
Claim Enroll
Required
ERA
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
Y
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
41556
16111
16111
41556
TPC82
J1627
J1627
TPC83
6161
PPN11
PPN11
MPM18
MPM18
72148
72148
PPOM1
4334
J1118
36373
16105
53476
53476
61665
16112
SX089
PCNY0
65088
73145
73145
State
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
PA
PPN
PPN
PPN PIONEER HEALTHY FAMILIES BY MEDPOINT
PPN PIONEER MEDI-CAL BY MEDPOINT
CA
CA
PPO PLUS
PPO PLUS - INST
PPOM
MI
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
PREFERRED CARE PARTNERS
PREFERRED COMMUNITY
PREFERRED COMMUNITY CHOICE
NY
NY
Payer
Type
Format
WC
CI
CI
WC
CI
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Prof
Prof
Inst
Prof
Dental
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Dental
Prof
Prof
Prof
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
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
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
60054
J1095
J1096
J1496
33898
61106
61106
CB404
31478
31478
60110
4320
4320
PFIPA
PMPCH
66059
36401
14163
41147
41147
60110
41147
41147
BSAK1
430
430
CX078
61101
AMM09
State
PREFERRED DENTAL ORGANIZATION
PREFERRED EMPLOYERS
PREFERRED EMPLOYERS GROUP
PREFERRED EMPLOYERS INSURANCE COMPANY (PEI)
PREFERRED HEALTH CARE PPO (LANCASTER PA)
PREFERRED HEALTH PLAN
KY
PREFERRED HEALTH PLAN (LOUISVILLE, KY)
PREFERRED HEALTH PLAN OF THE CAROLINAS
PREFERRED HEALTH PROFESSIONALS - DENTAL
PREFERRED HEALTH PROFESSIONALS KANSAS
KS
PREFERRED HEALTH SYSTEMS INSURANCE CO (PHSIC)
PREFERRED HEALTHCARE SYSTEMS PPO
PREFERRED HEALTHCARE SYSTEMS PPO - INST
PA
PA
PREFERRED IPA
PREFERRED MEDICAL PLAN (PMP)
PREFERRED MEDICARE CHOICE (PMC)
FL
PR
PREFERRED NETWORK ACCESS, INC (DARIEN, IL)
PREFERRED ONE (CT) WELLCARE
CT
PREFERRED ONE ADMINISTRATIVE SERVICES
PREFERRED ONE COMMUNITY HEALTH PLAN
PREFERRED PLUS OF KANSAS
PREFERREDONE MN
PREFERREDONE MN - INST
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 CARE IPA
CA
Payer
Type
Format
CI
WC
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
BL
BL
BL
CI
CI
CI
Dental
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Dental
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Dental
Dental
Prof
Prof
Inst
Prof
Inst
Prof
Dental
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
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
Y
N
Y
N
Y
N
N
N
Claim Enroll
Required
ERA
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
N
Y
N
N
N
N
N
N
N
Y
N
N
N
N
N
Y
N
Y
Y
Y
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
65054
251PR
251PR
90440
88051
MPM22
5003
PREHP
PREHP
PRESA
CX014
77003
IP079
PCACZ
IP080
73288
PRIME
PMC11
PMC11
63088
63088
J1673
J1673
56190
11678
61604
61604
IP079
IP079
State
PREMIER EYE CARE
PREMIER HEALTH PLAN (OHIO)
PREMIER HEALTH PLAN (OHIO) INST
PREMIER HEALTH SYSTEMS INC
PREMIER HEALTHCARE EXCHANGE, INC (PHX)
PREMIER PHYSICIAN NETWORK (PPN)
PRESBYTERIAN (NM)
PRESBYTERIAN HEALTH PLAN (COMM)
NM
NM
PRESBYTERIAN HEALTH PLAN INST
PRESBYTERIAN MEDICAID - NEW MEXICO SALUD
NM
PRESBYTERIAN SALUD
PRESTIGE HEALTH CHOICE
PRIMARY CARE ASSOCIATES MEDICAL GROUP (PCAMG)
PRIMARY CARE ASSOCIATES OF CALIFORNIA MEDICAL
PRIMARY CARE PHYSICIANS
CA
CA
CA
PRIMARY DELIVERY SYSTEM
PRIMARY HEALTH NETWORK
PRIMARY MEDICAL CARE
PRIMARY MEDICAL CLINIC
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
MN
MN
MN
CA
CA
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
AM
CI
CI
CI
CI
CI
CI
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
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
N
N
N
N
N
N
N
Y
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
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
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
IP079
IP079
IP079
IP079
IP079
IP079
IP079
IP079
CX014
PTIME
PRI01
61271
61271
PRINT
SPRNT
99999
99999
38217
38217
CX014
37303
37268
38329
70259
TPC84
36331
36331
36331
59296
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
State
CA
CA
CA
CA
CA
CA
CA
CA
PRIMECARE, WISCONSIN STATE AND FEDERAL EMPLOYEES AND MEDICAID
PRIMETIME HEALTH PLAN
PRINCETON PREMIER IPA
PRINCIPAL FINANCIAL GROUP - DENTAL
PRINCIPAL FINANCIAL GROUP - VISION
PRINT TO PAPER
PRINT TO PAPER
PRINT TO PAPER - HCFA
PRINT TO PAPER - UB
PRIORITY HEALTH
PRIORITY HEALTH INST
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
OH
Payer
Type
Format
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
CI
CI
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Dental
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Dental
Prof
Prof
Prof
Prof
Dental
Inst
Dental
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
N
N
N
N
N
N
Y
Y
Claim Enroll
Required
ERA
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
Y
N
N
Y
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
34134
34134
PHHMO
J1748
88029
88029
93082
93082
80095
80095
C1040
PROSP
J1568
J1568
70408
70408
PHP01
PHP01
PAS01
PAS01
PHP01
PHP01
PHP00
PHPPP
PHP01
62308
62308
62308
62308
State
PROFESSIONAL RISK MANAGEMENT
PROFESSIONAL RISK MANAGEMENT
PROGRESS HEALTH HMO
PROGRESSIVE
PROMINENCE HEALTH PLAN - INST
PROMINENCE HEALTH PLAN FKA ST MARY'S
PROMINENCE HEALTH PLAN OF NEVADA
PROMINENCE HEALTH PLAN OF NEVADA - INST
NV
NV
PROMINENCE HEALTH PLAN OF TEXAS
PROMINENCE HEALTH PLAN OF TEXAS - INST
PROPERTY AND CASUALTY CO OF HARTFORD (AUTO ONLY)
PROSPECT MEDICAL GROUP
CA
PROTECTIVE INSURANCE CO
PROTECTIVE INSURANCE CO (AUTO ONLY)
PROTECTIVE LIFE
PROTECTIVE LIFE INSURANCE COMPANY (BIRMINGHAM AL)
PROVIDENCE CHOICE OPTION
PROVIDENCE HEALTH PLAN (HMO)
PROVIDENCE INSUR AND ADMIN SERVICES (PAS)
PROVIDENCE INSURANCE AND ADMIN SERVICE INST
PROVIDENCE MEDICAID OPTION
PROVIDENCE MEDICARE EXTRA
PROVIDENCE PREFERRED PPO
PROVIDENCE PREFERRED(PRINT TO PAPER)
PROVIDENCE TRADITIONAL OPTION
PROVIDENT (CIGNAUB) - INST
PROVIDENT HEALTHSOURCE
PROVIDENT LIFE ACCIDENT
PROVIDENT LIFE CASUALTY
OR
Payer
Type
Format
CI
CI
CI
AM
CI
CI
CI
CI
CI
CI
AM
CI
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
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
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
Y
Y
Y
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
62308
68195
51032
51032
9822
9822
48100
48100
68241
PR002
PR002
68241
PR002
60054
PR002
PR002
87056
PR002
PR002
PR002
PR002
41556
PR002
PR002
PR002
PR002
PR002
PR002
PR002
State
PROVIDENT PREFERRED NETWORK
PROVIDENT PREFERRED NETWORK DENTAL
PROVIDER NETWORKS OF AMERICA (PRO-NET)
PROVIDER NETWORKS OF AMERICA (PRONET)
PROVIDER SERVICE NETWORK MEDICAID (JMHP)
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
CA
CA
Payer
Type
Format
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
CI
CI
Prof
Dental
Inst
Prof
Prof
Inst
Prof
Inst
Inst
Prof
Prof
Inst
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
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
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
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
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
PH001
PR002
PR002
68241
PR002
PR002
PR002
PR002
SX106
91136
91136
91136
91136
J1485
J1483
J1486
J1487
J1488
J1489
J1490
J1484
39197
39197
39197
35174
35174
1250
QMDNJ
QUANM
State
PRUITT HEALTH PREMIER
PRUNET
PRUNET WORK
PRUNETWORK
PRUNETWORK
PRUNETWORK PPO
PRUPPO
PRUPSYCH
PUBLIC EMPLOYEES HEALTH PROGRAMS (PEHP)
PUGET SOUND BENEFITS TRUST
PUGET SOUND BENEFITS TRUST
PUGET SOUND ELECTRICAL WORKERS TRUST
PUGET SOUND ELECTRICAL WORKERS TRUST
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
QUAD MED
QUAD MED
QUAD MED LLC (PEWAUKEE, WI)
QUAL CHOICE OF ARKANSAS
QUAL CHOICE OF ARKANSAS INST
QUAL CHOICE OF OHIO
QUAL-MED NEW JERSEY
QUAL-MED NEW MEXIICO
AR
AR
OH
NJ
NM
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
WC
WC
WC
WC
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Dental
Prof
Inst
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
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
N
N
N
N
Claim Enroll
Required
ERA
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
N
N
N
N
Y
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
QMDPH
QMDCO
QMDCE
QMDPO
QMDSE
QMDSP
23342
23342
42172
41556
PDT01
89461
89461
41556
QHP01
QHPNY
41556
73067
73067
37129
37129
57117
J1522
J1938
38512
J1663
J1663
J1635
J1635
QUAL-MED PHILADELPHIA
QUAL-MED, COLORADO (CO)
QUAL-MED, COLORADO EPO
QUAL-MED, PORTLAND (PO)
QUAL-MED, SEATTLE (SE)
QUAL-MED, SPOKANE (SP)
State
PA
CO
CO
OR
WA
WA
QUALCARE
QUALCARE INST
QUALCHOICE MEDICARE ADVANTAGE
QUALITY CARE CONV
QUALITY CARE IPA
CA
QUALITY CARE PARTNERS (QCP)
QUALITY CARE PARTNERS (QCP) - INST
QUALITY HEALTH M G
QUALITY HEALTH PLANS INC
QUALITY HEALTH PLANS NEW YORK
QUEEN OF ANGELS - HOLLYWOOD
QUICKTRIP
QUICKTRIP
QUINCY HEALTH CARE MANAGEMENT INC
QUINCY HEALTH CARE MANAGEMENT INC
QVI RISK SOLUTIONS
RALEY'S FAMILY OF FINE STORES
RALPH LAUREN WC
RAMPART INSURANCE COMPANY
RAMSEY COUNTY (MN)
RAMSEY COUNTY (MN) (AUTO ONLY)
RANCHO SANTIAGO COMMUNITY COLLEGE DISTRICT (CA)
RANCHO SANTIAGO COMMUNITY COLLEGE DISTRICT (CA) (AUTO ONLY)
NY
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
WC
CI
CI
WC
CI
CI
CI
CI
CI
WC
WC
WC
WC
AM
WC
AM
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
91176
41556
J1675
J1675
A0205
20044
IP122
IP120
IP123
BSUT2
UTFEP
RGA01
38221
J1484
47076
47076
J1467
41556
RENGQ
RLHA1
76066
12475
J1008
J1597
J1597
J1376
73066
73066
J1097
RBMS
State
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
REGENCE GROUP ADMINISTRATORS
REGENCY EMPLOYEE BENEFITS
REGENT INSURANCE COMPANY - QBE DBA
REGIONAL CARE INC
REGIONAL CARE INC - INST
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
RESERVE NATIONAL
RESERVE NATIONAL
RESIDENTIAL SERVICES GROUP
CA
CA
CA
UT
UT
Payer
Type
Format
CI
WC
WC
AM
WC
WC
CI
CI
CI
BL
BL
CI
CI
WC
CI
CI
WC
WC
CI
CI
CI
WC
WC
WC
AM
WC
CI
CI
WC
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
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
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
J1098
41556
37277
RPPG1
J1202
37270
37270
VESTA
J1099
41556
J1100
74205
74205
37331
37331
CB293
J1491
J1101
RCMG1
J1546
J1477
45281
45281
16117
16117
16117
41556
41625
27065
State
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
RIGHTCHOICE BENEFITS ADMINISTRATORS
RISK ADMINISTRATION SERVICES (RAS)
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
RIVERSIDE HEALTH INC
RMSCO, INC
RMSCO, INC - DENTAL
RMSCO, INC - INST
ROBSTOWN ISD
ROCHESTER PUBLIC SCHOOLS
ROCKFORD MUTUAL INSURANCE COMPANY
CA
MN
Payer
Type
Format
WC
WC
CI
CI
WC
CI
CI
CI
WC
WC
WC
CI
CI
CI
CI
WC
WC
WC
CI
WC
WC
CI
CI
CI
CI
CI
WC
CI
WC
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Dental
Inst
Prof
Dental
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
27065
41556
RMHM1
RMHM1
TRW01
37602
37602
41556
36215
41556
TPC85
41556
J1516
RR001
J1102
41556
36339
36339
36332
36389
36389
63070
63070
J1009
31441
31441
J1728
J1728
24740
State
ROCKFORD MUTUAL INSURANCE COMPANY (AUTO ONLY)
ROCKWALL ISD
ROCKY MOUNTAIN HMO
ROCKY MOUNTAIN HMO INST
ROOFERS WATERPROOFERS LOCAL 136 HW FUND
ROONEY LIFE INC
ROONEY LIFE INC - INST
ROSE GARDEN GUEST HO
ROSEMONT OF DES PLAINES, IL
ROSEWOOOD EQUIPMENT
ROSLYN TEACHERS ASSOC BENEFIT FUND
ROSSI CONCRETE, INC
ROTH STAFFING COMPANIES
ROYAL RESOURCES
RSC INSURANCE SERVICES, LTD
RURAL SPECIAL DISTRICT INSURANCE PROGRAM
RUSH HEALTH ASSOCIATION
RUSH HEALTH ASSOCIATION
RUSH HEALTH PROVIDERS
RUSH PRUDENTIAL HMO
RUSH PRUDENTIAL HMO
RWDSU BENEFIT FUND
RWDSU BENEFIT FUND
RYDER SERVICES, INC
S S HEALTHCARE STRATEGIES
S S HEALTHCARE STRATEGIES - INST
SA RECYCLING, LLC
SA RECYCLING, LLC (AUTO ONLY)
SAFECO INSURANCE
CO
CO
Payer
Type
Format
AM
WC
CI
CI
CI
CI
CI
WC
CI
WC
CI
WC
WC
CI
WC
WC
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
WC
AM
WC
Prof
Prof
Prof
Inst
Dental
Prof
Inst
Prof
Inst
Prof
Dental
Prof
Prof
Dental
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
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
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
CX030
J1103
35164
35164
37105
J1658
J1658
41556
J1730
J1730
41556
CP001
CP001
62308
TFQ67
J1690
J1690
J1638
J1638
41556
41556
41556
41556
37236
41556
SHC30
91184
TPC05
TPC86
SAFEGUARD DENTAL VISION
SAFETY-KLEEN CORPORATION
SAGAMORE HEALTH NETWORK
SAGAMORE HEALTH NETWORK INST
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)
SAM KANE BEEF PROCESSORS, INC
SAMARITAN HEALTH PLANS
SAMARITAN HEALTH PLANS - INST
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
SAN FRANCISCO ELEC WKR HLTH
SAN JOAQUIN COUNTY
SANDHILLS CENTER
SANFORD HEALTH PLAN
SANFORD HEALTH PLAN - DENTAL
SANITATION OFFICERS RETIREE
State
Payer
Type
Format
CI
WC
CI
CI
CI
WC
AM
WC
WC
AM
WC
CI
CI
CI
CI
WC
AM
WC
AM
WC
WC
WC
WC
CI
WC
CI
CI
CI
CI
Dental
Prof
Prof
Inst
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Dental
Dental
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
TPC87
37288
37288
SBIPA
41556
10378
24077
J1518
IP027
77038
80705
73172
73172
SCAN1
SCAN1
20460
20460
TPC88
16146
J1104
41556
J1560
TLW27
J1538
SCION
88030
88030
J1049
SHPS1
State
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
AZ
AZ
CA
CA
SCAN LONG TERM CARE
SCAN LONG TERM CARE - DENTAL
SCCEA WELFARE FUND
SCHC TOTAL CARE
SCHLUMBERGER TECHNOLOGY
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
SCOTTS MIRACLE-GRO COMPANY
SCRIPPS HEALTH PLAN SERVICES
TX
TX
Payer
Type
Format
CI
CI
CI
CI
WC
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
WC
CI
WC
CI
CI
CI
WC
CI
Dental
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Dental
Dental
Prof
Prof
Prof
Prof
Dental
Prof
Dental
Prof
Inst
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
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
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
SHPS1
IP112
J1499
13310
13310
J1379
TLY98
28530
28530
87726
95959
95964
COFHP
95962
95959
95959
95959
95959
42142
39045
39045
39045
J1661
J1661
TP097
41556
41556
41556
64088
State
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 - INST
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
SECURECARE OF IOWAINFOTRUST
SECURITY HEALTH PLAN
SECURITY HEALTH PLAN DENTAL
SECURITY HEALTH PLAN INST
SEDGWICK CARGILL, INC
SEDGWICK CARGILL, INC (AUTO ONLY)
SEDGWICK CMS
SEENO CONSTRUCTION (CHARTIS)
SEENO HOMES
SELA HEALTH CARE
SELECT ADMINISTRATIVE SERVICES
MS
Payer
Type
Format
CI
CI
WC
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
AM
WC
WC
WC
WC
CI
Prof
Prof
Prof
Inst
Prof
Prof
Dental
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
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
Y
Y
N
N
N
Y
Y
Y
Y
N
Y
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
N
Y
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
64088
64088
93031
CX018
93031
37282
37282
J1937
23285
23285
J1446
14
14
72189
76045
61225
SX107
12572
34131
52196
59111
36404
36404
34131
J1520
34131
41556
J1915
36426
State
SELECT ADMINISTRATIVE SERVICES DENTAL
SELECT ADMINISTRATIVE SVC SAS
SELECT BENEFIT ADMINISTRATORS
SELECT BENEFIT ADMINISTRATORS (OR)
SELECT BENEFIT ADMINISTRATORS INC
SELECT BENEFIT ADMINISTRATORS OF AMERICA (ASHLAND, WI)
SELECT BENEFITS ADMINISTRATORS OF AMERICA
SELECT ENERGY SERVICES WC
SELECT HEALTH OF SOUTH CAROLINA
SELECT HEALTH OF SOUTH CAROLINA - INST
SELECT STAFFING (KOOSHAREM, REAL TIME STAFFING, REMEDY, SELECTREMEDY AND WESTAF
SELECTCARE
SELECTCARE - INST
SELECTCARE OF TEXAS (BEAUMONT)
TX
SELECTCARE OF TEXAS (HPN) HERITAGE PHYSICIAN NETWORK
SELECTCARE OF TEXAS (KELSEY-SEYBOLD)
SELECTHEALTH - IHC (UHIN)
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
SEMPRA ENERGY EMPLOYEE CARE WC
SENDERO HEALTH
TX
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
WC
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
WC
CI
WC
WC
CI
Dental
Inst
Prof
Dental
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Dental
Inst
Dental
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
Y
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Y
N
N
N
N
N
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
36426
36390
36390
83035
83035
CX014
54154
54154
C1040
23249
23249
C1033
J1417
39033
39033
AMM07
TPC89
J1593
J1593
TSG01
76056
SHEBP
SHPCH
EPNSH
SHMAP
SET22
STAR1
25404
25404
SENDERO HEALTH INST
State
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
PA
SENTRY AUTO
SENTRY INSURANCE
SENTRY INSURANCE
SENTRY INSURANCE
SEOUL MEDICAL GROUP
CA
SERVICE EMPLOYEES 32BJ NORTH HEALTH
SERVICE LLOYDS INSURANCE CO
SERVICE LLOYDS INSURANCE CO (AUTO ONLY)
SET SEG SET, INC
SETON CHIP
SETON EMPLOYEE PLAN
SETON HEALTH PLAN CHIP
SETON HEALTH PLAN EXCLUSIVE PROVIDER NETWORK
SETON HEALTH PLAN - MAP PROGRAM
TX
TX
TX
TX
SETON HEALTH PLAN - STAR MEDICAID
SETON STAR
SEVEN CORNERS
SEVEN CORNERS
TX
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
AM
CI
CI
AM
WC
CI
CI
CI
CI
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Inst
Inst
Prof
Inst
Prof
Dental
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Dental
Prof
Prof
Dental
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
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
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
59064
59065
J1456
87726
UH005
87726
UH006
SHP01
41556
75280
75280
J1468
SMW01
OBASM
OBASM
SMW01
SMW99
SLI01
SC359
HM024
TPC90
3699
76342
76342
41556
SA001
23250
23250
41556
State
SFCCN MEMORIAL INTEGRATED
SFCCN MEMORIAL INTEGRATED MEDICAID
SFN GROUP (SPHERION, TECHNISOURCE, TATUM, THE MERGIS GROUP, SOURCE RIGHT)
SHARE ADVANTAGE HEALTH PLAN
SHARE HEALTH PLAN ILLHMO
SHARE HEALTH PLAN ILXHMO
IL
SHARE HEALTH PLAN ILLPPO
SHARP HEALTH PLAN
CA
SHARYLAND INDEPENDENT SCHOOL DISTRICT
SHASTA ADMINISTRATIVE SERVICES
SHASTA ADMINISTRATIVE SERVICES - INST
SHAWSSTARMARKET
SHEET METAL 91 HEALTH WELFARE FUND
SHEET METAL WORKERS LOCAL 263 HEALTH WELFARE FUND
SHEET METAL WORKERS LOCAL 263 HEALTH AND WELFARE FUND
SHEET METAL WORKERS LOCAL 91
SHEET METAL WORKERS LOCAL 91
SHENANDOAH LIFE INSURANCE COMPANY
SHERMANCHOICE
SHIELD 65
CA
SHOPMEN IRONWORKERS WELFARE PLA
SIEBA LTD
SIERRA HEALTH AND LIFE
SIERRA HEALTH AND LIFE - INST
SIERRA NEVADA MEMORIAL
SIGNATURE ADVANTAGE
SIGNIFICA BENEFIT SERVICES FKA ERIN GROUP
SIGNIFICA BENEFIT SERVICES FKA ERIN GROUP
SILBERBERGER ENGN
NV
Payer
Type
Format
CI
CI
WC
CI
CI
CI
CI
CI
WC
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
WC
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Dental
Prof
Prof
Dental
Prof
Dental
Prof
Prof
Dental
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
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
Y
N
N
N
N
Y
N
Claim Enroll
Required
ERA
N
N
N
N
N
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
Y
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
27094
84076
SVH01
SVH01
540
J1898
41556
84096
84096
84096
2057
2057
13010
J1105
J1106
J1381
E3510
94156
41556
41556
91131
91131
42172
42172
TPC11
32266
23266
23266
J1731
State
SIMPLY HEALTHCARE PLANS
SINCLAIR HEALTH PLAN
SIOUX VALLEY HEALTH PLAN
SIOUX VALLEY HEALTH PLAN
SISCO - SELF INSURED SERVICES COMPANY
SISCO WORK COMP
SKB CORPORATION
SLOANS LAKE MANAGED CARE
SLOANS LAKE MANAGED CARE
SLOANS LAKE MANAGED CARE
SMITH ADMINISTRATORS
SMITH ADMINISTRATORS INST
SMOKY MOUNTAIN LMEMCO
NC
SNAP-ON INCORPORATED
SOLVAY AMERICA INC
SONIC AUTOMOTIVE INC
SONOMA COUNTY PRIMARY CARE
SONOMA FOUNDATION CAL
SONOMA VALLEY HEALTHCARE DISTRICT
SONOMA VALLEY HLTH
SOUND HEALTH (AKA FIRST CHOICE HEALTH)
SOUND HEALTH (AKA FIRST CHOICE HEALTH) - INST
SOUNDPATH HEALTH
SOUNDPATH HEALTH - INST
SOUTH CAROLINA HEALTHY CONNECTIONS DENTAL
SOUTH CENTRAL PREFERRED
SOUTH CENTRAL PREFERRED (SCP)
SOUTH CENTRAL PREFERRED (SCP) - INST
SOUTH COAST AREA TRANSIT (CA)
CA
Payer
Type
Format
CI
CI
CI
CI
CI
WC
WC
CI
CI
CI
CI
CI
CI
WC
WC
WC
CI
CI
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
WC
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Dental
Prof
Prof
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
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
N
Claim Enroll
Required
ERA
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
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
J1731
SX142
25147
25147
86068
J1865
STGEB
77153
77153
SEI01
SEI99
37318
37318
SCP01
BPA01
J1690
J1690
56131
25128
SIHCA
UIHCA
J1648
J1648
SAM01
SIPA1
PHM11
J1233
M3IL2
41556
State
SOUTH COAST AREA TRANSIT (CA) (AUTO ONLY)
SOUTH INDIANA HEALTH ORG (SIHO)
IN
SOUTHCARE HEALTHCARE PREFERRED
SOUTHCAREHEALTHCARE PREFERRED
SOUTHEAST IOWA HEALTH PLAN
IA
SOUTHEAST LEASING WC
SOUTHEAST TEXAS GOVT EMPLOYEE BENEFITS
SOUTHEASTERN INDIANA HEALTH (SIHO)
SOUTHEASTERN INDIANA HEALTH (SIHO) INST
TX
IN
IN
SOUTHEASTERN SERVICE EMPLOYEE INTERNATIONAL UNION (SEIU)
SOUTHEASTERN SERVICE EMPLOYEES INTERNATIONAL UNION
SOUTHERN BENEFIT SERVICES LLC
SOUTHERN BENEFIT SERVICES LLC - INST
SOUTHERN CAL PHYSICIANS MANAGED
CA
SOUTHERN CALIFORNIA LUMBER
SOUTHERN CALIFORNIA RISK MANAGEMENT
SOUTHERN CALIFORNIA RISK MANAGEMENT (AUTO ONLY)
SOUTHERN GROUP ADMINISTRATORS
SOUTHERN HEALTH SERVICES COVENTRY
SOUTHERN ILLINOIS HEALTH CARE ASSOCIATION
SOUTHERN ILLINOIS HEALTH CARE ASSOCIATION - UB
IL
IL
SOUTHERN TEXTILE RECYCLING, INC (CA)
SOUTHERN TEXTILE RECYCLING, INC (CA) (AUTO ONLY)
SOUTHLAND ADVANTAGE MEDICAL GROUP, INC
CA
SOUTHLAND IPA
SOUTHLAND SAN GABRIEL VALLEY MEDICAL GROUP
CA
SOUTHWEST AIRLINES (SWA)
SOUTHWEST BCBS OF FLORIDA
SOUTHWEST GAS CORPORATION
FL
Payer
Type
Format
AM
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
AM
CI
CI
CI
CI
WC
AM
CI
CI
CI
WC
CI
WC
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Dental
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
37266
37266
60054
68241
PR002
PR002
PR002
52190
52190
41556
773
41556
J1922
22240
22240
35199
35199
11158
11158
37264
37264
68033
STJOE
IP106
SMIPA
J1926
27034
41556
37116
State
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
SPRINGFIELD INSURANCE CO WC
ST BARNABAS SYSTEM HEALTH PLAN
ST BARNABAS SYSTEM HEALTH PLAN
ST CATHERINE HOSPITAL PHO (MDWISE)
ST FRANCIS HEALTH NETWORK
ST JAMES PHO
ST JAMES PHO
IN
IL
IL
ST JOHNS CLAIMS ADMINIS
ST JOHNS CLAIMS ADMINISTRATION
ST JOSEPH HEALTH FOUNDATION OF NO CA
ST JOSEPH HERITAGE HEALTHCARE
CA
ST JUDE
ST MARYS IPA
CA
ST PAUL INSURANCE WC
ST PAUL PACE
ST ROSE HOSPITAL
ST THERESE PHYSICIAN ASSOCIATES
IL
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
WC
CI
Inst
Prof
Dental
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
37116
STM01
PDT01
J1118
41556
1758
1758
86304
86304
J1939
J1385
J1107
59225
59225
61425
61425
STR01
46450
46450
35076
STMSS
J1548
31059
J1548
31053
31053
J1553
J1553
MERIT
State
ST THERESE PHYSICIAN ASSOCIATION
ST THOMAS MEDICAL NETWORK (GULFQUEST)
ST VINCENT IPA
CA
STANDARD FORWARDING
STANDARD FRUIT AND VEG
STANDARD LIFE AND ACCIDENT - MORGAN WHITE ADMIN
STANDARD LIFE AND ACCIDENT - MORGAN WHITE ADMIN - INST
STANDARD SECURITY LIFE
STANDARD SECURITY LIFE INST
STANLEY STEEMER INTERNATL WC
STANLEY WORKS, INC
STANT CORPORATION
STAR HRG - STARBRIDGE PHOENIX PO BOX
STAR HRG - STARBRIDGE PHOENIX PO BOX INST
STARMARK
STARMARK - INST
STARMOUNT LIFE INSURANCE COMPANY
STATE AUTO INSURANCE COMPANIES
STATE AUTO INSURANCE COMPANIES -INST
STATE COMPENSATION INSURANCE FUND (SCIF)
STATE EMPLOYEES MISSISSIPPI (ZZ)
MS
STATE FARM (AUTO ONLY)
STATE FARM (OTHER PROPERTY CASUALTY)
STATE FARM (WORKERS COMP)
STATE FARM GROUP MEDICAL INDIV HEALTH
STATE FARM GROUP MEDICAL INDIV HEALTH INST
STATE FUND MUTUAL
STATE FUND MUTUAL (AUTO ONLY)
STATE MERIT GEORGIA
GA
Payer
Type
Format
CI
CI
CI
WC
WC
CI
CI
CI
CI
WC
WC
WC
CI
CI
CI
CI
CI
CI
CI
WC
CI
AM
AM
WC
CI
CI
WC
AM
CI
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Dental
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
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
Y
N
N
N
N
Claim Enroll
Required
ERA
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
N
N
N
N
Y
N
N
N
N
N
N
N
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
69140
J1555
J1555
J1659
J1659
J1418
14163
14163
91151
91151
67829
41556
TRLTC
31121
31121
31121
15752
41556
58128
TPC91
68381
74227
74227
35199
CX014
11325
95202
95202
86071
State
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
FL
FL
STERLING OPTION 1
STERLING OPTION 1
STERLING PARTNERS PPO
STIMSON LUMBER COMPANY - MT, OR, WA
STONEBRIDGE LIFE INSURANCE COMPANY
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 DENTAL
STUDENT RESOURCES (UNITEDHEALTHCARE)
STUDENT RESOURCES (UNITEDHEALTHCARE) - INST
SUBURBAN HEALTH ORGANIZATION
SUFFOLK COUNTY
SUFFOLK HEALTH PLAN OF NEW YORK (NHP)
SUMMACARE HEALTH PLAN
SUMMACARE HEALTH PLAN INST
SUMMERLIN LIFE HEALTH
HI
Payer
Type
Format
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
CI
CI
CI
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Dental
Prof
Inst
Prof
Prof
Prof
Dental
Dental
Prof
Inst
Prof
Dental
Prof
Prof
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
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
Y
N
N
N
N
N
N
N
N
Y
N
N
N
N
Y
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Y
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
86083
37301
37301
J1108
J1437
31147
J1610
J1610
68241
PR002
68069
41556
68057
68057
J1584
J1584
41556
23218
23218
31117
SHP11
39188
39188
41556
41556
CPPSW
29076
29076
TPC92
State
SUMMIT ADMINISTRATION SERVICES INC
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 - INST
SUPERIOR DENTAL CARE
SUPERIOR HEALTH PLAN TEXAS
SUPERIOR HEALTH PLAN TEXAS
SUPERIOR HEALTH PLAN TEXAS INST
SUPERIOR INDUSTRIES INTERNATIONAL, INC
SUPERIOR READY MIX
SUPERIORSTAR PREGNANT WOMEN
SUPERMED PPO - 1ST MEDICAL - INST
SUPERMED PPO -1ST MEDICAL
SUPREME COURT REPORTERS (ACTIVE)
TX
TX
TX
Payer
Type
Format
CI
CI
CI
WC
WC
CI
WC
AM
CI
CI
CI
WC
CI
CI
WC
AM
WC
CI
CI
CI
CI
CI
CI
WC
WC
CI
CI
CI
CI
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Dental
Prof
Prof
Inst
Prof
Prof
Dental
Inst
Prof
Dental
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
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
N
N
N
Y
Y
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
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
Y
Y
N
N
N
N
N
N
Y
Y
Y
N
N
N
Y
Y
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
TPC93
CX088
IP100
IP090
HM057
IP092
HM059
IP099
HM062
IP091
HM058
IP131
HM066
IP130
J1512
PR002
J1109
SYMED
SYMED
TALMG
88067
88067
41556
37228
37228
TAYLR
39157
41556
88019
State
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
CA
CA
TALBERT MEDICAL GROUP
TALL TREES ADMINISTRATORS
TALL TREES ADMINISTRATORS - INST
TAN MEDICAL GROUP
TARRANT HEALTH
TARRANT HEALTH SERVICES
TX
TAYLOR BENEFITS
TBG ADMINISTRATIVE SERVICES
TD TILE
TEACHERS HEALTH TRUST (CCEA)
WI
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
WC
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
WC
CI
Dental
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
ADSL1
75139
75133
75133
75216
36215
36215
36215
WT008
88054
94304
94304
TPC97
TPC94
TPC95
TPC96
MC390
MC390
37293
37293
76045
A0235
A0234
J1581
J1581
76048
76048
75228
TXCSM
State
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 MEDICAID
TENNCARE MEDICAID - INST
TN
TN
TENNESSEE BENEFIT ADMINISTRATORS
TENNESSEE BENEFIT ADMINISTRATORS, LLC
TEXAN PLUS (HOUSTON BEAUMONT)
TX
TEXAS A AND M
TEXAS ASSOCIATION OF SCHOOL BOARDS
TEXAS BUILDERS INSURANCE CO
TEXAS BUILDERS INSURANCE CO (AUTO ONLY)
TEXAS CHILDRENS HEALTH PLAN (CHIP)
TEXAS CHILDRENS HEALTH PLAN (CHIP) - INST
TEXAS CHILDRENS HEALTH PLAN (STAR)
TEXAS CHILDRENS STAR MEDICAID
TX
TX
TX
TX
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
MC
MC
CI
CI
CI
WC
WC
WC
AM
CI
CI
MC
CI
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Dental
Prof
Inst
Prof
Dental
Dental
Dental
Dental
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Y
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
N
N
N
N
Y
N
Y
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
45210
45210
77045
TX1ST
13185
76046
76046
86916
THS01
THS01
TMA11
74214
74214
22945
A0245
TXP11
J1921
J1676
J1676
J1110
UPGUT
TBGNE
TBGNE
68423
74227
BCMH1
TDN01
TDN02
28777
State
TEXAS CHRISTUS
TEXAS CHRISTUS - MEDICAID
TX
TEXAS COMMUNITY CARE THRU DOS 12-31-2012
TEXAS FIRST HEALTH PLANS
TEXAS FIRST HEALTH PLANS (NORTH TX)
TEXAS FIRST HEALTH PLANS (TOPA)
TEXAS FIRST HEALTH PLANS (TOPA) INST
TEXAS HEALTH STEPS
TEXAS HEALTHSPRING
TEXAS HEALTHSPRING INST
TX
TX
TX
TX
TX
TX
TX
TEXAS MEDICAL ASSN INSURANCE TRUST
TEXAS MUNICIPAL LEAGUE TML (COMMERCIAL)
TEXAS MUNICIPAL LEAGUE TML (COMMERCIAL) INST
TX
TX
TEXAS MUTUAL INSURANCE
TEXAS MUTUAL LEAGUE (TML)
TEXAS PLAN ADMINISTRATORS TPA CONTACT DEBBIE MORALES AT
TX
TEXAS POLITICAL SUBDIVISIONS JSIF
TEXAS ROADHOUSE, INC
TEXAS ROADHOUSE, INC (AUTO ONLY)
TEXAS SMALL BUSINESS POOL
TEXAS UNIVERSITY HEALTH PLAN UPG COMMERCIAL
TX
THE BENEFIT GROUP, INC
THE BENEFIT GROUP, INC - INST
THE CARE NETWORK AKA SAVANNAH BUSINESS GROUP
THE CHESAPEAKE LIFE INSURANCE COMPANY - STUDENT INSURANCE
THE CHILDREN WITH MEDICAL HANDICAPS PROGRAM (BCMH)
THE DENTAL NETWORK (IN STATE DENTISTS ONLY)
THE DENTAL NETWORK (OUT OF STATE DENTISTS -- NOT IN MD OR DC)
THE EPOCH GROUP
OH
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
MC
CI
CI
CI
CI
CI
WC
WC
CI
WC
WC
AM
WC
CI
CI
CI
CI
CI
MC
CI
CI
CI
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Dental
Prof
Dental
Dental
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
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
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
28777
J1671
J1671
16126
J1422
20356
34150
34150
35206
35206
58200
58200
23223
23223
59227
74227
59227
J1615
J1615
70491
70491
70491
13522
CX025
68241
J1472
J1111
38200
38200
THE EPOCH GROUP - INST
THE GAP, INC
THE GAP, INC (AUTO ONLY)
THE GUARDIAN CHOICE
THE HARTFORD
THE HEALTH EXCHANGE
THE HEALTH PLAN (MASSILLON, OHIO AND ST CLAIRSVILLE, OHIO)
THE HEALTH PLAN - INST
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 LOOMIS COMPANY - TPA (IHS GATEWAY) INST
THE MEGA LIFE HEALTH - OKLAHOMA CITY
THE MEGA LIFE HEALTH INSURANCE COMPANY - STUDENT INSURANCE
THE MEGA LIFE HEALTH INSURANCE COMPANY-OKC
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 PERFECT HEALTH INSURANCE COMPANY
THE PHYSICIANS ASSURANCE CORP - TPAC
THE PRUDENTIAL
THE SALVATION ARMY
THE SCOTTS COMPANY
THE WELLNESS PLAN
THE WELLNESS PLAN
State
Payer
Type
Format
CI
WC
AM
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
AM
CI
CI
CI
CI
CI
CI
WC
WC
CI
CI
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Dental
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
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
N
N
N
N
Y
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
13269
THERA
COTHE
J1831
6131
6131
SC315
SC315
J1746
J1746
41556
MP340
THRIV
TIC99
TIC01
J1392
J1392
TLC01
TLC79
TLC79
70491
74214
WITH1
WITH1
48055
48055
TOPTN
TOPTN
AFL01
State
THE ZENITH
THERAPHYSICS
THERAPHYSICS PACIFICARE COLORADO ONLY
CO
THERAPY DIRECT
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
THREE RIVERS PREFERRED
THRIVENT FINANCIAL
TIC INTERNATIONAL
TIC INTERNATIONAL, INC
TIDEWATER MARINE WESTERN
TIDEWATER MARINE WESTERN (AUTO ONLY)
TLC ADVANTAGE OF SIOUX FALLS
SD
TLC BENEFIT SOLUTIONS
TLC BENEFIT SOLUTIONS - INST
TMG LIFE INSURANCE COMPANY
TML INTERGOVERNMENTAL EMPLOYEE BENEFITS POOL
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
TX
Payer
Type
Format
WC
CI
CI
WC
CI
CI
CI
CI
WC
AM
WC
CI
CI
CI
CI
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Y
Y
Y
Y
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
92620
92620
J1537
41556
THIPA
THIPA
TCARE
TCS01
TCS99
TCS99
38201
38201
38202
39202
J1112
41202
41202
23856
23856
23856
J1604
J1604
69493
J1668
J1668
TXP11
37230
37230
J1505
TONGASS TIMBER TRUST
State
AK
TONGASS TIMBER TRUST - INST
TOPA INSURANCE COMPANY
CA
TOPANGA ROSCOE CORP
TORRANCE HOSPITAL IPA
TORRANCE HOSPITAL IPA
TOTAL CARE NEW YORK
CA
CA
NY
TOTAL CLAIMS SOLUTIONS
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 PSO
TOUCHSTONE PSO
TOUCHSTONE PSO INST
TOWER ENERGY GROUP
TOWER ENERGY GROUP (AUTO ONLY)
TOWER LIFE INSURANCE CO
TOWN OF COLMA (CA)
TOWN OF COLMA (CA) (AUTO ONLY)
TPA (TEXAS PLAN ADMINISTRATORS)
TR PAUL INC
TR PAUL, INC
TRACTOR SUPPLY COMPANY
TX
Payer
Type
Format
CI
CI
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
WC
AM
CI
WC
AM
CI
CI
CI
WC
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Dental
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
TFLIC
TFLIC
TLIN7
TLIN5
TLIN2
TLINS
TLINS
20807
20807
37284
37284
37284
TRAN1
C1032
87726
87726
19046
87726
41556
41556
J1477
20538
39181
31118
31118
31118
CX002
TDFIC
TDFIC
State
TRANSAMERICA FINANCIAL LIFE INS CO (HURST TX)
TRANSAMERICA FINANCIAL LIFE INS CO (HURST TX) - INST
TRANSAMERICA FINANCIAL LIFE INS CO (PLANO TX)
TRANSAMERICA LIFE INS CO (CEDAR RAPIDS IA)
TRANSAMERICA LIFE INS CO (HURST TX)
TRANSAMERICA LIFE INS CO (LITTLE ROCK AR)
TRANSAMERICA LIFE INS CO (LITTLE ROCK AR) - INST
AR
TRANSCHOICE - FIRST ADMINISTRATOR'S
TRANSCHOICE - FIRST SERVICE ADMINISTRATORS
TRANSCHOICE KBA
TRANSCHOICE KEY BENEFIT ADMINISTRATORS
TRANSCHOICE KEY BENEFIT ADMINISTRATORS - INST
TRANSWESTERN
TRAVELERS AUTO MEDICAL
TRAVELERS HEALTH NETWORK
TRAVELERS INST
TRAVELERS WORK COMP
TRAVELERSCGT
TRI-CITY HEALTHCARE DISTRICT
TRI-CITY LINEN SUPPL
TRI-STATE INSURANCE COMPANY
TRI-VALLEY MEDICAL GROUP
TRIAD HEALTHCARE
TRIBUTE SELECTCARE OF OKLAHOMA
TRIBUTE HEALTH PLAN FKA CENTRAL BENEFITS
TRIBUTE HEALTH PLAN FKA CENTRAL BENEFITS - INST
TRICARE DENTAL PLAN (UCCI)
TRICARE FOR LIFE
TRICARE FOR LIFE - INST
OK
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
AM
CI
CI
WC
CI
WC
WC
WC
CI
CI
CI
CI
CI
CI
CI
CI
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Dental
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
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
N
N
N
N
N
N
N
N
N
N
Y
N
Claim Enroll
Required
ERA
N
N
N
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
N
N
Y
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
38520
38520
38520
99726
99726
WESTR
PDT01
41556
68069
J1674
J1674
62777
62777
IP060
C1030
11983
PR973
PR973
973MA
12M15
42137
42137
31144
34185
C1034
C1040
91078
91078
91078
State
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
TRICITIES IPA
CA
TRICITY UNIFORM
TRILLIUM MEDICARE ADVANTAGE 2016
OR
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 (BCBS PUERTO RICO) - INST
TRIPLE-S MEDICARE ADVANTAGE (AHM)
TRISPAN HEALTH SERVICES
TRISTAR FKA SELECT BENEFIT ADMIN
TRISTAR FKA SELECT BENEFIT ADMIN - INST
TRISTATE BENEFIT SOLUTIONS
TRISURANT - FKA HAS
TRUCK INSURANCE EXCHANGE (AUTO ONLY)
TRUMBALL INSURANCE COMPANY
TRUSTEED PLANS SERVICE CORPORATION
TRUSTEED PLANS SERVICE CORPORATION (TACOMA, WA)
TRUSTEED PLANS SERVICE CORPORATION - INST
PR
PR
PR
MO
IA
IA
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
WC
CI
WC
AM
CI
CI
CI
AM
AM
CI
CI
MB
CI
CI
CI
CI
CI
AM
AM
CI
CI
CI
Inst
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
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
Y
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
Y
Y
Y
Y
Y
Y
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
N
N
Y
N
N
N
N
N
N
N
Y
N
Y
N
N
N
N
N
N
N
Y
N
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
61425
61425
76054
76054
THA01
41556
4298
C1040
76048
UPGUT
75206
OBAPL
PAPER
PAPER
87726
68241
52629
CX014
52629
TPC98
UMSBP
56001
65006
UFW01
A5205
UFC01
UFC02
99026
87726
State
TRUSTMARK INSURANCE - INST
TRUSTMARK INSURANCE INCL STARMARK
TTPA COMM
TTPA COMM
TUALITY HEALTH ALLIANCE
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
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
UCLA MEDICAL GROUP (UMSBP)
UCS - CITY OF EAST CHICAGO
UCSFCSL PULMONARY
UFCW LOCAL 1
UFCW LOCAL 400-5205
UFCW OF CENTRAL OHIO
UFCW OF CLEVELAND
UHA - UNIVERSITY HEALTH ALLIANCE HAWAII
UHC - UNITED HEALTHCARE
HI
Payer
Type
Format
CI
CI
CI
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
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Inst
Prof
Dental
Inst
Dental
Prof
Prof
Prof
Dental
Dental
Dental
Dental
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
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
Y
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
Y
Claim Enroll
Required
ERA
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
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
Y
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
GP133
87726
86049
74227
75240
75245
75245
J1941
77022
41206
75130
95266
95266
62061
62061
79480
79480
39026
39026
39026
52180
52180
TP108
80314
80314
80314
80314
80314
80314
State
UHC DENTAL GOVERNMENT PROGRAMS
UHC MIDWEST MEDICARE COMPLETE
UHC OF PENNSYLVANIA FKA AMERICHOICE PA MEDICAID
PA
UHC STUDENT RESOURCES
UICI - ADMINISTRATORS
UICI ADMINISTRATORS
UICI-ADMINISTRATORS - ST OF NEVADA
UK UNIVERSITY HEALTH SERVICE WC
ULTIMATE HEALTH PLAN
ULTRA BENEFITS INC
UMC HEALTH PLAN
UMR - HARRINGTON
UMR - HARRINGTON - INST
UMR - KANSAS FKA FISERV HEALTH
UMR - KANSAS FKA FISERV HEALTH
UMR - MIDWEST SECURITIES
UMR - MIDWEST SECURITIES INST
UMR - WAUSAU BENEFITS
UMR - WAUSAU BENEFITS - INST
UMR WAUSAU DENTAL
UMWA HEALTH RETIREMENT FUND
UMWA HEALTH RETIREMENT FUND - INST
UNDERWRITERS SAFETY AND CLAIMS
UNICARE
UNICARE
UNICARE DENTAL
UNICARE GIC INDEMNITY PLAN
UNICARE MEDICAID
UNICARE OF TEXAS HMO
NV
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
MC
CI
Dental
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Inst
Prof
Inst
Dental
Prof
Inst
Prof
Inst
Prof
Dental
Prof
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
Y
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
Y
Y
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
Y
N
N
N
N
Y
N
Y
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
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
N
N
N
N
Y
Y
N
Y
Y
N
Y
Y
N
N
Y
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
80314
TX314
35198
TLA03
62170
62170
34638
J1484
52133
J1629
J1629
PR046
J1274
25844
C1029
87042
87042
70408
52133
25175
25175
CX014
UAGBT
87726
87726
59069
59069
20090
58600
State
UNICARE OF TEXAS HMO
UNICARE TEXAS HEALTH STEPS
TX
UNIFIED GROUP SERVICES
UNIFIED GROUP SERVICES DENTAL
UNIFIED HEALTH SERVICES
UNIFIED HEALTH SERVICES
UNIFIED PHYSICIANS NETWORK
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 (UPREHS)
UNION PACIFIC RAILROAD EMPLOYEES (UPREHS) - INST
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
UNITED BENEFITS
UNITED BENEFITS INST
UNITED CLAIM SOLUTIONS
UNITED CLAIMS SOLUTIONS TIFT REGIONAL
CA
Payer
Type
Format
CI
MC
CI
CI
CI
CI
CI
WC
CI
WC
AM
CI
WC
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Prof
Prof
Prof
Dental
Inst
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Dental
Prof
Dental
Dental
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
Y
Y
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
N
Y
N
Y
N
N
N
Y
N
Y
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
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
Y
N
N
Y
Y
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
CX002
CX013
CB865
Z9901
CX007
41556
70408
J1048
J1401
J1401
21850
UFWIF
UGP19
UGP19
87726
87726
87726
87726
87726
87726
87726
87726
87726
87726
87726
87726
87726
87726
87726
State
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 GROUP PROGRAMS
UNITED GROUP PROGRAMS - INST
UNITED HEALTHCARE
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
UNITED HEALTHCARE OF OHIO
CO
FL
GA
NY
OH
UNITED HEALTHCARE OF THE MIDLANDS HMO
UNITED HEALTHCARE OF THE MIDWEST CHOICE
UNITED HEALTHCARE OF UTAH
UT
Payer
Type
Format
CI
CI
CI
CI
CI
WC
CI
WC
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Dental
Dental
Dental
Dental
Dental
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
Y
N
Y
Y
N
Y
Y
N
Y
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
Y
Y
N
Y
Y
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
CX014
31107
33108
31107
MUT
71412
TEMU1
71412
84132
81108
J1113
13545
13193
J1235
J1235
87726
25175
3432
3432
87726
25175
87726
87726
96385
96385
95467
95467
87726
87726
State
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 (MUST HAVE UCCI LISTED ON BACK OF ID CARD)
UNITED OF OMAHA - INST
UNITED PHYSICIANS OF NORTHERN COLORADO
UNITED SECURITY LIFE AND HEALTH
UNITED STATES COLD STORAGE
UNITED STATES LIFE INSURANCE COMPANY
UNITED TEACHER ASSOC INSURANCE COMPANY (MEDICARE SUPPLEMENT)
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
AZ
AZ
UNITEDHEALTHCARE COMMUNITY PLAN DE,MD,OH,PA
UNITEDHEALTHCARE COMMUNITY PLAN DE,PA (UNISON) THRU 2-28-2014
UNITEDHEALTHCARE COMMUNITY PLAN DE,PA BEG 03-01-2014
UNITEDHEALTHCARE COMMUNITY PLAN IOWA
UNITEDHEALTHCARE COMMUNITY PLAN KANSAS (KANCARE)
UNITEDHEALTHCARE COMMUNITY PLAN KANSAS (KANCARE) INST
UNITEDHEALTHCARE COMMUNITY PLAN MI (GREAT LAKES)
IA
KS
KS
MI
UNITEDHEALTHCARE COMMUNITY PLAN MI (GREAT LAKES) INST
UNITEDHEALTHCARE COMMUNITY PLAN MISSISSIPPI
UNITEDHEALTHCARE COMMUNITY PLAN NEW YORK
MS
NY
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
WC
AM
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
Dental
Prof
Dental
Inst
Inst
Prof
Dental
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
N
Y
N
Y
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
Y
N
Y
N
Y
N
N
N
Y
N
Y
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
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
Y
N
Y
Y
Y
N
Y
Y
Y
N
Y
N
Y
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
86047
86047
25175
95378
95378
52133
39026
39026
87726
87726
87726
87726
81400
C1030
C1030
16063
C1030
66705
AMS01
16107
UNINW
16105
TRP1E
33001
33001
9830
9830
58248
58248
UNITEDHEALTHCARE COMMUNITY PLAN NJ - INST
UNITEDHEALTHCARE COMMUNITY PLAN NJ FKA AMERICHOICE
UNITEDHEALTHCARE COMMUNITY PLAN SC (FKA UNISON)
UNITEDHEALTHCARE COMMUNITY PLAN TN TENNCARE
UNITEDHEALTHCARE COMMUNITY PLAN TN TENNCARE - INST
State
NJ
NJ
SC
TN
TN
UNITEDHEALTHCARE DENTAL
UNITEDHEALTHCARE INTEGRATED SERVICES (UHIS)
UNITEDHEALTHCARE INTEGRATED SERVICES (UHIS) - INST
UNITEDHEALTHCARE OF THE RIVER VALLEY
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 PPO
UNIVERA OF NEW YORK
UNIVERSAL BENEFIT CORP
UNIVERSAL CARE CALIFORNIA
CA
UNIVERSAL CARE CALIFORNIA - INST
UNIVERSITY FAMILY CARE - UNIV OF ARIZONA
UNIVERSITY FAMILY CARE - UNIV OF ARIZONA INST
UNIVERSITY HEALTH PLAN
UNIVERSITY HEALTH PLAN
AZ
AZ
Payer
Type
Format
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
CI
CI
CI
CI
Inst
Prof
Prof
Prof
Inst
Dental
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Dental
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
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
Y
Y
Y
N
N
N
N
Y
N
Y
Y
Y
N
N
N
N
N
Y
Y
Y
N
Y
Y
N
Y
N
N
N
Claim Enroll
Required
ERA
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
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
Y
Y
N
N
N
N
Y
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
CX014
58247
45437
41556
87043
SX155
91136
91136
76053
23281
23281
25184
25184
38337
38337
TPC99
93092
77044
90551
90551
USFHP
13407
J1114
50383
41556
J1115
J1396
74095
74095
State
UNIVERSITY HEALTH PLAN (DORAL)
UNIVERSITY HEALTH PLAN MEDICAID INST
UNIVERSITY HEALTHCARE MARKETPLACE (UHM)
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
UPMC VISION ADVANTAGE
UPMC VISION ADVANTAGE - INST
UPPER PENINSULA HEALTH PLAN
UPPER PENINSULA HEALTH PLAN
UPSEU CARLE PLACE SCHOOL DISTRICT
US BENEFITS
US DEPARTMENT OF LABOR (USDOL)
US FAMILY HEALTH PLAN (USFHP)
US FAMILY HEALTH PLAN (USFHP) - INST
US FAMILY HEALTH PLAN (USFHP) - TEXAS AND LOUISIANA
US FAMILY HEALTH PLAN - NEW JERSEY
US FOODSERVICE, INC
US IMAGING NETWORK - NY
US MOBILE WIRELESS
US NATIONAL RESOURCES (AIGRM)
US STEEL
USAA (UNITED STATES AUTOMOBILE ASSN)
USAA (UNITED STATES AUTOMOBILE ASSN) - INST
OR
Payer
Type
Format
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
WC
CI
WC
WC
WC
CI
CI
Dental
Inst
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Inst
Prof
Dental
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
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
Y
N
Claim Enroll
Required
ERA
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
Y
N
N
N
Y
Y
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
76031
13407
23217
UTICA
C1027
EXC02
25976
43478
36369
UHSCH
41556
12115
12115
VAFSC
VAFSC
WT001
85578
41556
82238
82420
82420
VCIPA
41556
TPC19
41556
41556
VHP01
VHP02
41556
State
USABLE LIFE
USFHP - ST VINCENT CATHOLIC MEDICAL CENTERS OF NY
USI ADMINISTRATORS
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 FINANCIAL SERVICES CENTER
VA FINANCIAL SERVICES CENTER
VA SMILES FOR CHILDREN
VALENCE - INGALLS PROVIDER GROUP
VALENZUELA ENG INC
VALLEY BAPTIST ADVANTAGE
VALLEY BAPTIST HEALTH PLAN
VALLEY BAPTIST HEALTH PLAN INST
VALLEY CARE IPA
CA
VALLEY CASEWORK INC
VALLEY CENTRAL TEACHERS ASSOCIATION
VALLEY HARVESTING AND PACKING, INC
VALLEY HEALTH CARE MANAGEMENT SERVICES, LLC
VALLEY HEALTH PLAN (COMMERCIAL)
VALLEY HEALTH PLAN (MEDI-CAL)
VALLEY HEALTH SYSTEM
CA
CA
Payer
Type
Format
CI
CI
CI
CI
AM
CI
WC
WC
CI
CI
WC
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
WC
CI
WC
WC
CI
CI
WC
Dental
Inst
Prof
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Dental
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
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
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
41556
IP044
23253
V1001
V1001
V1005
V1006
V1003
V1004
V1002
23173
21172
72128
72128
PPM01
PPM02
68241
60054
73288
J1917
53172
41556
VMF01
75256
75256
J1118
41556
VESTA
243
State
VALLEY MEMORIAL HOSPITAL
VALLEY OF THE MOON
CA
VALLEY PREFERRED PPO FKA SPECTRUM ADMIN
VALUE OPTIONS COMMERCIAL
VALUE OPTIONS COMMERCIAL -INST
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
VENSURE EMPLOYER SERVICES WC
VENTANA HEALTH SYSTEMS
VENTURE PAC DEVELOP
VERITY MEDICAL FOUNDATION
VERITY NATIONAL GROUP
VERITY NATIONAL GROUP
VERMEER
VERTICAL CONCRETE
VESTA CARE
VESTICA HEALTHCARE LLC
CA
CA
Payer
Type
Format
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
WC
CI
WC
CI
CI
CI
WC
WC
CI
CI
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
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
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
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
N
N
Y
Y
Y
Y
Y
Y
Y
N
N
Y
N
N
N
N
Y
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
68021
68021
VAPC3
VAPC3
VAP5A
VAP5A
VAP5B
VAP5B
VAPC6
VAPC6
23173
J1116
J1118
41556
VFP11
26545
26545
VPCCP
VPCCI
54176
VPN01
CX014
J1404
J1404
86079
55248
55248
41556
63114
State
VETERANS AFFAIRS PCCC REG 1-2-4 (HEALTH NET)
VETERANS AFFAIRS PCCC REG 1-2-4 (HEALTH NET) - INST
VETERANS AFFAIRS PCCC REGION 3 (TRIWEST)
VETERANS AFFAIRS PCCC REGION 3 (TRIWEST) INST
VETERANS AFFAIRS PCCC REGION 5A (TRIWEST)
VETERANS AFFAIRS PCCC REGION 5A (TRIWEST) INST
VETERANS AFFAIRS PCCC REGION 5B (TRIWEST)
VETERANS AFFAIRS PCCC REGION 5B (TRIWEST) INST
VETERANS AFFAIRS PCCC REGION 6 (TRIWEST)
VETERANS AFFAIRS PCCC REGION 6 (TRIWEST) INST
VHP COMMUNITY CARE
VICORP RESTAURANTS, INC
VICTOR PLASTICS
VICTORIA ISD
VILLAGE FAMILY PRACTICE
VILLAGECAREMAX
VILLAGECAREMAX - INST
VIRGINIA PREMIER COMPLETECARE
VA
VIRGINIA PREMIER COMPLETECARE - INST
VIRGINIA PREMIER HEALTH PLAN
VIRGINIA PREMIER HEALTH PLAN (MC)
VA
VA
VIRGINIA SMILES FOR CHILDREN
VIRGINIA SURETY COMPANY, INC
VIRGINIA SURETY COMPANY, INC (AUTO ONLY)
VISTA DEL SOL HEALTH CARE
VISTA HEALTH PLAN - MEDICAID FLORIDA
VISTA HEALTH PLAN - MEDICAID FLORIDA INST
VISTA HILLS C CLUB
VIVA HEALTH PLAN
FL
FL
Payer
Type
Format
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
WC
WC
CI
CI
CI
CI
CI
CI
MC
CI
WC
AM
CI
CI
CI
WC
CI
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Inst
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Dental
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Y
N
N
Y
Claim Enroll
Required
ERA
N
N
Y
Y
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
N
Y
N
Y
Y
N
N
N
N
N
N
N
N
N
N
Y
Y
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
N
Y
N
Y
Y
N
N
N
N
Y
Y
N
Y
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
63114
63114
77073
77073
59266
J1750
J1750
J1405
22264
22264
41556
85256
85256
J1004
41556
37294
41556
WC001
OBALB
73155
73155
58082
58082
41556
MPM09
41556
41556
39151
39151
State
VIVA HEALTH PLAN - INST
VIVA MEDICARE PLUS
VNS CHOICE MEDICARE
VNS CHOICE MEDICARE - INST
VOLUSIA HEALTH NETWORK
VONS SAFEWAY
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 STATE 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
WATTS HEALTH CARE
WATTSHEALTH FOUNDATION, INC (SNCC)
WAWONA PACKING
WEA INSURANCE GROUP
WEA INSURANCE GROUP
CA
Payer
Type
Format
CI
CI
CI
CI
CI
WC
AM
WC
CI
CI
WC
CI
CI
WC
WC
CI
WC
WC
CI
CI
CI
CI
CI
WC
CI
WC
WC
CI
CI
Inst
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Real Time
Real Time
Claim
Eligibility
Status
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
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
Claim Enroll
Required
ERA
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
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
75261
75261
36337
13337
WELL4
WELL4
14163
CX014
14163
59354
59354
14163
14163
14163
14163
77072
77072
WELM2
WELM2
12053
25711
22334
87815
87815
35245
35245
22925
41556
41556
State
WEB TPA
WEBTPACOMMUNITY HEALTH ELECTRONIC
WEISS HEALTH PROVIDERS
WELL SENSE HEALTH PLAN (BMCHP)
WELLCARE CMO GA MEDICAID
WELLCARE CMO GA MEDICAID INST
WELLCARE CONNECTICUT
MA
GA
GA
CT
WELLCARE DENTAL
WELLCARE HEALTH PLAN
WELLCARE HEALTH PLAN ENCOUNTER
WELLCARE HEALTH PLAN ENCOUNTER INST
WELLCARE HMO
WELLCARE MANAGEMENT GROUP
WELLCARE OF CONNECTICUT
WELLCARE OF NEW YORK
WELLCARE PFFS MEDICARE
WELLCARE PFFS MEDICARE
WELLMED (CLAIMS)
WELLMED (CLAIMS) - INST
WELLNET DENTAL
WELLNET HEALTH PLAN
WELLPATH OF CAROLINA INC HOS
WELLS FARGO TPA
WELLS FARGO TPA - INST
WELLSYSTEMS LLC
WELLSYSTEMS LLC - INST
WELS BENEFIT PLAN OFFICE
WESLACO INDEPENDENT SCHOOL DISTRICT
WEST COAST HOSPITALS, INC
CT
NY
Payer
Type
Format
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
WC
WC
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Dental
Prof
Prof
Inst
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Dental
Prof
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
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
N
N
N
N
N
N
N
N
N
N
N
N
Y
N
N
N
N
N
N
Claim Enroll
Required
ERA
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
Y
N
Y
N
Y
N
N
Y
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
91136
WCMG1
41556
80942
41556
45276
45276
41556
IP026
24735
24735
24735
24735
WEST
68039
68039
37247
37247
J1569
J1569
J1586
J1586
J1495
J1495
31048
31048
91068
IP023
J1453
State
WEST COAST STATIONARY ENGINEERS HEALTH
WEST COVINA MEDICAL GROUP
CA
WEST OSO ISD
WEST SUBURBAN HEALTH PLAN (WSHP)
WEST TEXAS RURAL COUNTIES ASSOCIATION PREFERRED RISK POOL - WC
WEST VIRGINIA FAMILY HEALTH PLAN
WEST VIRGINIA FAMILY HEALTH PLAN - INST
WV
WV
WESTAMERICAPHIL LONG DEALERSHIPS
WESTERN ARIZONA REGIONAL PHYSICIANS
AZ
WESTERN GROWERS ASSURANCE TRUST
WESTERN GROWERS ASSURANCE TRUST - INST
WESTERN GROWERS INSURANCE COMPANY
WESTERN GROWERS INSURANCE COMPANY - INST
WESTERN HEALTH PROVIDERS
WESTERN HEALTH ADVANTAGE
WESTERN HEALTH ADVANTAGE INST
WESTERN MUTUAL INSURANCE WMITPA
WESTERN MUTUAL INSURANCE WMITPA - INST
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) - INST
WESTERN TEAMSTER WELFARE TRUST
WESTGROVE MEDICAL GROUP
WESTGUARD INSURANCE COMPANY - GUARD DBA
CA
Payer
Type
Format
CI
CI
WC
CI
WC
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
CI
CI
WC
AM
WC
AM
WC
AM
CI
CI
CI
CI
WC
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Inst
Inst
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
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
For questions, please contact
EDI Support at edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
90560
38232
33711
41556
98010
98010
J1473
62061
WHLTH
WHLTH
41556
41095
41095
62153
62153
27327
39200
41556
WOA99
20333
20333
75276
75276
34080
235
23710
J1117
CX014
J1628
State
WESTLAKE FINANCIAL GROUP INC
WEYCO - MERITIAN HEALTH
WILLAMETTE VALLEY COMM HEALTH PLAN CCO
WILLAMETTE VIEW
WILLIAM J SUTTON COMPANY
WILLIAM J SUTTON COMPANY, LTD (TORONTO)
WILLIAMS SONOMA
WILLIS ADMINISTRATIVE SERVICES (UMR KANSAS)
WILLOW HEALTH
WILLOW HEALTH - INST
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 PARK WEST
WOODMAN OF THE WORLD OMAHA WOODMAN
WORKSITE BENEFIT SERVICES - GA
WORKSITE BENEFIT SERVICES - GA - INST
GA
GA
WORLD INSURANCE COMPANY
WORLD INSURANCE COMPANY
WPPN
WPS COMMERCIAL
WRITERS GUILD INDUSTRY HEALTH PLAN
WYMAN-GORDON COMPANIES
XANTUS HEALTH PLAN-TENNESSEE (NASHVILLE, TN)
XCEL ENERGY
WI
Payer
Type
Format
CI
CI
CI
WC
CI
CI
WC
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
WC
CI
CI
CI
CI
CI
CI
CI
CI
WC
CI
WC
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Inst
Prof
Prof
Inst
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Inst
Inst
Prof
Inst
Prof
Prof
Prof
Dental
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
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
Claim Enroll
Required
ERA
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
N
N
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 edisupport@foxfiresg.com
FOXFIRE SYSTEMS GROUP PAYER LIST
Payer ID Name
J1628
J1412
J1055
60646
41556
J1421
J1421
34083
15003
30120
J1409
ZOOM1
J1015
16535
State
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
YOURCARE HEALTH PLAN (UNIVERA)
Z-NAT INSURANCE (ZENITH NATIONAL)
ZACHRY CONSTRUCTION
ZOOM
ZURICH FARMERS
ZURICH INSURANCE NA
NY
Payer
Type
Format
AM
WC
WC
CI
WC
WC
AM
CI
CI
WC
WC
CI
WC
WC
Prof
Prof
Prof
Prof
Prof
Prof
Prof
Inst
Prof
Prof
Prof
Prof
Prof
Prof
Real Time
Real Time
Claim
Eligibility
Status
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Claim Enroll
Required
ERA
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N

Similar documents

2024 © doczz.net
About us | DMCA / GDPR | Abuse