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Updated	Par/ Non-Par/ Trans	Payer ID	Payer Type	ST	Payer Name	Line of Business	EDI Version	NPI Level	Enrollment Authorization	Payer Response Level	Payer Testing Required	Accept COB	Agreement	Notes
U:10/09/12	Non-Par	23252	Commercial		Amerihealth Administrators	Professional	5010A1	NPI_Required		Claim Level Acknowledgement
U:1/24/12	Non-Par	COMMF	Commercial		Community First Health Plan	Professional	5010A1	NPI_Required		Claim Level Accept/Reject
U: 03/11/2013	Non-Par	MC128	Government	LA	Medicaid - Louisiana - DME	Professional	4010A1	NPI_Required	Enrollment	Claim Level Rejects Only		Yes
U: 03/11/2013	Non-Par	MC035	Government	MI	Medicaid - Michigan	Professional	5010A1	NPI_Required	Enrollment	Claim Level Rejects Only		Yes
U:04/02/2012	Non-Par	BS031	Government	NJ	Blue Shield - New Jersey	Professional	5010A1	NPI_Required	Enrollment	Claim Level Accept/Reject		Yes
U: 03/11/2013	Non-Par	PHCS1	Commercial		Physicians Health Choice	Professional	5010A1	NPI_Required		Claim Level Accept/Reject		Yes
U:1/24/12	Non-Par	PREHP	Commercial		Presbyterian Health Plan	Professional	5010A1	NPI_Required		Claim Level Accept/Reject				Please add provider number in 2010AA REF02 "or" 2310B REF02. Provider number is 11 digits or less. Contact (888) 923-5757, #6 then #2 to obtain id.
U:1/24/12	Non-Par	PRESA	Commercial		Presbyterian Salud - Receiver type "D"	Professional	5010A1	NPI_Required		Claim Level Accept/Reject				Please add provider number in 2010AA REF02 "or" 2310B REF02. Provider number is 11 digits or less. Contact (888) 923-5757, #6 then #2 to obtain id.
U: 06/30/2012	Non-Par	SX069	Government	MD	Maryland Public Mental Health System (PMHS)	Professional	5010A1	NPI_Required	Enrollment	Claim Level Accept/Reject
u: 05/25/12	Non-Par	SVH01	Commercial		Sanford Health Plan	Institutional	5010A1	NPI_Required		Claim Level Acknowledgement
u:03/19/2012	Non-Par	ABRI1	Commercial	WI	Abri Healthplan	Professional	5010A1	NPI_Required		Claim Level Rejects Only
U: 03/11/2013	Non-Par	MC018	Government	AL	Medicaid - Alabama	Professional	5010A1	NPI_Required		File Level Acknowledgement		Yes
U: 03/11/2013	Non-Par	MC101	Government	ND	Medicaid - North Dakota	Professional	5010A1	NPI_Required		File Level Acknowledgement		Yes
U: 11/01/2012	Non-Par	SHEBP	Commercial	TX	Seton Employee Plan	Professional	5010A1	NPI_Required		Claim Level Accept/Reject
U:1/24/12	Non-Par	94999	Commercial	TX	Firstcare "Star" Medicaid	Professional	5010A1	NPI_Required		Claim Level Accept/Reject				Contact (800) 365-1051, ext. 6456 to obtain Provider ID.
U:1/24/12	Non-Par	65093	Commercial	IL	Advocate Health Partners	Professional	5010A1	NPI_Required		Claim Level Accept/Reject
U:1/24/12	Non-Par	74238	Commercial		Boon - Chapman Administrators, Inc.	Professional	5010A1	NPI_Required		Claim Level Accept/Reject
U: 11/01/2012	Non-Par	COA01	Commercial		City of Amarillo	Professional	5010A1	NPI_Required		Claim Level Accept/Reject
U:1/24/12	Non-Par	36320	Commercial	IL	Advocate Health Centers	Professional	5010A1	NPI_Required		Claim Level Accept/Reject
U:04/02/2012	Non-Par	23641	Commercial		GMP Employers Retiree Trust	Professional	5010A1	NPI_Required		Claim Level Accept/Reject

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