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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:05/10/12	Non-Par	IC066	Government	NY	Medicaid - New York	Institutional	5010A2	All_Use	Enrollment	Claim Level Rejects Only
U: 01/01/2012	Non-Par	68047	Commercial	KS	Cenpatico - Kansas	Institutional	5010A2	All_Use		Claim Level Accept/Reject				Prior to submitting claims, please call Provider Relations Dept at 1-866-896-7293 to verify your provider info is on file in the claim system. This will prevent rejections and allow payments to be made in a timely manner
U:04/30/2012	Non-Par	00119	Commercial		Cox Health Plan	Institutional	5010A2	All_Use		No Response From Payer
U: 03/11/2013	Non-Par	36426	Commercial	MU	Sendero Health	Institutional	5010A2	All_Use		No Response From Payer		Yes
U:10/8/12	Non-Par	IC005	Government	TX	Medicaid Texas	Institutional	5010A2	All_Use		Claim Level Accept/Reject
U:10/09/2012	Non-Par	IR041	Government	IN	Medicare Indiana	Institutional	5010A2	All_Use	Enrollment	Claim Level Accept/Reject
U: 03/11/2013	Non-Par	CH001	Commercial		Humana Military - Tricare South (formerly 61125)	Institutional	5010A2	All_Use		Claim Level Accept/Reject		Yes		Participating Payer for Tricare South, including AL, AR, FL, GA, LA, MS, OK, SC, TN and East TX.
U: 01/01/2012	Non-Par	27519	Commercial	FL	AMERIGROUP	Institutional	5010A2	All_Use		No Response From Payer		Yes		Formerly - Amerigroup - Florida
U: 01/01/2012	Non-Par	27514	Commercial	TX	AMERIGROUP	Institutional	5010A2	All_Use		No Response From Payer		Yes		Formerly - AMERIGROUP - Ft Worth
U: 01/01/2012	Non-Par	27518	Commercial	IL	AMERIGROUP	Institutional	5010A2	All_Use		No Response From Payer		Yes		Formerly - Amerigroup - Illinois
U: 01/01/2012	Non-Par	27515	Commercial		AMERIGROUP	Institutional	5010A2	All_Use		No Response From Payer		Yes		Formerly - AMERIGROUP - Houston
U: 03/11/2013	Non-Par	25133	Commercial		Coventry Health Care (Formerly Coventry HealthCare USA 25143)	Institutional	5010A2	NPI_Only		Claim Level Accept/Reject		Yes
U: 03/11/2013	Non-Par	25133	Commercial		Coventry Health Care (Formerly Coventry Carenet 25142)	Institutional	5010A2	NPI_Only		Claim Level Accept/Reject		Yes
U: 03/11/2013	Non-Par	25133	Commercial		Coventry Health Care (Formerly Coventry OmniCare 25150)	Institutional	5010A2	NPI_Only		Claim Level Accept/Reject		Yes
U: 03/11/2013	Non-Par	25133	Commercial		Coventry Health Care (Formerly Coventry Diamond Plan 25131)	Institutional	5010A2	NPI_Only		Claim Level Accept/Reject		Yes
U: 03/11/2013	Non-Par	25133	Commercial		Coventry Health Care (Formerly Coventry Carelink Medicaid 25140)	Institutional	5010A2	NPI_Only		Claim Level Accept/Reject		Yes
U: 06/30/2012	Non-Par	12X56	Commercial		Value Options Institutional	Institutional	5010A2	All_Use		Claim Level Accept/Reject
U: 01/01/2012	Non-Par	24735	Commercial		Western Growers Assurance Trust	Institutional	5010A2	All_Use		No Response From Payer
U: 06/30/2012	Non-Par	38265	Commercial		Physicians Care Network (ASR Corporation)	Institutional	5010A2	All_Use		File Level Acknowledgement
U: 03/11/2013	Non-Par	35182	Commercial		CoreSource of AZ, MN	Institutional	5010A2	All_Use		File Level Acknowledgement		Yes

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