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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: 03/12/2013	Non-Par	SMVI0	Commercial	VI	Medicare - Virgin Island (Part B)	Remittance	4010A1	All_Use	Enrollment
	Non-Par	IR034	Government	TN	Medicare Tennessee (Part A)	Remittance	4010A1	NPI_Only	Enrollment
10/26/11	Non-Par	36320	Commercial	MU	Advocate Heaklth Centers	Remittance	4010A1	All_Use	Enrollment	No Response From Payer
U: 09/21/2011	Non-Par	04332	Commercial		Network Health	Remittance	5010A1	All_Use	Enrollment
A:01/13/2012	Non-Par	BS063	Government	NY	Blue Shield - Central New York	Remittance	5010A1	NPI_Only	Enrollment
U: 03/28/2013	Non-Par	BS049	Government	IN	Blue Shield - Indiana - Anthem	Remittance	4010A1	All_Use	Enrollment					To request ERA for BS049 you must enroll under Payer ID BS051.
A: 12/15/2010	Non-Par	93029	Commercial		PacificSource Health Plan	Remittance	4010A1	All_Use	Enrollment
U:08/17/12	Non-Par	WC001	Commercial		Labor and Industry	Remittance	5010A1	All_Use	Enrollment
U: 09/12/2012	Non-Par	20149	Commercial	OH	Molina Healthcare of Ohio	Remittance	4010A1	All_Use						ERA is no longer available for new providers. However, existing providers will continue to receive ERAs. This transaction will be removed from our Payer List 09/30/2012.
U: 09/12/2012	Non-Par	38333	Commercial	CA	Molina Healthcare of California	Remittance	4010A1	All_Use						ERA is no longer available for new providers. However, existing providers will continue to receive ERAs under Payer ID 20149 as always. This transaction will be removed from our Payer List 09/30/2012.
U: 09/12/2012	Non-Par	20554	Commercial	TX	Molina Healthcare of Texas	Remittance	5010A1	All_Use						ERA is no longer available for new providers. However, existing providers will continue to receive ERAs under Payer ID 20149 as always. This transaction will be removed from our Payer List 09/30/2012.
U: 09/12/2012	Non-Par	NM505	Commercial	NM	Molina Healthcare of New Mexico	Remittance	4010A1	All_Use						ERA is no longer available for new providers. However, existing providers will continue to receive ERAs under Payer ID 20149 as always. This transaction will be removed from our Payer List 09/30/2012.
U: 09/12/2012	Non-Par	38334	Commercial	MI	Molina Healthcare of Michigan	Remittance	4010A1	All_Use						ERA is no longer available for new providers. However, existing providers will continue to receive ERAs under Payer ID 20149 as always. This transaction will be removed from our Payer List 09/30/2012.
U: 09/12/2012	Non-Par	38336	Commercial	WA	Molina Healthcare of Washington	Remittance	4010A1	All_Use						ERA is no longer available for new providers. However, existing providers will continue to receive ERAs under Payer ID 20149 as always. This transaction will be removed from our Payer List 09/30/2012.
U: 09/19/2011	Non-Par	SVH01	Commercial	MU	Sanford Health Plan	Remittance	4010A1	All_Use	Enrollment
A: 11/05/2012	Non-Par	CH001	Government		Humana Military - Tricare South (formerly 61125)	Remittance	4010A1 and 5010A1	All_Use	Enrollment
U: 10/24/2012	Non-Par	HPSM1	Commercial	MU	Health Plan Of San Mateo	Remittance	5010A1	All_Use
U: 11/26/2012	Non-Par	62160	Commercial	GA	MedSolutions, Inc. Of Georgia	Remittance	4010A1		Enrollment
U: 12/05/2012	Non-Par	CLA11	Commercial	LA	Community Health Solutions	Remittance	5010A1	All_Use	Enrollment
U: 12/03/2012	Non-Par	SX106	Commercial		Public Employees Health Program	Remittance	4010A1	All_Use	Enrollment

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