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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: 11/15/2012	Trans	HM012	Commercial	WA	Pacificare of Washington - Encounters	Professional	5010A1	NPI_Only	Enrollment	Claim Level Accept/Reject				Please email Encountercollection@optum.com to be setup to submit Encounters
U: 11/15/2012	Trans	HM012	Commercial	AZ	PacifiCare of Arizona - Encounters	Professional	5010A1	NPI_Only	Enrollment	Claim Level Accept/Reject				Please email Encountercollection@optum.com to be setup to submit Encounters
U: 11/15/2012	Trans	HM012	Commercial	OK	PacifiCare of Oklahoma - Encounters	Professional	5010A1	NPI_Only	Enrollment	Claim Level Accept/Reject				Please email Encountercollection@optum.com to be setup to submit Encounters
U: 11/15/2012	Trans	HM012	Commercial	OR	PacifiCare of Oregon - Encounters	Professional	5010A1	NPI_Only	Enrollment	Claim Level Accept/Reject				Please email Encountercollection@optum.com to be setup to submit Encounters
U: 11/15/2012	Trans	HM012	Commercial	TX	PacifiCare of Texas - Encounters	Professional	5010A1	NPI_Only	Enrollment	Claim Level Accept/Reject				Please email Encountercollection@optum.com to be setup to submit Encounters
U: 03/11/2013	Trans	87726	Commercial	WI	Americhoice Wisconsin	Professional	5010A1	All_Use		Claim Level Accept/Reject		Yes
U:04/29/13	Trans	MSI01	Commercial		Midwest Security Administration (MSA)	Professional	5010A1	All_Use		Claim Level Acknowledgement
U:03/19/2012	Trans	77076	Commercial		Network Platinum Plus	Professional	5010A1	NPI_Only		Claim Level Rejects Only
U: 03/11/2013	Trans	37313	Commercial		KBA Assurant Health	Professional	5010A1	All_Use		Claim Level Accept/Reject		Yes
U: 03/11/2013	Trans	37321	Commercial		Key Select	Professional	5010A1	All_Use		No Response From Payer		Yes
U:04/29/13	Trans	MSI01	Commercial		Midwest Security Insurance Company (MSIC)	Professional	5010A1	All_Use		Claim Level Acknowledgement
U:04/29/13	Trans	MSI01	Commercial		Midwester Preferred	Professional	5010A1	All_Use		Claim Level Acknowledgement
U: 03/29/2012	Trans	56215	Commercial		Carolina Behavioral Health Alliance CBHA	Professional	5010A1	All_Use		Claim Level Acknowledgement
U: 03/11/2013	Trans	37217	Commercial		Key Benefit Administrators	Professional	5010A1	All_Use		No Response From Payer		Yes
U: 01/01/2012	Trans	37602	Commercial		All Savers Insurance Co.	Institutional	5010A2	All_Use		No Response From Payer
U: 01/01/2012	Trans	37602	Commercial		All Savers Insurance Co.	Professional	5010A1	All_Use		No Response From Payer		Yes
U: 03/11/2013	Trans	52149	Commercial		Alliance PPO, Inc.	Professional	5010A1	All_Use		Claim Level Accept/Reject		Yes
U: 01/01/2012	Trans	AMS01	Commercial		Alliance Select	Professional	5010A1	All_Use		No Response From Payer
U: 03/11/2013	Trans	FAMR1	Commercial		Caring Program	Institutional	5010A2	All_Use		File Level Acknowledgement		Yes
U: 03/11/2013	Trans	FAMR1	Commercial	SD	AMSI	Institutional	5010A2	All_Use		File Level Acknowledgement		Yes

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