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Appendix K-Payer IDs for Commercial Insurance and Other Payers

The following web address can be used to identify a variety of payers (commercial insurance companies, Medicaid FFS, Medicare FFS) for submitting "Payer ID" information in your SPARCS data files. The New York State Department of Financial Services maintains an Insurance company search feature on their website at: http://www.dfs.ny.gov/insurance/dfs_insurance.htm

MISCELLANEOUS
In addition to the codes above, the following codes may be used where appropriate:

Other Payers

Company Number
Accident Liability Insurance 98918
Hill Burton Free Care 98912
Self Insured Union Membership Coverage 98914
Medicaid Fee-for-Service 98899
Medicare Fee-for-Service 98989
Commercial Other (Default) 98999

Historical Codes


Health Maintenance Organizations
DOH
Number
NAIC or Ins Dept
Number
Aetna Health Plans of New York, Inc. 95234
AmeriHealth Health Plan, Inc. 95768
Americhoice of New York, Inc. 95475
Atlantis Health Plan, Inc. 52624
Blue Choice X0164
Capital Area Community Health Plan, Inc. 96725
Capital District Physicians Health Plan 95491
CHP/Hudson Valley Region X0171
Chubbhealth, Inc. 95243
CIGNA Healthcare of New York, Inc. 95488
Community Blue X0167
Elderplan, Inc. 95662
Empire Blue Cross and Blue Shield Healthnet 55115
Empire HealthChoice HMO, Inc. 95433
Excellus Health Plan X4289
GHI HMO Select, Inc. 95835
Health Care Plan, Inc. X0065
Health Net of New York, Inc. 95305
Health Services Medical Corporation of Central New York X0170
HealthSource HMO of NY, Inc. 95474
HIP Health Maintenance Organization X0172
HMO Blue X0163
HMO - CNY, Inc. X0240
Horizon Healthcare of New York, Inc. 95854
Independent Health Association, Inc. 95308
Kaiser Foundation Health Plan of New York X0174
MagnaHealth of New York, Inc. 95640
Managed Health Inc. 95284
MDNY Healthcare, Inc. 95476
Metra Health Care Plan of Upstate NY, Inc. X0185
Metroplus Health Plan X0176
Mohawk Valley Physicians' Health Plan, Inc. X0178
MVP Health Plan, Inc. 95521
North Medical Community Health Plan, Inc. 95480
NYLCare Health Plans of NY, Inc. X0234
Oxford Health Plans of New York 95479
Prucare of New York 95041
Rochester Area HMO, Inc. 11602
United Healthcare of New York, Inc. 95085
Vytra Health Plans Long Island, Inc. 95333
Wellcare of New York, Inc. 95534

Prepaid Health Service Plans

(Medicaid Managed Care)


Plan Name
DOH
Number
NAIC or Ins Dept
Number
ABC Health Plan Y1018
Better Health Plan, Inc. Y1008
Bronx PHSP Y1001
Care Plus Y1019
Catholic Health Services of Brooklyn/Queens Y1007
Center Care, Inc. Y1005
Community Choice Health Plan of Westchester, Inc. Y1014 95475
Compre-Care, Inc. Y1003
Genesis Healthplan, Inc. Y1009
Healthfirst PHSP, Inc. Y1010
Healthplus Y1011
Hudson Health Plan Y1004
Managed Healthcare Systems of New York, Inc. Y1006
Neighborhood Health Providers Y1016
NY Hospital CHP Y1017
SCHC Total Care Y1002
St. Barnabas Community Health Plan Y1015
Suffolk Health Plan Y1012
Universal Health Plan Y1013

Revised 07/2011

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