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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
- Once on their website:
- Go to the Search page: https://myportal.dfs.ny.gov/web/guest-applications/ins.-company-search
- In the drop down box for Blank Type:
- Select Health
- In the drop down box for and Domicile:
- Select New York
| 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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