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LIST OF PAYERS

Payer IDPayer NameFormClaim TypeState
NVMCHCPX12 HCFA-1500MedicareNV
MIMCUGBX12*** FOR GHN USE ONLY *** OAKLAND ***UB92MedicareMI
131621199 National Benefit FundAmbulanceCommercial 
131621199 National Benefit FundHCFA-1500Commercial 
131621199 National Benefit FundUB92Commercial 
95241A.G.I.A., Inc.AmbulanceCommercial 
95241A.G.I.A., Inc.HCFA-1500Commercial 
95241A.G.I.A., Inc.UB92Commercial 
75185AAG American Administravie GroupUB92Commercial 
75185AAG American Administravie GroupHCFA-1500Commercial 
AAI01AAI - ASSOCIATED ADMINISTRATORS INCHCFA-1500Blue Cross / Blue Shield 
AAI01AAI - ASSOCIATED ADMINISTRATORS INCUB92Blue Cross / Blue Shield 
48185ABC Health PlanAmbulanceCommercial 
48185ABC Health PlanHCFA-1500Commercial 
48185ABC Health PlanUB92Commercial 
AHS01Access AdministratorsAmbulanceCommercial 
AHS01ACCESS ADMINISTRATORSDentalCommercial 
AHS01Access AdministratorsHCFA-1500Commercial 
AHS01ACCESS ADMINISTRATORSUB92Commercial 
64071AcclaimAmbulanceCommercial 

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