Config

Local Dev Friday, Feb 20

Configuration

View and edit location, provider, and payer mappings

credit_card

Payer Mappings

Payer Name	Base Type	Account	Override	Notes
5Star Life Insurance Company	Private Ins	41003	nan	nan
90 Degree Benefits / Cap Rock Health	Private Ins	41003	nan	nan
90 DEGREES BENEFIT	Private Ins	41003	nan	nan
90 Degrees Benefits	Private Ins	41003	nan	nan
AARP / UHC WEST	Medicare	41002	nan	nan
AARP Health Care Options	Private Ins	41003	nan	nan
AARP MC SUPP	Private Ins	41003	nan	nan
AARP Medicare Advantage-welm2	Medicare	41002	nan	nan
AARP Medicare Complete by SecureHorizons	Medicare	41002	nan	nan
Aarp United Health Division	Medicare	41002	nan	nan
ABC-PHCS	Private Ins	41003	nan	nan
Administrative Concepts Inc	Private Ins	41003	nan	nan
Administrative Concepts, Inc.	Private Ins	41003	nan	nan
AETNA	Private Ins	41003	nan	nan
Aetna Better Health / Medicaid	Medicaid	41001	nan	nan
Aetna Better Health Chip	Private Ins	41003	nan	nan
Aetna Better Health Chip Perinate	Private Ins	41003	nan	nan
Aetna Better Health Medicaid Star	Medicaid	41001	nan	nan
Aetna- Foreign Service Benefit Plan	Private Ins	41003	nan	nan
Aetna Health Plans	Private Ins	41003	nan	nan
Aetna HMO	Private Ins	41003	nan	nan
Aetna HMO Gold S	Private Ins	41003	nan	nan
Aetna HMO Silver S	Private Ins	41003	nan	nan
Aetna Medicaid	Medicaid	41001	nan	nan
Aetna Medicare	Medicare	41002	nan	nan
Aetna Medicare Hmo	Medicare	41002	nan	nan
Aetna PPO	Private Ins	41003	nan	nan
AETNA PRIME MEDICARE	Medicare	41002	nan	nan
Aetna Senior Supplemental Insurance	Private Ins	41003	nan	nan
Aetna Texas Health	Private Ins	41003	nan	nan
Aetna Voluntary	Private Ins	41003	nan	nan
AETNA-AETNA	Private Ins	41003	nan	nan
AETNA-Aetna Medicare	Medicare	41002	nan	nan
Aither Health Multiplan	Private Ins	41003	nan	nan
All Savers Insurance United Healthcare	Private Ins	41003	nan	nan
All Savers Insurance UnitedHealthOne	Private Ins	41003	nan	nan
Allegiance Benefit Plan Mngmt	Private Ins	41003	nan	nan
Allegiance Cigna Company	Private Ins	41003	nan	nan
Allied Benefit Systems LLC	Private Ins	41003	nan	nan
Allied Benefit Systems, Inc.	Private Ins	41003	nan	nan
Allied Benefit Systems, LLC	Private Ins	41003	nan	nan
Allied Benefits Systems Inc,	Private Ins	41003	nan	nan
Allied National	Private Ins	41003	nan	nan
Allied National Global Care	Private Ins	41003	nan	nan
Ambetter Superior EPO	Private Ins	41003	nan	nan
Ambetter Superior Health Plan HMO	Private Ins	41003	nan	nan
Ambetter Superior HMO	Private Ins	41003	nan	nan
America's Choice Healthplans	Private Ins	41003	nan	nan
Amerigroup	Medicaid	41001	nan	nan
Amerigroup Chip Perinate	Medicaid	41001	nan	nan
AMERIGROUP STAR KIDS	Medicaid	41001	nan	nan
AMERIGROUP-AMERIGROUP	Medicaid	41001	nan	nan
AMERIGROUP-Amerigroup Chip	Medicaid	41001	nan	nan
Amerigroup-CHIP PERINATE	Medicaid	41001	nan	nan
AmeriHealth New Jersey Claims Recipt Center	Medicare	41002	nan	nan
AMERIVANTAGE	Medicare	41002	nan	nan
Amfirst-Amfirst	Private Ins	41003	nan	nan
APWU Health Plan Cigna	Private Ins	41003	nan	nan
ASR HEALTH BENEFITS	Private Ins	41003	nan	nan
ASRM	Private Ins	41003	nan	nan
Assured Benefits Admin	Private Ins	41003	nan	nan
Auxiant	Private Ins	41003	nan	nan
Bankers L and Casualty MCSupp	Medicare	41002	nan	nan
Baylor Scott & White	Private Ins	41003	nan	nan
Baylor Scott and White	Private Ins	41003	nan	nan
BCBS	Private Ins	41003	nan	nan
BCBS Blue Advantage HMO	Private Ins	41003	nan	nan
BCBS MY BLUE HEALTH	Private Ins	41003	nan	nan
BCBS of Texas	Private Ins	41003	nan	nan
BCBS OF TEXAS HMO	Private Ins	41003	nan	nan
BCBS OF TEXAS PPO	Private Ins	41003	nan	nan
BCBS TEAM CARE	Private Ins	41003	nan	nan
Beazley c/o The Loomis Company	Private Ins	41003	nan	nan
Benefit Administrative Systems LLC	Private Ins	41003	nan	nan
Benefit Management Services	Private Ins	41003	nan	nan
BENEFITS IN A CARD	Private Ins	41003	nan	nan
Bind	Private Ins	41003	nan	nan
Bind Benefits	Private Ins	41003	nan	nan
Blue Cross Blue Shield-BC/BS of Texas	Private Ins	41003	nan	nan
Blue Cross Blue Shield-Health Select	Private Ins	41003	nan	nan
Blue Cross Blue Shield-HMO Blue	Private Ins	41003	nan	nan
Blue Cross Medicare Adv	Private Ins	41003	nan	nan
Blue Cross Medicare Advantage	Medicare	41002	nan	nan
BLUE HPN EPO	Private Ins	41003	nan	nan
BlueCross & BlueShield Texas	Private Ins	41003	nan	nan
BlueCross BlueShield of Texas	Private Ins	41003	nan	nan
BlueCross BlueShield of Texas HMO	Private Ins	41003	nan	nan
Boomy Health	Private Ins	41003	nan	nan
Boon Chapman Benefit Admin Emc	Private Ins	41003	nan	nan
Boon Chapman-Boon Chapman	Private Ins	41003	nan	nan
Boon-Chapman	Private Ins	41003	nan	nan
Boon-Chapman Administrators Inc.	Private Ins	41003	nan	nan
Bright Healthcare	Private Ins	41003	nan	nan
BSW / UHC Shared Services	Private Ins	41003	nan	nan
Care n Care	Private Ins	41003	nan	nan
Carefirst Administrators	Private Ins	41003	nan	nan
Catalyst Health Group	Private Ins	41003	nan	nan
Central States Health & Life Co. of Omaha	Private Ins	41003	nan	nan
Champ VA	Private Ins	41003	nan	nan
Champ VA-Champ VA	Private Ins	41003	nan	nan
Christian Brothers Services	Private Ins	41003	nan	nan
Cielostar	Private Ins	41003	nan	nan
Cigna	Private Ins	41003	nan	nan
Cigna Great West Healthcare	Private Ins	41003	nan	nan
Cigna / Accent	Private Ins	41003	nan	nan
Cigna Chat Ppo	Private Ins	41003	nan	nan
CIGNA EMI HEALTH	Private Ins	41003	nan	nan
Cigna Great West	Private Ins	41003	nan	nan
Cigna HealthSpring	Private Ins	41003	nan	nan
Cigna HMO	Private Ins	41003	nan	nan
Cigna HMO Texas Connect	Private Ins	41003	nan	nan
Cigna Insurance Management Services	Private Ins	41003	nan	nan
Cigna Local Plus	Private Ins	41003	nan	nan
Cigna Medicare	Medicare	41002	nan	nan
Cigna Medicare Supplement	Medicare	41002	nan	nan
Cigna NALC	Private Ins	41003	nan	nan
Cigna PPO	Private Ins	41003	nan	nan
Cigna PPO PBA TPA	Private Ins	41003	nan	nan
Cigna Preferred Saving Medicare	Medicare	41002	nan	nan
Cigna True Choice Medicare	Medicare	41002	nan	nan
Cigna-Cigna	Private Ins	41003	nan	nan
Cigna-Cigna Medicare	Medicare	41002	nan	nan
COEUR	Private Ins	41003	nan	nan
Concierge	Private Ins	41003	nan	nan
Concierge Benefit Service	Private Ins	41003	nan	nan
Consociate Group	Private Ins	41003	nan	nan
Cook Children Chip Perinate	Private Ins	41003	nan	nan
Cook Childrens Star Medicaid	Medicaid	41001	nan	nan
Cooks Children Chip Perinate	Private Ins	41003	nan	nan
Cooks Childrens Star Medicaid	Medicaid	41001	nan	nan
CoreSource of Indiana & North Carolina	Private Ins	41003	nan	nan
Curative PPO	Private Ins	41003	nan	nan
Detego Health	Private Ins	41003	nan	nan
DONOT USE Southwestern Health Resources	Medicare	41002	nan	nan
EBMS	Private Ins	41003	nan	nan
Edison Health Solutions	Private Ins	41003	nan	nan
Emblem Health Plan	Private Ins	41003	nan	nan
EMI	Private Ins	41003	nan	nan
EMI Health	Private Ins	41003	nan	nan
Entrust Claims Team	Private Ins	41003	nan	nan
Entrust First Health	Private Ins	41003	nan	nan
FHWC 90 Degree Benefits	Private Ins	41003	nan	nan
FHWC AARP Medicare Advantage-welm2	Medicare	41002	nan	nan
FHWC AARP Medicare Adv-welm2	Medicare	41002	nan	nan
FHWC ABC-PHCS/FREEDOM LIFE	Private Ins	41003	nan	nan
FHWC Administrative Concepts, Inc.	Private Ins	41003	nan	nan
FHWC Aetna	Private Ins	41003	nan	nan
FHWC Aetna Texas Health	Private Ins	41003	nan	nan
FHWC All Savers Insurance United Healthcare	Private Ins	41003	nan	nan
FHWC Assured Benefits Administrators	Private Ins	41003	nan	nan
FHWC Auxiant	Private Ins	41003	nan	nan
FHWC Baylor Scott & White	Private Ins	41003	nan	nan
FHWC Baylor Scott and White	Private Ins	41003	nan	nan
FHWC Beazley c/o The Loomis Company	Private Ins	41003	nan	nan
FHWC Benefit Administrative Systems	Private Ins	41003	nan	nan
FHWC BENEFITS IN A CARD	Private Ins	41003	nan	nan
FHWC Bind Benefits	Private Ins	41003	nan	nan
FHWC Blue Cross Medicare Advantage	Private Ins	41003	nan	nan
FHWC Catalyst Health Group	Private Ins	41003	nan	nan
FHWC Cigna	Private Ins	41003	nan	nan
FHWC Cigna True Choice Medicare	Medicare	41002	nan	nan
FHWC CoreSource of Indiana & North Carolina	Private Ins	41003	nan	nan
FHWC EBMS	Private Ins	41003	nan	nan
FHWC EMI	Private Ins	41003	nan	nan
FHWC EMI Health	Private Ins	41003	nan	nan
FHWC Entrust Claims Team	Private Ins	41003	nan	nan
FHWC First Health- Fringe Benefit Group	Private Ins	41003	nan	nan
FHWC First Health Network	Private Ins	41003	nan	nan
FHWC GPA	Private Ins	41003	nan	nan
FHWC GPA CIGNA	Private Ins	41003	nan	nan
FHWC Great West	Private Ins	41003	nan	nan
FHWC HealthEz	Private Ins	41003	nan	nan
FHWC Healthsmart	Private Ins	41003	nan	nan
FHWC Humana Care Plan	Private Ins	41003	nan	nan
FHWC ImagineHealth	Private Ins	41003	nan	nan
FHWC IMS/PHCS	Private Ins	41003	nan	nan
FHWC Insurance Benefit Administrators c/o Zelis	Private Ins	41003	nan	nan
FHWC Insurance Management Services	Private Ins	41003	nan	nan
FHWC International Benefits Administrators	Private Ins	41003	nan	nan
FHWC Liberty Healthshare	Private Ins	41003	nan	nan
FHWC Manhattan Life Assurance	Private Ins	41003	nan	nan
FHWC Medica - UHC	Private Ins	41003	nan	nan
FHWC Medical Mutual of Ohio	Private Ins	41003	nan	nan
FHWC Meritain Health	Private Ins	41003	nan	nan
FHWC Multiplan	Private Ins	41003	nan	nan
FHWC National General Accident & Health	Private Ins	41003	nan	nan
FHWC Oxford Health Plan	Private Ins	41003	nan	nan
FHWC Pacific Source Health Plans	Private Ins	41003	nan	nan
FHWC PHCS	Private Ins	41003	nan	nan
FHWC PHCS MediShare	Private Ins	41003	nan	nan
FHWC PHCS/ United National INS	Private Ins	41003	nan	nan
FHWC PreferredOne Administrative Services	Private Ins	41003	nan	nan
FHWC SBMA	Private Ins	41003	nan	nan
FHWC Scott & White Health Plan	Private Ins	41003	nan	nan
FHWC Simplan	Private Ins	41003	nan	nan
FHWC SS Health	Private Ins	41003	nan	nan
FHWC Tall Tree Administrators PHCS	Private Ins	41003	nan	nan
FHWC The Loomis Company	Private Ins	41003	nan	nan
FHWC Trustmark Small Business Benefits-Claims	Private Ins	41003	nan	nan
FHWC Tufts Health Plan	Private Ins	41003	nan	nan
FHWC UFCW MED- 100	Private Ins	41003	nan	nan
FHWC UHC Global	Private Ins	41003	nan	nan
FHWC UHC Medicare Solutions Care Improvement	Medicare	41002	nan	nan
FHWC Unified Life Insurance Company	Private Ins	41003	nan	nan
FHWC United Health One	Private Ins	41003	nan	nan
FHWC United Healthcare	Private Ins	41003	nan	nan
FHWC United Medical Resources UMR - Onalaska	Private Ins	41003	nan	nan
FHWC UnitedHealthcare Student Resources	Private Ins	41003	nan	nan
FHWC Web TPA PHCS	Private Ins	41003	nan	nan
FHWC Wellmed	Medicare	41002	nan	nan
First Health- Fringe Benefit Group	Private Ins	41003	nan	nan
First Health Network	Private Ins	41003	nan	nan
First Health-Fringe Benefits Group	Private Ins	41003	nan	nan
First Health-Philadelphia American Life	Private Ins	41003	nan	nan
Freedom Life Ins / UMR	Private Ins	41003	nan	nan
Freedom Life Insurance Company	Private Ins	41003	nan	nan
Friday Health Plans	Private Ins	41003	nan	nan
Friday Silver	Private Ins	41003	nan	nan
Fringe Benefit Group	Private Ins	41003	nan	nan
Fringe Benefits Admin.	Private Ins	41003	nan	nan
Galaxy Health Network-Galaxy Health Network	Private Ins	41003	nan	nan
GEHA / Uhc Choice Plus	Private Ins	41003	nan	nan
Global Care, Inc.	Private Ins	41003	nan	nan
Golden Rule	Private Ins	41003	nan	nan
Golden Rule Insurance Company	Private Ins	41003	nan	nan
GPA	Private Ins	41003	nan	nan
GPA CIGNA	Private Ins	41003	nan	nan
Gpa Group And Pension	Private Ins	41003	nan	nan
Gravie Administrative Services	Private Ins	41003	nan	nan
Great American Life	Private Ins	41003	nan	nan
Great West Cigna (PPO)	Private Ins	41003	nan	nan
Group and Pension Adm.	Private Ins	41003	nan	nan
Group and Pension Administrators, Inc.	Private Ins	41003	nan	nan
Gulf Guaranty Health	Private Ins	41003	nan	nan
Health 2 Business	Private Ins	41003	nan	nan
HEALTH EZ	Private Ins	41003	nan	nan
Health First PHCS	Private Ins	41003	nan	nan
Health Partners	Private Ins	41003	nan	nan
Health Plans Inc (HPI)	Private Ins	41003	nan	nan
Health Proff	Medicare	41002	nan	nan
Health Scope Benefits	Private Ins	41003	nan	nan
Health Spring-Health Spring	Private Ins	41003	nan	nan
HealthEz	Private Ins	41003	nan	nan
Healthfirst	Private Ins	41003	nan	nan
Healthfirst TPA	Private Ins	41003	nan	nan
HealthPartners Cigna	Private Ins	41003	nan	nan
HealthPLan Inc/PHCS	Private Ins	41003	nan	nan
HealthSCOPE Benefits	Private Ins	41003	nan	nan
Healthsmart	Private Ins	41003	nan	nan
HEALTHSMART BENEFIT SOLUTIONS	Private Ins	41003	nan	nan
HealthSmart Preferred Care Inc	Private Ins	41003	nan	nan
Humana	Private Ins	41003	nan	nan
Humana Care Plan	Private Ins	41003	nan	nan
Humana Choice Mdcr PPO	Medicare	41002	nan	nan
Humana Gold Mdcr HMO	Private Ins	41003	nan	nan
Humana Gold Plus	Private Ins	41003	nan	nan
Humana Gold Plus HMO	Medicare	41002	nan	nan
Humana Medicare Adv PPO	Medicare	41002	nan	nan
Humana Medicare Supplement	Medicare	41002	nan	nan
Humana Ppo	Private Ins	41003	nan	nan
Humana-Humana	Private Ins	41003	nan	nan
Humana-Humana Gold Plus	Medicare	41002	nan	nan
IBA-Multiplan	Private Ins	41003	nan	nan
Imagine 360	Private Ins	41003	nan	nan
ImagineHealth	Private Ins	41003	nan	nan
IMS/PHCS	Private Ins	41003	nan	nan
Insurance Benefit Administrators c/o Zelis	Private Ins	41003	nan	nan
Insurance Management Services	Private Ins	41003	nan	nan
Insurance TPA	Private Ins	41003	nan	nan
Integra	Private Ins	41003	nan	nan
International Benefits Administrators	Private Ins	41003	nan	nan
Kaiser Permanete of Washington	Medicare	41002	nan	nan
Keenan	Private Ins	41003	nan	nan
Keenan-Keenan	Private Ins	41003	nan	nan
Key Benefit Administrators	Private Ins	41003	nan	nan
Key Solution	Private Ins	41003	nan	nan
Liberty Healthshare	Private Ins	41003	nan	nan
Loomis Company	Private Ins	41003	nan	nan
Lucent Health	Private Ins	41003	nan	nan
Luminare Health	Private Ins	41003	nan	nan
Manhattan Life Assurance	Private Ins	41003	nan	nan
Manhattan Life Insurance	Private Ins	41003	nan	nan
Marpai	Private Ins	41003	nan	nan
Marpai Health	Private Ins	41003	nan	nan
Medica - UHC	Private Ins	41003	nan	nan
Medicaid	Medicaid	41001	nan	nan
Medicaid-Aetna Medicaid	Medicaid	41001	nan	nan
Medicaid-Healthy Texas Womens	Medicaid	41001	nan	nan
Medicaid-HTW	Medicaid	41001	nan	nan
Medicaid-Medicaid	Medicaid	41001	nan	nan
Medical Bill Repricer MBR claims	Private Ins	41003	nan	nan
Medicare	Medicare	41002	nan	nan
Medicare-Medicare	Medicare	41002	nan	nan
Medishare	Private Ins	41003	nan	nan
Medi-Share	Private Ins	41003	nan	nan
Medi-Share / Chistian Care Ministry	Private Ins	41003	nan	nan
Medi-Share PHCS	Private Ins	41003	nan	nan
Merchant Benefits Admin	Private Ins	41003	nan	nan
Meritain Health	Private Ins	41003	nan	nan
Meritain Health Corporate Bene	Private Ins	41003	nan	nan
Meritain Health Minneapolis	Private Ins	41003	nan	nan
Molina	Medicaid	41001	nan	nan
Molina Chip	Private Ins	41003	nan	nan
Molina Chip Perinate	Medicaid	41001	nan	nan
Molina Marketplace	Private Ins	41003	nan	nan
Molina Medicaid	Medicaid	41001	nan	nan
Molina Medicare Advantage Plan	Medicare	41002	nan	nan
Molina-Molina Market Place	Medicaid	41001	nan	nan
Molina-Molina Medicaid	Medicaid	41001	nan	nan
Multiplan	Private Ins	41003	nan	nan
Mutual Of Omaha MC Supp	Medicare	41002	nan	nan
MVP HEALTH SERVICES CORP	Private Ins	41003	nan	nan
National General Accident & Health	Private Ins	41003	nan	nan
NAVIA-MEC	Private Ins	41003	nan	nan
Nexcaliber	Private Ins	41003	nan	nan
Nippon Life Insurance Co	Private Ins	41003	nan	nan
No Insurance Listed	Self Pay	41004	nan	nan
No Insurance Plan	Self Pay	41004	nan	nan
NTTC	Private Ins	41003	nan	nan
OSCAR	Private Ins	41003	nan	nan
Oxford Health Plan	Private Ins	41003	nan	nan
PAI	Private Ins	41003	nan	nan
Pan American Life Ins. Co.	Medicare	41002	nan	nan
Pan-American Life-Pan-American Life	Self Pay	41004	nan	nan
Panamerican PALIC	Private Ins	41003	nan	nan
Parkland	Medicaid	41001	nan	nan
Parkland Chip Perinate	Medicaid	41001	nan	nan
Parkland Kids First	Medicaid	41001	nan	nan
Parkland-Parkland	Medicaid	41001	nan	nan
Parkland-Parkland Chip	Medicaid	41001	nan	nan
Patient	Self Pay	41004	nan	nan
Personify Health	Private Ins	41003	nan	nan
PHCS	Private Ins	41003	nan	nan
PHCS (Multiplan)	Private Ins	41003	nan	nan
PHCS MediShare	Private Ins	41003	nan	nan
PHCS Medwatch	Private Ins	41003	nan	nan
PHCS/United National INS	Private Ins	41003	nan	nan
PHCS-Fringe Benefit Group/ FBG	Private Ins	41003	nan	nan
Philadelphia American Life Ins	Private Ins	41003	nan	nan
Philadelphia American Life Insurance	Private Ins	41003	nan	nan
Physicians Mutual Ins Co	Private Ins	41003	nan	nan
Planned Administrators, Inc-Limited Benefits Plan	Private Ins	41003	nan	nan
Point Comfort Underwriters	Private Ins	41003	nan	nan
PREFERRED BENEFIT ADMINISTRATORS	Private Ins	41003	nan	nan
PreferredOne Administrative Services	Private Ins	41003	nan	nan
Principal Life Insurance Company	Private Ins	41003	nan	nan
Priority Health	Private Ins	41003	nan	nan
Redirect Adminstrators	Private Ins	41003	nan	nan
Redirect Health	Private Ins	41003	nan	nan
Regional Care	Private Ins	41003	nan	nan
Regional Care Inc.	Private Ins	41003	nan	nan
Reliance Standard / ASRM	Private Ins	41003	nan	nan
RightCare from Scott and White Health Plan	Private Ins	41003	nan	nan
RightCare Medicaid from Scott and White	Medicaid	41001	nan	nan
S S Health	Private Ins	41003	nan	nan
Sana Benefits	Private Ins	41003	nan	nan
SBMA	Private Ins	41003	nan	nan
Scott & White Health Plan	Private Ins	41003	nan	nan
Select Benefits Administrators of America	Private Ins	41003	nan	nan
SELF PAY	Self Pay	41004	nan	nan
Simplan	Private Ins	41003	nan	nan
Sisco	Private Ins	41003	nan	nan
SOLIDARITY HEALTHSHARE	Private Ins	41003	nan	nan
South West Service Life Insurance	Private Ins	41003	nan	nan
Southern Guaranty Insurance Company	Private Ins	41003	nan	nan
Southwest Service Life Ft	Private Ins	41003	nan	nan
Southwestern Health Resources	Medicare	41002	nan	nan
Starmark	Private Ins	41003	nan	nan
Starmark-Starmark	Private Ins	41003	nan	nan
Student resources	Private Ins	41003	nan	nan
Superior	Medicaid	41001	nan	nan
Superior Chip Perinate	Private Ins	41003	nan	nan
Superior Health Medicaid	Medicaid	41001	nan	nan
Superior Health-Superior Health	Private Ins	41003	nan	nan
Superior Medicaid	Medicaid	41001	nan	nan
Superior Medicare MMP	Medicare	41002	nan	nan
Superior MMP	Medicare	41002	nan	nan
Surest UHC	Private Ins	41003	nan	nan
SYMETRA	Private Ins	41003	nan	nan
SYNETRA	Private Ins	41003	nan	nan
THE BENEFIT GROUP	Private Ins	41003	nan	nan
The Focus Plan/Centivo	Private Ins	41003	nan	nan
The Health Plan	Private Ins	41003	nan	nan
The Loomis Company	Private Ins	41003	nan	nan
Thrivent Financial	Private Ins	41003	nan	nan
Tricare East	Private Ins	41003	nan	nan
TRICARE EAST REGION	Private Ins	41003	nan	nan
Tricare South Region-Tricare	Private Ins	41003	nan	nan
Tricare South Region-Tricare East Region	Private Ins	41003	nan	nan
Tricare South Region-Tricare for Life	Private Ins	41003	nan	nan
TRICARE/TRIWEST MILITARY	Private Ins	41003	nan	nan
Trinity Captive Group	Private Ins	41003	nan	nan
TriWest VA CCN	Private Ins	41003	nan	nan
Trustmark Health Benefits	Private Ins	41003	nan	nan
Trustmark Small Business Benefits-Claims	Private Ins	41003	nan	nan
Tufts Health Plan	Private Ins	41003	nan	nan
UFCW MED-100	Private Ins	41003	nan	nan
UHC	Private Ins	41003	nan	nan
UHC ALL SAVERS	Private Ins	41003	nan	nan
UHC ALLSAVERS	Private Ins	41003	nan	nan
UHC CHOICE	Private Ins	41003	nan	nan
UHC Choice EPO	Private Ins	41003	nan	nan
UHC CHOICE PLUS	Private Ins	41003	nan	nan
UHC Community Plan Medicaid	Medicaid	41001	nan	nan
UHC DSNP	Medicare	41002	nan	nan
UHC Dual Complete HMO-POS D-SNP	Private Ins	41003	nan	nan
UHC EPO MHS PLAN	Private Ins	41003	nan	nan
UHC GLOBAL	Private Ins	41003	nan	nan
UHC HMO BRONZE	Private Ins	41003	nan	nan
UHC HMO GOLD	Private Ins	41003	nan	nan
UHC HMO SILVER	Private Ins	41003	nan	nan
UHC HMOPOS D-Snp	Private Ins	41003	nan	nan
UHC MEDICAL CHOICE PASSPORT	Private Ins	41003	nan	nan
UHC MEDICARE SOLUTIONS CARE IMPROVEMENT	Medicare	41002	nan	nan
UHC Medicare TRS	Medicare	41002	nan	nan
UHC PPO	Private Ins	41003	nan	nan
UHC PPO D-Snp	Medicare	41002	nan	nan
UHC PPO MEDICARE	Private Ins	41003	nan	nan
UHC Shared Services	Private Ins	41003	nan	nan
UHC Silver D	Private Ins	41003	nan	nan
UHC-Southwestern Health Resources	Private Ins	41003	nan	nan
UHC-UHC	Private Ins	41003	nan	nan
UHC-UHC DUAL COMPLETE	Private Ins	41003	nan	nan
UHC-UHC Intergrated	Private Ins	41003	nan	nan
UHC-UHC West	Private Ins	41003	nan	nan
UMR	Private Ins	41003	nan	nan
Unified Life Insurance Company	Private Ins	41003	nan	nan
United American Ins Co MC Supp	Medicare	41002	nan	nan
United Healtcare	Private Ins	41003	nan	nan
United Health Care	Private Ins	41003	nan	nan
United Health Care Medicare So	Medicare	41002	nan	nan
United Health Care One	Private Ins	41003	nan	nan
United Health One	Private Ins	41003	nan	nan
United Healthcare	Private Ins	41003	nan	nan
United Healthcare Medicare Advantage	Medicare	41002	nan	nan
United Healthcare PPO	Private Ins	41003	nan	nan
United Medical Recources-UMR	Private Ins	41003	nan	nan
United Medical Resources	Private Ins	41003	nan	nan
United Medical Resources UMR - Onalaska	Private Ins	41003	nan	nan
United World Life Insurance Co	Private Ins	41003	nan	nan
Unitedhealth Care Choice Epo	Private Ins	41003	nan	nan
UnitedHealth Integrated Service - former	Private Ins	41003	nan	nan
UnitedHealthcare	Private Ins	41003	nan	nan
UnitedHealthcare Medicare Silver	Medicare	41002	nan	nan
UnitedHealthcare Shared Services	Private Ins	41003	nan	nan
UnitedHealthcare Student Resources	Private Ins	41003	nan	nan
USAA Life Ins	Private Ins	41003	nan	nan
Value Health Administrators	Private Ins	41003	nan	nan
Vault Admin Services	Private Ins	41003	nan	nan
Web Tpa Ecom Phcs	Private Ins	41003	nan	nan
Web TPA Multiplan	Private Ins	41003	nan	nan
Web TPA PHCS	Private Ins	41003	nan	nan
Web Tpa-Web TPA	Private Ins	41003	nan	nan
WebTPA - Healthcare Highways	Private Ins	41003	nan	nan
Well Care-Well Care	Medicare	41002	nan	nan
Well Med	Medicare	41002	nan	nan
Wellcare	Medicare	41002	nan	nan
WELLMED	Medicare	41002	nan	nan
Wellmed Medical	Private Ins	41003	nan	nan
Wellpoint Advantage	Medicare	41002	nan	nan
Wellpoint Advantage IntegraNet	Medicaid	41001	nan	nan
Wellpoint Amerigroup Star	Medicaid	41001	nan	nan
Wellpoint Chip	Medicaid	41001	nan	nan
Wellpoint Chip Perinate	Medicaid	41001	nan	nan
Wellpoint HMO Bronze	Private Ins	41003	nan	nan
Wellpoint HMO Gold	Private Ins	41003	nan	nan
Wellpoint HMO Silver	Private Ins	41003	nan	nan
Wellpoint Star	Medicaid	41001	nan	nan
Wellpoint Star Kids	Medicaid	41001	nan	nan
Zion Health	Private Ins	41003	nan	nan

location_on

Location Mappings

Facility (Raw)	Location Code	Location Name	Clinic Group
001 Bishop	0001 - Bishop	Bishop	WSC
002 Samuell	0002 - Samuell	Samuell	WSC
Hospital WSC	Hospital WSC	Hospital WSC	WSC
005 Galloway	0005 - Galloway	Galloway	Galloway
Hospital Galloway	Hospital Galloway	Hospital Galloway	Galloway
006 Arlington	0007 - Interstate20	Interstate20	I20
Hospital Arlington	Hospital Arlington	Hospital Arlington	I20
004 Merit	0004 - Merit	Merit	Merit
008 MFM-Merit-JW	0009 - Merit W	Merit W	Merit_W
007 Mayfield	0008 - Mayfield	Mayfield	Mayfield
012 Forest	0013 - Forest	Forest	Forest
011 Buckner	0011 - Buckner	Buckner	Buckner
009 Harwood	0010 - Harwood	Harwood	Harwood
010 CFW	0012 - ASMA	ASMA	Fairway
013 Horizon	0013 - Horizon	Horizon	Horizon

person

Provider Mappings (Personnel)

Provider Name	Department	Location Code
VASQUEZ, ROBERT	01 - OB/GYN - MD	0001 - Bishop
GOSWAMI, AKSHAY	01 - OB/GYN - MD	0005 - Galloway
SANDATE, JEFFREY	01 - OB/GYN - MD	0004 - Merit
EAVES, JARED	01 - OB/GYN - MD	0010 - CFW
MOSELEY, RUTH ANN	02 - OB/GYN - APP	0001 - Bishop
ROC, ANNLORAINE	01 - OB/GYN - MD	0011 - Buckner
MISTRY, SACHI	03 - Primary Care - MD	0005 - Galloway
Asma, Bhaidani	04 - Primary Care - APP	0004 - Merit
VENEGAS, GONZALO	01 - OB/GYN - MD	0006 - Arlington
SAFELY, CHARLES	01 - OB/GYN - MD	0007 - Mayfield
Johnson, Camara	02 - OB/GYN - APP	0010 - CFW
HAMILTON, ASHLEY	02 - OB/GYN - APP	0009 - Harwood
QURESHI, IQRA	03 - Primary Care - MD	0001 - Bishop
WHITEHEAD, BRUCE	03 - Primary Care - MD	0002 - Samuell
HOLMES, CAMERON	01 - OB/GYN - MD	0006 - Arlington
ABRAHAM, PRISCILLA	04 - Primary Care - APP	0011 - Buckner
BESCOS, PILAR	03 - Primary Care - MD	0013 - Horizon
Kimani, Elizabeth	04 - Primary Care - APP	0009 - Harwood
CONSTANTINE, SAMI	01 - OB/GYN - MD	0005 - Galloway
KHANDAKER, SADIA	01 - OB/GYN - MD	0007 - Mayfield
DaCosta, Mary	09 - MFM - MD	0004 - Merit
OLSEN, CATHERINE	01 - OB/GYN - MD	0001 - Bishop
LOPEZ, JORGE	01 - OB/GYN - MD	0002 - Samuell
MONTOYA, RAINEY	01 - OB/GYN - MD	0010 - CFW
ABBAS, DENNIS	01 - OB/GYN - MD	0006 - Arlington
BEAUDOIN, CELYNNE	02 - OB/GYN - APP	0011 - Buckner
OSEGUERA, BASILIA	03 - Primary Care - MD	0005 - Galloway
SHUM-ELLINGTON, KATHY	01 - OB/GYN - MD	0001 - Bishop
KAIRIS, ANNA	04 - Primary Care - APP	0009 - Harwood
POONJA, SHUMAILA	04 - Primary Care - APP	0004 - Merit
KRUM, THEODORE	01 - OB/GYN - MD	0007 - Mayfield
COBB, FRANCES	01 - OB/GYN - MD	0013 - Horizon
ROSAS, VICTORIA	04 - Primary Care - APP	0002 - Samuell
MERRITT, TAYLOR	02 - OB/GYN - APP	0010 - CFW
ROBLEDO, VANESSA	02 - OB/GYN - APP	0006 - Arlington
MADILL, MCKENZIE	02 - OB/GYN - APP	0011 - Buckner
WEISS, joshweiss	09 - MFM - MD	0008 - MFM-Merit-JW
GOLDABER, KENNETH	09 - MFM - MD	0008 - MFM-Merit-JW
001 NURSE VISIT BISHOP,	02 - OB/GYN - APP	0001 - Bishop
002 NURSE VISIT SAMUELL,	02 - OB/GYN - APP	0002 - Samuell
004 NURSE VISIT MERIT,	04 - Primary Care - APP	0004 - Merit
005 NURSE VISIT GALLOWAY,	02 - OB/GYN - APP	0005 - Galloway
009 NURSE VISIT HARWOOD, 009 NURSE VISIT HARWOOD	02 - OB/GYN - APP	0009 - Harwood
010 Nurse Visit,	04 - Primary Care - APP	0010 - CFW
0011 NURSE VISIT BUCKNER,	02 - OB/GYN - APP	0011 - Buckner
012 FOREST NURSE VISIT,	02 - OB/GYN - APP	0012 - Forest
013 NURSE VISIT HORIZON,	02 - OB/GYN - APP	0013 - Horizon
001 SONO BISHOP,	01 - OB/GYN - MD	0001 - Bishop
001 SONO BISHOP CW,	01 - OB/GYN - MD	0001 - Bishop
002 SONO SAMUELL,	01 - OB/GYN - MD	0002 - Samuell
005 SONO GALLOWAY,	01 - OB/GYN - MD	0005 - Galloway
006 SONO ARLINGTON,	01 - OB/GYN - MD	0006 - Arlington
007 SONO MAYFIELD TN,	09 - MFM - MD	0007 - Mayfield
009 SONO VISIT HARWOOD, 009 SONO VISIT HARWOOD	01 - OB/GYN - MD	0009 - Harwood
0011 SONO BUCKNER,	01 - OB/GYN - MD	0011 - Buckner
013 SONO HORIZON,	01 - OB/GYN - MD	0013 - Horizon
008 HOSPITAL VISITS JW, 008 HOSPITAL VISITS JW	09 - MFM - MD	0008 - MFM-Merit-JW
ANTONETTI, ALFREDO	01 - OB/GYN - MD	nan

domain

Clinic Groups (Unposted JE Configuration)

Clinic Group	Clinic Locations	Hospital Location	Bank Account Key	Primary Location Code
WSC	Bishop,Samuell	HospitalWSC	wsc	0001 - Bishop
Galloway	Galloway	HospitalGalloway	Galloway	0005 - Galloway
I20	Interstate20	HospitalArlington	I20	0007 - Interstate20
Merit	Merit	nan	Merit	0004 - Merit
Merit_W	MeritW	nan	Merit W	0009 - Merit W
Mayfield	Mayfield	nan	MayField	0008 - Mayfield
Forest	Forest	nan	Forest	0013 - Forest
Buckner	Buckner	nan	Buckner	0011 - Buckner
Harwood	Harwood	nan	Hardwood	0010 - Harwood
Fairway	ASMA	nan	Fairway	0012 - ASMA
Horizon	Horizon	nan	Horizon	0014 - Horizon

These mappings are used for ADP payroll processing.

badge

Department Mappings

ADP Code	NetSuite Department
006001	02 - OB/GYN - MD's
006002	03 - OB/GYN - APP's
006003	06 - Clinic - Managers
006004	07 - Medical Assistants
006005	08 - Medical Office Assistants
006006	51 - Executive
006007	52 - Operations
009000	99 - Corporate

map

Location Mappings

ADP Code	NetSuite Location
008002	8002 - Shared MD's
008003	8003 - Shared APP's
008007	8007 - Shared Medical Assistants
008999	8999 - Executive
009001	9001 - Bishop
009002	9002 - Samuell
009003	9003 - Colorado
009004	9004 - Galloway
009005	9005 - Merit
009006	9006 - Merit W
009007	9007 - Arlington/I20
009008	9008 - Lakeside
009999	9999 - Shared Services

account_balance

Account Mappings

Expense Type	Account Code	Description
gross_wages	71100	US Payroll Wages
service_fee	72050	US Payroll Service Fee
social_security	72010	US Payroll SS
medicare	72011	US Payroll Medicare
futa	72012	US Payroll FUTA
sui	72013	US Payroll SUI
tlm_fees	72051	US Payroll TLM Fees
adjustments	72090	US Payroll Adjustments

groups

Employee Allocations

Employee Name	Job Category	Allocations	Total
ALONSO, ALEXANDRIA MARY JANE	07 - Medical Assistants	Samuell 80% · Galloway 20%	100%
ALVAREZ, LESLY	07 - Medical Assistants	Bishop 80% · Merit 20%	100%
ALVISO, SABRINA	07 - Medical Assistants	Bishop 100%	100%
AVILA, JENIFER	07 - Medical Assistants	Bishop 100%	100%
BENITEZ DOMINGUEZ, HEIDI	07 - Medical Assistants	Bishop 100%	100%
BENITEZ RAMIREZ, VIANEY	07 - Medical Assistants	Bishop 100%	100%
BHAIDANI, SUHAIL	06 - Clinic - Managers	Merit W 100%	100%
BLAKEY, ROBERT	06 - Clinic - Managers	Bishop 100%	100%
BLANCO, KEIRY	07 - Medical Assistants	Bishop 100%	100%
CASTRO, IRIS	07 - Medical Assistants	Bishop 100%	100%
CERON, REMEDIOS	07 - Medical Assistants	Galloway 100%	100%
CHOATE, CHRISTOPHER	06 - Clinic - Managers	Bishop 100%	100%
CORREA, KENYA	06 - Clinic - Managers	Bishop 100%	100%
CORTEZ, KIMBERLY	07 - Medical Assistants	Bishop 100%	100%
DE HARO, NICOLE	07 - Medical Assistants	Bishop 100%	100%
DE LA CRUZ, DESTINEE	08 - Medical Office Assistants	Samuell 100%	100%
DE LA CRUZ, VALERIE	08 - Medical Office Assistants	Samuell 100%	100%
DE LA ROSA GALLEGOS, SANDRA	07 - Medical Assistants	Bishop 100%	100%
DE LEON, LUIS	06 - Clinic - Managers	Bishop 100%	100%
DIAZ MENDEZ, ANDREA	07 - Medical Assistants	Bishop 100%	100%
DOMINGUEZ, VERONICA	06 - Clinic - Managers	Bishop 100%	100%
ELSHIKH, DINA	06 - Clinic - Managers	Samuell 100%	100%
ESTRADA, ANDREA	08 - Medical Office Assistants	Bishop 100%	100%
ESTRADA, JENY	08 - Medical Office Assistants	Bishop 100%	100%
ETHERIDGE, LARIZA	08 - Medical Office Assistants	Merit W 100%	100%
FAZ, BRENDA	07 - Medical Assistants	Bishop 100%	100%
GANN, BETTY	08 - Medical Office Assistants	Bishop 100%	100%
GARCIA, PAMELA	07 - Medical Assistants	Merit W 100%	100%
GARCIA, TERESA	07 - Medical Assistants	Merit W 100%	100%
GAYLER, VICKI	07 - Medical Assistants	Merit 100%	100%
GIBBS, KERRI	06 - Clinic - Managers	Bishop 100%	100%
GONZALEZ, DIANA	07 - Medical Assistants	Samuell 100%	100%
GONZALEZ, GRISELDA	07 - Medical Assistants	Samuell 100%	100%
GRANADOS, KAREN	07 - Medical Assistants	Bishop 100%	100%
GUZMAN, TERESITA	06 - Clinic - Managers	Samuell 100%	100%
HERNANDEZ, BRIANA	08 - Medical Office Assistants	Bishop 100%	100%
HERNANDEZ, LETICIA	08 - Medical Office Assistants	Bishop 100%	100%
MARQUEZ, APRIL	08 - Medical Office Assistants	Samuell 100%	100%
MARTINEZ, SULMA	07 - Medical Assistants	Bishop 100%	100%
MATA, LILYANA	07 - Medical Assistants	Bishop 100%	100%
MILLENAAR, RUTH	07 - Medical Assistants	Merit 100%	100%
MONSEVAIS, AALIAYA	08 - Medical Office Assistants	Arlington/I20 100%	100%
MORALES, XITLALI	07 - Medical Assistants	Bishop 100%	100%
MOTT, MARY	06 - Clinic - Managers	Bishop 100%	100%
NORIEGA, DINA	06 - Clinic - Managers	Bishop 100%	100%
PEDRAZA RODRIGUEZ, JENNIFER	07 - Medical Assistants	Bishop 100%	100%
PIMENTEL, CLAUDIA	07 - Medical Assistants	Bishop 100%	100%
PINA, DAISY	07 - Medical Assistants	Bishop 100%	100%
RANGEL, KAREN	08 - Medical Office Assistants	Bishop 100%	100%
RAYO, RUBI	08 - Medical Office Assistants	Samuell 100%	100%
ROCHA, GUADALUPE	08 - Medical Office Assistants	Bishop 100%	100%
RODRIGUEZ, JASMIN	07 - Medical Assistants	Bishop 100%	100%
ROMERO MILANO, DANIEL	07 - Medical Assistants	Bishop 100%	100%
SALINAS, ARELLY	07 - Medical Assistants	Bishop 100%	100%
SANCHEZ, DIANA	07 - Medical Assistants	Bishop 100%	100%
TAFOYA, GABRIELA	07 - Medical Assistants	Bishop 100%	100%
TAYLOR, DESTINY	07 - Medical Assistants	Bishop 100%	100%
TORRES, HEIDY	07 - Medical Assistants	Samuell 100%	100%
TORRES, KATHY	07 - Medical Assistants	Samuell 100%	100%
TREVINO, ESPERANZA	07 - Medical Assistants	Samuell 100%	100%
VAZQUEZ, OLIMPIA	06 - Clinic - Managers	Samuell 100%	100%
VELASQUEZ, JACQUELINE	07 - Medical Assistants	Bishop 100%	100%
VENCES JAIMES, CINTHIA	07 - Medical Assistants	Bishop 100%	100%
WILMORE, DESARAY	07 - Medical Assistants	Samuell 100%	100%
ZOBEL, LAURA	07 - Medical Assistants	Merit 100%	100%
ABRAHAM, PRISCILLA A	03 - OB/GYN - APP's	Merit 100%	100%
ANTONETTI, ALFREDO	03 - OB/GYN - APP's	Bishop 100%	100%
BAKKER, KEN	03 - OB/GYN - APP's	Merit 100%	100%
BESCOS, PILAR	02 - OB/GYN - MD's	Samuell 100%	100%
BHAIDANI, ASMA	06 - Clinic - Managers	Merit W 100%	100%
CONSTANTINE, SAMI	02 - OB/GYN - MD's	Galloway 100%	100%
DACOSTA, MARY	02 - OB/GYN - MD's	Merit W 100%	100%
EAVES, JARED A	02 - OB/GYN - MD's	Samuell 100%	100%
GOLDABER, KENNETH G	02 - OB/GYN - MD's	Merit W 100%	100%
GOSWAMI, AKSHAY	02 - OB/GYN - MD's	Samuell 100%	100%
HAMILTON, ASHLEY NICOLE	03 - OB/GYN - APP's	Galloway 100%	100%
HOLMES, CAMERON MATTHEW	02 - OB/GYN - MD's	Bishop 100%	100%
JOHNSON, CAMARA DAVIS	03 - OB/GYN - APP's	Merit 100%	100%
KHANDAKER, SADIA	03 - OB/GYN - APP's	Arlington/I20 100%	100%
KIMANI, ELIZABETH	03 - OB/GYN - APP's	Samuell 100%	100%
LOPEZ, JORGE	02 - OB/GYN - MD's	Arlington/I20 100%	100%
MISTRY, SACHI A	02 - OB/GYN - MD's	Merit 100%	100%
MOHAN, RADHIKA	02 - OB/GYN - MD's	Galloway 100%	100%
QUINONES GUERRERO, SERGIO	51 - Executive	Lakeside 100%	100%
QURESHI, IQRA	02 - OB/GYN - MD's	Bishop 100%	100%
ROC, ANN LORAINE	02 - OB/GYN - MD's	Galloway 100%	100%
SAFELY, CHARLES ARTHUR	02 - OB/GYN - MD's	Samuell 100%	100%
SANDATE, JEFFREY	02 - OB/GYN - MD's	Merit W 100%	100%
SANTOS BURGOA, EDUARDO	51 - Executive	Lakeside 100%	100%
SHUM ELLINGTON, KATHY	02 - OB/GYN - MD's	Samuell 100%	100%
SMITH MOSELEY, RUTH A	03 - OB/GYN - APP's	Samuell 100%	100%
VASQUEZ, ROBERT JESS	02 - OB/GYN - MD's	Samuell 100%	100%
VENEGAS, GONZALO	07 - Medical Assistants	Bishop 100%	100%
WARREN, MARGARET ANNE	02 - OB/GYN - MD's	Arlington/I20 100%	100%
WEISS, JOSHUA L	02 - OB/GYN - MD's	Galloway 100%	100%
WHITEHEAD, BRUCE	None	Galloway 100%	100%
AREVALO, HEIDY	03 - OB/GYN - APP's	Samuell 100%	100%

Payer Mappings

Location Mappings

Provider Mappings (Personnel)

Clinic Groups (Unposted JE Configuration)

Department Mappings

Location Mappings

Account Mappings

Employee Allocations

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Add New Provider

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