Additional Third Party Liability Carrier Code Updates (IB 25-16 revised 7.21.25)
Date: 07/22/25
Louisiana Healthcare Connections is sharing a revision made to Additional Third Party Liability Carrier Code Updates (IB 25-16) on July 21, 2025.
Revisions were made to the Table within the IB adding additional Default Carrier, Carrier(s) to Be Retired, and Effective Date. The table below highlights the additions. This list will be updated continually and the carrier code listing will be
updated at LaMedicaid.com.
NOTE: For questions regarding claims impacted by the carrier code consolidations, refer to
Informational Bulletin 25-11, which was issued on April 2, 2025. Informational Bulletin 24-36
This list will be updated continually and the carrier code listing will be updated at LaMedicaid.com.
NOTE: For questions regarding claims impacted by the carrier code consolidations, refer to Informational Bulletin 25-11, which was issued on April 2, 2025. Informational Bulletin 24-36 provides an in-depth explanation of the carrier code update. For questions, contact lacarriercode@gainwelltechnologies.com.provides an in-depth explanation of the carrier code update.
For questions, contact lacarriercode@gainwelltechnologies.com.
Default Carrier | Carrier(s) to Be Retired | Effective Date |
|---|---|---|
| 077000: Humana Health Plans | 358400: Arcadian Community Plan | 7/1/2025 |
| H19510 Humana Medicare Advantage | H57000: Arcadian Health Plan | 7/1/2025 |
| 433100: UnitedHealthcare | 435500: Surest 396800: UnitedHealthcare (River Valley) | 7/1/2025 |
| 364500: Medco Health | 213300: Express Scripts | 7/1/2025 |
| 375600: Blue Cross of Alaska (Premera) | 119600: Blue Cross of Washington and Alaska 422700: Premera Blue Cross | 7/1/2025 |
| 054300 Blue Cross of Illinois | 053500 Blue Cross of Illinois (Chicago) | 7/1/2025 |
| 238700: Corporate Benefits Service Inc. | 307800: Corporate Benefit Solutions Inc. | 7/1/2025 |
| 054200: Blue Cross of Maryland | 334000: CareFirst | 7/1/2025 |
| 078400: Golden Rule Insurance | 363900: Golden Rule | 7/1/2025 |
| 098900: Wausau Underwriting Insurance Co. | 365600: Fizer V Health | 7/1/2025 |
| 082800: Aetna | 375700: Aetna Dental | 7/1/2025 |
| 334800: Cigna | 437500: Cigna | 7/1/2025 |
| H19030: Wellcare | H21300: Allwell Medicare Advantage | 7/1/2025 |