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Short SAS Name
FI_NUM
SAS Name
FI_NUM

The identification number assigned by CMS to a fiscal intermediary (FI) authorized to process institutional claim records.

Effective October 2006, the Medicare Administrative Contractors (MACs) began replacing the existing fiscal intermediaries and started processing institutional claim records for states assigned to its jurisdiction.

Comments

Source: NCH

CodeCode value
00010
Alabama BC - Alabama
00011
Alabama BC - Iowa (replaced by MAC # 03401 -- see below)
00020
Arkansas BC - Arkansas
00021
Arkansas BC - Rhode Island
00030
Arizona BC (replaced by MAC #03101 -- see below)
00040
California BC (term. 12/00)
00050
New Mexico BC/CO (term. 06/89)
00060
Connecticut BC (term. 06/99)
00070
Delaware BC - terminated 2/98
00080
Florida BC (term. 03/88)
00090
Florida BC
00101
Georgia BC
00121
Illinois - HCSC (term. 08/98)
00123
Michigan - HCSC (term. 08/98)
00130
Indiana BC/Administar Federal
00131
Illinois - Administar
00140
Iowa - Wellmark (term. 6/2000)
00150
Kansas BC (term. 2008) (replaced with MAC # 05201 --see below)
00160
Kentucky/Administar
00180
Maine BC
00181
Maine BC - Massachusetts
00190
Maryland BC (term. 9/2005)
00200
Massachusetts BC (term. 7/97)
00210
Michigan BC (term. 9/94)
00220
Minnesota BC (term. 07/99)
00230
Mississippi BC
00231
Mississippi BC/LA (term. 09/92)
00232
Mississippi BC
00241
Missouri BC (term. 9/92)
00250
Montana BC (replaced by MAC #03201 -- see below)
00260
Nebraska BC (term. 2007) (replaced with MAC # 05401 --see below)
00270
New Hampshire BC
00280
New Jersey BC (term. 8/2000)
00290
New Mexico BC - terminated 11/95
00308
New York - Empire BC
00310
North Carolina BC (term. 01/02)
00320
North Dakota BC - North Dakota (replaced with MAC # 03301 -- see below)
00322
North Dakota BC - Washington & Alaska
00323
North Dakota BC - Idaho, Oregon & Utah (replaced with MAC # 03501 --see below)
00332
Ohio-Administar
00340
Oklahoma BC (term. 2008) (replaced with MAC # 04301 --see below)
00350
Oregon BC
00351
Oregon BC/ID. (term. 09/88)
00355
Oregon-CWF
00362
Independence BC - terminated 8/97
00363
Pennsylvania/Highmark - Veritus
00366
Highmark (MD & DC) - Part A (eff. 10/2005)
00370
Rhode Island BC
00380
South Carolina BC - South Carolina
00382
South Carolina BC - North Carolina
00390
Tennessee BC
00400
Texas BC
00410
Utah BC (term. 09/00)
00423
Virginia BC; Trigon (term. 08/99)
00430
Washington/Alaska BC
00450
Wisconsin BC - Wisconsin
00452
Wisconsin BC - Michigan
00453
Wisconsin BC - Virginia & West Virginia
00454
Wisconsin BC - California
00460
Wyoming BC (replaced by MAC # 03601 -- see below)
00468
N Carolina BC/CPRTIVA
00993
BC/BS Assoc.
17120
Hawaii Medical Service (term. 06/99)
50333
Travelers; Connecticut United Healthcare (terminated - date unknown)
51051
Aetna California - terminated 6/97
51070
Aetna Connecticut - terminated 6/97
51100
Aetna Florida - terminated 6/97
51140
Aetna Illinois - terminated 6/97
51390
Aetna Pennsylvania - terminated 6/97
52280
NE - Mutual of Omaha
57400
Puerto Rico - Cooperativa
61000
Aetna (term. 06/97)
80883
Contractor ID for Inpatient & Outpatient Risk Adjustment Data (data not sent through CWF; but through Palmetto)
JURISDICTION 3 - Part A MACs
CodeCode value
03101
Arizona (eff. 10/1/2006) (replaces FI #00030)
03201
Montana (eff. 12/1/2006) (replaces FI #00250)
03301
N. Dakota (eff. 12/1/2006) (replaces FI #00320)
03401
S. Dakota (eff. 3/1/2007) (replaces FI #00011)
03501
Utah (eff. 12/1/2006) (replaces FI #00323)
03601
Wyoming (eff. 11/1/2006) (replaces FI #00460)
JURISDICTION 4 - Part A MACs
CodeCode value
04301
Oklahoma (eff. 3/1/2008) (replaces FI #00340)
JURISDICTION 5 - Part A MACs
CodeCode value
05201
Oklahoma (eff. 3/1/2008) (replaces FI #00150)
05401
Oklahoma (eff. 12/1/2007)(replaces FI #00260)