Change Healthcare Real-Time Payer List Participating / Non-Participating / Transitional (Par / Non-par / Trans): Payer Type: Payer Search Options: Enrollment / Authorization: Revised 04/06/2022 Every Saturday, from 5:00 a.m. ET to 7:00 am ET, Change Healthcare conducts scheduled in-service system maintenance and during this period there will be periods of short, intermittent service outages and/or slow responses. Payers marked require notification and/or enrollment prior to sending to these transaction. Select the link for the enrollment documentation. Claims Status Inquiry (276/277): Health Care Claim Status Request and Response. Eligibility (270/271): Health Care Eligibility, Coverage, or Benefit Inquiry and Response. Select the Payer Search Options link to view the details of the transaction requirements which include payer defined search options, acceptable provier ID's, scheduled downtime and any additional notes for successful transactions. State specific payers have state abbreviation, national payers are blank. Used to route transaction electronically to the identified payer. Each real-time transaction must be associated with a payer ID. If sending directly from your practice management system, speak to your practice management software vendor about where to store payer IDs. Phase II: The Phase II rules build on the Phase I rules, with additional rules for patient identifiers, patient accumulators, claims status and connectivity. The Phase II rules also require patient financial responsibility for an increased number of service codes. Payer ID: Line of Business: Payer Name: State (ST): Common name used for payer and/or payer specific plans. Real-Time Payer ID Table Column Descriptions: Updated: Date added since last publication. N = New Payer, U = Update to payer record. Those marked as 'Coming Soon' are currently being Phase I: BCBS: BlueCross BlueShield Non-Par - Payers which do not participate with Change Healthcare in programs to increase EDI volumes by subsidizing the cost of electronic Pass Through Fees: Pass through fees are additional fees associated with the real-time connection to a payer. Pass through fees vary by payer. Please refer to your contract or speak to your account representative for details. Trans - Payers which participate with Change Healthcare in efforts to increase EDI volume, but do not fully subsidize the cost of the electronic TRICARE: Formerly known as CHAMPUS - The Civilian Health and Medical Program of the Uniformed Services (in the United States). Commercial: Commercial health plans. Par - Payers which participate with Change Healthcare in efforts to increase EDI volumes by subsidizing all or a significant portion of the cost of electronic transmission. Medicaid: A program, funded by the federal and state governments, which pays for medical care for eligible individuals and families. Medicare: Medicare is the US federally sponsored health insurance plan for citizens over age 65. CORE Certified Payers: CORE (Committee on Operating Rules for Information Exchange) Payers that have been CORE certified Phase I or II. Change Healthcare is connected to their CORE systems. 4/6/2022 1 of 15
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Change Healthcare Real-Time Payer List
Participating / Non-Participating / Transitional (Par / Non-par / Trans):
Payer Type:
Payer Search Options:
Enrollment / Authorization:
Revised 04/06/2022
Every Saturday, from 5:00 a.m. ET to 7:00 am ET, Change Healthcare conducts scheduled in-service system maintenance and during this period there will be periods of short, intermittent service outages and/or slow responses.
Payers marked require notification and/or enrollment prior to sending to these transaction. Select the link for the enrollment documentation.
Claims Status Inquiry (276/277): Health Care Claim Status Request and Response.Eligibility (270/271): Health Care Eligibility, Coverage, or Benefit Inquiry and Response.
Select the Payer Search Options link to view the details of the transaction requirements which include payer defined search options, acceptable provier ID's, scheduled downtime and any additional notes for successful transactions.
State specific payers have state abbreviation, national payers are blank.
Used to route transaction electronically to the identified payer. Each real-time transaction must be associated with a payer ID. If sending directly from your practice management system, speak to your practice management software vendor about where to store payer IDs.
Phase II: The Phase II rules build on the Phase I rules, with additional rules for patient identifiers, patient accumulators, claims status and connectivity. The Phase II rules also require patient financial responsibility for an increased number of service codes.
Payer ID:
Line of Business:
Payer Name:
State (ST):
Common name used for payer and/or payer specific plans.
Real-Time Payer ID Table Column Descriptions:
Updated:Date added since last publication. N = New Payer, U = Update to payer record. Those marked as 'Coming Soon' are currently being
Phase I:
BCBS: BlueCross BlueShield
Non-Par - Payers which do not participate with Change Healthcare in programs to increase EDI volumes by subsidizing the cost of electronic
Pass Through Fees:Pass through fees are additional fees associated with the real-time connection to a payer. Pass through fees vary by payer. Please refer to your contract or speak to your account representative for details.
Trans - Payers which participate with Change Healthcare in efforts to increase EDI volume, but do not fully subsidize the cost of the electronic
TRICARE: Formerly known as CHAMPUS - The Civilian Health and Medical Program of the Uniformed Services (in the United States).Commercial: Commercial health plans.
Par - Payers which participate with Change Healthcare in efforts to increase EDI volumes by subsidizing all or a significant portion of the cost of electronic transmission.
Medicaid: A program, funded by the federal and state governments, which pays for medical care for eligible individuals and families.Medicare: Medicare is the US federally sponsored health insurance plan for citizens over age 65.
CORE Certified Payers:CORE (Committee on Operating Rules for Information Exchange) Payers that have been CORE certified Phase I or II. Change Healthcare is connected to their CORE systems.
4/6/2022 1 of 15
Updated Par/ Non-Par/Trans
Pass Through
Fees
Payer Type CORE Certified Payers
Payer ID ST Payer Name Line of Business Payer Search Options Enrollment / Authorization
N: 07/11/2017 Par N Commercial 13162 1199 SEIU Nat Benefit & Pension Fnd Eligibility Eligibility Search OptionsU: 07/28/2015 Non-Par N Commercial 36273 AARP - UHC Ovations Ins Solution Eligibility Eligibility Search OptionsN: 01/22/2016 Non-Par N Commercial 36273 AARP - UHC Ovations Ins Solution Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/04/2015 Non-Par N Commercial 68055 Absolute Total Care - Centene Eligibility Eligibility Search OptionsU: 10/16/2014 Non-Par N Commercial 59141 Administrative Services, Inc Eligibility Eligibility Search OptionsN: 11/13/2015 Non-Par N Commercial CBRIA Advantage by Bridgeway Health Solutions Eligibility Eligibility Search OptionsN: 10/27/2015 Non-Par N Commercial CSHPA Advantage by Buckeye Comm Eligibility Eligibility Search OptionsN: 06/10/2016 Non-Par N Commercial CSHPA Advantage by Buckeye Comm Claim Status Inquiry Claim Status Inquiry Search OptionsU: 11/07/2014 Non-Par N Commercial 68056 Advantage by Managed Health Services Eligibility Eligibility Search OptionsN:05/03/2019 Non-Par N Commercial 68056 Advantage by Managed Health Services Claim Status Inquiry Claim Status Inquiry Search OptionsN: 10/27/2015 Non-Par N Commercial CBUCA Advantage by Superior Health Eligibility Eligibility Search OptionsN: 06/10/2016 Non-Par N Commercial CBUCA Advantage by Superior Health Claim Status Inquiry Claim Status Inquiry Search OptionsU: 04/29/2019 Non-Par N Commercial 60054 Aetna Eligibility Eligibility Search Options Aetna EnrollmentU: 05/04/2016 Non-Par N Commercial 60054 Aetna Claim Status Inquiry Claim Status Inquiry Search OptionsN: 02/16/2015 Par N Commercial AEADM Aetna Admin Medicare Supp Eligibility Eligibility Search OptionsN: 11/02/2016 Par N Commercial AEADM Aetna Admin Medicare Supp Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/19/2015 Par N Commercial 23228 Aetna Better Health - PA Medicaid Eligibility Eligibility Search OptionsN: 03/17/2016 Non-Par N Commercial 23228 Aetna Better Health - PA Medicaid Claim Status Inquiry Claim Status Inquiry Search OptionsN:05/06/2019 Non-Par N Commercial 128CA Aetna Better Health of California Claim Status Inquiry Claim Status Inquiry Search OptionsN: 02/25/2016 Par N Commercial 128KY Aetna Better Health of Kentucky Eligibility Eligibility Search OptionsN:04/30/2019 Non-Par N Commercial 128KY Aetna Better Health of Kentucky Claim Status Inquiry Claim Status Inquiry Search OptionsN: 04/03/2015 Non-Par N Commercial 128LA Aetna Better Health of Louisiana Eligibility Eligibility Search OptionsN: 05/04/2018 Par N Commercial 128MD Aetna Better Health of Maryland Eligibility Eligibility Search OptionsN: 03/05/2019 Non-Par N Medicaid 128MD Aetna Better Health of Maryland Claim Status Inquiry Claim Status Inquiry Search OptionsN: 05/01/2015 Non-Par N Commercial 128MI Aetna Better Health of Michigan Eligibility Eligibility Search OptionsN: 02/11/2016 Non-Par N Commercial 128MI Aetna Better Health of Michigan Claim Status Inquiry Claim Status Inquiry Search OptionsU: 10/30/2015 Non-Par N Commercial 46320 Aetna Better Health of New Jersey Eligibility Eligibility Search OptionsN: 04/15/2015 Non-Par N Commercial 34734 Aetna Better Health of New York Eligibility Eligibility Search OptionsN: 03/19/2015 Non-Par N Commercial 50023 Aetna Better Health of Ohio Eligibility Eligibility Search OptionsU: 04/29/2019 Par N Commercial 128VA Aetna Better Health of Virginia Eligibility Eligibility Search OptionsN: 05/04/2018 Par N Commercial 128WV Aetna Better Health of WV Eligibility Eligibility Search OptionsN:04/30/2019 Non-Par N Commercial 128WV Aetna Better Health of WV Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/19/2015 Non-Par N Commercial 26337 Aetna IL Medicaid Eligibility Eligibility Search OptionsN: 02/19/2015 Non-Par N Commercial AETLC Aetna Long Term Care Eligibility Eligibility Search OptionsU: 08/22/2017 Par N Commercial 62118 Aetna Senior Supplemental Insurance Eligibility Eligibility Search OptionsN: 01/18/2016 Non-Par N Commercial 62118 Aetna Senior Supplemental Insurance Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/19/2015 Non-Par N Commercial 38692 Aetna TX Medicaid & CHIP Eligibility Eligibility Search OptionsN: 03/15/2016 Non-Par N Commercial 38692 Aetna TX Medicaid & CHIP Claim Status Inquiry Claim Status Inquiry Search OptionsU: 06/15/2020 Trans N Commercial 13334 Affinity Health Plan Eligibility Eligibility Search OptionsN: 07/19/2016 Trans N Commercial 13334 Affinity Health Plan Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/04/2015 Par N Commercial AFLAC AFLAC Eligibility Eligibility Search OptionsN: 03/26/2015 Par N Commercial AFMES AFLAC Medicare Supplemental Eligibility Eligibility Search OptionsN:04/30/2019 Non-Par N Commercial 95241 AGIA, Inc Claim Status Inquiry Claim Status Inquiry Search OptionsN:05/06/2019 Non-Par N Commercial 95241 AGIA, Inc Eligibility Eligibility Search OptionsN: 07/10/2015 Par N Commercial ALLSA All Savers LIfe Insurance Co Eligibility Eligibility Search OptionsN: 09/22/2016 Non-Par N Commercial 58234 Alliant Health Plans Of Georgia Eligibility Eligibility Search OptionsN: 03/04/2022 Non-Par N Commercial 58234 Alliant Health Plans of Georgia Claim Status Inquiry Claim Status Inquiry Search OptionsN: 10/09/2014 Trans N Commercial 37308 Allied Benefits Systems, Inc Eligibility Eligibility Search OptionsN:05/06/2019 Non-Par N Commercial ALOHA AlohaCare Advantage Eligibility Eligibility Search OptionsN: 06/09/2015 Non-Par N Commercial 72138 Alternative Insurance Resources Eligibility Eligibility Search OptionsN: 03/26/2015 Non-Par N Commercial 75137 Ameriben Solutions, Inc. Eligibility Eligibility Search OptionsN: 01/10/2017 Non-Par N Commercial 75137 Ameriben Solutions, Inc. Claim Status Inquiry Claim Status Inquiry Search OptionsN: 04/10/2015 Non-Par N Commercial 62030 American General Insurance Eligibility Eligibility Search OptionsN: 10/27/2015 Non-Par N Commercial ANCOM American Income Life Ins Co Eligibility Eligiblity Search OptionsN: 06/10/2016 Non-Par N Commercial ANCOM American Income Life Ins Co Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/04/2015 Par N Commercial 74048 American National Ins Co Eligibility Eligibility Search OptionsU: 12/04/2015 Par N Commercial 44444 American Postal Workers Union Eligibility Eligibility Search OptionsN: 09/20/2016 Non-Par N Commercial 44444 American Postal Workers Union Claim Status Inquiry Claim Status Inquiry Search OptionsN: 01/05/2016 Par N Commercial ARLMS American Retirement Life Ins Co Eligibility Eligibility Search OptionsN: 04/15/2016 Par N Commercial ARLMS American Retirement Life Ins Co Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/04/2015 Trans N Commercial 86047 NJ Americhoice NJ Mcaid & Family Care Eligibility Eligibility Search OptionsN: 07/17/2017 Par N Commercial 27514 Amerigroup - All Regions (Formerly 28804) Eligibility Eligibility Search OptionsU: 11/28/2016 Non-Par Y Commercial 23252 Amerihealth Administrators Eligibility Eligibility Search Options 23252 EnrollmentN:05/06/2019 Non-Par N Commercial 77799 Amerihealth Caritas Delaware Claim Status Inquiry Claim Status Inquiry Search OptionsU: 03/07/2017 Non-Par N Commercial 27357 AmeriHealth Caritas Louisiana Eligibility Eligibility Search OptionsU: 03/07/2017 Non-Par N Commercial 27357 AmeriHealth Caritas Louisiana Claim Status Inquiry Claim Status Inquiry Search OptionsN:05/06/2019 Non-Par N Commercial 77062 AmeriHealth Caritas VIP Car Claim Status Inquiry Claim Status Inquiry Search OptionsN:05/06/2019 Non-Par N Commercial 77013 AmeriHealth Caritas VIP Care Eligibility Eligibility Search OptionsN:05/06/2019 Non-Par N Commercial 77013 AmeriHealth Caritas VIP Care Claim Status Inquiry Claim Status Inquiry Search OptionsN:05/06/2019 Non-Par N Commercial 77062 AmeriHealth Caritas VIP Care Eligibility Eligibility Search OptionsN: 03/05/2019 Non-Par N Medicaid 77002 Amerihealth District of Columbia Claim Status Inquiry Claim Status Inquiry Search OptionsN:04/29/2019 Non-Par N Commercial 77002 Amerihealth District of Columbia Eligibility Eligibility Search OptionsU: 03/07/2017 Non-Par N Commercial 22248 Amerihealth/Mercy Eligibility Eligibility Search OptionsU: 03/07/2017 Non-Par N Commercial 22248 Amerihealth/Mercy Claim Status Inquiry Claim Status Inquiry Search Options
4/6/2022 2 of 15
Updated Par/ Non-Par/Trans
Pass Through
Fees
Payer Type CORE Certified Payers
Payer ID ST Payer Name Line of Business Payer Search Options Enrollment / Authorization
U: 12/04/2015 Par N Commercial 47009 Ameritas Life Insurance Co. Eligibility Eligibility Search OptionsU: 12/04/2015 Par N Commercial 72630 Ameritas Life Insurance Corp. of NY Eligibility Eligibility Search OptionsU: 08/17/2021 Non-Par N BCBS CORE II 47198 CA Anthem Blue Cross (Formerly BC001) Eligibility Eligibility Search OptionsN: 08/04/2016 Non-Par N BCBS CORE II 47198 CA Anthem Blue Cross (Formerly BC001) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 10/02/2017 Trans N Commercial ALPBS APS Eligibility Eligibility Search OptionsN:05/06/2019 Non-Par N Commercial ARCHB Archbold Medical Center Eligibility Eligibility Search OptionsN: 10/27/2015 Non-Par N Commercial 39185 Arise Health Plan Eligibility Eligibility Search OptionsN: 10/05/2015 Non-Par N Commercial L0150 Association de Maestros Eligibility Eligibility Search OptionsU: 05/09/2018 Non-Par Y Commercial 93221 Asuris Northwest Health Eligibility Eligibility Search OptionsN:04/30/2019 Non-Par N Commercial AVA01 Avalon Administrative Services Claim Status Inquiry Claim Status Inquiry Search OptionsN 08/01/2012 Non-Par N Commercial 59274 AvMed Eligibility Eligibility Search OptionsU: 12/04/2015 Par N Commercial 03432 AZ AZ Physician's IPA/Americhoice Eligibility Eligibility Search OptionsN:05/06/2019 Non-Par N Commercial BNKFL Bankers Fidelity Life Ins Co Eligibility Eligibility Search OptionsN:03/14/2022 par N Commercial BNKFL Bankers Fidelity Life Ins Co Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/11/2019 Non-Par N Commercial 66901 Banner-University Family Care (Univ AZ) Eligibility Eligibility Search OptionsN:04/30/2019 Non-Par N Commercial 66901 Banner-University Family Care (Univ AZ) Claim Status Inquiry Claim Status Inquiry Search OptionsN:05/06/2019 Non-Par N Commercial 44911 BCBS of Western New York Medicaid/CHP Eligibility Eligibility Search OptionsN:05/06/2019 Non-Par N Commercial 63100 Behavioral Health Systems Eligibility Eligibility Search OptionsN: 02/13/2015 Par N Commercial 48611 Benefit Management Inc. of KS Eligibility Eligibility Search OptionsN: 02/25/2016 Non-Par N Commercial 62183 Better Health Plans, Inc. Claim Status Inquiry Claim Status Inquiry Search OptionsN: 10/27/2015 Non-Par N Commercial 62183 Better Health Plans, Inc. Eligibility Eligibility Search OptionsN: 10/06/2016 Non-Par N BCBS SB590 FL Blue Cross Blue Shield of Florida (formerly BS022) Eligibility Eligibility Search OptionsU: 03/07/2017 Non-Par N Commercial 32002 Blue Cross Complete of Michigan Eligibility Eligibility Search OptionsU: 03/07/2017 Non-Par N Commercial 32002 Blue Cross Complete of Michigan Claim Status Inquiry Claim Status Inquiry Search OptionsN:04/29/2019 Non-Par N Commercial HMAPD Blue Cross Medicare Advantage Eligibility Eligibility Search OptionsN:04/30/2019 Non-Par N Commercial HMAPD Blue Cross Medicare Advantage Claim Status Inquiry Claim Status Inquiry Search OptionsN: 12/27/2016 Non-Par N BCBS SB612 ID Blue Cross of Idaho (Formerly BC002) Eligibility Eligibility Search OptionsN: 07/11/2017 Non-Par N BCBS SB530 AZ Blue CrossBlue Shield of Arizona (BS046) Eligibility Eligibility Search OptionsN: 07/11/2017 Non-Par N BCBS SB870 RI Blue CrossBlue Shield of Rhode Island (Formerly BS075) Eligibility Eligibility Search OptionsN: 08/01/2017 Non-Par N BCBS SB930 AK Blue Shield - Alaska (Formerly BS011) Eligibility Eligibility Search OptionsN: 12/14/2016 Non-Par Y BCBS 94036 CA Blue Shield - California (formerly BS001) Eligibility Eligibility Search OptionsN: 12/14/2016 Non-Par N BCBS 94036 CA Blue Shield - California (formerly BS001) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 10/07/2016 Non-Par N BCBS SB805 NY Blue Shield - Central New York (formerly BS063) Eligibility Eligibility Search OptionsN: 10/31/2016 Non-Par N BCBS SB570 DE Blue Shield - Delaware (formerly BS042) Eligibility Eligibility Search Options DE BCBS EnrollmentU: 06/07/2017 Non-Par N BCBS SB621 IL Blue Shield - Illinois (formerly BS018) Eligibility Eligibility Search OptionsN: 10/06/2016 Non-Par N BCBS SB621 IL Blue Shield - Illinois (formerly BS018) Claim Status Inquiry Claim Status Inquiry Search OptionsU: 04/05/2018 Non-Par N BCBS SB700 MA Blue Shield - Massachusetts (formerly BS059) Eligibility Eligibility Search OptionsN: 10/07/2016 Non-Par N BCBS SB700 MA Blue Shield - Massachusetts (formerly BS059) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 10/06/2016 Non-Par N BCBS SB720 MN Blue Shield - Minnesota (formerly BS085) Eligibility Eligibility Search OptionsN: 10/06/2016 Non-Par N BCBS SB790 NM Blue Shield – New Mexico (formerly BS037) Eligibility Eligibility Search OptionsN: 10/06/2016 Non-Par N BCBS SB790 NM Blue Shield – New Mexico (formerly BS037) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 10/06/2016 Non-Par N BCBS SB840 OK Blue Shield - Oklahoma (formerly BS041) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 10/05/2016 Non-Par N BCBS SB850 OR Blue Shield – Oregon (formerly BS026) Eligibility Eligibility Search OptionsU: 01/31/2017 Non-Par N BCBS SB900 TX Blue Shield - Texas (formerly BS021) Eligibility Eligibility Search OptionsN: 10/06/2016 Non-Par N BCBS SB900 TX Blue Shield - Texas (formerly BS021) Claim Status Inquiry Claim Status Inquiry Search OptionsN:04/29/2019 Non-Par N Commercial BS088 Blue Shield - Utah (Regence) Eligibility Eligibility Search OptionsN: 10/07/2016 Non-Par N BCBS SB806 NY Blue Shield - Utica/ Watertown (formerly BS066) Eligibility Eligibility Search OptionsN: 10/06/2016 Non-Par N BCBS SB931 WA Blue Shield – Washington (King County) (formerly BS006) Eligibility Eligibility Search OptionsN:05/06/2019 Non-Par N Commercial SB801 Blue Shield NY Western Eligibility Eligibility Search OptionsN: 07/11/2017 Non-Par N BCBS SB971 HI Blue Shield of Hawaii (HMSA) (Formerly BS064) Eligibility Eligibility Search OptionsN: 07/11/2017 Non-Par N BCBS SB730 MS Blue Shield of Mississippi (Formerly BS047) Eligibility Eligibility Search OptionsN: 07/11/2017 Non-Par N BCBS SB730 MS Blue Shield of Mississippi (formerly BS047) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 07/11/2017 Trans N BCBS 22099 NJ Blue Shield of New Jersey (Formerly BS031) Eligibility Eligibility Search OptionsN: 07/11/2017 Trans N BCBS 22099 NJ Blue Shield of New Jersey (Formerly BS031) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 01/23/2015 Non-Par N Commercial 00403 BlueChoice Medicaid (Anthem) Eligibility Eligibility Search OptionsN: 12/02/2016 Non-Par N BCBS SB510 AL BlueCross BlueShield of Alabama (Formerly BS054) Eligibility Eligibility Search OptionsU: 07/10/2021 Non-Par N BCBS SB520 AR BlueCross BlueShield of Arkansas Eligibility Eligibility Search Options AR BCBS EnrollmentN: 01/10/2017 Non-Par N BCBS SB520 AR BlueCross BlueShield of Arkansas Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/04/2016 Non-Par N BCBS CORE II SB550 CO BlueCross BlueShield of Colorado - Anthem (Formerly BS020) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/04/2016 Non-Par N BCBS CORE II SB550 CO BlueCross BlueShield of Colorado - Anthem (Formerly BS020) Eligibility Eligibility Search OptionsN: 08/04/2016 Non-Par N BCBS CORE II SB560 CT BlueCross BlueShield of Connecticut - Anthem (Formerly BS043) Eligibility Eligibility Search OptionsN: 08/04/2016 Non-Par N BCBS CORE II SB560 CT BlueCross BlueShield of Connecticut - Anthem (Formerly BS043) Claim Status Inquiry Claim Status Inquiry Search OptionsU: 09/28/2015 Non-Par N BCBS SB580 DC BlueCross BlueShield of DC (Carefirst) Eligibility Eligibility Search OptionsN: 07/18/2016 Non-Par N BCBS SB580 DC BlueCross BlueShield of DC (Carefirst) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/04/2016 Non-Par N BCBS CORE II SB600 GA BlueCross BlueShield of Georgia - Anthem (Formerly BS039) Eligibility Eligibility Search OptionsN: 08/04/2016 Non-Par N BCBS CORE II SB600 GA BlueCross BlueShield of Georgia - Anthem (Formerly BS039) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/04/2016 Non-Par N BCBS CORE II SB630 IN BlueCross BlueShield of Indiana - Anthem (Formerly BS049) Eligibility Eligibility Search OptionsN: 08/04/2016 Non-Par N BCBS CORE II SB630 IN BlueCross BlueShield of Indiana - Anthem (Formerly BS049) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/04/2016 Non-Par N BCBS CORE II SB660 KY BlueCross BlueShield of Kentucky - Anthem (Formerly BS050) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/04/2016 Non-Par N BCBS CORE II SB660 KY BlueCross BlueShield of Kentucky - Anthem (Formerly BS050) Eligibility Eligibility Search OptionsN: 07/11/2017 Non-Par N BCBS 23738 LA BlueCross BlueShield of Louisiana (Formerly BS038) Eligibility Eligibility Search OptionsN: 08/04/2016 Non-Par N BCBS CORE II SB680 ME BlueCross BlueShield of Maine - Anthem (Formerly BS034) Eligibility Eligibility Search OptionsN: 08/04/2016 Non-Par N BCBS CORE II SB680 ME BlueCross BlueShield of Maine - Anthem (Formerly BS034) Claim Status Inquiry Claim Status Inquiry Search OptionsU: 09/28/2015 Non-Par N BCBS SB690 MD BlueCross BlueShield of Maryland (Carefirst) Eligibility Eligibility Search Options
4/6/2022 3 of 15
Updated Par/ Non-Par/Trans
Pass Through
Fees
Payer Type CORE Certified Payers
Payer ID ST Payer Name Line of Business Payer Search Options Enrollment / Authorization
N: 02/11/2016 Non-Par N BCBS SB690 MD BlueCross BlueShield of Maryland (Carefirst) Claim Status Inquiry Claim Status Inquiry Search OptionsU: 06/22/2016 Non-Par Y BCBS SB710 MI BlueCross BlueShield of Michigan Eligibility Eligibility Search Options MI BCBS EnrollmentN: 08/04/2016 Non-Par N BCBS CORE II SB741 MO BlueCross BlueShield of Missouri - St. Louis - Anthem (Formerly BS025) Claim Status Inquiry Claim Status Inquiry Search OptionsU: 08/03/2016 Non-Par N BCBS CORE II SB741 MO BlueCross BlueShield of Missouri - St. Louis - Anthem (Formerly BS025) Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N BCBS SB740 MO BlueCross BlueShield of Missouri (Kansas City BS) (Formerly BS024) Eligibility Eligibility Search OptionsN: 07/11/2017 Non-Par N BCBS SB760 NE BlueCross BlueShield of Nebraska (Formerly BS058) Eligibility Eligibility Search OptionsN: 07/11/2017 Non-Par N BCBS SB760 NE BlueCross BlueShield of Nebraska (Formerly BS058) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/04/2016 Non-Par N BCBS CORE II SB765 NV BlueCross BlueShield of Nevada - Anthem (Formerly BS019) Eligibility Eligibility Search OptionsN: 08/04/2016 Non-Par N BCBS CORE II SB765 NV BlueCross BlueShield of Nevada - Anthem (Formerly BS019) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/04/2016 Non-Par N BCBS SB803 NY BlueCross BlueShield of New York - Empire (Formerly BS033) Eligibility Eligibility Search OptionsN: 08/04/2016 Non-Par N BCBS SB803 NY BlueCross BlueShield of New York - Empire (Formerly BS033) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 07/11/2017 Non-Par N BCBS SB810 NC BlueCross BlueShield of North Carolina (Formerly BS003) Eligibility Eligibility Search OptionsN: 07/11/2017 Non-Par N BCBS SB810 NC BlueCross BlueShield of North Carolina (Formerly BS003) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/04/2016 Non-Par N BCBS CORE II SB338 OH BlueCross BlueShield of Ohio Acordia - Anthem (Formerly BS051) Eligibility Eligibility Search OptionsN: 08/04/2016 Non-Par N BCBS CORE II SB338 OH BlueCross BlueShield of Ohio Acordia - Anthem (Formerly BS051) Claim Status Inquiry Claim Status Inquiry Search OptionsU: 10/29/2021 Non-Par N BCBS SB865 PA BlueCross BlueShield of Pennsylvania - Highmark (Formerly BS027) Eligibility Eligibility Search Options PA BCBS EnrollmentN: 08/04/2016 Non-Par Y BCBS SB865 PA BlueCross BlueShield of Pennsylvania - Highmark (Formerly BS027) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 07/11/2017 Non-Par N BCBS SB880 SC BlueCross BlueShield of South Carolina (Formerly BS028) Eligibility Eligibility Search OptionsU: 06/17/2015 Non-Par N BCBS SB890 TN BlueCross BlueShield of Tennessee Eligibility Eligibility Search OptionsN: 01/26/2016 Non-Par N BCBS SB890 TN BlueCross BlueShield of Tennessee Claim Status Inquiry Claim Status Inquiry Search OptionsN: 09/22/2016 Par N BCBS 66001 TX BlueCross BlueShield of Texas Medicaid Eligibility Eligibility Search OptionsN: 08/01/2017 Non-Par N BCBS SB915 VT BlueCross BlueShield of Vermont (Formerly BS065) Eligibility Eligibility Search OptionsN: 08/04/2016 Non-Par N BCBS CORE II SB923 VA BlueCross BlueShield of Virginia - Anthem (Formerly BS029) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/04/2016 Non-Par N BCBS CORE II SB923 VA BlueCross BlueShield of Virginia - Anthem (Formerly BS029) Eligibility Eligibility Search OptionsN: 08/04/2016 Non-Par N BCBS SB941 WV BlueCross BlueShield of West Virginia (Formerly BS055) Eligibility Eligibility Search Options WV BCBS EnrollmentN: 08/04/2016 Non-Par N BCBS CORE II SB950 WI BlueCross BlueShield of Wisconsin - Anthem (Formerly BS053) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/04/2016 Non-Par N BCBS CORE II SB950 WI BlueCross BlueShield of Wisconsin - Anthem (Formerly BS053) Eligibility Eligibility Search OptionsN: 11/22/2016 Non-Par N BCBS SB640 IA BlueCrossBlueShield of Iowa (formerly BS030) Eligibility Eligibility Search OptionsU: 08/29/2017 Non-Par N BCBS SB650 KS BlueCrossBlueShield of Kansas (Formerly BS023) Eligibility Eligibility Search OptionsN: 08/18/2017 Non-Par N BCBS SB804 NY BlueCrossBlueShield of New York (Rochester) (Formerly BS061) Eligibility Eligibility Search OptionsN: 02/24/2017 Non-Par N BCBS SB820 ND BlueCrossBlueShield of North Dakota (Formerly BS057) Eligibility Eligibility Search Options ND BCBS EnrollmentN: 07/11/2017 Non-Par N BCBS SB889 SD BlueCrossBlueShield of South Dakota (Formerly BS056) Eligibility Eligibility Search OptionsN: 01/25/2017 Non-Par N BCBS SB960 WY BlueCrossBlueShield of Wyoming (formerly BS074) Eligibility Eligibility Search Options WY BCBS EnrollmentN: 01/21/2016 Par N Commercial 52192 Bravo Health Claim Status Inquiry Claim Status Inquiry Search OptionsU: 07/25/2013 Non-Par N Commercial 52192 Bravo Health Eligibility Eligibility Search OptionsN: 01/07/2015 Non-Par N Commercial 88033 Bridgestone Americas, Inc. Eligibility Eligibility Search OptionsU: 11/07/2014 Non-Par N Commercial 68054 Bridgeway Health Solutions Eligibility Eligibility Search OptionsU: 12/04/2015 Non-Par N Commercial 32004 Buckeye Comm Health Plan - Centene Eligibility Eligibility Search OptionsN: 11/02/2016 Non-Par N Commercial 32004 Buckeye Comm Health Plan - Centene Claim Status Inquiry Claim Status Inquiry Search OptionsN: 05/08/2015 Non-Par N Commercial 23708 C & O Employee's Hospital Assoc Eligibility Eligibility Search OptionsN: 11/23/2016 Par N Commercial 68047 CA Health & Wellness Eligibility Eligibility Search OptionsN: 03/06/2017 Non-Par N BCBS 23045 PA Capital Blue Cross (Formerly 54720) Eligibility Eligibility Search OptionsN: 03/06/2017 Non-Par N BCBS 23045 PA Capital Blue Cross (Formerly 54720) Claim Status Inquiry Claim Status Inquiry Search OptionsU: 09/26/2017 Non-Par Y Commercial SX065 Capital District Phys Hlth Plan Eligibility Eligibility Search OptionsN: 10/30/2015 Non-Par N Commercial 57116 Care 1st Health Plan Of Arizona Eligibility Eligibility Search OptionsN: 09/27/2019 Par N Commercial 66010 Care N’ Care Eligibility Eligiblity Search OptionsN: 03/14/2022 Par N Commercial 66010 Care N’ Care Claim Status Inquiry Claim Status Inquiry Search OptionsN: 06/09/2015 Non-Par N Commercial 93975 CareOregon Eligibility Eligibility Search OptionsU: 12/04/2015 Par N Commercial 65031 CarePlus Health Plan Eligibility Eligibility Search Options CarePlus EnrollmentN: 01/26/2016 Par N Commercial 65031 CarePlus Health Plan Claim Status Inquiry Claim Status Inquiry Search Options CarePlus EnrollmentU: 06/15/2020 Non-Par N Commercial 31114 OH CareSource OH Eligibility Eligibility Search OptionsN:04/30/2019 Non-Par N Commercial 31114 CareSource OH Claim Status Inquiry Claim Status Inquiry Search OptionsN:04/30/2019 Non-Par N Commercial CWSTL Carpenters Hlth & Welfare St Louis Claim Status Inquiry Claim Status Inquiry Search OptionsN: 12/18/2014 Non-Par N Commercial 88022 CDS Group Health Eligibility Eligibility Search OptionsU: 12/04/2015 Non-Par N Commercial 68060 CeltiCare Eligibility Eligibility Search OptionsN: 01/13/2017 Non-Par N Commercial 68060 CeltiCare Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/04/2015 Non-Par N Commercial 68048 AZ Cenpatico Behavioral Health AZ Eligibility Eligibility Search OptionsU: 03/27/2017 Non-Par Y Commercial 68050 Cenpatico Georgia Eligibility Eligibility Search OptionsU: 12/04/2015 Non-Par N Commercial 68052 IN Cenpatico Indiana Eligibility Eligibility Search OptionsN: 02/25/2016 Non-Par N Commercial CBHKS KS Cenpatico Kansas Claim Status Inquiry Claim Status Inquiry Search OptionsU: 9/03/2015 Non-Par N Commercial CBHKS KS Cenpatico Kansas Eligibility Eligibility Search OptionsN: 01/05/2016 Non-Par N Commercial 68067 Cenpatico Kentucky Eligibility Eligibility Search OptionsU: 12/04/2015 Non-Par N Commercial 68061 MA Cenpatico Massachusetts Eligibility Eligibility Search OptionsU: 12/04/2015 Non-Par N Commercial 68051 OH Cenpatico Ohio Eligibility Eligibility Search OptionsN: 03/26/2015 Non-Par N Commercial 68059 Cenpatico South Carolina Eligibility Eligibility Search OptionsN: 03/26/2015 Non-Par N Commercial 68058 Cenpatico Sunshine St HP/Centene Eligibility Eligibility Search OptionsU: 05/16/2016 Par N Commercial CRLMS Central Reserve Life Medicare Supp Eligibility Eligibility Search OptionsN: 10/27/2015 Non-Par N Commercial 62218 Central SeniorCare Eligibility Eligibility Search OptionsN: 03/28/2016 Non-Par N Commercial 62218 Central SeniorCare Claim Status Inquiry Claim Status Inquiry Search OptionsN 08/01/2012 Par N Commercial 36215 Central States Health Welfare Fund Eligibility Eligibility Search OptionsU: 12/04/2015 Par N Commercial 84146 CHAMPVA - HAC Eligibility Eligibility Search OptionsN: 02/11/2016 Par Y Commercial 84146 CHAMPVA - HAC Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/04/2015 Par N Commercial 25149 NV CHC Altius/CHC Nevada Eligibility Eligibility Search OptionsU: 12/04/2015 Par N Commercial 25130 DE CHC Delaware Eligibility Eligibility Search Options
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Payer ID ST Payer Name Line of Business Payer Search Options Enrollment / Authorization
U: 12/04/2015 Par N Commercial 00512 FL CHC Florida Eligibility Eligibility Search OptionsN: 03/15/2016 Par N Commercial 00512 FL CHC Florida Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/04/2015 Par N Commercial 25127 GA CHC Georgia Eligibility Eligibility Search OptionsN: 08/17/2021 Par N Commercial 25127 GA Coventry Health Care of Georgia Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/04/2015 Par N Commercial 25143 CHC HealthCare USA Eligibility Eligibility Search OptionsU: 12/04/2015 Par N Commercial 25146 IL CHC Illinois Eligibility Eligibility Search OptionsN: 11/02/2016 Trans N Commercial 25146 CHC Illinois Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/04/2015 Par N Commercial 25132 IA CHC Iowa Eligibility Eligibility Search OptionsN: 01/13/2017 Par N Commercial 25132 IA CHC Iowa Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/04/2015 Par N Commercial 00172 CHC Kansas/CHC Oklahoma Eligibility Eligibility Search OptionsN: 07/01/2016 Non-Par N Commercial 00172 CHC Kansas/CHC Oklahoma Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/04/2015 Par N Commercial 25135 LA CHC Louisiana Eligibility Eligibility Search OptionsU: 12/04/2015 Par N Commercial 25136 NE CHC Nebraska Eligibility Eligibility Search OptionsU: 12/04/2015 Par N Commercial 25129 CHC of Carolinas Eligibility Eligibility Search OptionsN: 03/15/2016 Par N Commercial 25129 CHC of Carolinas Claim Status Inquiry Claim Status Inquiry Search OptionsN: 12/04/2015 Par N Commercial 25151 CHC of MO, MS, AK, TN Eligibility Eligibility Search OptionsA: 07/01/2016 Par N Commercial 25151 CHC of MO, MS, AK, TN Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/04/2015 Par N Commercial 25152 TX CHC Texas Eligibility Eligibility Search OptionsU: 12/04/2015 Par N Commercial 25128 VA CHC Virginia Eligibility Eligibility Search OptionsN: 01/13/2017 Par N Commercial 25128 VA CHC Virginia Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/04/2015 Par N Commercial 25139 WV CHC West Virginia Eligibility Eligibility Search OptionsN: 03/26/2015 Par N Commercial 75895 CHCS Services, Inc. Eligibility Eligibility Search OptionsN: 03/11/2019 Non-Par N Commercial 34154 Chesterfield Eligibility Eligibility Search OptionsN: 11/03/2014 Non-Par N Commercial 38308 Christian Brothers Services Eligibility Eligibility Search OptionsN: 06/03/2016 Non-Par N Commercial 38308 Christian Brothers Services Claim Status Inquiry Claim Status Inquiry Search OptionsN: 05/01/2015 Non-Par N Commercial 10629 Christus Health Medicare Advantage Eligibility Eligibility Search OptionsN:05/06/2019 Non-Par N Commercial 52106 Christus Health Plan Texas HIX Claim Status Inquiry Claim Status Inquiry Search OptionsU: 04/28/2016 Par N Commercial 62308 CIGNA Claim Status Inquiry Claim Status Inquiry Search OptionsU: 07/20/2021 Par N Commercial 62308 CIGNA Eligibility Eligibility Search OptionsU: 10/30/2015 Non-Par N Commercial 77023 Clover Health Eligibility Eligibility Search OptionsN: 07/18/2017 Par N Commercial 84129 Colorado Access HMO (Formerly COACC) Eligibility Eligibility Search OptionsU: 02/16/2017 Non-Par N Commercial 91617 Colorado Kaiser Permanente (Formerly COKSR) Eligibility Eligibility Search OptionsN: 03/07/2017 Non-Par N Commercial 91617 Colorado Kaiser Permanente (Formerly COKSR) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 01/21/2016 Non-Par N Commercial SKCO0 Colorado Medicaid Claim Status Inquiry Claim Status Inquiry Search OptionsN: 12/10/2015 Non-Par N Commercial SKCO0 Colorado Medicaid Eligibility Eligiblity Search OptionsU: 04/26/2016 Par N Commercial 73143 Community Care Mngd Hcare Plans Eligibility Eligibility Search OptionsU: 05/16/2016 Trans N Commercial 75261 Community Health Elec CI Eligibility Eligibility Search OptionsU: 10/23/2015 Non-Par N Commercial 19028 Concentrix Insurance Solutions Eligibility Eligibility Search OptionsU: 10/31/2017 Non-Par N Commercial 06105 ConnectiCare Eligibility Eligibility Search OptionsU: 10/31/2017 Non-Par N Commercial 06105 ConnectiCare Claim Status Inquiry Claim Status Inquiry Search OptionsN: 01/05/2016 Par N Commercial 75284 Consolidated Associates RailRoad Eligibility Eligibility Search OptionsN: 10/19/2015 Non-Par N Commercial 58112 Consumer Mutual of Michigan Eligibility Eligibility Search OptionsN:04/30/2019 Non-Par N Commercial 58112 Consumer Mututal of Michigan Claim Status Inquiry Claim Status Inquiry Search OptionsN: 12/09/2015 Non-Par N Commercial 58086 Continental General Insurance Co Eligibility Eligibility Search OptionsN 08/01/2012 Non-Par Y Commercial CCHP9 Cooks Children Star Plan Eligibility Eligibility Search OptionsN: 05/04/2018 Par N Commercial 06541 CountyCare Eligibility Eligibility Search OptionsN:04/30/2019 Non-Par N Commercial 06541 CountyCare Claim Status Inquiry Claim Status Inquiry Search OptionsN:05/03/2019 Non-Par N Commercial 25130 Coventry Health Care of Delaware Claim Status Inquiry Claim Status Inquiry Search OptionsN: 12/10/2015 Par N Commercial 128FL Coventry Health Care of Florida Eligibility Eligibility Search OptionsN: 04/15/2016 Par N Commercial 128FL Coventry Health Care of Florida Claim Status Inquiry Claim Status Inquiry Search OptionsN:05/03/2019 Non-Par N Commercial 25135 Coventry Health Care of Louisiana Eligibility Claim Status Inquiry Search OptionsN:05/03/2019 Non-Par N Commercial 57116 Coventry Health Care of Louisiana Claim Status Inquiry Claim Status Inquiry Search OptionsN:05/03/2019 Non-Par N Commercial 25139 Coventry Health Care of West Virginia Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/04/2015 Par N Commercial 43173 Coventry Missouri Eligibility Eligibility Search OptionsN:05/03/2019 Non-Par N Commercial 43173 Coventry Missouri Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/04/2015 Par N Commercial 87043 Coventry National Accounts Eligibility Eligibility Search OptionsN: 03/15/2016 Par N Commercial 87043 Coventry National Accounts Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/04/2015 Par N Commercial 00441 OK Coventry Oklahoma Eligibility Eligibility Search OptionsU: 12/04/2015 Par N Commercial 00515 KY CoventryCares of KY Eligibility Eligibility Search OptionsU: 12/04/2015 Par N Commercial 25150 MI CoventryCares of Michigan Eligibility Eligibility Search OptionsN:05/03/2019 Non-Par N Commercial 25150 CoventryCares of Michigan Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/04/2015 Par N Commercial 00511 NE CoventryCares of Nebraska Eligibility Eligibility Search OptionsU: 12/04/2015 Par N Commercial 25142 VA CoventryCares of Virginia Eligibility Eligibility Search OptionsN: 08/17/2021 Par N Commercial 25142 VA CoventryCares of Virginia Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/11/2019 Non-Par N Commercial CREA8 Create Eligibility Eligibility Search OptionsN:04/30/2019 Non-Par N Commercial CREA8 Create Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/11/2019 Non-Par N Commercial 46430 Crystal Run Health Plans Eligibility Eligibility Search OptionsU: 09/26/2017 Non-Par Y Commercial DAK01 DakotaCare Eligibility Eligibility Search OptionsN: 01/16/2015 Non-Par N Commercial 39113 Dean Health Plan Eligibility Eligibility Search OptionsN: 01/22/2016 Par N Commercial 39113 Dean Health Plan Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/11/2019 Non-Par N Commercial 74272 Dell Children's Health Plan Eligibility Eligibility Search OptionsN:04/30/2019 Non-Par N Commercial 74272 Dell Children's Health Plan Claim Status Inquiry Claim Status Inquiry Search OptionsN:05/06/2019 Non-Par N Commercial CKID1 DentaQuest - Government Plans Eligibility Eligibility Search OptionsN:05/06/2019 Non-Par N Commercial CKIL1 DentaQuest - Government Plans Eligibility Eligibility Search Options
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N:05/06/2019 Non-Par N Commercial CKKY3 DentaQuest - Government Plans Eligibility Eligibility Search OptionsN:05/06/2019 Non-Par N Commercial CKSC1 DentaQuest - Government Plans Eligibility Eligibility Search OptionsN:05/06/2019 Non-Par N Commercial CKVA1 DentaQuest - Government Plans Eligibility Eligibility Search OptionsN:05/06/2019 Non-Par N Commercial CX014 DentaQuest - Government Plans Eligibility Eligibility Search OptionsU: 04/29/2019 Non-Par Y Commercial SX105 Deseret Mutual Benefits Assoc Eligibility Eligibility Search OptionsN: 12/10/2015 Par N Commercial MWELT District No.9I.A.ofM.&A.W. Welfare Trust Eligibility Eligibility Search OptionsN: 06/03/2016 Par N Commercial MWELT District No.9I.A.ofM.&A.W. Welfare Trust Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/21/2017 Par N Commercial 06102 Diversified Administration Corp Eligibility Eligibility Search OptionsN:04/30/2019 Non-Par N Commercial 06102 Diversified Administration Corp Claim Status Inquiry Claim Status Inquiry Search OptionsU: 05/17/2017 Non-Par N Medicare SDMEA DMERC - Region A (Formerly MR030) Eligibility Eligibility Search Options Medicare EnrollmentU: 05/17/2017 Non-Par N Medicare SDMEB DMERC - Region B (Formerly MR031) Eligibility Eligibility Search Options Medicare EnrollmentU: 05/17/2017 Non-Par N Medicare SDMEC DMERC - Region C (Formerly MR032) Eligibility Eligibility Search Options Medicare EnrollmentU: 05/17/2017 Non-Par N Medicare SDMED DMERC - Region D (Formerly MR024) Eligibility Eligibility Search Options Medicare EnrollmentU: 10/28/2021 Trans N Commercial 74284 Driscoll Children's Health Plan Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial 31625 ElderPlan, Inc. Eligibility Eligibility Search OptionsU: 08/17/2021 Par N Commercial 31625 ElderPlan, Inc. Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/20/2018 Trans N Commercial 16565 EMHS Employee Health Plan Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial 37216 Employee Benefit Services EBS Eligibility Eligibility Search OptionsN: 03/11/2019 Non-Par N Commercial ENHDC Enhancedcare MD Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial 20818 Essence Healthcare Eligibility Eligibility Search OptionsN: 01/13/2017 Non-Par N Commercial 20818 Essence Healthcare Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/26/2016 Trans N Commercial 35605 Everence Eligibility Eligibility Search OptionsN: 11/02/2016 Trans N Commercial 93240 Evergreen Health Cooperative (Valence) Eligibility Eligibility Search OptionsU: 10/28/2021 Trans N Commercial 22254 Fallon Community Health Plan Claim Status Inquiry Claim Status Inquiry Search OptionsU: 10/28/2021 Trans N Commercial 22254 Fallon Community Health Plan Eligibility Eligibility Search OptionsN: 10/02/2017 Par N Commercial 62045 Farm Bureau Health Plans Eligibility Eligibility Search OptionsN:05/06/2019 Non-Par N Commercial 62045 FARM BUREAU HEALTH PLANS Claim Status Inquiry Claim Status Inquiry Search OptionsU: 05/09/2017 Non-Par N Commercial 11315 NY Fidelis Care of New York Eligibility Eligibility Search OptionsN: 07/27/2017 Par N Commercial 56196 NC First Carolina Care Eligibility Eligibility Search OptionsN:04/30/2019 Non-Par N Commercial 56196 First Carolina Care Claim Status Inquiry Claim Status Inquiry Search OptionsN:05/06/2019 Non-Par N Commercial 77009 First Choice VIP Care PLUS - SC Claim Status Inquiry Claim Status Inquiry Search OptionsN:05/06/2019 Non-Par N Commercial 77009 First Choice VIP Care PLUS - SC. Eligibility Eligibility Search OptionsN: 05/04/2018 Par N Commercial FCHRT First Community Health Plan Eligibility Eligibility Search OptionsN:04/30/2019 Non-Par N Commercial FCHRT First Community Health Plan Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/26/2016 Par N Commercial 42723 First Health Life & Health Ins Eligibility Eligibility Search OptionsN: 01/10/2017 Par N Commercial 42723 First Health Life & Health Ins Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/26/2016 Par N Commercial 13317 First Reliance Standard Life Ins Co Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial FUNAI First United American Life Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial FUNAI First United American Life Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/26/2016 Non-Par Y Commercial 59322 FL Florida Healthcare Plan Eligibility Eligibility Search OptionsN: 08/26/2016 Par N Commercial HHZBW Food Bakery Conf Workers Fund Eligibility Eligiblity Search OptionsN: 08/26/2016 Par N Commercial HHZBW Food Bakery Conf Workers Fund Claim Status Inquiry Claim Status Inquiry Search OptionsU: 10/08/2018 Non-Par Y Commercial 75273 Geisinger Health Plans Eligibility Eligibility Search OptionsN: 08/26/2016 Par N Commercial GLOBE Globe Life & Accident Ins Co Eligibility Eligibility Search OptionsN: 09/20/2016 Par N Commercial GLOBE Globe Life & Accident Ins Co Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/26/2016 Par N Commercial 37602 Golden Rule Insurance Company Eligibility Eligiblity Search OptionsN: 08/26/2016 Non-Par N Commercial GTPA1 Golden Triangle Phys Alliance Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial GTPA1 Golden Triangle Phys Alliance Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/26/2016 Par N Commercial 44054 Govt Employees Hosp Assn (GEHA) Eligibility Eligibility Search OptionsN: 08/26/2016 Par N Commercial 13193 Great American Life Insurace Co Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial 80705 Great-West Healthcare Eligibility Eligibility Search OptionsN: 08/26/2016 Par N Commercial 80705 Great-West Healthcare Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/26/2016 Par N Commercial 48143 Group And Pension Administrators Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial 48143 Group And Pension Administrators Claim Status Inquiry Claim Status Inquiry Search OptionsN: 09/22/2016 Par N Commercial CX036 Group Dental Services Eligibility Eligibility Search OptionsN: 08/26/2016 Par N Commercial 13551 Group Health Inc (GHI) Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial 13551 Group Health Inc (GHI) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/26/2016 Non-Par N Commercial 68046 Group Practice Affiliates Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par Y Commercial 38224 HAP/AHL/Curanet Eligibility Eligibility Search OptionsN: 08/26/2016 Par N Commercial 36406 Harmony Health Plan Eligibility Eligibility Search OptionsU: 05/09/2017 Non-Par N Commercial 04271 Harvard Pilgrim Health Plan Eligibility Eligibility Search OptionsN: 03/11/2019 Non-Par N Commercial HALLS Health Alliance of Illinois Eligibility Eligibility Search OptionsN: 08/26/2016 Par N Commercial 25126 PA Health America of PA Eligibility Eligibility Search OptionsN: 11/01/2016 Trans N Commercial 25126 Health America of PA Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/26/2016 Par N Commercial 62179 Health Choice Arizona Eligibility Eligibility Search OptionsN: 08/26/2016 Trans N Commercial 95019 Health First Health Plan Eligibility Eligibility Search OptionsN: 01/10/2017 Trans N Commercial 95019 Health First Health Plan Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/26/2016 Non-Par N Commercial 55247 NY Health Insurance Plan of Greater NY Eligibility Eligibility Search OptionsU: 08/17/2021 Par N Commercial 38309 AZ Health Net of Arizona Eligibility Eligibility Search OptionsU: 08/17/2021 Non-Par N Commercial 95567 CA Health Net of California Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial 95567 CA Health Net of California Claim Status Inquiry Claim Status Inquiry Search OptionsU: 06/07/2017 Par N Commercial 06108 Health Net of The Northeast Eligibility Eligibility Search OptionsU: 02/26/2018 Non-Par N Commercial 68035 CA Health Plan of San Joaquin Eligibility Eligibility Search OptionsU: 06/13/2018 Non-Par Y Commercial HPSM1 Health Plan of San Mateo Eligibility Eligibility Search Options
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Payer ID ST Payer Name Line of Business Payer Search Options Enrollment / Authorization
N: 06/04/2018 Non-Par n Commercial SX174 CA Health Plan of San Mateo Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial 37290 Health Services For Children-HSCSN Eligibility Eligibility Search OptionsN: 08/26/2016 Trans N Commercial 37290 Health Services For Children-HSCSN Claim Status Inquiry Claim Status Inquiry Search OptionsN:05/03/2019 Non-Par N Commercial 25143 Healthcare USA Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/26/2016 Non-Par N Commercial HCOMP HealthComp Eligibility Eligibility Search OptionsN: 08/26/2016 Par N Commercial 59608 Healthease Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial WCHEK HealthEase Kids Eligibility Eligibility Search OptionsN: 08/26/2016 Trans N Commercial HFNJ1 HealthFirst Inc. (NJ) Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial 80141 NY Healthfirst, Inc - New York Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/26/2016 Trans N Commercial 80141 NY Healthfirst, Inc - New York Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial 56144 Healthgram Inc Eligibility Eligibility Search OptionsU: 06/04/2018 Non-Par Y Commercial 55204 NY HealthNow NY Eligibility Eligibility Search OptionsN: 07/17/2017 Non-Par N Commercial SX009 MN HealthPartners of Minnesota (Formerly 94267) Eligibility Eligibility Search Options HealthPartners of MN EnrollmentN: 08/26/2016 Par Y Commercial 80142 PA HealthPartners of Philadelphi Eligibility Eligibility Search OptionsN: 08/26/2016 Par Y Commercial 80142 PA HealthPartners of Philadelphi Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/26/2016 Non-Par Y Commercial 38216 HealthPlus of Michigan Eligibility Eligibility Search OptionsN: 08/26/2016 Par N Commercial 37283 HealthSmart Benefit Solutions Eligibility Eligibility Search OptionsN: 08/26/2016 Par N Commercial 37283 HealthSmart Benefit Solutions Claim Status Inquiry Claim Status Inquiry Search OptionsN:04/30/2019 Non-Par N Commercial 87815 HealthSmart Benefit Solutions Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/04/2015 Par N Commercial 87815 HealthSmart Benefit Solutions (Formerly Wells Fargo TPA) Eligibility Eligibility Search OptionsU: 05/09/2017 Non-Par Y Commercial HT001 HealthSpring Eligibility Eligibility Search OptionsN: 03/05/2019 Non-Par N Medicaid 58532 Healthy Blue Louisiana Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/26/2016 Non-Par N Commercial 68064 Healthy Texas Eligibility Eligibility Search OptionsN:05/06/2019 Non-Par N Commercial 47181 Highmark BCBS D Health Options Eligibility Eligibility Search OptionsN:05/06/2019 Non-Par N Commercial 47181 Highmark BCBS D Health Options Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/26/2016 Non-Par N Commercial 35145 Highmark Key Family Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial 54771 Highmark/KHP Central (Out of Service Area) Eligibility Eligibility Search Options 54771 EnrollmentN:04/30/2019 Non-Par N Commercial 86066 HMA, Inc. (AZ, NV,HI) Eligibility Eligibility Search OptionsN:04/30/2019 Non-Par N Commercial 86066 HMA, Inc. AZ, NV & HI Claim Status Inquiry Claim Status Inquiry Search OptionsN: 09/22/2016 Par N Commercial 84555 HMO Louisiana Inc Eligibility Eligibility Search OptionsN:04/30/2019 Non-Par N Commercial 88023 Hometown Health Plan Of NV Claim Status Inquiry Claim Status Inquiry Search OptionsN:04/30/2019 Non-Par N Commercial 66003 Hopkins Health Advantage (TMG Claim Status Inquiry Claim Status Inquiry Search OptionsN: 05/04/2018 Par N Commercial 66003 Hopkins Health Advantage (TMG) Eligibility Eligibility Search OptionsN:04/30/2019 Non-Par N Commercial 37256 HSBS Oklahoma City Claim Status Inquiry Claim Status Inquiry Search OptionsN:04/30/2019 Non-Par N Commercial 37256 HSBS Oklahoma City Eligibility Eligibility Search OptionsU: 03/21/217 Par N Commercial 61101 Humana, Inc. Claim Status Inquiry Claim Status Inquiry Search OptionsU: 02/16/2017 Par N Commercial 61101 Humana, Inc. Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial SX083 IBC Personal Choice (Formerly 54704) Eligibility Eligibility Search Options IBC Personal Choice EnrollmentN: 08/26/2016 Non-Par N Commercial HHZIB IBEW Local 508 Health Plan Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial 68065 Illinicare (Behavioral Health) Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial 68066 Illinicare (Group Health) Eligibility Eligibility Search OptionsN: 08/17/2021 Non-Par N Commercial 68066 Illinicare (Group Health) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/26/2016 Non-Par N Commercial TA720 Independence Administrators Eligibility Eligibility Search OptionsN: 04/03/2020 Non-Par N Commercial SX073 Independent Health Eligibility Eligibility Search OptionsN: 03/11/2019 Non-Par N Commercial UNIND Indiana University Health Plan Eligibility Eligibility Search OptionsN: 12/28/2016 Non-Par Y Commercial IEHP1 CA Inland Empire Health Plan (formerly 33070) Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial 51020 INTEGRA Administrative Group, Inc. Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial 31128 INTEGRA GROUP/HOME Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial CBHTX Integrated Mental Health Services Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par Y Commercial IVHP1 Inter Valley Health Plan Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial FMHPI International Medical Card, Inc. Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial 85502 Island Home Insurance Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial 52189 Johna Hopkins Hcare (EHP/PP) Eligibility Eligibility Search OptionsN: 03/11/2019 Non-Par N Commercial JHFHP Johns Hopkins US Family Health Plan Eligibility Eligibility Search OptionsN: 03/06/2017 Non-Par N Commercial 93079 Kaiser Foundation Hosp - NW Reg (Formerly KS007) Eligibility Eligibility Search Options Kaiser EnrollmentN: 08/26/2016 Non-Par N Commercial 21313 GA Kaiser Health Plan of Georgia Eligibility Eligibility Search Options Kaiser EnrollmentN: 08/26/2016 Non-Par N Commercial 52095 Kaiser Health Plans - Mid Atl States Eligibility Eligibility Search Options Kaiser EnrollmentN:04/30/2019 Non-Par N Commercial CX073 Kaiser NW Dental Claim Status Inquiry Claim Status Inquiry Search OptionsN:05/06/2019 Non-Par N Commercial CX073 Kaiser NW Dental Eligibility Eligibility Search OptionsN: 03/06/2017 Non-Par N Commercial 94135 CA Kaiser Permanente (Northern California) (Formerly KS003) Eligibility Eligibility Search Options Kaiser EnrollmentN: 03/06/2017 Non-Par N Commercial 94134 CA Kaiser Permanente (Southern California) (Formerly KS001) Eligibility Eligibility Search Options Kaiser EnrollmentN: 08/26/2016 Par N Commercial 94123 HI Kaiser Permanente Hawaii Eligibility Eligibility Search Options Kaiser EnrollmentN: 08/26/2016 Par N Commercial KPIC1 Kaiser Self Funded (Dell) Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial 81812 Katy Medical Claims Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial 81812 Katy Medical Claims Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/26/2016 Non-Par N Commercial 37313 KBA Assurant Health Eligibility Eligiblity Search OptionsN: 08/26/2016 Non-Par N Commercial 61453 Kemper Benefits Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial SKKY0 Kentucky Medicaid Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial SKKY0 Kentucky Medicaid Claim Status Inquiry Claim Status Inquiry Search OptionsU: 01/19/2021 Par N Commercial 61325 Passport Health Plan by Molina Healthcare Eligibility Eligibility Search OptionsU: 01/19/2021 Par N Medicaid 61325 Passport Health Plan by Molina Healthcare Claim Status Inquiry Claim Status Inquiry Search optionsN: 08/26/2016 Par N Commercial 37217 Key Benefit Administrators Eligibility Eligibility Search OptionsN:04/30/2019 Non-Par N Commercial 37217 Key Benefit Administrators Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/26/2016 Non-Par N Commercial 95460 Key Health Medical Solutions Eligibility Eligibility Search Options
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Payer Type CORE Certified Payers
Payer ID ST Payer Name Line of Business Payer Search Options Enrollment / Authorization
N: 08/26/2016 Non-Par N Commercial 37323 Key Solution Eligibility Eligibility Search OptionsN:05/06/2019 Non-Par N Commercial 77741 Keystone First PA Cmty Health Choices Eligibility Eligibility Search OptionsN:05/06/2019 Non-Par N Commercial 77741 Keystone First PA Cmty Health Choices Claim Status Inquiry Claim Status Inquiry Search OptionsU: 03/07/2017 Non-Par N Commercial 23284 Keystone Mercy Health Plan Eligibility Eligibility Search OptionsU: 03/07/2017 Non-Par N Commercial 23284 Keystone Mercy Health Plan Claim Status Inquiry Claim Status Inquiry Search OptionsN:05/06/2019 Non-Par N Commercial SB931 King Co Blue Shield-WA Claim Status Inquiry Claim Status Inquiry Search OptionsN: 12/09/2016 Par N Commercial LACAR LA Care Health Plan Eligibility Eligibility Search OptionsN: 01/13/2017 Par N Commercial LACAR LA Care Health Plan Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/26/2016 Non-Par N Commercial 37316 Leon Medical Center Health Plan Eligibility Eligibility Search OptionsN: 08/26/2016 Par N Commercial 37316 Leon Medical Center Health Plan Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/26/2016 Par N Commercial LTNAN Liberty National Life Ins Co Eligibility Eligibility Search OptionsN: 09/20/2016 Par N Commercial LTNAN Liberty National Life Ins Co Claim Status Inquiry Claim Status Inquiry Search OptionsN:04/30/2019 Non-Par N Commercial LFCAC LifeCare Assurance Company Claim Status Inquiry Claim Status Inquiry Search OptionsN:05/06/2019 Non-Par N Commercial LFCAC LifeCare Assurance Company Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial CX061 Lincoln Financial Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial 68069 Louisiana Healthcare Connections Eligibility Eligibility Search OptionsN:05/03/2019 Non-Par N Commercial 68069 Louisiana Healthcare Connections Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/26/2016 Par N Commercial LALMS Loyal American Life Medicare Supp Eligibility Eligibility Search OptionsN: 08/26/2016 Par N Commercial LALMS Loyal American Life Medicare Supp Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/26/2016 Par N Commercial 11303 Magnacare Eligibility Eligibility Search OptionsN: 08/26/2016 Par N Commercial 11303 Magnacare Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/26/2016 Non-Par N Commercial 68062 Magnolia Health Plan Eligibility Eligibility Search OptionsN:05/03/2019 Non-Par N Commercial 68062 Magnolia Health Plan Claim Status Inquiry Claim Status Inquiry Search OptionsN: 01/10/2017 Non-Par N Commercial 45341 Maine Community Health Options Eligibility Eligibility Search OptionsN: 03/14/2022 Non-Par N Commercial 45341 Maine Community Health Options Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/26/2016 Non-Par N Commercial 25168 Managed Care of America Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial 22771 Managed Health Network Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial 39187 Managed Health Services - Centene Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial 39186 Managed Health Services IN Caid HMO Eligibility Eligibility Search OptionsU: 08/17/2021 Non-Par N Commercial 39186 Managed Health Services Indiana Claim Status Inquiry Claim Status Inquiry Search OptionsN:05/03/2019 Non-Par N Commercial 39187 Managed Health Services Wisconsin Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/26/2016 Non-Par N Commercial L0160 Mapfre (Canada Life) Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial MAPMC Mapfre Medicare Excel Eligibility Eligibility Search OptionsN: 03/11/2019 Non-Par N Commercial MDPYC Maryland Physicians Care Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial 88058 Med Pay Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par Y Commercial 56162 Medcost Eligibility Eligibility Search OptionsN: 08/26/2016 Trans N Commercial 94265 Medica - United Health Eligibility Eligibility Search OptionsU: 05/10/2018 Non-Par N Commercial 78857 Medica Health Care Plan Inc. Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial 78857 Medica Health Care Plan Inc. Claim Status Inquiry Claim Status Inquiry Search OptionsN:04/30/2019 Non-Par N Commercial 12422 Medica2 Claim Status Inquiry Claim Status Inquiry Search OptionsN:04/30/2019 Non-Par N Commercial 12422 Medica2 Eligibility Eligibility Search OptionsN: 07/11/2017 Non-Par N Medicaid SKAL0 AL Medicaid - Alabama (Formerly MC018) Eligibility Eligibility Search Options AL Medicaid EnrollmentN: 08/26/2016 Non-Par N Medicaid SKAZ0 AZ Medicaid - Arizona Eligibility Eligibility Search OptionsN: 07/11/2017 Non-Par N Medicaid SKAR0 AR Medicaid - Arkansas (Formerly MC029) Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par Y Medicaid SKCT0 CT Medicaid - Connecticut (Formerly MC039) Eligibility Eligibility Search OptionsU: 08/02/2017 Par Y Medicaid SKDE0 DE Medicaid - Delaware Eligibility Eligibility Search Options DE Medicaid EnrollmentN: 07/11/2017 Non-Par Y Medicaid SKFL0 FL Medicaid - Florida (Formerly MC010) Eligibility Eligibility Search Options FL Medicaid EnrollmentN: 07/11/2017 Non-Par N Medicaid SKFL0 FL Medicaid - Florida (Formerly MC010) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 07/11/2017 Non-Par Y Medicaid SKGA0 GA Medicaid - Georgia (Formerly MC020) Eligibility Eligibility Search OptionsN: 04/06/2017 Non-Par N Medicaid SKHI0 HI Medicaid - Hawaii (Formerly MC103) Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Medicaid SKID0 ID Medicaid - Idaho Eligibility Eligibility Search OptionsN: 01/12/2017 Non-Par Y Medicaid SKIL0 IL Medicaid - Illinois (formerly MC009) Eligibility Eligibility Search OptionsU: 10/12/2017 Non-Par N Medicaid SKIN0 IN Medicaid - Indiana (formerly MC022) Eligibility Eligibility Search OptionsN: 02/24/2017 Non-Par Y Medicaid SKIA0 IA Medicaid - Iowa (Formerly MC026 Eligibility Eligibility Search OptionsU: 05/30/2018 Non-Par Y Medicaid SKKS0 KS Medicaid - Kansas (Formerly MC012) Eligibility Eligibility Search OptionsN: 10/26/2016 Non-Par N Medicaid SKLA0 LA Medicaid - Louisiana (formerly MC089) Eligibility Eligibility Search OptionsN: 01/25/2017 Non-Par N Medciad SKME0 ME Medicaid - Maine (formerly MC036) Eligibility Eligibility Search OptionsN: 11/22/2016 Non-Par N Medicaid SKMD0 MD Medicaid - Maryland (formerly MC091) Eligibility Eligibility Search Options MD Medicaid EnrollmentN: 07/11/2017 Non-Par N Medicaid SKMA0 MA Medicaid - Massachusetts (Formerly MC054) Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Medicaid SKMI0 MI Medicaid - Michigan Eligibility Eligibility Search Options MI Medicaid EnrollmentN: 07/11/2017 Non-Par N Medicaid SKMN0 MN Medicaid - Minnesota (Formerly MC053) Eligibility Eligibility Search OptionsN: 12/28/2016 Non-Par Y Medicaid SKMS0 MS Medicaid - Mississippi (formerly MC019) Eligibility Eligibility Search OptionsN: 07/11/2017 Non-Par N Medicaid SKMO0 MO Medicaid - Missouri (Formerly MC011) Eligibility Eligibility Search OptionsN: 07/11/2017 Non-Par Y Medicaid SKMT0 MT Medicaid - Montana (Formerly MC033) Eligibility Eligibility Search OptionsN: 05/04/2018 Non-Par N Medicaid 12K19 NE Medicaid - Nebraska (Formerly MC007) Institutional Eligibility Eligibility Search Options NE Medicaid EnrollmentN: 07/20/2017 Non-Par N Medicaid SKNE0 NE Medicaid - Nebraska (Formerly MC007) Professional Eligibility Eligibility Search Options NE Medicaid EnrollmentU: 12/21/2017 Non-Par N Medicaid SKNV0 NV Medicaid - Nevada (Formerly MC008) Eligibility Eligibility Search Options NV Medicaid EnrollmentN: 07/11/2017 Non-Par N Medicaid SKNH0 NH Medicaid - New Hampshire (Formerly MC059) Eligibility Eligibility Search OptionsN: 07/11/2017 Non-Par N Medicaid SKNJ0 NJ Medicaid - New Jersey (Formerly MC087) Eligibility Eligibility Search OptionsN: 07/11/2017 Non-Par Y Medicaid SKNM0 NM Medicaid - New Mexico (Formerly MC034) Eligibility Eligibility Search OptionsN: 07/11/2017 Non-Par Y Medicaid SKNM0 NM Medicaid - New Mexico (Formerly MC034) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 07/11/2017 Non-Par N Medicaid SKNC0 NC Medicaid - North Carolina (Formerly MC021) Eligibility Eligibility Search Options NC Medicaid EnrollmentN: 07/11/2017 Non-Par N Medicaid SKND0 ND Medicaid - North Dakota (Formerly MC101) Eligibility Eligibility Search OptionsN: 07/11/2017 Non-Par N Medicaid SKOH0 OH Medicaid - Ohio (Formerly MC046) Eligibility Eligibility Search Options
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Payer Type CORE Certified Payers
Payer ID ST Payer Name Line of Business Payer Search Options Enrollment / Authorization
N: 07/11/2017 Non-Par Y Medicaid SKOK0 OK Medicaid - Oklahoma (Formerly MC030) Eligibility Eligibility Search OptionsN: 07/11/2017 Non-Par N Medicaid SKOR0 OR Medicaid - Oregon (Formerly MC015) Eligibility Eligibility Search OptionsN: 07/11/2017 Non-Par N Medicaid SKPA0 PA Medicaid - Pennsylvania (Formerly MC016) Eligibility Eligibility Search OptionsN: 07/11/2017 Non-Par N Medicaid SKSC0 SC Medicaid - South Carolina (Formerly MC024) Eligibility Eligibility Search OptionsN: 07/11/2017 Non-Par N Medicaid SKSD0 SD Medicaid - South Dakota (Formerly MC102) Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Medicaid SKTN2 TN Medicaid - Tennessee Eligibility Eligibility Search OptionsN: 07/11/2017 Non-Par Y Medicaid SKTX0 TX Medicaid - Texas (Formerly MC005) Eligibility Eligibility Search OptionsU: 01/27/2022 Non-Par N Medicaid SKVT0 VT Medicaid - Vermont (Formerly MC081) Eligibility Eligibility Search Options VT Medicaid EnrollmentU: 01/27/2022 Non-Par Y Medicaid SKVT0 VT Medicaid - Vermont (Formerly MC081) Claim Status Inquiry Claim Status Inquiry Search Options VT Medicaid EnrollmentN: 07/27/2017 Non-Par N Medicaid SKVA0 VA Medicaid - Virginia (Formerly MC017) Eligibility Eligibility Search OptionsN: 07/11/2017 Non-Par N Medicaid SKWA0 WA Medicaid - Washington (Formerly MC006) Eligibility Eligibility Search OptionsN: 07/11/2017 Non-Par Y Medicaid SKDC0 DC Medicaid - Washington DC (Formerly MC088) Eligibility Eligibility Search OptionsN: 07/11/2017 Non-Par N Medicaid SKWV0 WV Medicaid - West Virginia (Formerly MC048) Eligibility Eligibility Search OptionsN: 07/11/2017 Non-Par Y Medicaid SKWI0 WI Medicaid - Wisconsin (Formerly MC049) Eligibility Eligibility Search OptionsU: 03/06/2017 Non-Par N Medicaid SKWY0 WY Medicaid - Wyoming Eligibility Eligibility Search Options WY Medicaid EnrollmentN: 08/26/2016 Non-Par N Medicaid SKWY0 WY Medicaid - Wyoming Claim Status Inquiry Claim Status Inquiry Search Options WY Medicaid EnrollmentN:04/30/2019 Non-Par N Commercial SKMA0 Medicaid Massachusetts Claim Status Inquiry Claim Status Inquiry Search OptionsN: 07/11/2017 Non-Par N Medicaid SKCA0 CA Medi-Cal - California (Formerly MC051) Eligibility Eligibility Search Options CA Medi-Cal EnrollmentN: 08/26/2016 Non-Par N Commercial MAHC1 Medical Associates Health Plan Eligibility Eligibility Search OptionsU: 08/22/2017 Non-Par N Commercial 74323 Medical Benefits Mutual Eligibility Eligibility Search OptionsN: 08/26/2016 Non-Par N Commercial L0170 Medical Card System (MCS) Eligibility Eligibility Search OptionsN: 02/21/2017 Par N Commercial 29076 OH Medical Mutual of Ohio (Formerly BC004) Eligibility Eligibility Search OptionsN: 03/20/2017 Non-Par N Commercial 29076 Medical Mutual of Ohio (Formerly BC004) Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/05/2016 Non-Par N Medicare SMAL0 AL Medicare - Alabama (Formerly MR054) Eligibility Eligibility Search Options Medicare EnrollmentN: 02/24/2017 Non-Par N Medicare SMAK0 AK Medicare - Alaska (Formerly MR010) Eligibility Eligibility Search Options Medicare EnrollmentN: 02/24/2017 Non-Par N Medicare SMAZ0 AZ Medicare - Arizona (Formerly MR008) Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Medicare SMAR0 AR Medicare - Arkansas (formerly MR055) Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Medicare SMCO0 CO Medicare - Colorado (formerly MR004) Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Medicare SMCT0 CT Medicare - Connecticut (Formerly MR049) Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Medicare SMDE0 DE Medicare - Delaware (formerly MR039) Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Medicare SMDC0 DE Medicare - District of Columbia (formerly MR040) Eligibility Eligibility Search Options Medicare EnrollmentN: 07/11/2017 Non-Par N Medicare SMFL0 FL Medicare - Florida (Formerly MR025) Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Medicare SMGA0 GA Medicare - Georgia (Formerly MR015) Eligibility Eligibility Search Options Medicare EnrollmentN: 02/24/2017 Non-Par N Medicare SMHI0 HI Medicare - Hawaii (Formerly MR057) Eligibility Eligibility Search Options Medicare EnrollmentN: 02/24/2017 Non-Par N Medicare SMID0 ID Medicare - Idaho (Formerly MR003) Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Medicare SMIL0 IL Medicare - Illinois (Formerly MR023) Eligibility Eligibility Search Options Medicare EnrollmentN: 07/11/2017 Non-Par N Medicare SMIN0 IN Medicare - Indiana (Formerly MR041) Eligibility Eligibility Search Options Medicare EnrollmentN: 07/11/2017 Non-Par N Medicare SMIA0 IA Medicare - Iowa (Formerly MR036) Eligibility Eligibility Search Options Medicare EnrollmentN: 07/11/2017 Non-Par N Medicare SMKS0 KS Medicare - Kansas (Formerly MR060) Eligibility Eligibility Search Options Medicare EnrollmentN: 07/11/2017 Non-Par N Medicare SMKY0 KY Medicare - Kentucky (Formerly MR052) Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Medicare SMLA0 LA Medicare - Louisiana (formerly MR048) Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Medicare SMME0 ME Medicare - Maine (Formerly MR043) Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Medicare SMMD0 MD Medicare - Maryland (formerly MR038) Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Medicare SMMA0 MA Medicare - Massachusetts (Formerly MR061) Eligibility Eligibility Search Options Medicare EnrollmentN: 07/11/2017 Non-Par N Medicare SMMI0 MI Medicare - Michigan (Formerly MR017) Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Medicare SMMN0 MN Medicare - Minnesota (Formerly MR019) Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Medicare SMMS0 MS Medicare - Mississippi (formerly MR050) Eligibility Eligibility Search Options Medicare Enrollment
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Payer Type CORE Certified Payers
Payer ID ST Payer Name Line of Business Payer Search Options Enrollment / Authorization
N: 07/11/2017 Non-Par N Medicare SMMO0 MO Medicare - Missouri (Kansas City) West (Formerly MR044) Eligibility Eligibility Search Options Medicare EnrollmentN: 07/11/2017 Non-Par N Medicare SMMT0 MT Medicare - Montana (Formerly MR047) Eligibility Eligibility Search Options Medicare EnrollmentN: 07/11/2017 Non-Par N Medicare SMNE0 NE Medicare - Nebraska (Formerly MR092) Eligibility Eligibility Search Options Medicare EnrollmentN: 02/24/2017 Non-Par N Medicare SMNV0 NV Medicare - Nevada (Formerly MR007) Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Medicare SMNH0 NH Medicare - New Hampshire (Formerly MR051) Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Medicare SMNJ0 NJ Medicare - New Jersey (formerly MR035) Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Medicare SMNM0 NM Medicare - New Mexico (formerly MR076) Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Medicare SMNY0 NY Medicare - New York (Empire) (Formerly MR042) Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Medicare SMNY2 NY Medicare - New York (Queens) (Formerly MR045) Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Medicare SMNY1 NY Medicare - New York (Upstate/Albany) (Formerly MR059) Eligibility Eligibility Search Options Medicare EnrollmentN: 07/11/2017 Non-Par N Medicare SMNC0 NC Medicare - North Carolina (MR020) Eligibility Eligibility Search Options Medicare EnrollmentN: 02/24/2017 Non-Par N Medicare SMND0 ND Medicare - North Dakota (Formerly MR083) Eligibility Eligibility Search Options Medicare EnrollmentN: 02/24/2017 Non-Par N Medicare SMCA1 CA Medicare - Northern California (Formerly MR002) Eligibility Eligibility Search Options Medicare EnrollmentN: 07/11/2017 Non-Par N Medicare SMOH0 OH Medicare - Ohio (Formerly MR033) Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Medicare SMOK0 OK Medicare - Oklahoma (formerly MR013) Eligibility Eligibility Search Options Medicare EnrollmentN: 02/24/2017 Non-Par N Medicare SMOR0 OR Medicare - Oregon (Formerly MR011) Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Medicare SMPA0 PA Medicare - Pennsylvania (formerly MR027) Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Medicare SMRI0 RI Medicare - Rhode Island (Formerly MR075) Eligibility Eligibility Search Options Medicare EnrollmentN: 07/11/2017 Non-Par N Medicare SMSC0 SC Medicare - South Carolina (Formerly MR028) Eligibility Eligibility Search Options Medicare EnrollmentN: 02/24/2017 Non-Par N Medicare SMSD0 SD Medicare - South Dakota (Formerly MR084) Eligibility Eligibility Search Options Medicare EnrollmentN: 02/24/2017 Non-Par N Medicare SMCA2 CA Medicare - Southern California (Formerly MR001) Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Medicare SMTN0 TN Medicare - Tennessee (Formerly MR034) Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Medicare SMTX0 TX Medicare - Texas (formerly MR005) Eligibility Eligibility Search Options Medicare EnrollmentN: 02/24/2017 Non-Par N Medicare SMUT0 UT Medicare - Utah (Formerly MR046) Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Medicare SMVT0 VT Medicare - Vermont (Formerly MR062) Eligibility Eligibility Search Options Medicare EnrollmentN: 07/11/2017 Non-Par N Medicare SMVA0 VA Medicare - Virginia (Formerly MR022) Eligibility Eligibility Search Options Medicare EnrollmentN: 02/24/2017 Non-Par N Medicare SMWA0 WA Medicare - Washington (Formerly MR006) Eligibility Eligibility Search Options Medicare EnrollmentN: 07/11/2017 Non-Par N Medicare SMWV0 WV Medicare - West Virginia (Formerly MR056) Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Medicare SMWI0 WI Medicare - Wisconsin (Formerly MR053) Eligibility Eligibility Search Options Medicare EnrollmentN: 02/24/2017 Non-Par N Medicare SMWY0 WY Medicare - Wyoming (Formerly MR074) Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Medicare MEDAB Medicare Part A & B - All States Eligibility Eligibility Search Options Medicare EnrollmentU: 12/05/2016 Non-Par N Commercial L0210 Medicare Y Mucho Mas (MMM) Eligibility Eligibility Search Options Medicare EnrollmentN 04/17/2012 Non-Par N Medicare 86052 Mercy Care Plan Eligibility Eligibility Search OptionsN: 02/13/2015 Non-Par N Commercial 33628 Mercy Maricopa Integrated Care Eligibility Eligibility Search OptionsN: 10/24/2014 Non-Par N Commercial 13189 Meridian Health Plan of Illinois Eligibility Eligibility Search OptionsN: 10/09/2014 Par N Commercial 41124 Meritain Health Eligibility Eligibility Search OptionsN: 03/22/2016 Non-Par N Commercial 41124 Meritain Health Claim Status Inquiry Claim Status Inquiry Search OptionsN: 10/09/2014 Non-Par N Commercial 64157 Meritain Health/NAA Eligibility Eligibility Search OptionsN: 07/11/2017 Par N Commercial 13265 Metro Plus Health Plan Eligibility Eligibility Search OptionsN:04/30/2019 Non-Par N Commercial 13265 Metro Plus Health Plan Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/04/2015 Non-Par N Commercial 74289 MHNET Behavioral Health Eligibility Eligibility Search OptionsN: 03/19/2015 Non-Par N Commercial 43179 Missouri Care/MC Eligibility Eligibility Search OptionsU: 02/09/2017 Trans N Commercial 38333 CA Molina Healthcare of California Eligibility Eligibility Search OptionsN: 03/16/2016 Trans N Commercial 38333 CA Molina Healthcare of California Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/06/2017 Trans N Commercial 51062 FL Molina Healthcare of Florida Eligibility Eligibility Search OptionsN: 03/16/2016 Trans N Commercial 51062 FL Molina Healthcare of Florida Claim Status Inquiry Claim Status Inquiry Search OptionsN:05/06/2019 Non-Par N Commercial 61799 Molina Healthcare of Idaho Eligibility Eligibility Search OptionsN:05/06/2019 Non-Par N Commercial 61799 Molina Healthcare of Idaho Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/09/2016 Trans N Commercial 38334 MI Molina Healthcare of Michigan Eligibility Eligibility Search OptionsN: 11/02/2016 Trans N Commercial 38334 MI Molina Healthcare of Michigan Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/09/2016 Trans N Commercial NM505 NM Molina Healthcare of New Mexico Eligibility Eligibility Search OptionsN: 07/19/2016 Trans N Commercial NM505 NM Molina Healthcare of New Mexico Claim Status Inquiry Claim Status Inquiry Search OptionsU: 03/06/2017 Trans N Commercial 20149 OH Molina Healthcare of Ohio Eligibility Eligibility Search OptionsN: 03/17/2016 Trans N Commercial 20149 OH Molina Healthcare of Ohio Claim Status Inquiry Claim Status Inquiry Search OptionsU: 08/17/2021 Trans N Commercial 81794 PR Molina Healthcare of Puerto Rico Eligibility Eligibility Search OptionsU: 12/09/2016 Non-Par N Commercial 46299 SC Molina Healthcare of South Carolina Eligibility Eligibility Search OptionsU: 02/09/2017 Trans N Commercial 20554 TX Molina Healthcare of Texas Eligibility Eligibility Search OptionsN: 07/01/2016 Non-Par N Commercial 20554 TX Molina Healthcare of Texas Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/09/2016 Trans N Commercial SX109 UT Molina Healthcare of Utah Eligibility Eligibility Search OptionsN:05/03/2019 Non-Par N Commercial SX109 Molina Healthcare of Utah Claim Status Inquiry Claim Status Inquiry Search OptionsN: 07/27/2017 Trans N Commercial 26176 VA Molina Healthcare of Virginia Eligibility Eligibility Search OptionsN: 03/05/2019 Non-Par N Medicaid 26176 Molina Healthcare of Virginia Claim Status Inquiry Claim Status Inquiry Search OptionsU: 02/09/2017 Trans N Commercial 38336 WA Molina Healthcare of Washington Eligibility Eligibility Search OptionsN: 07/19/2016 Trans N Commercial 38336 WA Molina Healthcare of Washington Claim Status Inquiry Claim Status Inquiry Search OptionsU: 02/09/2017 Trans N Commercial ABRI1 Molina HealthCare of Wisconsin Eligibility Eligibility Search OptionsU: 12/09/2016 Trans N Commercial MLNIL IL Molina Heathcare of Illinois Eligibility Eligibility Search OptionsN: 03/16/2016 Trans N Commercial MLNIL IL Molina Heathcare of Illinois Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/04/2015 Par N Commercial 14165 NY Mowhawk Valley Health Plan of NY (MVP) Eligibility Eligibility Search OptionsN: 04/03/2015 Non-Par Y Commercial SEHMS MS State Employees and Teachers Eligibility Eligibility Search OptionsN: 01/07/2015 Non-Par N Commercial 81883 Municipal Health Benefit Fund Eligibility Eligibility Search OptionsU: 11/05/2014 Non-Par N Commercial 34192 OH Mutual Health Services Eligibility Eligibility Search OptionsN: 03/10/2016 Non-Par N Commercial 34192 OH Mutual Health Services Claim Status Inquiry Claim Status Inquiry Search Options
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U: 12/04/2015 Par N Commercial 71412 Mutual of Omaha Insurance Co. Eligibility Eligibility Search OptionsU: 12/04/2015 Par N Commercial 53011 National Assoc of Carriers Eligibility Eligibility Search OptionsN: 03/10/2016 Par N Commercial 53011 National Assoc of Carriers Claim Status Inquiry Claim Status Inquiry Search OptionsN:05/06/2019 Non-Par N Commercial CFCHL National Claims Admin Services Eligibility Eligibility Search OptionsN:05/06/2019 Non-Par N Commercial 75191 Ncas - Charlotte Eligibility Eligibility Search OptionsU: 06/13/2018 Non-Par Y Commercial 04293 MA Neighborhood Health Plan Eligibility Eligibility Search OptionsN: 10/27/2015 Non-Par N Commercial 77076 Network Health Insurance Eligibility Eligibility Search OptionsN: 10/09/2014 Non-Par N Commercial 39144 Network Health Plan Eligibility Eligibility Search OptionsN: 03/15/2016 Non-Par N Commercial 39144 Network Health Plan Claim Status Inquiry Claim Status Inquiry Search OptionsN: 02/25/2016 Par N Commercial 75281 New Era Life Insurance Company Claim Status Inquiry Claim Status Inquiry Search OptionsN: 12/09/2015 Non-Par N Commercial 75281 New Era Life Insurance Company Eligibility Eligibility Search OptionsU: 06/06/2016 Non-Par N Commercial SKNY0 New York Medicaid Eligibility Eligibility Search OptionsU: 08/07/2013 Trans N Commercial 81264 Nippon Life Insurance Eligibility Eligibility Search OptionsN: 05/29/2015 Non-Par N Commercial NWADM Northwest Administrators Teamsters Eligibility Eligibility Search OptionsN 08/01/2012 Non-Par Y Commercial 16644 Nova Healthcare Administrators Eligibility Eligibility Search OptionsU: 11/12/2014 Non-Par N Commercial 71080 Novasys Health Network Eligibility Eligibility Search OptionsU: 12/04/2015 Par N Commercial WCOHP HI Ohana Health Plan (WellCare of HI) Eligibility Eligibility Search OptionsN: 12/14/2015 Par N Commercial HHZOE Oper Engineers Local 428 Eligibility Eligibility Search OptionsN: 06/10/2016 Par N Commercial HHZOE Oper Engineers Local 428 Claim Status Inquiry Claim Status Inquiry Search OptionsU: 04/29/2019 Non-Par N Commercial 54154 Optima Health Plan / Sentara Eligibility Eligibility Search OptionsN: 04/03/2015 Non-Par N Commercial HHZOF Orange County Fire Authority Eligibility Eligibility Search OptionsU: 02/25/2016 Non-Par N Commercial 06111 Oxford Health Plan Claim Status Inquiry Claim Status Inquiry Search OptionsU: 04/22/2016 Non-Par N Commercial 06111 Oxford Health Plan Eligibility Eligibility Search OptionsN: 03/11/2019 Non-Par N Commercial OXDLF Oxford Life Insurance Company Eligibility Eligibility Search OptionsN:05/06/2019 Non-Par N Commercial OXDLF Oxford Life Insurance Company Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/09/2016 Par N Commercial 95959 Pacificare Health Systems, Inc. (TX/CA) Claim Status Inquiry Claim Status Inquiry Search OptionsU: 06/02/2016 Par N Commercial 95959 Pacificare Health Systems, Inc. (TX/CA) Eligibility Eligibility Search OptionsU: 04/22/2016 Non-Par N Commercial 95999 Pacificare PPO Eligibility Eligibility Search OptionsU: 09/04/2015 Non-Par N Commercial CXPSC PacificSource Community Solutions Eligibility Eligibility Search OptionsN: 12/14/2015 Par N Commercial 93029 PacificSource Health Plan Eligibility Eligibility Search OptionsN: 04/27/2015 Non-Par N Commercial 20377 PacificSource Medicare Eligibility Eligibility Search OptionsN: 10/05/2015 Non-Par N Commercial L0180 Palic -Panamerican Life (PR) Eligibility Eligibility Search OptionsN: 04/15/2016 Par N Commercial 04218 Pan American Life Insurance Group Eligibility Eligibility Search OptionsN: 11/02/2016 Par N 04218 Pan American Life Insurance Group Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/19/2015 Non-Par N Commercial 66917 Parkland Community Health Plan Eligibility Eligibility Search OptionsU: 07/25/2013 Non-Par N Commercial 56152 NC Partners Ntl Health Plans NC Eligibility Eligibility Search OptionsN: 07/11/2017 Non-Par Y Commercial SX140 Partnership Health Plan (Formerly PHP02) Eligibility Eligibility Search OptionsU: 03/07/2017 Non-Par N Commercial 61129 Passport Health Plan Eligibility Eligibility Search OptionsU: 03/07/2017 Non-Par N Commercial 61129 Passport Health Plan Claim Status Inquiry Claim Status Inquiry Search OptionsN: 05/04/2018 Par N Commercial PKNLF Pekin Life Insurance Eligibility Eligibility Search OptionsN: 04/10/2015 Non-Par N Commercial 72126 Peoples Health Network Eligibility Eligibility Search OptionsN: 07/01/2016 Non-Par N Commercial 72126 Peoples Health Network Claim Status Inquiry Claim Status Inquiry Search OptionsN:04/29/2019 Non-Par N Commercial PRFCR PerformCare Eligibility Eligibility Search OptionsN:04/30/2019 Non-Par N Commercial PRFCR PerformCare Claim Status Inquiry Claim Status Inquiry Search OptionsN 08/01/2012 Non-Par N Commercial 47027 Physicians Mutual Insurance Co Eligibility Eligibility Search OptionsN: 11/02/2016 Non-Par N Commercial 47027 Physicians Mutual Insurance Co Claim Status Inquiry Claim Status Inquiry Search OptionsN: 10/05/2015 Non-Par N Commercial L0190 Plan de Salud Hospital Menonita Eligibility Eligibility Search OptionsN: 11/03/2014 Non-Par N Commercial 37287 Planned Administrators, Inc Eligibility Eligibility Search OptionsN: 12/14/2015 Par N Commercial HHZPL Plumbers & Pipefitters Loc 525 Eligibility Eligibility Search OptionsN: 07/18/2017 Non-Par N Commercial L0250 Preferred Medicare Choice (Formerly 92131) Eligibility Eligibility Search OptionsU: 10/27/2014 Non-Par N Commercial 41147 Preferred One Eligibility Eligibility Search OptionsU: 06/30/2021 Non-Par N Commercial 77003 AmeriHealth Caritas Florida Claim Status Inquiry Claim Status Inquiry Search OptionsU:06/30/2021 Non-Par N Commercial 77003 AmeriHealth Caritas Florida Eligibility Eligibility Search OptionsN: 10/29/2021 Par N Commercial 61271 Principal Financial Group Eligibility Eligibility Search OptionsU: 12/04/2015 Par N Commercial 38217 Priority Health Eligibility Eligibility Search OptionsU: 12/04/2015 Par N Commercial 00193 Promina ASO (CHC) Eligibility Eligibility Search OptionsN:05/06/2019 Non-Par N Commercial 88029 Prominence Health Plan Claim Status Inquiry Claim Status Inquiry Search OptionsN: 07/11/2017 Par N Commercial SX133 Providence Health Plan (HMO) (Formerly PHP01) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 07/11/2017 Par N Commercial SX133 Providence Health Plan (HMO) (Formerly PHP01) Eligibility Eligibility Search OptionsU: 05/08/2015 Non-Par N Commercial 68195 Provident Life and Accident Eligibility Eligibility Search OptionsU: 04/29/2019 Non-Par Y Commercial SX106 Public Employees Health Program Eligibility Eligibility Search OptionsU: 09/16/2019 Non-Par Y Commercial 35174 AR Quality Choice of Arkansas Eligibility Eligibility Search OptionsN: 03/11/2019 Non-Par N Commercial 46571 Quartz ASO Eligibility Eligibility Search Options
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U: 12/04/2015 Par N Commercial 73067 QuikTrip Eligibility Eligibility Search OptionsN:04/30/2019 Non-Par N Commercial 73067 QuikTrip Claim Status Inquiry Claim Status Inquiry Search OptionsN: 07/11/2017 Non-Par N Medicare SRRGA Railroad Medicare (Formerly MR018) Eligibility Eligibility Search OptionsN: 03/20/2015 Par N Commercial 36088 Reliance Standard Life Ins Co Eligibility Eligibility Search OptionsN: 05/04/2018 Par N Commercial 74205 Right Care from Scott & White Eligibility Eligibility Search OptionsN: 07/17/2017 Non-Par N Commercial SX141 Rocky Mountain HMO (Formerly RMHMO) Eligibility Eligibility Search OptionsU: 12/04/2015 Par N Commercial 37259 SAMBA Eligibility Eligibility Search OptionsN: 03/17/2016 Par N Commercial 37259 SAMBA Claim Status Inquiry Claim Status Inquiry Search OptionsN:05/06/2019 Non-Par N Commercial 91184 Sanford Health Plan Eligibility Eligibility Search OptionsN: 03/20/2018 Non-Par Y Commercial SVH01 Sanford Health Plan Eligibility Eligibility Search OptionsU: 10/30/2015 Non-Par N Commercial 24077 Santa Clara Family Health Plan Eligibility Eligibility Search OptionsN: 06/03/2015 Par N Commercial 24077 Santa Clara Family Health Plan Claim Status Inquiry Claim Status Inquiry Search OptionsU: 10/12/2017 Non-Par N Commercial 72261 SCAN Health Plan (Formerly SCAN1) Eligibility Eligibility Search OptionsN: 05/09/2018 Trans N Commercial TH002 Scott & White Health Care Eligibility Eligibility Search OptionsU: 03/20/2018 Non-Par Y Commercial 88030 Scott & White Hlth Care Eligibility Eligibility Search OptionsN:05/06/2019 Non-Par N Commercial 39045 Security Health Plan Eligibility Eligibility Search OptionsU: 03/07/2017 Non-Par N Commercial 23285 SC Select Health of South Carolina Eligibility Eligibility Search OptionsU: 03/07/2017 Non-Par N Commercial 23285 SC Select Health of South Carolina Claim Status Inquiry Claim Status Inquiry Search OptionsU: 08/05/2016 Non-Par N Commercial 20415 Select Senior Clinic Eligibility Eligibility Search OptionsN: 03/28/2016 Non-Par N Commercial 20415 Select Senior Clinic Claim Status Inquiry Claim Status Inquiry Search OptionsU: 08/05/2016 Non-Par N Commercial 61225 SelectCare of Texas (Kelsey-Seybold) Eligibility Eligiblity Search OptionsN: 03/28/2016 Non-Par N Commercial 61225 SelectCare of Texas (Kelsey-Seybold) Claim Status Inquiry Claim Status Inquiry Search OptionsU: 08/05/2016 Non-Par N Commercial 62181 SelectCare of Texas (MCA) Eligibility Eligibility Search OptionsN: 03/28/2016 Non-Par N Commercial 62181 SelectCare of Texas (MCA) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 10/02/2017 Par N Commercial SLMTC Selman & Company Eligibility Eligibility Search OptionsN:04/30/2019 Non-Par N Commercial SLMTC Selman & Company Claim Status Inquiry Claim Status Inquiry Search OptionsN: 10/24/2014 Non-Par N Commercial 83035 Senior Whole Health Eligibility Eligibility Search OptionsN: 02/11/2016 Non-Par N Commercial 83035 Senior Whole Health Claim Status Inquiry Claim Status Inquiry Search OptionsN:04/29/2019 Non-Par N Commercial 87020 Sentinel Security Life Ins Co Eligibility Eligibility Search OptionsU: 11/23/2016 Non-Par N Commercial 76342 Sierra Health Services claims Eligibility Eligibility Search OptionsN: 08/26/2016 Par N Commercial 23250 Significa Benefits Services Inc. Eligibility Eligibility Search OptionsN: 09/20/2016 Non-Par N Commercial 23250 Significa Benefits Services Inc. Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/11/2019 Non-Par N Commercial SILVR Silver Summit Health Plan Eligibility Eligibility Search OptionsU: 12/04/2015 Par N Commercial SPJMS SPJST - Medicare Supplement Eligibility Eligibility Search OptionsN:05/06/2019 Non-Par N Commercial 88029 St. Marys Health Plan Eligibility Eligibility Search OptionsN: 03/20/2015 Non-Par N Commercial 13411 Standard Insurance Company (NY) Eligibility Eligibility Search OptionsN: 04/15/2015 Non-Par N Commercial 93024 Standard Insurance Company (OR) Eligibility Eligibility Search OptionsN: 12/16/2016 Par N Commercial 73099 Standard Life and Accident MWA (Formerly 01758) Eligibility Eligibility Search OptionsN: 02/16/2015 Non-Par N Commercial 59225 Star HRG Eligibility Eligibility Search OptionsU: 12/04/2015 Par N Commercial WCSWA FL StayWell (WellCare of FL) Eligibility Eligibility Search OptionsU: 12/04/2015 Par N Commercial WCSWK FL StayWell Kids (WellCare of FL) Eligibility Eligibility Search OptionsN 08/01/2012 Par N Commercial 74227 Student Insurance Eligibility Eligibility Search OptionsN: 07/18/2016 Par N Commercial 74227 Student Insurance Claim Status Inquiry Claim Status Inquiry Search OptionsU: 05/09/2018 Par Y Commercial 95202 Summacare Health Plan HMO Eligibility Eligibility Search OptionsN: 08/11/2015 Non-Par N Commercial 37301 Summit America Ins Services Eligibility Eligibility Search OptionsN: 02/11/2016 Non-Par N Commercial 37301 Summit America Ins Services Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/19/2015 Non-Par N Commercial SUNHP Sunflower State Health Plan Eligibility Eligibility Search OptionsU: 12/04/2015 Non-Par N Commercial 68057 Sunshine State Health Plan Eligibility Eligibility Search OptionsN: 07/19/2016 Non-Par N Commercial 68057 Sunshine State Health Plan Claim Status Inquiry Claim Status Inquiry Search OptionsU: 06/19/2013 Non-Par N Commercial 39188 TX Superior Health Plan Texas Eligibility Eligibility Search OptionsN: 08/17/2021 Non-Par N Commercial 39188 TX Superior Health Plan Texas Claim Status Inquiry Claim Status Inquiry Search OptionsU: 06/02/2015 Non-Par N Commercial 45210 Texas Christus Eligibility Eligibility Search OptionsN: 06/09/2015 Non-Par N Commercial BOONG The Boon Group Eligibility Eligibility Search OptionsN:04/30/2019 Non-Par N Commercial BOONG The Boon Group Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/04/2015 Par C Commercial 20356 The Health Exchange Eligibility Eligibility Search OptionsN: 12/09/2016 Par N Commercial RX001 TransactRX Infusion and Specialty Eligibility Eligibility Search OptionsN: 04/13/2015 Non-Par N Commercial PARTD TransactRX Part D Eligibility Eligibility Search OptionsN: 11/13/2015 Par N Commercial TRNAF Transamerica Financial Life Ins Eligibility Eligibility Search OptionsN: 12/14/2015 Par N Commercial TNALF Transamerica Life Ins Co. Eligibility Eligibility Search OptionsN: 01/05/2016 Par N Commercial TRCLF Transamerica Premier Life Ins. Eligibility Eligibility Search OptionsN: 10/19/2015 Non-Par N Commercial 37284 TransChoice Key Benefit Admin Eligibility Eligiblity Search OptionsN: 12/15/2016 Non-Par N TRICARE SCWI0 TRICARE - West Region (Formerly CH003) Eligibility Eligibility Search OptionsN: 04/05/2018 Non-Par N Commercial 68299 Tricare East Eligibility Eligibility Search OptionsN: 12/16/2016 Non-Par N TRICARE SX176 Tricare for Life (Formerly TDDIR) Eligibility Eligibility Search OptionsN: 12/20/2016 Non-Par N Commercial SX163 Tricare Overseas (Formerly FOREN) Eligibility Eligibility Search OptionsN: 05/04/2018 Non-Par N Commercial 20048 Trillium Community Health Plan Eligibility Eligibility Search OptionsN:04/30/2019 Non-Par N Commercial 20048 Trillium Community Health Plan Claim Status Inquiry Claim Status Inquiry Search OptionsN: 01/07/2015 Non-Par N Commercial SB980 Triple-S Salud (BCBS PR) Eligibility Eligibility Search OptionsN:04/29/2019 Non-Par N Commercial 82288 True Health New Mexico Inc Eligibility Eligibility Search OptionsU: 02/26/2020 Trans N Commercial 35182 Trustmark Health Benefits (CoreSource AZ,IL,IN,MD,MN,NC,PA) Eligibility Eligibility Search OptionsU: 02/26/2020 Trans N Commercial 35182 Trustmark Health Benefits (CoreSource AZ,IL,IN,MD,MN,NC,PA) Claim Status Inquiry Claim Status Inquiry Search OptionsU: 02/26/2020 Trans N Commercial 48117 Trustmark Health Benefits (CoreSource KC) Eligibility Eligibility Search OptionsU: 02/26/2020 Trans N Commercial 48117 Trustmark Health Benefits (CoreSource KC) Claim Status Inquiry Claim Status Inquiry Search OptionsU: 02/26/2020 Trans N Commercial 75136 Trustmark Health Benefits (CoreSource Little Rock) Eligibility Eligibility Search Options
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U: 02/26/2020 Trans N Commercial 35183 Trustmark Health Benefits (CoreSource OH) Eligibility Eligibility Search OptionsU: 02/26/2020 Trans N Commercial 35183 Trustmark Health Benefits (CoreSource OH) Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/04/2015 Non-Par N Commercial 04298 Tufts Health Plan Eligibility Eligibility Search OptionsN: 05/04/2018 Par N Commercial 76048 Tx Childrens Health Plan Eligibility Eligibility Search OptionsN: 03/05/2019 Non-Par N Medicaid 76048 Tx Childrens Health Plan Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/21/2017 Non-Par Y Commercial SX178 MN UCare of Minnesota Eligibility Eligibility Search OptionsU: 06/02/2016 Par N Commercial 95378 UHC Community Plan of River Valley Eligibility Eligibility Search OptionsN: 07/10/2015 Par N Commercial UHLIC UHC Life Insurance Company Eligibility Eligibility Search OptionsN: 03/19/2015 Non-Par N Commercial 77022 Ultimate Health Plan Eligibility Eligibility Search OptionsU: 12/04/2015 Par N Commercial 39026 UMR - Wausau/UHIS Eligibility Eligibility Search OptionsN:04/30/2019 Non-Par N Commercial 52180 UMWA Health & Retirement Funds Claim Status Inquiry Claim Status Inquiry Search OptionsN:04/30/2019 Non-Par N Commercial 52180 UMWA Health & Retirement Funds Eligibility Eligibility Search OptionsU: 09/29/2015 Non-Par N Commercial CORE II 80314 UNICARE Eligibility Eligibility Search OptionsN: 07/27/2017 Par N Commercial 13407 Uniformed Services Family Health Plan Eligibility Eligibility Search OptionsN:04/30/2019 Non-Par N Commercial 13407 Uniformed Services Family Health Plan Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/04/2015 Par N Commercial 87042 Union Pacific R/R Employees Hlth Eligibility Eligibility Search OptionsU: 05/09/2017 Non-Par N Commercial 25175 Unison Administrative Services Eligibility Eligibility Search OptionsN: 11/17/2015 Par N Commercial UNAMN United American Ins Co Eligibility Eligibility Search OptionsN: 01/22/2016 Par N Commercial UNAMN United American Ins Co Claim Status Inquiry Claim Status Inquiry Search OptionsU: 04/29/2019 Par N Commercial 87726 United Healthcare Eligibility Eligibility Search OptionsU: 05/16/2016 Par N Commercial 87726 United Healthcare Claim Status Inquiry Eligibility Search OptionsU: 12/04/2015 Par N Commercial UTAMS United Teacher Assoc Medicare Supp Eligibility Eligibility Search OptionsN:05/06/2019 Non-Par N Commercial 52133 UnitedHealthcare Dental Eligibility Eligibility Search OptionsU: 07/11/2017 Non-Par Y Commercial 66705 Unity Health Insurance Eligibility Eligibility Search OptionsN: 04/03/2020 Non-Par N Commercial SX086 Univera Eligibility Eligibility Search OptionsU: 01/21/2014 Non-Par N Commercial 09830 University Family Care Eligibility Eligibility Search OptionsU: 12/04/2015 Par N Commercial 09908 University Family Care - Maricopa Eligibility Eligibility Search OptionsN: 04/10/2015 Non-Par N Commercial UHCMP University of Arizona Health Plans Eligibility Eligibility Search OptionsU: 12/04/2015 Par N Commercial COVUM University of Missouri (CHC) Eligibility Eligibility Search OptionsN: 04/15/2015 Non-Par N Commercial UPCAA UPCAA Eligibility Eligibility Search OptionsU: 03/21/2017 Par N Commercial 23281 UPMC Health Plan Eligibility Eligibility Search OptionsU: 04/29/2019 Par Y Commercial 74095 USAA (United Service Auto) Eligibility Eligiblity Search OptionsN: 07/18/2016 Non-Par Y Commercial 74095 USAA (United Service Auto) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 09/22/2016 Par N Commercial USAAM USAA Medicare Supplemental Eligibility Eligbibility Search OptionsN: 09/20/2016 Par N Commercial USAAM USAA Medicare Supplemental Claim Status Inquiry Claim Status Inquiry Search OptionsN:04/29/2019 Non-Par N Commercial BS188 UT Federal Claims Eligibility Eligibility Search OptionsU: 05/09/2017 Par N Commercial 12115 VA Fee Basis Program Eligibility Eligibility Search OptionsN: 01/22/2016 Non-Par N Commercial 12115 VA Fee Basis Program Claim Status Inquiry Claim Status Inquiry Search OptionsU: 12/04/2015 Par N Commercial 72128 Vantage Health Plan, Inc. Eligibility Eligibility Search OptionsN 08/01/2012 Non-Par N Commercial 63114 Viva Health Plan Eligibility Eligibility Search OptionsN: 07/18/2016 Non-Par N Commercial 63114 Viva Health Plan Claim Status Inquiry Claim Status Inquiry Search OptionsU: 10/20/2014 Non-Par N Commercial 77073 VNS Choice Medicare Eligibility Eligibility Search OptionsN: 11/02/2016 Par N Commercial 77073 VNS Choice Medicare Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/05/2019 Non-Par N Medicaid WACAI Washington Medicaid Institutional Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/05/2019 Non-Par N Medicaid WACAP Washington Medicaid Professional Claim Status Inquiry Claim Status Inquiry Search OptionsU: 09/26/2017 Non-Par Y Commercial 39151 Wea Insurance Group Eligibility Eligibility Search OptionsN: 09/29/2017 Non-Par N Commercial 14163 Wellcare (Formerly 26141) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 09/29/2017 Non-Par N Commercial 14163 Wellcare (Formerly 26141) Eligibility Eligibility Search Options
U: 09/29/2014 Non-Par Y Commercial 68039 Western Health Advantage Eligibility Eligibility Search Options
System unavailable starting on the 3rd Saturday of every month at 8pm MT
through the following day at 12 noon MT for system maintenance. Please do not
submit requests during this window.N: 04/15/2016 Par N Commercial 31048 Western Southern Financial Group Eligibility Eligibility Search OptionsN: 03/10/2016 Par N Commercial 31048 Western Southern Financial Group Claim Status Inquiry Claim Status Inquiry Search OptionsN: 12/09/2015 Non-Par N Commercial SKWI2 Wisconsin Chronic Disease Program Eligibility Eligibility Search OptionsN: 12/09/2015 Non-Par N Commercial SKWI1 Wisconsin Well Woman Program Eligibility Eligiblity Search OptionsN: 12/09/2016 Non-Par N Commercial SX022 WPS Commercial Insurance Eligibility Eligibility Search OptionsN: 10/02/2020 Non-Par N Commercial 25169 Gateway Health Plan Eligibility Eligibility Search OptionsN: 10/30/2020 Non-Par N Commercial 23223 The Loomis Company Eligibility Eligiblity Search OptionsN: 08/17/2021 Trans N Commercial 71063 Healthscope Benefits Eligibility Eligibility Search OptionsN: 08/17/2021 Trans N Commercial 61425 Trustmark Small Business Benefits Eligibility Eligiblity Search OptionsN: 08/17/2021 Non-Par N Commercial 68063 Celtic Insurance Eligibility Eligibility Search OptionsN: 08/17/2021 Non-Par N Commercial HC001 Univera Healthcare Eligibility Eligiblity Search OptionsN: 08/17/2021 Non-Par N Commercial SMPLY Simply Healthcare Eligibility Eligibility Search OptionsN: 08/17/2021 Non-Par N Commercial SMPLY Simply Healthcare Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/17/2021 Non-Par N Commercial SB910 Blue Shield - Utah (Regence) Eligibility Eligiblity Search OptionsN: 08/17/2021 Par N Commercial 01260 Magellan Behavioral Health Eligibility Eligibility Search OptionsN: 08/17/2021 Par N Commercial 82275 Mutual of Omaha Medicare Advantage Eligibility Eligiblity Search OptionsN: 03/04/2022 Par N Commercial 82275 Mutual of Omaha Medicare Advantage Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/17/2021 Non-Par N Commercial 16307 CarePartners of Connecticut Eligibility Eligibility Search OptionsN: 08/17/2021 Par N Commercial MCDIL Blue Cross Community Options Claim Status Inquiry Claim Status Inquiry Search OptionsN: 08/17/2021 Par N Commercial MCDIL Blue Cross Community Options Eligibility Eligiblity Search Options
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Payer Type CORE Certified Payers
Payer ID ST Payer Name Line of Business Payer Search Options Enrollment / Authorization
N: 08/17/2021 Non-Par N Commercial AARP1 AARP Dental Eligibility Eligibility Search OptionsN: 08/17/2021 Par N Commercial 37330 Phys Health Plan South MI, Mid MI Eligibility Eligiblity Search OptionsN: 08/17/2021 Par N Commercial UTUDD Dentist Direct Eligibility Eligibility Search OptionsN: 10/29/2021 Par N Commercial 53275 Martins Point Health Care Eligibility Eligiblity Search OptionsN: 10/29/2021 Par N Commercial 60495 COMMUNITY HEALTH PLAN INC Eligibility Eligibility Search OptionsN: 02/10/2022 Trans N Commercial 80095 Prominence Health Plan of Texas Eligibility Eligibility Search OptionsN: 02/10/2022 Trans N Commercial 80095 Prominence Health Plan of Texas Claim Status Inquiry Claim Status Inquiry Search OptionsN: 02/10/2022 Par N Medicare 83352 Prominence Healthfirst of Florida Inc Eligibility Eligibility Search OptionsN: 02/10/2022 Par N Medicare 83352 Prominence Healthfirst of Florida Inc Claim Status Inquiry Claim Status Inquiry Search Options
N: 02/21/2022 Trans N Commercial MLNAZ Molina Complete Care of Arizona Eligibility Eligibility Search Options
Use for Medicaid with inquiry DOS 7/1/21 and after and for Medicare with
inquiry DOS 1/1/22 and after.
N: 02/21/2022 Trans N Commercial MCC01 Magellan Complete Care of Arizona Eligibility Eligibility Search Options
For all Medicare transactions. Also, used for Medicaid transactions with DOS prior
to 7/1/2021.N: 02/21/2022 Trans N Commercial MCC01 Magellan Complete Care of Arizona Claim Status Inquiry Claim Status Inquiry Search OptionsN: 02/21/2022 Par N Commercial 40270 First Managed Care Options, Inc. Claim Status Inquiry Claim Status Inquiry Search OptionsN: 02/21/2022 Non-Par N Commercial AEMED Schaller Anderson Mercy Care Plan Eligibility Eligibility Search OptionsN: 02/21/2022 Non-Par N Commercial AEMED Schaller Anderson Mercy Care Plan Claim Status Inquiry Claim Status Inquiry Search OptionsN: 02/21/2022 Par N Commercial 52214 Selman & Company Eligibility Eligibility Search OptionsN: 02/21/2022 Par N Commercial 52214 Selman & Company Claim Status Inquiry Claim Status Inquiry Search OptionsN: 02/21/2022 Non-Par N Commercial 42344 Keystone First Community HealthChoices Eligibility Eligibility Search OptionsN: 02/21/2022 Non-Par N Commercial 42344 Keystone First Community HealthChoices Claim Status Inquiry Claim Status Inquiry Search OptionsN: 02/21/2022 Par N Commercial ABHKS Aetna Better Health of Kansas Eligibility Eligibility Search OptionsN: 02/21/2022 Par N Commercial ABHKS Aetna Better Health of Kansas Claim Status Inquiry Claim Status Inquiry Search OptionsN: 02/21/2022 Par N Commercial 81079 BayCare Plus Medicare Advantage Eligibility Eligibility Search OptionsN: 02/21/2022 Par N Commercial 81079 BayCare Plus Medicare Advantage Claim Status Inquiry Claim Status Inquiry Search OptionsN: 02/21/2022 Trans N Medicaid 82832 Miami Children’s Health Plan Eligibility Eligibility Search OptionsN: 02/21/2022 Trans N Medicaid 82832 Miami Children’s Health Plan Claim Status Inquiry Claim Status Inquiry Search OptionsN: 02/21/2022 Trans N Commercial 34150 The Health Plan Eligibility Eligibility Search OptionsN: 03/04/2022 Trans N Commercial 93082 Prominence Health Plan of Nevada Eligibility Eligibility Search OptionsN: 03/04/2022 Trans N Commercial 93082 Prominence Health Plan of Nevada Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/04/2022 Par N Commercial 45298 Western Sky Community Care Eligibility Eligibility Search OptionsN: 03/04/2022 Par N Commercial 45298 Western Sky Community Care Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/04/2022 Non-Par N Commercial CBAR1 Blue Cross of Arkansas Dental Eligibility Eligibility Search OptionsN: 03/04/2022 Par N Commercial 64071 Acclaim Eligibility Eligibility Search OptionsN: 03/14/2022 Par N Commercial 64071 Acclaim Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/04/2022 Par N Commercial 58965 Iowa Total Care Eligibility Eligibility Search OptionsN: 03/04/2022 Par N Commercial 58965 Iowa Total Care Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/04/2022 Non-Par N Commercial AMNPA Amerihealth Caritas Northwestern PA Eligibility Eligibility Search OptionsN: 03/04/2022 Non-Par N Commercial AMNPA Amerihealth Caritas Northwestern PA Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/04/2022 Par N Commercial 65465 Morecare Eligibility Eligibility Search OptionsN: 03/04/2022 Par N Commercial 65465 Morecare Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/04/2022 Par N Commercial 83276 Physicians Health Plan of Michigan Medicare Eligibility Eligibility Search OptionsN: 03/04/2022 Par N Commercial 83276 Physicians Health Plan of Michigan Medicare Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/04/2022 Par N Commercial 83269 Mary Washington Health Plan Eligibility Eligibility Search OptionsN: 03/04/2022 Par N Commercial 83269 Mary Washington Health Plan Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/04/2022 Non-Par N Commercial BRT01 Bright Health - Medicare Advantage Eligibility Eligibility Search OptionsN: 03/04/2022 Non-Par N Commercial 53287 BCBS OF DE Dental Group Eligibility Eligibility Search OptionsN: 03/04/2022 Non-Par N Commercial CBMNU BCBS of Minnesota Eligibility Eligibility Search OptionsN: 03/04/2022 Non-Par N Commercial 53021 LA BCBS AdvantagePlus Eligibility Eligibility Search OptionsN: 03/04/2022 Par N Commercial 84030 Garden State Life Insurance Company Eligibility Eligibility Search OptionsN: 03/04/2022 Non-Par N Commercial CB870 Blue Cross of Rhode Island Dental Eligibility Eligibility Search OptionsN: 03/07/2022 Par N Commercial 46672 Hooray Health Eligibility Eligibility Search OptionsN: 03/07/2022 Par N Commercial DEVOT Devoted Health Eligibility Eligibility Search OptionsN: 03/07/2022 Par N Commercial LIFE1 OPTUM MEDICAL NETWORK (Lifeprint) Eligibility Eligibility Search OptionsN: 03/07/2022 Non-Par N Commercial NXTLV Next Level Health Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/07/2022 Par N Commercial 37363 COMPSYCH Eligibility Eligibility Search OptionsN: 03/07/2022 Non-Par N Commercial HLTBR HealthBridge Eligibility Eligibility Search OptionsN: 03/07/2022 Non-Par N Commercial AMCHC Amerihealth Caritas PA CHC Eligibility Eligibility Search OptionsN: 03/07/2022 Non-Par N Commercial AMCHC Amerihealth Caritas PA CHC Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/07/2022 Non-Par N Commercial HPLNS IU Health Plans, Inc. Eligibility Eligibility Search OptionsN: 03/07/2022 Par N Commercial SANA1 Sana Benefits Eligibility Eligibility Search OptionsN: 03/07/2022 Par N Commercial SANA1 Sana Benefits Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/07/2022 Non-Par N Commercial 66065 MMM Healthcare Eligibility Eligibility Search OptionsN: 03/07/2022 Non-Par N Commercial 25463 BIND Eligibility Eligibility Search OptionsN: 03/07/2022 Non-Par N Commercial 15976 Vibra Health Plan Eligibility Eligibility Search OptionsN: 03/07/2022 Non-Par N Commercial 37077 Colonial Life Eligibility Eligibility Search OptionsN: 03/07/2022 Non-Par N Commercial 54763 AmeriHealth Administrators Eligibility Eligibility Search OptionsN: 03/07/2022 Non-Par N Commercial 00800 New York Blue Cross Blue Shield Northeastern Eligibility Eligibility Search OptionsN: 03/07/2022 Non-Par N Commercial CCA01 Central California Alliance for Health Eligibility Eligibility Search OptionsN: 03/07/2022 Trans N Commercial 83248 Zing Choice IL (HMO) Eligibility Eligibility Search OptionsN: 03/07/2022 Trans N Commercial KYPST Kentucky Passport Eligibility Eligibility Search Options DOS prior to 1/1/2021N: 03/07/2022 Trans N Commercial KYPST Kentucky Passport Claim Status Inquiry Claim Status Inquiry Search Options DOS prior to 1/1/2021
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Updated Par/ Non-Par/Trans
Pass Through
Fees
Payer Type CORE Certified Payers
Payer ID ST Payer Name Line of Business Payer Search Options Enrollment / Authorization
N: 03/07/2022 Non-Par N Commercial 84367 Braven Health Eligibility Eligibility Search OptionsN: 03/07/2022 Non-Par N Commercial 84367 Braven Health Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/07/2022 Par N Commercial 36479 Collective Health Eligibility Eligibility Search OptionsN: 03/07/2022 Par N Commercial 36479 Collective Health Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/07/2022 Non-Par N Commercial FCC01 First Carolina Care Eligibility Eligibility Search OptionsN: 03/07/2022 Non-Par N Commercial 00851 Oregon Blue Cross Regence Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/07/2022 Non-Par N Commercial EPF03 El Paso Health - CHIP Eligibility Eligibility Search OptionsN: 03/07/2022 Non-Par N Commercial 77500 Providence Health Assurance Medicare Eligibility Eligibility Search OptionsN: 03/07/2022 Non-Par N Commercial 77350 Providence Health Assurance Medicaid DC Eligibility Eligibility Search OptionsN: 03/07/2022 Non-Par N Commercial 00541 Healthy Blue Missouri Eligibility Eligibility Search OptionsN: 03/07/2022 Non-Par N Commercial 00541 Healthy Blue Missouri Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/07/2022 Par N Commercial 76498 Maryland Physicians Care Eligibility Eligibility Search OptionsN: 03/07/2022 Par N Commercial 76498 Maryland Physicians Care Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/07/2022 Non-Par N Commercial 31053 State Farm First Health Eligibility Eligibility Search OptionsN: 03/07/2022 Non-Par N Commercial RGA01 Regence Group Administrators Eligibility Eligibility Search OptionsN: 03/07/2022 Non-Par N Commercial SHP01 Sharp Health Plan Eligibility Eligibility Search OptionsN: 03/07/2022 Non-Par N Commercial KYCS1 Caresource of Kentucky Eligibility Eligibility Search OptionsN: 03/07/2022 Non-Par N Commercial KYCS1 Caresource of Kentucky Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/07/2022 Non-Par N Commercial 74238 Boon Chapman Administrators Inc Eligibility Eligibility Search OptionsN: 03/14/2022 Par N Commercial 66008 Passport Advantage Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/14/2022 Non-Par N Commercial SX155 University of Utah Health Plans Eligibility Eligibility Search OptionsN: 03/14/2022 Par N Commercial 39190 Medstar Family Choice (Vestica Healthcare LLC) Eligibility Eligibility Search OptionsN: 03/14/2022 Par N Commercial 91051 Kaiser Foundation Health Plan of Washington Eligibility Eligibility Search OptionsN: 03/14/2022 Non-Par N Commercial SX107 SelectHealth Eligibility Eligibility Search OptionsN: 03/14/2022 Trans N Commercial MMMFL MMM of Florida Eligibility Eligibility Search OptionsN: 03/14/2022 Trans N Commercial 22384 Administrative Concepts, Inc. Eligibility Eligibility Search OptionsN: 03/14/2022 Non-Par N Commercial 973MA Triple-S Advantage Eligibility Eligibility Search OptionsN: 03/14/2022 Non-Par N Commercial 38259 Automated Benefit Services Eligibility Eligibility Search OptionsN: 03/14/2022 Par N Commercial CLEAR Clear Health Alliance Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/14/2022 Non-Par N Commercial SISCO Self Insured Services Co (SISCO) Eligibility Eligibility Search OptionsN: 03/14/2022 Non-Par N Commercial CB186 Bright Health Plan Eligibility Eligibility Search OptionsN: 03/14/2022 Non-Par N Commercial CARMO Caremore Eligibility Eligibility Search OptionsN: 03/14/2022 Non-Par N Commercial 00544 Healthy Blue Nebraska Eligibility Eligibility Search OptionsN: 03/14/2022 Non-Par N Commercial 00544 Healthy Blue Nebraska Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/14/2022 Non-Par N Commercial 61108 Author By Humana Eligibility Eligibility Search OptionsN: 03/14/2022 Non-Par N Commercial 87716 Amerihealth Caritas New Hampshire Eligibility Eligibility Search OptionsN: 03/14/2022 Non-Par N Commercial 87716 Amerihealth Caritas New Hampshire Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/14/2022 Non-Par N Commercial 71890 Medical Health Plan Solutions Eligibility Eligibility Search OptionsN: 03/14/2022 Non-Par N Commercial 71890 Medical Health Plan Solutions Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/14/2022 Non-Par N Commercial 56205 MBS-MedCost Benefit Services Eligibility Eligibility Search OptionsN: 03/14/2022 Non-Par N Commercial 81040 Allegiance Benefit Plan Management, Inc. Eligibility Eligibility Search OptionsN: 03/14/2022 Par N Commercial 46407 Univ Health Care Advantage Eligibility Eligibility Search OptionsN: 03/14/2022 Par N Commercial 46407 Univ Health Care Advantage Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/14/2022 Par N Commercial 59144 Unite Here Health LV Eligibility Eligibility Search OptionsN: 03/14/2022 Par N Commercial 59144 Unite Here Health LV Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/14/2022 Non-Par N Commercial SB751 Montana (aka Montana Blue Cross Blue Shield) Eligibility Eligibility Search OptionsN: 03/14/2022 Non-Par N Commercial SB751 Montana (aka Montana Blue Cross Blue Shield) Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/14/2022 Non-Par N Commercial 39856 Angle Health Eligibility Eligibility Search OptionsN: 03/14/2022 Non-Par N Commercial 00772 BLUE MEDICARE ADVANTAGE Eligibility Eligibility Search OptionsN: 03/14/2022 Non-Par N Commercial 00772 BLUE MEDICARE ADVANTAGE Claim Status Inquiry Claim Status Inquiry Search OptionsN: 03/14/2022 Par N Commercial 90551 Christus Health US Family Health Eligibility Eligibility Search OptionsN: 03/14/2022 Par N Commercial 90551 Christus Health US Family Health Claim Status Inquiry Claim Status Inquiry Search Options
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