Clearance EDI Eligibility Payer List

To request a connection to a payer not on the list below, please submit a New Payer Connection Request.

Reference the CAQH web site for CORE Certified payers.

See Legend for explanation of Payer List.

Payer Name Change Healthcare Payer ID

Payer-assigned Payer ID

Connectivity Type Available

Authorization Required

1199 National Benefit Fund 1199NB 13162 Both Portal

A & I Benefit Plan AIBPL1 93044 Portal Portal

AARP AARP 36273 X12 No

Absolute Total Care CNTENE 68069 X12 No

Acclaim ACCLA1 64071 Portal Portal

ACS Benefit Services ACSBE1 72467 Portal Portal

Administrative Services ADMIN 59141 X12 No

Advantage by Bridgeway CNTENE 68069 X12 No

Advantage by Buckeye (Bridgeway Advantage Plan) CNTENE 68069 X12 No

Advantage by Managed Health Services CNTENE 68069 X12 No

Advantage by Superior Health Plan CNTENE 68069 X12 No

Administrative Concepts ADMCON E2384/22384 X12 No

Advantra Freedom CHCADF 25152 X12 No

Adventist ADVEN1 95340 Portal Portal

AdviCare WELLCR 45423 Portal Portal

AETNA AETNA 60054 Both Portal

Aetna Better Health of California

ABHCA

ABHCA1 128CA Both Portal

Aetna Better Health of Florida ABHFL 128FL Both Portal

Aetna Better Health of Illinois ABHILL 26337 Both Portal

Aetna Better Health of Kansas ABHKS1 128KS Both Portal

Aetna Better Health of Kentucky

COVCKY

ABHKY1 128KY Both No

Aetna Better Health of Louisiana

ABHLA

ABHLA1 128LA Both Portal

Aetna Better Health of Maryland ABHMD 128MD X12 No

Aetna Better Health of Michigan ABHMI 128MI X12 No

Aetna Better Health of New Jersey ABHNJ 46320 X12 No

Aetna Better Health of New York ABHNY 34734 X12 No

Aetna Better Health of Ohio ABHOH 50023 Portal Portal

Aetna Better Health of Pennsylvania ABHPA 23228 Both Portal

Aetna Better Health of Texas ABHTX 00364 X12 No

Aetna Better Health of Virginia

CHCCN

ABHVA1 128VA Both Portal

Aetna Better Health of West Virginia

ABHWV

ABHWV1 128WV Both Portal

AETNA Long Term Care AETLTC 60054 X12 No

Aetna SSI ATNSSI 62118 Both Portal

Affinity Health Plan AFFIN 13334 Both Portal

AFLAC (Dental only) AFLAC X12 No

AFLAC Commercial AFLCOM X12 No

AFLAC Medicare Supplement AFLCMS X12 No

AgeWell New York AWNY1 AWNY6 Portal Portal

Alabama Blue Cross Blue Shield

ALBCSI 00010BC

Both

Portal

ALBCSP 00510

Alabama Medicaid ALCAID 752548221 Both Portal

Alaska Medicaid AKMCD1

AKMEDICAID

FHSC Both Portal

Alameda Alliance for Health ALAHP1 95327 Portal Portal

Alignment Health Care ALHC1 CCHPC Portal Portal

All Savers Health Plan

ALLSA

ALLSA1 Both Portal

Allegiance Benefit Plan Management, Inc ALLBE 81040 X12 No

Alliant Health Plans ALLNT1 58234 Both Portal

Allied Benefit ALBENS 37308 Both Portal

AllWays Health Partners NGHBHP NHP Both Portal

Alohacare ALOHA 990309519 Both Portal

Allwell from Absolute Total Care CNTENE 68069 X12 No

Allwell from Arkansas Health & Wellness CNTENE 68069 X12 No

Allwell from Buckeye Health Plan CNTENE 68069 X12 No

Allwell from Health Net CNTENE 68069 X12 No

Allwell from Home State Health CNTENE 68069 X12 No

Allwell from Louisiana Healthcare Connections CNTENE 68069 X12 No

Allwell from Managed Health Services CNTENE 68069 X12 No

Allwell from Managed Health Services Health Wisconsin CNTENE 68069 X12 No

Allwell from Magnolia Health CNTENE 68069 X12 No

Allwell from PA Health & Wellness CNTENE 68069 X12 No

Allwell from Peach State Health Plan CNTENE 68069 X12 No

Allwell from Sunflower Health Plan CNTENE 68069 X12 No

Allwell from Sunshine Health CNTENE 68069 X12 No

Allwell from Superior HealthPlan CNTENE 68069 X12 No

Allwell from Western Sky Community Care CNTENE 68069 X12 No

Alternative Insurance Resources, Inc. ATIRS X12 No

Altius ALTIUS SX113 X12 No

AMA Insurance AMAIA1 AMAIA X12 Portal

Amalgamated Life AMGMT1 13550 Portal Portal

Ambetter from Buckeye Community Health Plan CNTENE 68069 X12 No

Ambetter from Health Net CNTENE 68069 X12 No

Ambetter from Homestate Health CNTENE 68069 X12 No

Ambetter from Magnolia Health CNTENE 68069 X12 No

Ambetter from Managed Health Services CNTENE 68069 X12 No

Ambetter from Peach State Health Plan CNTENE 68069 X12 No

Ambetter from Sunflower Health Plan CNTENE 68069 X12 No

Ambetter from Sunshine Health CNTENE 68069 X12 No

Ambetter from Superior Health CNTENE 68069 X12 No

Ambetter Illinicare Health CNTENE 68069 X12 No

Ambetter New Hampshire Healthy Families CNTENE 68069 X12 No

Ambetter of Arkansas CNTENE 68069 X12 No

Ameriben Solutions AMERBN 75137 X12 No

American Health Medicare AMHMED

660650587 X12 No

American Medical Security (AMS) AMMEDS 81400 X12 No

American National Insurance Company AMNIC 74048 X12 No

American National Life Insurance Company of Texas ANLITX 10596 X12 No

American Postal Workers Union AMPWU 44444 X12 No

American Republic Insurance (MAP) AMRRP1 42011 Both Portal

American Retirement Life Insurance Company Medicare Supplement ARLIMS 10538 X12 No

America's Choice Health Plans AMRCH1 20029 Portal Portal

AmericasHealth Plan AMRHP1 Portal Portal

AmeriChoice AMCHO1 UFNEP Portal Portal

AmeriGroup AMRGRP 27514 Both Portal

AmeriHealth Administrators TPA AMHADM 54763 X12 No

AmeriHealth Caritas Delaware AHCDE 77799 X12 No

AmeriHealth Caritas District of Columbia AHCDC1 77002 Portal Portal

AmeriHealth Caritas Louisiana LACAR 27357 Both Portal

AmeriHealth Caritas Pennsylvania AMHLTH 22248 Both Portal

AmeriHealth Caritas VIP Care Michigan ACVMI1 77013 Portal Portal

AmeriHealth Caritas Northeast AHCNE 77001 X12 No

AmeriHealth Caritas VIP Care Pennsylvania AMCVC 77062 X12 No

Amerihealth Mercy Health Plan - Medicaid HMO AMHLTH 22248 X12 No

Amerihealth New Jersey/Delaware - HMO PAIBCE 95044 Both Portal

Amerihealth PA Medical Assistance Plan PAMAP1 Portal Portal

Ameritas Life Insurance Company AMRTAS 00425 X12 No

Amida Care Medicare AMICM1 79966 Portal Portal

Anchor Benefit Consulting Inc. ANCHO1 53085 Portal Portal

Antares Management Solutions ANTAR 34192 X12 No

Anthem Blue Cross (fka CA Blue Cross) CABC2 47198 Portal Portal

Apostrophe APSTR1 81312 Portal Portal

Archbold ED Uninsured ARCHB AMC5001 X12 No

Archbold Medical Center Health Plan ARCHB 99999 X12 No

Argus Dental and Vision ARGUS1 ARGUS Portal Portal

Arise Health Plan Medicare Select Policy AHPMSP 39158 X12 No

Arizona Blue Cross Blue Shield AZBCBS 53589 Both Portal

Arizona Complete Health CNTENE 68069 X12 No

Arizona Foundation AZFND1 860629899 Portal Portal

Arizona Medicaid AZCAID 866004791 Both Portal

Arizona Physicians IPA AZPIPA 03432 X12 No

Arizona Physicians IPA Healthcare Group AZPIPA 03432 X12 No

Arkansas Blue Cross Blue Shield ARBCBS

00520

Both

Portal

X12

Arkansas Medicaid ARCAID 716007869 Both Portal

Arkansas Total Care CNTENE 68069 X12 No

ASR Health Benefits

ASRHLT

ASRHL1 Both Portal

Ascension Complete CNTENE 68069 X12 No

Asuris Northwest ASURNH 93221 Both Portal

Atrio Health Plans

ATRIO1

ATRIO2

MP-AD/

MP_ADVANTAGE Portal Portal

AultCare AULTCR 341488123 X12 No

Aultra Administrative Group ALTRA1 Portal Portal

Automated Benefit Services ABSERV 383269272 Both Portal

Automated Group Administration AUGRP1 37280 Portal Portal

Auxiant Health AUXHE1 Portal Portal

Avera Health Plans AVERA1 46045 Portal Portal

Avesis TPA

AVSIS1

AVSIS2 87098 Portal Portal

AVMed AVMED 59274 Both Portal

Bankers Fidelity BKFID1 Portal Portal

Bankers Life and Casualty Company BNKLIF Both Portal

Banner University Family Care BUFCR 66901 X12 No

BAS Health BASHL1 36149 Portal Portal

BayCare Plus Medicare Advantage BAYCR 81079 X12 No

Beacon BCNHL1 43324 Portal Portal

Behavioral Health Systems BHRHS 63100 X12 No

Bell County Indigent Health Care BCIHC1 Portal Portal

Benefit Administration Services, Ltd (BAS LTD) BNADM1 41205 Portal Portal

Benefit Plan Administrators BPAM1 37118 Portal Portal

Benefit Management of Kansas

BNMGT

BNMGT1 48611 Both Portal

BeneSys Administration BENESY1 Portal Portal

Bind BIND BIND X12 No

Block Vision

SUPVS1

VRSNT1 Block Vision Portal Portal

Blue Choice Health Plan of South Carolina BLCHHP 922 X12 No

Blue Cross Blue Shield of National Capital Area - CareFirst DCBCBS 00080 Both Portal

00580

Blue Cross Blue Shield of Western New York Medicaid / CHP BWNYMC 00246 X12 No

Blue Cross Community Health Plans BCCOM MCDIL X12 No

Blue Cross Medicare Advantage PPO/HMO BLMADV X12 No

Blue Medicare PPO/HMO of North Carolina NCPNHP 56152 X12 No

Blue Shield of California Promise Health Plan CABS 57115 X12 No

Boon-Chapman Benefit Administrators, Inc. BNCHAP 74238 X12 No

Boon Group (The) BOONGR BOONG X12 No

Boston Medical Center Health Plan BMCHLT 13337 X12 No

Boulder Administration Services BASRV1 Portal Portal

Bravo Health BRAVO1 52192 Portal Portal

Bridgespan BDSPH1 BRIDG Portal Portal

Bridgeway Health Solutions CNTENE 68069 X12 No

Bright Health - Medicare Advantage BRIGHT BRT01 X12

No

Buckeye Community Health CNTENE 68069 X12 X12

Cal Optima Direct CALOP CALOP Both Portal

California Blue Cross CABC 47198 X12 No

California Blue Cross CABC2 47198 Portal Portal

California Blue Shield CABS 94036 Both Portal

California Blue Shield – HMO Encounters

CABS

CABS1 940360524 Both Portal

California Health and Wellness CNTENE 68069 X12 No

California Medicaid (Medi-Cal) CACAID

610442

Both

Portal

X12

Capital Blue Cross of Pennsylvania PACAPB 23045 X12 No

Capital District Physicians Health Plan CDPHP 95491 Both Portal

Capital Health Plan CAPTAL 95112 X12 No

Capitol Administrators CPADM1 68011 Portal Portal

CapRock Health Plans CAPRO1 CAPHP Portal Portal

Care 1st Health Plan of Arizona CRFRAZ 57116 X12 No

Care Improvements Plus

UHC

UHC2 87726 Both Portal

Care Wisconsin Health Plan CAREW1 27004 Portal Portal

Care1st Health Plan CAFRS1 57115 Portal Portal

CareFirst Federal Employee Program CARFEP X12 No

CareMore IPA CRMRE CARMO X12 No

CarePlus Health Plans, Inc. CRPLUS

95092

65031 X12 No

CareSsource HMO CRSRC1 31114 Portal Portal

CareSource of Indiana CSRCIN INCS1 X12 No

CareSource of Ohio CRSROH 31114 X12 No

CareSource of West Virginia CSRCWV WVCS1 X12 No

Carpenters Health and Welfare Trust Fund of St. Louis CARHLT X12 No

CBA Blue CBABL1 03036 Portal Portal

CDS Group Health

CDSGP

CDSGP1 88022 Both Portal

Celtic Insurance CNTENE 68069 X12 No

CenCal Health

CENCL1

CACAID 000000953865941 Portal Portal

Cenpatico Behavioral Health - Arizona CENPAT 68068 X12 No

Cenpatico Behavioral Health - Florida CENPAT 68068 X12 No

Cenpatico Behavioral Health - Georgia CENPAT 68068 X12 No

Cenpatico Behavioral Health - Illinois CENPAT 68068 X12 No

Cenpatico Behavioral Health - Indiana CENPAT 68068 X12 No

Cenpatico Behavioral Health - Kansas CENPAT 68068 X12 No

Cenpatico Behavioral Health - Mississippi CENPAT 68068 X12 No

Cenpatico Behavioral Health - Missouri CENPAT 68068 X12 No

Cenpatico Behavioral Health - New Hampshire CENPAT 68068 X12 No

Cenpatico Behavioral Health - Ohio CENPAT 68068 X12 No

Cenpatico Behavioral Health - South Carolina CENPAT 68068 X12 No

Cenpatico Behavioral Health - Texas CENPAT 68068 X12 No

Cenpatico Behavioral Health - Wisconsin CENPAT 68068 X12 No

Centerlight Healthcare CTRLT1 13360 Portal Portal

Centinela Valley IPA Medical CENTI1 MPM03 Portal Portal

Central California Alliance for Health CCALL1 CCA01 Portal Portal

Central Health Medicare Plan HMO

CCALLH

CNHLT1 CHCPI Both Portal

Central Reserve Life Insurance Company Medicare Supplement CRLIMS X12 No

Central States Fund CSTFND X12 No

Central States Indemnity

CTLSTI

CTLST1 Both Portal

CHAMPVA / Spina Bifida / Children of Women Vietnam Veterans CHMPVA 84146 X12 No

Chinese Community Health Plan CCHP1 94302 Portal Portal

Christian Brothers Services CBSER1 38308 Both Portal

Christian Care Ministries CCMIN1 59355 Portal Portal

Christus Health Medicare Advantage CHPMA 10629 X12 No

Christus Health of New Mexico CHPNM 20162 X12 No

Christus Health Plan Texas HIX CHPTX 52106 X12 No

Chronic Renal Program RENAL1 Portal Portal

CIGNA CIGNA 62308 Both Portal

Cigna HealthSpring

HSPRNG

HSPRN1h Portal X12 No

Cigna HealthSpring Maryland/Pennsylvania ELDRHL HSPRN1 HSTN Both Portal

Cigna HealthSpring Tennessee Alabama HSPRNG HSPRN1 HSTN Both Portal

Cincinnati Health Plan CRSROH 31114 X12 No

Citrus Health CITRS1 10207 Portal Portal

City of Austin MAP SHMAP1 SHMAP Portal Portal

Claims Management Service Incorporated CLMSMS X12 No

Clear Health Alliance CLEAR CLEAR X12 No

Clear Spring Health CLRSPR 66009 X12 No

Clover Health CLOVE1 77023 Portal Portal

CMO The Care Management Company CMOCO1 Portal Portal

CMS Medicare CMSMED / CMSHSP X12 X12

Colonial Penn Life Insurance Company CPLIC Both Portal

Colorado Access COACCS COACC Both Portal

Colorado Blue Cross Blue Shield COBCBS 00050 Both Portal

Colorado Medicaid COCAID 77016 X12 No

Columbus Health Plan CRSROH 31114 X12 No

Commonwealth Care Alliance CWCAL1 14315 Portal Portal

Community Care Alliance of Illinois CCAOI 66012 X12 No

Community Care Managed Healthcare Plans of OKCMCR 73143 Both Portal

Oklahoma

Community First Health Plan

COMMF

COMMF1 COMMF Both Portal

Community Health Choice COMHC 48145 Both Portal

Community Health Choice Texas - HIM COMHC 60495 X12 No

Community Health First Medicare Advantage CHFMAP X12 No

Community Health Group COMHG1 953766170 Portal Portal

Community Health Plans of Michigan COMHP1 38325 Portal Portal

Community Health Plan of Washington (CHPWA) WACHP

12T30

CHPWA Both Portal

Community Health Solutions COMHS1 Portal Portal

Conifer Health Solutions CONHS1 CAPMN Portal Portal

Connecticare CONNCR 06105 Both Portal

ConnectiCare VIP Medicare Advantage – DOS >12/31/16 CONADV 783750001 Both Portal

ConnectiCare VIP Medicare Advantage – DOS <1/1/17 EMBLEM 783750001 Both Portal

Connecticut Blue Cross and Blue Shield CTBCBS 00060 Both Portal

Connecticut Medicaid CTCAID 061274678 X12 No

Conseco CNSCO1 Portal Portal

Consociate and Dansig CNSDN1 37135 Portal Portal

Consolidated Associates Railroad CNSRR 75284 X12 No

Consolidated Health Plans CONHP1 87843 Portal Portal

Constellation Health Services CONSHS 660778289 X12 No

Constitution Life CNSLF1 Portal Portal

Continental Benefits CONTB1 35245 Portal Portal

Continental General Insurance Company CONGEN 71404 Portal Portal

Continental General Insurance Company Medicare Supplement CGICMS X12 No

Continental Life CNTLF1 Portal Portal

Contra Costa CNTRA1 CCHP Portal Portal

Cook Children's Health Plan COOKCH CCHP1 X12 No

Coordinated Care CNTENE 68069 X12 No

Corporate Benefit Services CPBNSV 56116 X12 No

CorrectCare Integrated Health CRTCR1 CCIH Portal Portal

Country Life Insurance Company CTRYL1 Portal Portal

Covenant Administrators, Inc. (Atlanta, GA) COVEN1 58102 Portal Portal

CoventryCares of Michigan OMNCRE 25150 X12 No

Coventry Health and Life - Oklahoma CVHLOK 25133 X12 No

Coventry Health Care Advantra (Arizona, New Mexico, Texas only) CHCADV X12 No

Coventry Health Care CareLink CHCCL 25140 X12 No

Coventry Health Care Delaware DECHC 25130 X12 No

Coventry Health Care Federal CHCFED X12 No

Coventry Health Care Florida/Vista/Summit FLCHC 10551 X12 No

Coventry Health Care Georgia GACHC 25127 X12 No

Coventry Health Care Group Health Plan CHCGHP 25141 X12 No

Coventry Health Care Iowa IACHC 25132 X12 No

Coventry Health Care Illinois PRSNLC 25146 X12 No

Coventry Health Care Kansas KCCHC 10208 Both Portal

Coventry Health Care Louisiana LACHC 25135 X12 No

Coventry Health Care Missouri CHCMO 87043 X12 No

Coventry Health Care National Network (aka First Health Network) FRSTHL 73159 X12 No

Coventry Health Care Nebraska NECHC 25136 Both Portal

Coventry Health Care Nebraska Medicaid NECVMD X12 No

Coventry Health Care Southern Health Systems CHCSHS 25128 X12 No

Coventry Health Care Virginia COVVA1 Portal Portal

Coventry Health Care Vista CHCVST 55248 X12 No

Coventry Health Care Wellpath WPCHC 25133 X12 No

Coventry Health Life - Tennessee CVHLTN 25141 X12 No

Coventry University of Missouri CHCUOM X12 No

CoventryOne - CHC CHCCVT 25133 X12 No

Cox Health Plan COXHP 00019 X12 No

Create CREATE CREA8 X12 No

Crescent Health Solutions CRESH1 56213 Portal Portal

Crystal Run Health Plans CRYST1 46120 Portal Portal

Culinary Health Fund CULHF1 59140 Portal Portal

Custom Design Benefits CSTDS1 82056 Portal Portal

DakotaCare DAKOTA DAKOTACARE Both Portal

Davis Vision

DAVIS1

VRSNT1 Portal Portal

DCIPA Health Plan DCIPA1 Portal Portal

Dean Health Plan DEANHP 391535024 Both Portal

Dean Heath Plan Administrative Services (ASO) DNADM1 Porta; Portal

Delaware Blue Cross Blue Shield DEBCBS

00070

00570 X12 X12

Delaware Medicaid DECAID DE_TXIX X12 X12

Delta Dental DDENT1 94276 Both Portal

Delta Dental of Minnesota DELMN1 Portal Portal

Delta Health Systems DELTA1 DHS01 Portal Portal

DentaQuest Government Services DQEST1 62154 Portal Portal

Denver Health Medical Plan DNVHMP 84135 X12 No

Deseret Mutual Benefits Association DMBA

HT000006-001

Both

Portal

X12

Devoted Health DEVOT DEVOT X12 No

Diamond Plan (Maryland Medicaid) DIAMPL X12 No

Director's Guild DIRGLD X12 No

District of Columbia Blue Cross Blue Shield - Carefirst CRFST1 00080 Portal Portal

District of Columbia Medicaid DCCAID 77033 Both Portal

Diversified Group Brokerage DVRGB 06102 X12 No

Dominion Dental DMNDN1 Portal Portal

Driscoll Children's Health Plan

DRSCHP

DRCHP1 74284 Both Portal

Dunn & Associates DUNN1 35186 Portal Portal

EBMS EBMS1 81039 Both Portal

EBSO, Inc.

EBSO

EMPBN1 37257 Both Portal

Educators Mutual Insurance Association EMIHE1 HT000214-001 Portal Portal

Elder Health Bravo Health ELDRHL 52192 X12 No

ElderPlan, Inc ELDER1 31625 Portal Portal

Eldorado Computing, Inc. ELDOC1 Portal Portal

Employee Benefit Management Corp EBMC1 31074 Portal Portal

Employee Benefit Systems EMBEN1 42149 Portal Portal

Employee Plans EMPLN1 35112 Portal Portal

Empower Healthcare Solutions EMPOW1 12956 Portal Portal

enhancedcareMD ENHDC X12 No

Entrust NTRST1 36878 Portal Portal

Eon Hea6600lth EONHLT 66011 X12 No

Epoch Health EPOCH1 28777 Portal Portal

Equitable Life Insurance EQUIT1 HT007509-001 Portal Portal

ES Beveridge and Associates ESBEV1 34108 Portal Portal

Essence ESSNCE 20818 Both Portal

Everence EVERE1 35605 Portal Portal

Everest Reinsurance Company EVERT1 Portal Portal

Evergreen Health Plan EVRGR1 45319 Both Portal

EyeMed Vision Care EYMED1 31165 Portal Portal

Fallon Community Health Plan FALLON FALLON837I Both Portal

Family Health Network CCAIL 85468 X12 No

Farm Bureau Health Plans FRMBHP 62045 Both Portal

Fidelis Care New York FDCRNY 11315 Both Portal

First Administrators Inc. WLMRK1 FAMR1 Portal Portal

First Ameritas of New York AMTSNY X12 No

First Choice Health FRSTC1 91131 Portal Portal

First Health Network FRSTHL 73159 X12 No

First Medical Health Plan (Reform) FIRME1 GHP660537624 Portal Portal

First Reliance Standard Life FSTREL X12 No

FirstCare Health Plans FRTCR1 94999 Portal Portal

FirstCarolinaCare FCCARE 56196 X12 No

Fiserv Health - Kansas FSRVK1 62061 Portal Portal

Fiserv Health - Lexington FSRVL1 Portal Portal

Florida Blue Cross Blue Shield FLBCBS 00590 Both Portal

Florida Community Care FLCCR1 FLCCR Portal Portal

Florida Health Care Plan FLHLTH 59322 X12 No

Florida Medicaid FLCAID 77027 X12 No

Fox Everett FXEVT1 64069 Portal Portal

Freedom Health FRDHL1 41212 Portal Portal

Fresenius Total Health (PPO SNP) FRSNHP 43197 X12 No

Friday Health Plans of Colorado COCHP2 H0657 Portal Portal

Gateway Health Plan – Medicaid PA GATEHP 25169 X12 No

Gateway Health Plan – Medicare Assured OH GATEHP 91741 Both Portal

Gateway Health Plan – Medicare Assured PA GATEHP 60550 X12 No

GEHA Dental Connection Federal GEHAD1 Portal Portal

Geisinger Health Plan GEISHP 75273 X12 No

Geisinger Health Plan Gold GHPG 10612 X12 No

Georgia Blue Cross Blue Shield GABCBS

00101

00601 Both Portal

Georgia Medicaid GACAID 77034 X12 No

Gilsbar, Inc. GILSB1 07205 Portal Portal

Global Care Medical Group IPA GLOBA1 MPM05 Portal Portal

Global Health OKC GHOKC1 GHOKC Portal Portal

Globe Life & Accident Insurance Company GLOBE X12 No

GMP Employers Retiree Trust GMPER 23641 X12 No

Gold Coast Health Plan GDCHP1 77160 Portal Portal

Golden Rule Insurance Company GLDRUL 37602 Both Portal

Government Employee Health Association (GEHA) GEHA 44054 Both Portal

Great American Life Insurance Company Medicare Supplement GALIMS X12 No

Great West Healthcare GWSTHC 80705 Both Portal

Group and Pension Administrators GPADM 48143 Both Portal

Group Health Cooperative of Eau Claire GRPHL1 95192 Portal Portal

Group Practice Affiliates GRPAFL X12 No

Group Resources GRPRC1 Portal Portal

Guarantee Trust Life GTRLF1 Portal Portal

Guardian GUARD1 64246 Portal Portal

Gulf South Risk Services GULFS1 Portal Portal

Gundersen Lutheran Health Plan

GUNDER

GUNDE1 39180 Both Portal

HAP/AHL/Curanet HAPMI 382242827 X12 No

Harrington Health HRGTN 59143 X12 No

Harrington Health CSI HRGTN 21132 X12 No

Harvard Community Health Plan HPSTR1 04245 Portal Portal

Harvard Pilgrim Health Care (MA) HRVPGM HPHC0001 X12 No

Hawaii HMSA HMSA 990040115 Both Portal

Hawaii Medicaid HICAID 996001089 Both Portal

Hawaii Medical Assurance Association HMAA1 48330 Portal Portal

Health Alliance Medical Plans of Illinois HLTAIL HEALTH ALLIANCE

MEDICAL P Both Portal

Health Alliance Plan of Michigan

HAPMI

HLTMI1 382242827 Both Portal

Health America/Health Assurance (PA and OH) CHCHA 25126 Portal Portal

Health Cost Solutions HCOST1 62111 Portal Portal

Health Choice Generations HCHGN1 62180 Portal Portal

Health Choice of Arizona AZHLCH 62179 Both Portal

Health Choice Oklahoma

HLTCH

HLTCH1 71064 Portal Portal

Health Design Plus HLTDS1 34158 Portal Portal

Health First Health Plan HLFRT 95019 Both Portal

Health First Insurance HLTHFT X12 No

Health First TPA (Tyler, Texas) HEALT1 75234 Portal Portal

Health Management Administrators – Western Region HMAWR HMA01 X12 No

Health Net MediCal HLTHNT Both Portal

Health Net National HLTHNT X12 No

Health Net of Arizona, California, Oregon Health Net Individual Medicare Advantage Plan Health Net Individual Family Plans CNTENE 68069 X12 No

Health Net of California CNTENE 95567 X12 No

Health Net of Oregon CNTENE 95567 X12 No

Health Net of the Northeast and Arizona CNTENE

06108

38309 X12 No

Health New England HLTNE 04286 X12 No

Health New England HLTNE1 04286 Portal Portal

Health Partners of Minnesota HLPTMN HEALTHPARTNERS X12 X12

Health Partners of Philadelphia HPPHIL 80142 X12 No

Health Plans HLPLNS HPHC0001 X12 No

Health Plan of Nevada HPLNV1 76342 Portal Portal

Health Plan of San Joaquin SJHP 68035 Both Portal

Health Plan of San Mateo HPOSM HPSM1 X12 No

Health Plans Inc. HLPLN1 HPHC0001 Portal Portal

Health Services for Children with Special Needs HSCSN 37290 X12 No

Health Share of Oregon HLTHS1 Portal Portal

Healthcare Highways HCHHW1 HCH01 Portal Portal

Healthcare, Inc. HCINC X12 No

Healthcare Management Administrators HCMGT1 HMA01 Portal Portal

Healthcare Management Administrators – Western Region HMAWR HMA01 X12 No

HealthCare Partners IPA HPIPA1 11328 Portal Portal

Healthcare Partners of California HCPCA1 HCP01 Portal Portal

HealthChoice Oklahoma HLTCH1 22521 Portal Portal

HealthComp

HLCOMP

HLCMP1 85729 Both Portal

HEALTHe Exchange HLTHEX 20356 X12 No

HealthEZ

HLTEZ

HLTEZ1 41178 Both Portal

Healthfirst of New Jersey HFSTNJ X12 No

Healthfirst of New York NYHFST 80141 Both Portal

Healthgram, Inc. HGRAM 56144 Both Portal

Healthnet Medicare Advantage - Oregon HLTMA1 Portal Portal

Healthplex HLPLX1 Portal Portal

Healthscope Benefits, Inc. HLTSCP 71063 Both Portal

HealthSmart Benefit Solutions (Oklahoma City) ACORDN 37256 X12 No

HealthSmart Benefit Solutions West Virgina (fka Wells Fargo TPA)

ACORDN ACORD1

HSMRT1 87815 Both Portal

HealthSun HLSUN1 HESUN Portal No

Healthy Blue AMGRLA 58532 X12 No

Heartland National Life Insurance Company HRTNT1 HT007509-002 Portal Portal

Hennepin Health METHPL

1566

- X12 No

Highmark BCBS DE Health Options

GHPHHO

DEHLT1 47181 Both Portal

Hill Physicians Medical Group HLPHS1 HIL01 Portal Portal

HIP of Greater NY EMBLEM 552470001 Both Portal

HIP-Health Insurance Plan of Greater New York HIPNY 552470001 X12 No

HMA Hawaii

HMADMN

HMA1

HMAX1 86066 Both Portal

HMO Louisiana Blue Advantage BCLAM 84555 X12 No

HomeState Health Plan CNTENE 68069 X12 No

Hometown Health Network - Nevada HOMTWN

88023

95677 Both Portal

Horizon NJ Health HZMRCY 22326 Both Portal

Hudson Health Plan NYMVP 14165 Both Portal

Humana HUMANA 61101 X12 No

Humana - CareSource of Kentucky CSRCKY KYCS1 Both Portal

iCare, Independent Care Health INDCH1 11695 Portal Portal

Idaho Blue Cross Boise IDBLCB BLUEC X12 No

Idaho Blue Shield Regence IDBCS 00611 Both Portal

Idaho Medicaid IDCAID 445454161 X12 No

Ideal Life Insurance Company IDEAL1 Portal Portal

IdealCare IDLCR1 1140 Portal Portal

Illinicare Health Plan CNTENE 68069 X12 No

Illinois Blue Cross Blue Shield ILBCBS 00621 X12 No

Illinois Medicaid ILCAID 37-1320188 Both Portal

IMCare IMCARE 41600 X12 No

INDECS Corporation INDEC1 40585 Portal Portal

Independence Administrators INDADM TA720 X12 No

Indiana Blue Cross Blue Shield INBCBS

00130

00630 Both Portal

Indiana Medicaid INCAID HP Both Portal

Individual Assurance Company IACO1 30360 Portal Portal

Inland Empire Health Plan IEHP IEHP1 Both Portal

Insurance Administrators of America (IAA) ALLSA1 Portal Portal

Insurance Management Administrators IMADM1

-

72091 Portal Portal

Insurance Management Services TX IMSTX1 IMSMS Portal Portal

Integrated Mental Health Services INTMHS X12 No

Iowa Blue Cross Blue Shield - Wellmark IABCBS

88848

Both

Portal

X12

Iowa Medicaid IACAID 18049 Both Portal

Iowa Total Care CNTENE 68069 X12 No

IU Health Plans IUHLT1 IUHPLNS Portal Portal

IU Health Plan Medicare Advantage IUHLTH IUHPLNS X12 No

JAI Medical JAIMD1 JAI01 Portal Portal

Johns Hopkins Advantage MD JNHPS X12 No

Johns Hopkins Health Plan JHHP 72189 X12 No

Johns Hopkins USFHP JHUSFP 52123 X12 No

JP Farley JPFAR1 34136 Portal Portal

Kaiser Foundation Health Plan of Colorado COKAIS RH003 X12 X12

Kaiser Foundation Health Plan of Georgia GAKAIS RH008 X12 X12

Kaiser Foundation Health Plan of Hawaii HIKAIS RH0011 X12 X12

Kaiser Foundation Health Plan of Mid-Atlantic KSRMDA RH010 X12 X12

Kaiser Foundation Health Plan of North West KAISNW RH002 X12 X12

Kaiser Foundation Health Plan of Northern California KSRNCA

94135

RH009 X12 X12

Kaiser Foundation Health Plan of Southern California KSRSCA 94134 X12 X12

Kaiser Foundation Health Plan of Washington /

Kaiser Foundation Health Plan of Washington Options GRPNW 91051 Both Portal

Kaiser Permanente Insurance Company Self Funded (Dell) KPIC X12 No

Kaiser Self Funded Plan - Harrington/Fiserv HRGTN 94320 X12 No

Kansas Blue Cross Blue Shield KSBCBS 47163 X12 No

Kansas City Blue Cross Blue Shield - Kansas City, MO KCBCBS 47171 X12 No

Kansas Medicaid KSCAID 481124839 Both Portal

Kempton Group Administrators KEMCO 73100 X12 No

Kentucky Blue Cross Blue Shield KYBCBS 00060 Both Portal

Kentucky Medicaid KYCAID KYMEDICAID X12 No

Kern Health KERN1 77039 Portal Portal

Key Benefit Administrators, Inc. KEYBEN 37217 Both Portal

Key Solutions KEYSOL 37323 X12 No

Keystone East HMO PAIBCE 95056 X12 No

Keystone First KMHPLN 23284 Both Portal

Keystone First Community HealthChoices KSFCHC 42344 X12 No

Keystone VIP Choice KVIPC1 84223 Portal Portal

Kidney Disease Program of Maryland MDKDP1 Portal Portal

Klais and Company KLAIS1 34145 Portal Portal

KSKJ Life – American Slovenian Catholic Union KSKJL1 Portal Portal

LA Care Health Plan

LACRE

LACRE1 LACAR Both Portal

LA Care (Non-contracted providers) LACRE2 LACAR Portal Portal

Liberty National Life Insurance Company LIBRTY X12 No

Lifestyle Health Plan LIFES1

2700U

27005 Portal Portal

Lifetime Benefit Solutions LIFBEN EBSRM X12 No

Lifewise Healthplan of Oregon WAPBC 93093 X12 No

Lifewise Healthplan of Washington WAPBC2 91049 Portal Portal

Lifeworks Advantage (ISNP Plan) LFWRK1 LWA01 Portal Portal

Lincoln Heritage LCNHG1 Portal Portal

Lincoln Financial Group LINFG X12 No

Louisiana Blue Cross Blue Shield LABCBS 53120 Both

X12

Portal

Louisiana Health Connections CNTENE 68069 X12 No

Louisiana Medicaid/Ambulance LACAID LA-DHH X12 No

Loyal American Life Insurance Company Medicare Supplement LALIMS 13193 X12 No

LSU Health Plan LSUHP1 Portal Portal

Maestro Health INBMS1 56139 Both Portal

Magellan Complete Care of Virginia MCCVA1 MCCVA Portal Portal

Magellan Healthcare MAGLAN 01260 Both Portal

MagnaCare MAGNA 11303 Both Portal

Magnolia Health Plan - Mississippi CNTENE 68069 X12 No

Mail Handlers Benefit Plan (formerly First Health for Mail Handlers) FHFMH 62413 X12 No

Maine Blue Cross Blue Shield MEBCBS

20180

00680 X12 No

Maine Community Health Options MECOH1 45341 Portal Portal

Maine Medicaid MECAID ME_MMIS_4MOLINA Both Portal

Managed Care of America MCA X12 No

Managed Health Network HNMHN 22771 X12 No

Managed Health Services - Indiana CNTENE 68069 X12 No

Managed Health Services - Wisconsin CNTENE 68069 X12 No

Manatee Health MNTEE1 41555 Portal Portal

Manhattan Life MNHTN1 Portal Portal

Mapfre MAPFRE 4600012 Both Portal

Maricopa Care Advantage (Arizona) MARIAD X12 No

Maricopa Health Plan (Arizona) MARIHP 09908 X12 No

Martins Point Health Care MRTNP MPHC2 X12 No

Mary Washington Health Plan MRYWSH 83269 X12 No

Maryland Blue Cross Blue Shield - Carefirst MDBCBS

00190

00690 Both Portal

Maryland Medicaid MDCAID 526002033MCP Both Portal

X12

Maryland Physician Care CNTENE 41001 X12 No

Massachusetts Blue Cross Blue Shield MABCBS 00200 X12 No

Massachusetts Medicaid MACAID DMA7384 Both Portal

MassHealth MASHL1 DMA7384 Portal Portal

MassHealth Dental MADNT1 Portal Portal

Maxor Administrative Services MAXOR1 92805 Portal Portal

McLaren Health Plan MCLRN1 38338 Portal Portal

MDWise Healthy Indiana Plan MDWise Hoosier Healthwise

INCAID

WISE1

31354

35191 Both Portal

Med-Pay MEDPY 431318969 X12 No

MED3000 CMS Kids Title XXI KIDXX1 M3FL0014 Portal Portal

MedCare Omni IPA MCORE1 Portal Portal

MedCost Benefit Services MEDCST 56205 Both Portal

MEDecision MEDSN1 Portal Portal

Medica Health Plan UHC 94265 Both Portal

Medica Health Plan MEDI21 94265 Portal Portal

Medica Health Plan of Florida UHC 78857 X12 NO

Medica Health Plan Solutions MHSRT 71890 X12 No

Medica IFB

MEDIFB

MEDI21 12422 Both Portal

Medical Associates Health Plan FFS MAHP MEDICAL ASSOCIATES

HEALTH Portal Portal

Medical Benefits Administrator (Newark, OH) MDBEN 74323 Both Portal

Medical Card System (MCS)

MCSPR

MCSPR1

660396197P

660396197P Both Portal

Medical Mutual of Ohio - ProLink MMUTOH 29076 X12 No

Medical Services Initiative MDSRV1 Portal Portal

Medicare (CMS) Part A, B, and C

CMSMED

X12

X12

CMSHSP

Medico Insurance Company

MDICO

MDICO1 23160 Both Portal

Medigold HMO MEDGLD 95655 X12 No

Medova Healthcare LIFES1

2700U

27005 Portal Portal

MedPartners Administrative Services 412MP MPASV1 412MP Portal Portal

MedPartners Administrative Services 441MP MPASV1 441MP Portal Portal

MedRX MEDRX X12 No

MedStar Family Choice MSFC1 521995799 Portal Portal

MedStar Medicare Choice MEDSTR 251MS X12 No

MedStar Select MEDSTR 251MS X12 No

Memorial Hermann Health Solutions MHRMN1 MHHNP Portal Portal

Mental Health Network (MHNET)

MENTAL

MENTA1 74289 Both Portal

Mercy Care Plan of Arizona AZMCP 86052 Both Portal

Mercy Mericopa Integrated Care MMICR 33628 X12 No

Meridian Health Plan MERID1 13189 Portal Portal

Meridian Health Plan of Illinois MERIL X12 No

Meritage Medical Network MRNPA1 IP097 Portal Portal

Meritain Health (North American Health Plan) MERITN 64157 X12 No

Mercer MRCR1 Portal Portal

MetLife Dental Family MLDNTL X12 No

Metro Plus Health Plan METPL 13265 X12 No

Miami Children’s Health Plan MIAMI 82832 X12 No

Michigan Blue Cross Blue Shield

MIBCSI 00210

X12

MIBCSP 00710 X12

Michigan Child MICAID X12 X12

Michigan Complete Health CNTENE 68069 X12 No

Michigan Medicaid MICAID D00111 X12 X12

Michigan Medicaid Champ MICAID D00111 X12 X12

Michigan Medicaid Pending MICAID X12 X12

Mid Atlantic Medical Services, Inc. (MAMSI) UHC 52148 X12 No

Mid-American Benefits (Elite Choice) MIDAB1 22823 Portal Portal

Minnesota Blue Cross and Blue Shield 1402

00220

00720 X12 No

Minnesota Blue Cross and Blue Shield Health Care Programs MNHCP 00562 X12 No

Minnesota Medicaid 1468 411674742 Both Portal

Mississippi Blue Cross Blue Shield MSBCBS 00230 Both Portal

Mississippi Blue Cross State Employee Health Plan MSSEHP X12 No

Mississippi CHIP MSCHIP X12 No

Mississippi Medicaid MSCAID 77032 X12 No

Missouri Blue Cross Blue Shield MOBCBS 00241 X12 No

Missouri Medicaid MOCAID

0954897

431754897 Both Portal

MMM Healthcare

MMMHC

PMCHO1 660592131 Both Portal

MMM Healthcare (Reform) MMMHRF 660653763 Both Portal

MMM of Florida MMMFL UMMFL X12

Moda Health MDAHLT 930989307 Both Portal

Molina Healthcare of California CAMLNA 38333 Both Portal

Molina Healthcare of Florida FLMLNA 51062 Both Portal

Molina Healthcare of Idaho MLNID 61799 X12 No

Molina Healthcare of Illinois MOLIL 20934 Both Portal

Molina Healthcare of New Mexico NMMLNA 09824 X12 No

Molina Healthcare of New York SCHCT1 16146 Portal Portal

Molina Healthcare of Ohio OHMLNA 20149 Both Portal

Molina Healthcare of Puerto Rico (Reform)

MOLPR

MOLPR1 81794 Both Portal

Molina Healthcare of South Carolina SCMLNA 46299 X12 No

Molina Healthcare of Texas TXMLNA 20554 X12 No

Molina Healthcare of Utah UTMLNA SX109 X12 No

Molina Healthcare of Virginia VAMLNA 26176 X12 No

Molina Healthcare of Washington WAMLNA 38336 X12 No

Molina Healthcare of Wisconsin MLNAWI ABRI1 X12 No

Molina of Michigan MIMLNA 38334 X12 No

Monarch Health Care of California MHCCA1 IP095 Portal Portal

Montana Blue Cross Blue Shield MTBCBS BCBS Both Portal

Montana Medicaid MTCAID 77039 X12 No

Montefiore Contract Management Organization MOCMO 13174 X12 No

Municipal Health Benefit Fund MNHBF 81883 X12 No

Mutual of Omaha MUTOMH 71412 Both Portal

Mutual of Omaha Medicare Advantage MUTOMA 82275 X12 No

MVP Health Plans of New York NYMVP 14165 Both Portal

National Association of Letter Carriers NAOLC 62308 X12 No

National Claims Administrative Services NCAS1

75191

75190 Portal Portal

National General Benefits Solutions NATGE1 Portal Portal

National Rural Letter Carriers Association NRLCA1 Portal Portal

National Vision NTVIS1 743033381 Portal Portal

NE AmeriChoice HMO AMRNE1 UFNEP Portal Portal

Nebraska Blue Cross Blue Shield NEBCBS

00260

00760 X12 No

Nebraska Medicaid NEMCD1 NEMEDICAID Both

Portal

X12

Nebraska Total Care CNTENE 68069 X12 No

Neighborhood Health Plan of Rhode Island RINHP 05047 Both Portal

Network Health Insurance Corp Medicare NHICMC 77076 X12 No

Network Health of Massachusetts NTHLMA 04332 Both Portal

Network Health Plan Wisconsin

NTWHL

NTWHL1 39144 Both Portal

Network Medical IPA NTMED1 Portal Portal

Nevada Blue Cross Blue Shield NVBCBS 00265 X12 No

Nevada Checkup - CHIP CAIDNV SKNV0 No Yes

Nevada Medicaid NVCAI1 Portal Portal

Nevada Medicaid CAIDNV NVM FHSC FA No Yes

New ERA Life Insurance Company NWERAL 75281 Both Portal

New Hampshire Blue Cross Blue Shield NHBCBS 00770 X12 No

New Hampshire Healthy Families CNTENE 68069 X12 No

New Hampshire Medicaid NHCAID 026000618 Both Portal

New Jersey Blue Cross Blue Shield NJBCBS 22099 Both Portal

New Jersey Medicaid NJCAID

012

610515 Both Portal

New Mexico Blue Cross Blue Shield NMBCBS 00790 Both Portal

New Mexico Health Connections

NMHCO

NMHCO1 45129 Both Portal

New Mexico Medicaid NMCAID NMMAD Both Portal

New York Blue Cross Blue Shield Central New York NYEXCL

00305

00805 X12 No

New York Blue Cross Blue Shield HealthNow

HLTNOW

HLTNW1 55204 Both Portal

New York Blue Cross Blue Shield Northeastern

NYBCNE

NYBSN1 00800 Both Portal

New York Blue Cross Blue Shield Rochester Area NYEXCL

00304

00804 X12 No

New York Blue Cross Blue Shield Utica-Watertown NYEXCL

00306

00806 X12 No

New York Blue Cross Blue Shield Western NYBCBS 00801 X12 No

New York Empire Blue Cross and Blue Shield EMHECH

00303

00803 Both Portal

New York Excellus Blue Cross Blue Shield NYEXCL X12 No

New York Group Health Incorporated (GHI) – HMO EMBLEM 255311997 Both Portal

New York Group Health Incorporated (GHI) – PPO EMBLEM 135511997 Both Portal

New York Group Health Inc. EMBLEM 135511997 Portal Portal

New York Independent Health Association (IHA) Western NYIHAW 95308 X12 No

New York Medicaid (Inpatient and Outpatient) NYCAID

141797357

X12

No

X12

Nippon Life Insurance Company of America NLICOA 81264 X12 No

North American Administrators NAA1 65085 Portal Portal

North Carolina Blue Cross Blue Shield NCBCBS 560894904 Both Portal

North Carolina Medicaid NCCAID DNC00 X12 No

North Dakota Blue Cross Blue Shield

NCBCBP

NCBCBI X12 X12

North Dakota Medicaid 1487 NDDHSMED X12 No

Northern Virginia Blue Cross Blue Shield VANBCS X12 No

Northwest Administrators Inc

NWADM

NWADM1 NWADM Both Portal

Nova Healthcare Administrators NOVAHC 16644 X12 No

NovaSys Health Network CNTENE 68069 X12 No

NY Group Health Incorporated (GHI) - Commercial EMBLM1 135511997 Portal Portal

NY Group Health Incorporated (GHI) - Commercial GRPIN1 135511997 Portal Portal

ODS Health MDAHLT 930989307 Both Portal

Ohio Blue Cross Blue Shield OHBCBS

00332

00834 Both Portal

Ohio Bureau for Children with Medical Handicaps BCMH1 BCMHODH Portal Portal

Ohio BWC OHBWC1 31147 Portal Portal

Ohio Medicaid OHCAID MMISODJFS X12 X12

Oklahoma Blue Cross Blue Shield OKBCBS 00840 X12 No

Oklahoma Department of Corrections HLTCH1 71065 Portal Portal

Oklahoma Employees Group Insurance Division Healthchoice OKSTE X12 No

Oklahoma Medicaid OKCAID 731476619 Both Portal

Old Surety Life Insurance Company OSLIC 29237 X12 No

Operating Engineers Local 428 HHZOE 86602 X12 No

Optical Managed Vision OPTMV1 Portal Portal

Optum Medical Network

LFPRT

LFPRT1 LIFE1 Both Portal

OptumHealth Care Solutions UNTDRN 41194 X12 No

Oregon Blue Cross Blue Shield - Regence ORRBCS 00851 X12 No

Oregon Medicaid ORCAID ORDHS X12 No

Oscar Health OSCAR1 OSCAR Both Portal

Oxford Health Plan OXFORD 06111 X12 No

Oxford LIfe OXLIF1 76112 Portal Portal

PA Health & Wellness CNRENE 68069 X12 No

PacifiCare of Arizona - HMO AZPAC X12 No

PacifiCare of California - HMO CAPAC X12 No

PacifiCare of Colorado- HMO COPAC X12 No

PacifiCare of Oklahoma - HMO PACOK X12 No

PacifiCare of Oregon - HMO ORPAC 95958 X12 No

PacifiCare of Texas - HMO TXPAC X12 No

PacifiCare of Washington - HMO WAPAC X12 No

PacificSource Administrators (PSA) PSHLTH 93031 X12 No

PacificSource Health PSHLTH 93029 X12 No

PacificSource Medicare PSMED 20377 X12 No

PAI Benefits (Planned Administrators, Inc.) PAIB1 Both Portal

Pan American Life Insurance Group PNAIC 04218 X12 No

Paramount PRMNT 4198872500 Both Portal

Parkcare Insurance PRKCR1 Portal Portal

Parkland Community Health Plan PRKLND 66917 X12 No

Partners Health Plan PRTNR1 14966 Portal Portal

Partnership Health Plan of California PRTHP PHC100680301406 Both Portal

Passport Advantage PSPRT 66008 X12 No

Passport Health Plan PASSHP 61129 Both Portal

Patient Advocates, LLC PTADV1 10525 Portal Portal

Peach State Health Plan (GA Medicaid CMO) CNTENE 68069 X12 No

Pekin Insurance PEKIN1 37086 Portal Portal

Pennsylvania Blue Cross Blue Shield - Highmark PABCBS

54771

Both

Portal

12B60 X12

Pennsylvania Freedom Blue Medicare Advantage PABCBS 15460 X12 No

Pennsylvania Independence Amerihealth HMO PAIBCE 95044 Both Portal

Amerihealth New Jersey PPO PAIBCE 60061 Both Portal

Pennsylvania Independence Amerihealth PPO PAIBCE 95044 Both Portal

Pennsylvania Independence Blue Cross PAIBCE 54704 X12 No

Pennsylvania Medicaid PACAID 236003113 Both Portal

Peoples Health Network PEOPLE 72126 Both Portal

Personal Insurance Administrators PIADMN 95397 X12 No

Puerto Rico MMM Inmediata MMMHRF 660653763 Both Portal

Physicians Health Plan of Michigan Medicare PHPMIM 83276 X12 No

Physicians Health Plan of Michigan (PHP) PHPMI 37330 Portal Portal

Physicians Health Plan of Northern Indiana (PHP) PHPNI 12399 Both Portal

Physicians Mutual Insurance Company PHYSMT 47027 X12 No

Physicians Plus Insurance Corporation PHYPLS 39156 X12 No

Piedmont Care PDMNT1 06607 Portal Portal

Pinnacle Claims Management PNNCL1 24735 Portal Portal

Pittman and Associates PITTMN 37224 X12 No

Poly Medical and Dental Benefits Plan PAMDB X12 No

Plan de Salud Hospital Menonita PDSHM 660636242 X12 No

Plan de Socios Auxilio Mutua PDSAM 660178704 X12 No

POMCO UMRWAU 16111 X12 No

Populytics SPCTM1

23253

001256 Portal Portal

Prairie States Enterprises PRSTE1 36373 Portal Portal

Preferred Care Partners UHC 65088 X12 No

Preferred Medicare Choice (PMC) PMC 660592131 Both Portal

Preferred Medicare Choice (Reform) PMCHOR 660592131GHP Both Portal

Preferred One PRFONE 411479744 X12 No

Premier Health Plan

PREMH

PREMH1 251PR Both Portal

Premier Healthcare Exchange (PHX) - Cypress Benefit Admin CYPRSS 88056 X12 No

Presbyterian Health Plan PRESB1 05003 Portal Portal

Prestige Health Choice PREST1 77003 Both Portal

Prime West PRMWST 11678 X12 No

Principal Financial Group

PRFGRP

PRFGR2 61271 Both Portal

Priority Health of Michigan PRIRTY PRIORITY/ HEALTH

PRIORITY Both Portal

Professional Benefit Administrators - Illinois ILPBA 36331 Both Portal

Professional Benefit Administrators - Ohio OHPBA Both Portal

Prominence Health Medicare Advantage PRMAD1 Portal Portal

Prominence Health Plan PPO/HMO

STMRH

STMRH1 88029 Both Portal

Prospect Medical Systems PROMG1 IP105 Portal Portal

Providence Health Plan (OR) PROVHP PHP01 Both Portal

Providence Preferred PPO PROVH1 PHP0U Portal Portal

Provident American Life & Health Insurance Company Medicare Supplement PALHMS X12 No

Public Employee Health Plan (UT) PEHP HT000158-001 X12 No

Puritan Life Insurance Company of America PRTN1 Portal Portal

QualCare QULCR1 23342 Portal Portal

QualCare, Inc. QUALC 23342 X12 No

QualChoice of Arkansas QUCHO 35174 Both Portal

Quality Health Plans of New York QHPNY1 88622 Portal Portal

Quartz ASO QUARTZ QUARTZASO X12 No

Quartz Benefits Underwritten by Gundersen Health GUNDE1 Portal Portal

Quartz Benefits Underwritten by Unity Health Plans UNTYHP X12 No

QuikTrip Corporation QTCORP 73067 X12 No

Regal Medical Group RGLMD1 REGAL Portal Portal

Regence Group Administrators RGADM RGA01 X12 No

Regional Care REGCA1 47076 Portal Portal

Reliance Standard Life RELSTD X12 No

Reserve National Insurance RESNI 73066 X12 No

Rhode Island Blue Cross Blue Shield RIBCBS

00370

00870 Both Portal

RiverLink Health RVRLH1 42172 Portal Portal

Rhode Island Medicaid RIMCD1 056000522 Portal Portal

RightCare Scott & White Health Plan RTCRE 74205 X12 No

RMSCO RMSCO1 16117 Portal Portal

Rocky Mountain Health Plan (HMO) RKYMHP 840614905 X12 No

Royal Neighbors of America RYLNB1 Portal Portal

Samaritan Health Plan SAMAR1 953327434 Portal Portal

San Diego County Medical Services (CMS) CNTYM1 MSO11 Portal Portal

San Francisco Health Plan SFHP 943226498 X12 No

Sanford Health Plan SNFDHP SHP X12 No

Santa Clara Family Health Plan SCFHP 24077 X12 No

Sante Community Physicians SANTE1 77038 Portal Portal

Scan Health Plan SCANH1 SCAN1 Portal Portal

Scott and White Health Plan SAWHP 88030 X12 No

Seafarers International Union SEFIU1 Portal Portal

Secure Health Plans of Georgia SECGA1 28530 Portal Portal

Security Health Plan

SECHP

SECHP1 39045 Both Portal

Select Administrative Services SAS1 Portal Portal

Select Health SC SCSLHT 23285 X12 No

SelectHealth (UT) UTSLHT HT000015-001 X12 No

Selman & Company

SELMN

ASICR1 Both Portal

Senior Care Action Network - SCAN HMO (CA) SCNHMO SCAN1 X12 No

Senior Whole Health of New York SRWH 83035 X12 No

Sentara Health Plan / Optima OPTSNT

62170

54154 X12 No

Sentinel Security Life SSLCO1 87020 Portal Portal

Seton Care Plus (ICare) SCARE1 Portal Portal

Sharp Health Plan SHARP SHP01 X12 No

Shenandoah Life Insurance Company SHNDH1 Portal Portal

Sierra Health Services SIERA 76342 Both Portal

Significa Benefit Services, Inc. ERINGP 23250 X12 No

SIHO Insurance Services SIHO 77153 X12 No

Silver Summit Health Plan CNTENE 68069 X12 No

Simple Vision SMPVS1 Portal Portal

Simply Health Care Plans, Inc.

SMPLH

SIMPL1 27094 Both Portal

Simpra Advantage, Inc. SMPRA1 SIM01 Portal Portal

SISCO SISCO SISCO X12 No

South Carolina Blue Cross Blue Shield SCBCBS 401 X12 No

South Carolina Medicaid SCCAID SCXIX Both Portal

South Dakota Blue Cross Blue Shield IABCBS 88848 Both Portal

South Dakota Medicaid SDCAID SD48MED X12 No

Southwest Service Administrators, Inc. SOWST1 CX100 Portal Portal

Special Agents Mutual Benefit Association SAMBAN X12 No

Spectrum Administrators, Inc. SPCTM1 23253 Portal Portal

SPJST Medicare Supplement SPJSMS X12 No

SS Healthcare SSHLC1 31441 Portal Portal

St. Vincent Catholic Medical Center - USFHP SVMNY 13407 X12 No

Standard Insurance STDINS X12 No

Standard Insurance of New York STDINY X12 No

Standard Life and Accident Insurance Company SLAICO 01758 X12 No

State Farm Insurance Companies STFARM 31053 X12 No

State Mutual Insurance Company STMTL1 Portal Portal

Sterling Insurance STERL1 Both Portal

Stirling and Stirling STIRL1 06089 Portal Portal

SummaCare Health Plan SUMCHP 95202 Both Portal

Summit Admin Services SMTAS1 86083 Portal Portal

Summit Community Care PASSE PASSE X12 No

Sunflower State CNTENE 68069 X12 No

Sunshine State Health Plan CNTENE 68069 X12 No

Superior Health Plan - Texas CNTENE 68069 X12 No

Superior Vision Services

SUPVS1

VRSNT1 Portal Portal

Sutter Select STRSL1 Portal Portal

Tall Tree Administrators TLLTR1 88067 Portal Portal

TCC Benefits Administrator TCCBE1 TCC93 Portal Portal

Teachers Health Trust TCHRS1 88019 Portal Portal

Tennessee Blue Cross Blue Shield TNBCBS

12B45

SB890 Both Portal

Tennessee Medicaid TNCAID

12K46

SKTN2 Both Portal

TexanPlus North Texas Area TXPLNT 10604 X12 No

TexanPlus Southeast Texas Area TXPLSE X12 No

Texas Blue Cross Blue Shield TXBCBS

12B31

SB900 X12 No

Texas Children’s Health Plan (CHIP) TXCHIP 76048 X12 No

Texas Medicaid TXCAID

12K64

SKTX0 Both Portal

The Chesterfield Companies CHSTR 34154 X12 No

The Health Plan

HLTPLN

HMTWN1 34150 Portal Portal

The Loomis Company

LOOMCO

LOOMS1 23223 Both Portal

Thrivent Financial THRVNT THRIV Both No

Thrivent Financial Aid Association for Lutheran Medicare THRVNT 30167 Both No

Thrivent Financial Lutheran Brotherhood Medicare THRVNT 30166 Both No

TMG Network Health Insurance TMGNHI X12 No

TML Intergovernmental Employee Benefits Pool TMLBP1 Portal Portal

Today's Health TODHLT

WITH1

20081 X12 No

Today's Option TDYOPT 48055 Both Portal

Total Carolina Care CNTENE 68069 X12 No

TR Paul Inc TRPAL1 37230 Portal Portal

TransactRX Infusion and Specialty RXINF RX001 X12 No

TransactRX Part D RXPTD PARTD X12 No

Transamerica Financial Life Insurance Company TRNAF X12 No

TransAmerica Life Insurance Company

TALI

TRANS1 Both Portal

Transamerica Premier Life Insurance Company MNTAL TRCLF X12 No

TriCare – East Region TRICRE TREST X12 No

TRICARE for Life TRCRU TDFIC Both Portal

TRICARE Overseas Program OVRSEA 101201 X12 No

TriCare – West Region

TRICAR

TRCRW1 99726 Both Portal

TriHealth Physicians Solutions TRPHS1 31144 Portal Portal

Trillium Community Health Plan CNTENE 68069 X12 No

Triple-S Advantage PRSSA 973MA Both Portal

Triple-S Salud

PRSSS

PRSSS1 973 Both Portal

TRISTAR TRSTR1 Portal Portal

True Health New Mexico TRUNM 82288 X12 No

Trusted Health Plan TRSTH1 L0230 Portal Portal

Trustmark Health Benefits (CoreSource AZ, IL, IN,

MD, MN, NC, PA)

(Indiana and North Carolina submitter should

use Payer ID PACSRC)

AZCSRC, ILCSRC, MDCSRC, MNCSRC,

PACSRC

CSFMH1 35282 Both Portal

Trustmark Health Benefits (CoreSource Detroit) CSFMH1 38225 Portal Portal

Trusmark Health Benefits (CoreSource Internal) CSFMH1 35182 Portal Portal

Trusmark Health Benefits (CoreSource KC) CSFMH

CSFMH1 48117

Both Portal

Trustmark Health Benefits (CoreSource Little Rock)

ARCSRC

CSFMH1 75136

Both Portal

Trustmark Health Benefits (CoreSource OH) OHCSRC

CSFMH1 35183

Both Portal

Trustmark Small Business Benefits TRSMRK

TRSMR1 61425

Both Portal

Tuality Health Alliance TUALI1 THA01 Portal Portal

Tufts Health Plans (MA) TUFTS 170558746 X12 No

UCare Medicare with M Health Fairview & North Memorial Health Plans:

• EssentiaCare

• UCare Individual and Family Plans

• UCare Individual and Family Plans with M Health Fairview

• UCare Medicare

• UCare Select MNUCAR 363573805 X12 No

UCare of Minnesota Plans:

• UCare Connect

• UCare Connect + Medicare

• UCare Minnesota Senior Care Plus (MSC+)

• UCare Minnesota Senior Health Options (MSHO)

• UCare MinnesotaCare (MNCare)

• UCare Prepaid Medical Assistance Program (PMAP)

MNUCAR

MNUCA1 363573805 Both Portal

UF Health Direct Care Network UFHCN1 Portal Portal

UHA Health UHAHL1 990263440 Portal Portal

Ultimate Health Plans ULTHP 77022 Portal Portal

UMWA Health & Retirement Funds

UNWA

UMWA1 52180 Both Portal

Underwriters Safety and Claims UWTRSC X12 No

Unicare UNICAR 80314 Both Portal

Unified Group Services UNIFI1 35198 Portal Portal

Union Pacific Railroad Employee Health Systems UPREHS 87042 Both Portal

Unison Health Plan UHC 25175 X12 No

United American Insurance Company UNTDA Both Portal

United Behavioral Health UHC 16412 Portal Portal

United Commercial Travelers of America UNCOM1 Portal Portal

United Concordia Dental Insurance UNICO1 Portal Portal

United Food and Commercial Workers UFCW1 SCUFW Portal Portal

United Healthcare UHC 87726 Both Portal

United HealthCare Community Plan – Dental UHCDL1 Portal Portal

United HealthCare Community Plan – Tenncare only

JDHS

UHC2 95378 Both Portal

United Healthcare WEST - Pacificare of California UHC2 95958 Portal Portal

United Medical Resources UMRWAU 39026 Both Portal

United Mine Workers of America UMWA1 52180 Portal Portal

United Teacher Association Insurance Company Medicare Supplement UTAIMS X12 No

UnitedHealthcare Dental Benefit Providers UHCDB1 52133 Portal Portal

UnitedHealthcare Community Plan of Michigan UHCGLH 95467 X12 No

UnitedHealthcare Community Plan of Missouri UHCMO 86050 X12 No

UnitedHealthcare Secure Horizons - Medicare Supplement UHSEC X12 No

UnitedHealthcare Shared Services

UNHIS

UNHIS1 Both Portal

UnitedHealthcare Student Resources STDNT 74227 X12 No

UnitedHealthcare Vision OPTMH1 00773 Portal Portal

Unity Health Insurance UNTYHP 1UNTY X12 No

Univera UNIVNY UNINW Both Portal

University Family Care UNVFC 09830 X12 No

University of Arizona Health Plan UNIVAZ 45437 X12 No

University of Maryland Health Advantage UMDHP1 45282 Portal Portal

University of Maryland Health Partners UMDHP1 45281 Portal Portal

University of Utah Health Plan UNUTHP

HT001755-

300 X12 No

University Physicians Care Advantage (Arizona) UPCADV Both Portal

University Physicians Healthcare Group (Arizona) UPHGRP Both Portal

UPMC Health Plan (PA) UPMC 95216 X12 No

UPMC Vision Advantage UPMCV1 25184 Portal Portal

Upper Peninsula Health Plan MICAID 38337 X12 X12

US Virgin Islands Blue Cross Blue Shield BUSVI1 232184623 Portal Portal

USAA Life Insurance Company USALCO 74095 X12 No

Utah Blue Cross UTREBC

HT000001-

001 X12 No

Utah Blue Cross FEP UTFEPI

HT000001-

100 X12 No

Utah Blue Shield UTREBS

HT000001-

100 X12 No

Utah Blue Shield FEP UTFEPP

HT000001-

012 X12 No

Utah Medicaid UTCAID

HT000004-

001 X12 X12

VA Health Administration Center VAHAC X12 No

Valley Health Plan VALHP1 Portal Portal

Value Options VALOP1 FHC & Affiliates Portal Portal

Vantage Health Plan VANTAG 72128 Both Portal

Ventura County Health Care Plan VCHCP1 VCHCP Portal Portal

Vermont Blue Cross Blue Shield VTBCBS

BCBS009301 X12 No

Vermont Medicaid VTCAID 752548221 Both Portal

Veteran's Administration Fee Basis Program VETFBP 12115 X12 No

Veteran's Administration HAC VETHAC 84146 X12 No

VillageCareMAX VCMX1 26545 Portal Portal

Virginia Premier Health Plans VAPRM1 VAPRM Portal Portal

Virginia Blue Cross Blue Shield VABCBS 058916206CMSCOS X12 No

Virginia Medicaid VACAID

VMAP

FHSC

FA Both Portal

Vision Care Direct VISCD1 Portal Portal

Viva Health Care and Viva Medicare VIVAHL 63114 Both Portal

Vivida Health Plan VIVIDA 45488 X12 No

VNS Choice VNSCHC Both Portal

Volusia Health Network VOLHN2 59266 Portal Portal

VSP Vision VSPVS1 94-1632821 Portal Portal

VYTRA Healthcare EMBLEM 222647447 Both Portal

Washington and Alaska Premera Blue Cross Blue Shield WAPBCS 00430 Both Portal

Washington Medicaid WACAID 77045 Both Portal

Washington National WANATL Both Portal

Washington Regence Blue Shield WARBCS 00932 Both Portal

Washington State Health Insurance Pool WASHP1 Portal Portal

WebTPA WEBTPA 75261 Both Portal

Welborn Health WLBRN1 Portal Portal

Wellcare Health Plans of Kentucky WELLC4 Portal Portal

Wellcare Health Plan / Staywell WELLCR 14163 Both Portal

Wellforce Administrators WLFRC1 Portal Portal

WellMed WLLMD1 WELM2 Portal Portal

Wellpath Enhanced WLPTH1 25133 Portal Portal

West Virginia Family Health Plan WVFMHP 45276 X12 No

West Virginia Blue Cross Blue Shield WVBCBS 54828 Both Portal

West Virginia Blue Medicare Advantage WVBCBS 54828 X12 No

West Virginia Medicaid WVCAID WV_MMIS_4MOLINA X12 No

Western Growers Assurance Trust WGA1 24735 Portal Portal

Western Health Advantage WSTHA 68039 X12 No

Western Sky Community Care CNTENE 68069 X12 No

Western Southern Life Group WSTSL X12 No

Wisconsin Blue Cross Blue Shield WIBCBS

00450

00950 Both Portal

Wisconsin Educators Association (WEA) WEATST 39151 X12 No

Wisconsin Medicaid WICAID WISC_TXIX Both Portal

Wisconsin Medicaid Chronic Disease Program WICDP WISC_WCDP X12 No

Wisconsin Medicaid Well Woman Program WIWWP WISC_WWWP X12 No

WPS Commercial / Regular Business WPSCR WPS Both Portal

Wyoming Blue Cross Blue Shield

WYBCBI

WYBCBP

00460

00960 X12 X12

Wyoming Medicaid WYCAID 77046 X12 No

YourCare Health Plan YURCRE 15003 Both Portal

Zavata, Inc. (formerly HPS Paradigm) ZAVTA1 58227 Portal Portal

Zenith Administrators ZNITH1 Portal Portal

Legend

Payer Name

Payer ID: Change Healthcare-assigned Payer ID.

Connectivity Type Available: Indicates X12, Portal, or Both

Authorization Required:

X12 or Portal: Payer requires authorization for providers to submit through Change Healthcare for the Connectivity Type indicated; click the

link to obtain instruction.

No: No authorization required for the Connectivity Type indicated.

X12 Request Details: Click the Request link to obtain X12 payer-specific requirements.

X12 Surcharge: Per transaction fee required by the payer for submitting X12 eligibility transactions. Surcharges do not apply to Portal eligibility

transactions.

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This documentation contains confidential, proprietary and trade secret information of Change Healthcare Operations LLC and is protected under United States and international copyright and other

intellectual property laws. This documentation is subject to change without notice.