Xerox EDI Direct Eligibility (270/271) and Claim Status (276/277) Payer List

Transcription

1 AARP Absolute Total Care ACCESS MEDICARE ACS Benefit Services Administrative Services, Inc Advantage by BridgewayHealthSolutions Advantage by Buckeye Community Health Plan Advantage by Managed Health Services Advantage by Superior Health Plan Advantage Health Advantra (TX, NM, AZ Only) Advantra Freedom Advantra Savings Aetna AETNA Aetna Administrator Medicare Supplement Aetna Better Health Aetna Better Health (IL) Aetna Better Health (LA) Aetna Better Health (KY) Aetna Better Health (MI) Aetna Better Health (NE) Aetna Better Health (TX) Aetna Better Health (TX) CHIP Aetna Better Health of MO Aetna Long Term Care Aetna Senior Supplemental Aetna Signature Administrators Affinity Essentials Affinity Health Plan Affinity Health Plan Medicare AFLAC AFLAC Dental AFLAC Medicare Supplemental Aftra Health Fund Alabama Medicaid Alan Sturm and Associates Dental Alaska Medicaid All Savers Life Insurance Allegiance Benefit Plan Management Alliant Health Plans Allied Benefit Systems /271 Transactions 5/17/2016 1

2 AlohaCare Alternative Insurance Resources, Inc Altius Health Plans Altus Dental Ambetter Superior Health Plan (TX) AmeriBen American FamilyInsurance Group- Medicare Supplement and PPO American Income Life Insurance Company American Medical Security (AMS) American National Insurance Company American National Life Insurance Company of Texas American Network Ins. Medicare Supplement American Postal Workers Union American Republic Insurance Company (ARIC) American Retirement Life Ins Co Medicare Supp AmeriChoice of New Jersey (Commercial) Americo Financial Life & Annuity AMERIGROUP AMGRP AmeriHealth (DE, NJ, PA) AmeriHealth Administrators AmeriHealth Caritas Louisiana (LaCare) Ameritas Life Insurance Co Antares Anthem Vivity Arbor Health Plan Arise Health Plan Medicare Select Policy Arizona Medicaid (AHCCCS) 869 Arizona Physicians IPA (APIPA) Arkansas Medicaid Associacion De Maestros Puerto Rico Asuris Northwest Health Aultcare Automated Benefit Services Auxiant Avera Health Plans AvMed Health Plans AVMED Bankers Life and Casualty Banner Health Plans BCBS of Alabama BCBS of Arizona BCBS of Arkansas BCARK 270/271 Transactions 5/17/2016 2

3 BCBS of Central New York BCBS of Colorado BCBS of Connecticut 4816 BCBS of Florida AV294 BCBS of Georgia BCBSG BCBS of Hawaii BCBS of Illinois BCBS of Indiana 4820 BCBS of Iowa BCBS of Kansas 4923 BCBS of Kansas City BCBS of Kentucky 4821 BCBS of Louisiana 564 BCBS of Maine 4818 BCBS of Massachusetts BCBS of Michigan Institutional BCBS of Michigan Professional BCBS of Minnesota BCBS of Mississippi BCBS of Missouri 4921 BCBS of Nebraska BCBS of Nevada BCBS of New Hampshire 4817 BCBS of New Jersey (Horizon) BCBS of New Mexico 4609 BCBS of New York (Empire) BCBS of North Carolina BCBSN BCBS of North Dakota BCBS of Ohio 4823 BCBS of Oklahoma BCBS of Oregon (Regence) 772 BCBS of Pennsylvania (Highmark Institutional) BCBS of Pennsylvania (Highmark Professional) BCBS of Rhode Island BCBS of South Carolina BCBSS BCBS of South Dakota (Wellmark) BCBS of Tennessee BCBS of Texas BCBS of the Rochester Area (NY) BCBS of Utah BCBS of Utica Watertown (NY) /271 Transactions 5/17/2016 3

4 BCBS of Vermont BCBS of Virginia (Wellpoint) BCBSV BCBS of West Virginia BCBS of Wisconsin (Wellpoint Anthem) BCBSW BCBS of Wyoming Benefit Management Inc Best Choice Health Plan Best Life and Health Better Health Plans (Unison Health Plan) Better Health Plans of Florida Blue Benefit Administrators of Mass Blue Cross Independence (Pennsylvania) Blue Cross Northeastern Pennsylvania Blue Cross of California BCCAL Blue Cross of Idaho Blue Cross of Washington and Alaska (Premera) 2650 Blue Cross Pennsylvania (Capital) 582 Blue Shield of California 1044 Blue Shield of Idaho (Regence) Blue Shield of Washington (Regence) 5504 BlueChoice Health Plan South Carolina Medicaid Bluegrass Family Health BMC HealthNet Boon Chapman Benefit Admin Boon Group Bravo Health Bridgespan Bridgeway Arizona Brokers National Dental Buckeye Community Health California Medicaid (Medi-Cal) AIDCA Cal-Viva Capital District Physicians Health Plan Capitol Administrators CAPROCK Care1st Health Plan Arizona Carefirst Blue Cross Blue Shield (DC) Carefirst Blue Cross Blue Shiled (MD) Caremore CarePlus Health Plan CarePoint Medicare Advantage /271 Transactions 5/17/2016 4

5 CareSource Health (OH) 994 CareSource of Ohio 994 Carolina Care Plan, Inc. (CCP) CDS Group Health Celtic Insurance Celticare Cencal Cenpatico - Arizona Cenpatico - Florida Cenpatico - Georgia Cenpatico - Illinois Cenpatico - Indiana Cenpatico - Kansas Cenpatico - Kentucky Cenpatico - Massachusetts Cenpatico - Mississippi Cenpatico - Missouri Cenpatico - New Hampshire Cenpatico - Ohio Cenpatico - South Carolina Cenpatico - Texas Cenpatico - Wisconsin Cenpatico Behavioral Health Cenpatico Behavioral Health Texas Centene - Advantage by Peach State Centene - Advantage by Sunshine State Centene - Ambetter Sunshine Health Centene - California Health & Wellness Centene - Coordinated Care Centene - Granite State Health Plan Centene - Home State Health Plan Centene - IlliniCare Health Plan Centene - Kentucky Spirit Health Plan Centene - Louisiana Healthcare Connections Centene - Magnolia Health Plan Centene - Michigan Fidelis Secure Care Centene - Peach State Health Plan Centene - Sunflower State Health (Kansas) Centene - Sunshine State Health Plan Centene - Total Care Carolina Centene Advantage Plans /271 Transactions 5/17/2016 5

6 CenterLight Healthcare Central California Alliance for Health Central Reserve Life Ins Co Medicare Supp Central Reserve Life Insurance Company Central Senior Care Central States Fund Central States Indemnity Cerner Health Plan CHAMPVA/Spina Bifida/Children of Women Vietnam Vets Chesapeake National Life Children s Mercy PCN CHP Direct Christian Brothers Services Christie Student Health Plans CHRISTUS Health Plan Medicaid CHRISTUS Health Plan New Mexico CHRISTUS Health Plan NM Medicare Advantage Cigna-GWH Claims Management Service Inc CMFG Life Insurance Colonial Penn Life Colorado Access Colorado Medicaid Community Care of Oklahoma Community Health First Medicare Advantage Community Health Group Community Health Plan of Washington (CHPW) 2641 ConnectiCare Connecticut Medicaid Consolidated Associates Railroad Constellation Health (INMEDIATA HEALTH GROUP) Consumers Life Consumers Mutual Insurance of Michigan Continental General Ins Co Medicare Supp Continental General Insurance Company Cook Children s Health Plan Cooperative Benefits Administrators CoreSource MD/PA/IL/NC/IN/AZ/MN CoreSource OH Corporate Benefit Service Country Cupboard /271 Transactions 5/17/2016 6

7 Country Life Insurance Company Covenant Administrators (TPA) Coventry Health &Life Nevada Coventry Health and Life (Oklahoma) Coventry Health and Life (Tenn) Coventry Health Care Carelink Medicaid Coventry Health Care Carenet Coventry Health Care Federal Coventry Healthcare - Delaware Coventry Healthcare - Georgia Coventry Healthcare - Kansas Coventry Healthcare - Louisiana Coventry Healthcare - Missouri Coventry Healthcare - Nebraska Coventry HealthCare Carelink (Advantra) Coventry Healthcare National Network Coventry Iowa CoventryCares of Kentucky CoventryOne Cox Health Plan CSA Fraternal Live Medicare Supplement Culinary Health Fund UNITE HERE Health DakotaCare DeCare Dental Health Insurance Definity Health Delaware Medicaid 3018 Delta Dental Ins. Co. - Alabama Delta Dental Ins. Co. - Florida Delta Dental Ins. Co. - Georgia Delta Dental Ins. Co. - Louisiana Delta Dental Ins. Co. - Mississippi Delta Dental Ins. Co. - Montana Delta Dental Ins. Co. - Nevada Delta Dental Ins. Co. - Texas Delta Dental Ins. Co. - Utah Delta Dental of California Delta Dental of Colorado Delta Dental of Colorado Delta Dental of Delaware Delta Dental of Hawaii Delta Dental of Indiana /271 Transactions 5/17/2016 7

8 Delta Dental of Maryland Delta Dental of Michigan Delta Dental of Minnesota Delta Dental of Nebraska Delta Dental of New Jersey Delta Dental of New Mexico Delta Dental of New York Delta Dental of North Carolina Delta Dental of North Dakota Delta Dental of Ohio Delta Dental of Pennsylvania Delta Dental of Rhode Island Delta Dental of Tennessee Delta Dental of Virginia Delta Dental of Washington DC Delta Dental of Washington State Delta Dental of West Virginia DeltaCare USA - Claims DeltaCare USA - Encounters Dental Benefit Providers Denver Health Medical Plan Deseret Mutual (DMBA) Diamond Plan (Maryland Medicaid) Director s Guild District No. 9, I. A. of M. & A W. Welfare Trust District of Columbia Medicaid DMC Care Driscoll Health Plan EBMS Elderplan Emblem Health Employee Benefit Services Dental EPIC Life Insurance EPSI, Inc Essence Healthcare Evangelical Community Hospital Evercare Everence Financial Evergreen Health Co-Op Expert Benefit Solutions Fallon Community Health Plan /271 Transactions 5/17/2016 8

9 Family Care FCE Benefit Administrators Federated Insurance Company Fidelis Care New York Fidelis SecureCare of Michigan First Ameritas of New York First Medical Network First Reliance Standard Life First United American Insurance Company FirstCare FISERV WAUSAU Flex Compensation Dental Florida Combined Life Dental Florida Health Care Plans Florida Hospital Healthcare System Florida Medicaid Florida True Health Florida/Vista/Summit Food Employers & Bakery Confectionary Workers Benefit Freedom Blue Fringe Benefits FSL Admin by KBA Gateway Health Plan Geisinger Health Plan Geisinger Health Plan Gold GEMCare Georgia Medicaid GHI Group Health Incorporated Gilsbar Globe Life & Accident Insurance Company Government Employees Hospital Association (GEHA) Great American Life Insurance Co Medicare Supplement Group and Pension Administrators Group Health Cooperative Group Health Cooperative of South Central Wisconsin Dental Group Health Northwest Group Health Plan (GHP) Guardian Life Insurance Co. of America Dental Harken Health Harmony Health Plan Hawaii Medicaid /271 Transactions 5/17/2016 9

10 Hawaii Medical Assurance Association Hawaii Medical Assurance Association Dental Health Alliance Medical Plan (IL) Health Alliance Medical Plans (HAP) Health Choice Arizona Health Cost Solutions Health First Insurance Health First New Jersey Health First New York Health Net National Health New England Health Partners (Minnesota) Health Partners Philadelphia Health Plan of San Mateo Health Services for Children with Special Needs Health Share of Oregon HealthAmerica&HealthAssurance HealthCare Inc. (Promina) Healthcare Management Administrators Healthcare Solutions Group Healthcare USA(HCUSA) HealthComp Administrators HEALTHe Exchange HealthEase HealthEase Kids HealthEdge Administrators Healthgram (formerly Primary PhysicianCare) HealthPlan of Nevada HealthPlans Inc HealthPlus of Michigan 1311 HealthScope (Morris Assoc, Central Benefits, Employer s Health, Plan Handlers) HealthSmart Benefit Solutions Healthsource Provident Dental HealthSpring Healthy Texas Heritage Physician Network (Houston) Hershey Healthsmile Dental HIPNY HM Care Advantage Admin by KBA Hometown Health 3597 Horizon NJ Health /271 Transactions 5/17/

11 Hudson Health Plan Humana Humana CareSource (KY) IBEW Local 508 Health Plan Concentrix Insurance Solutions Idaho Medicaid 2896 Ideal Life Insurance Illinois Medicaid 4812 Independence Administrators Indiana Medicaid Inland Empire Health 1081 Insurers Administrative Corporation (IAC) INTEGRA Administrative Group Inc Integrated Mental Health Services Inter Valley Health Plan 1052 International Medical Card Inc Iowa Medicaid Island Home Insurance John Alden Insurance Company (JALIC) John Hopkins Health Plan John Hopkins HealthCare LLC Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Hawaii Kaiser Foundation Health Plan of Hawaii (DHMO Choice) Kaiser Foundation Health Plan of the Mid Atlantic Kaiser Foundation Health Plan of the Northwest Kaiser Permanente of Georgia Kaiser Permanente of Northern CA Kaiser Permanente of Southern CA Kansas Medicaid 1243 Katy Medical Group Kentucky Health Exchange Kentucky Medicaid Key Benefit Administrators Key Benefit Administrators Key Benefits Administrators (IN) KeySolution Keystone Mercy Health 2232 Kitsap Physician Services 2644 KSKJ Life Land of Lincoln /271 Transactions 5/17/

12 Leggett & Platt Leon Medical Centers Health Plan Liberty National Life Insurance Company Lifetime Benefit Solutions (RMSCO) Lifewise Arizona Lincoln Financial Lincoln Heritage Local LoneStar TPA Loomis Company Louisiana Health Exchange Louisiana Medicaid 1164 Loyal American Life Insurance Co Medicare Supp Magellan Behavioral Health Magnacare Mail Handlers Benefit Plan Mainte Community Health Options Maine Medicaid 388 Managed Care of America Managed Health Network (MHN) Managed Health Services Indiana Managed Health Services Wisconsin MAPFRE Life Puerto Rico MAPFRE Medicare Excel Maricopa Health Plan Arizona Maryland Medicaid Massachusetts Medicaid 334 MDWise Hoosier Alliance MedBen Newark OH MedCost Benefit Services Medica Medica Health Plans Medical Associates Health Plan/Health Choices Medical Card System Medical Mutual of Ohio Medicare CMS Medicare Advantage - Pennsylvania Medicare y Mucho Mas (INMEDIATA HEALTH GROUP) Medico Insurance Company Medigold Health Plans Med-Pay, Inc /271 Transactions 5/17/

13 MedStar Family Choice MedStar Health Plan Mercy Care Plan (Arizona) Mercy Health Care Plan Meridian Health Plan of Illinois Meritain Health Meritus Health Partners MetLife Dental Family Metropolitan Health Plan (MHP) 2548 MHNet Behavioral Health Michigan Medicaid 947 Michigan Medicaid Pending Eligibility Michigan MI Child Mid Atlantic Medical Services, LLC (MAMSI) MAMSI Mid-West National Life Minnesota Medicaid Mississippi Medicaid Mississippi State Employees and Teachers Missouri Care Missouri Medicaid MMSI (Mayo Health) Moda Health Molina Healthcare of California Molina Healthcare of Florida Molina Healthcare of Illinois Molina Healthcare of Michigan Molina Healthcare of New Mexico Molina Healthcare of Ohio Molina Healthcare of Puerto Rico Molina Healthcare of South Carolina Molina Healthcare of Texas Molina Healthcare of Utah Molina HealthCare of Washington Molina Healthcare of Wisconsin Montana Medicaid Montifiore CMO Municipal Health Benefit Fund Mutual Assurance Administrators Mutual Health Services Mutual of Omaha MVP Healthcare /271 Transactions 5/17/

14 National Association of Letter Carriers (NALC) National Telecommunications Cooperative Association (NTCA) Nationwide Specialty Health Nebraska Medicaid NEHEN Harvard Pilgrim Health Care NEHEN - Tufts Associated Health Plan NEHEN Harvard Pilgrim Health Care NEHEN- Neighborhood Health Plans Neighborhood Health Plan (RI) Network Health Network Health Plan of WI Nevada Medicaid 2573 New Era Life Insurance Company New Hampshire Medicaid New Jersey Medicaid New Mexico Health Connections New Mexico Medicaid New York Medicaid 2935 NGS American North Carolina Medicaid AID21 North Dakota Medicaid Northwest Administrators Nova Healthcare Administrators NovaSys Health Ohana Ohio Medicaid Oklahoma Employees Group Insurance Division Oklahoma Medicaid 3411 OmniCare (Michigan) Operating Engineers Local 428 Health and Welfare Optima/Sentara Orange County Fire Authority Oregon Medicaid 2434 Oregon's Health CO-OP Oscar (NY) Oxford Health Plans Pacific Source Health Plan 2597 PacificSource Community Solutions (Medicaid) Panamerican Life Puerto Rico Pan-American Life Insurance Company Paramount Health Parkland Community Health Plan /271 Transactions 5/17/

15 Partners National Health Plans of NC Partnership Health Plan of California 1035 Passport Health Plan 2841 Patriot Dental Penn Treaty Network America Ins Medicare Supp Pennsylvania Medicaid AIDPA People First Peoples Health Personal Insurance Administrators (PIA) PersonalCare/Coventry Health of Illinois Physicians Health Plan Northern IN (PHPNI) Physicians Health Plan of Mid-Michigan Physicians Mutual Insurance Company Physicians Plus Insurance Corp Piedmont (GA) Piedmont Wellstar HealthPlans Pinnacle Physician Management Org Pittman and Associates Plan de Salud Hospital Menonita Planned Administrators Inc Plumbers and Pipefitters Local Union 525 Health & Welfare Trust Preferred Care Partners Preferred Health System of Kansas Preferred Medicare Choice (PMC) (INMEDIATA HEALTH GROUP) Preferred One Premier Health Prestige Health Choice Principal Financial Group (Nippon Life) Priority Health Pro-Claim Plus Professional Benefits Administrators Providence Health Plan 2598 Provident American Life & Health Ins Co Medicare Supp Provident Preferred Network Dental Public Employee Benefit Authority Public Employees Health Plan (PEHP) Puerto Rico Medicaid Puritan Life Insurance Qualcare Qualchoice QuikTrip Corporation /271 Transactions 5/17/

16 Reliance Standard Life Reserve National Insurance Company RightCare from Scott and White Health Plan Rocky Mountain Health Plan Royal Neighbors of America S and S Healthcare Strategies SAMBA Health Benefit Plan San Joaquin Health Plan 1046 Sanford Health Plan Santa Clara Family Health Plan Schaller Anderson Aetna Better Health of New York Schaller Anderson Aetna Better Health of OH Schaller Anderson Delaware Physicians, Inc Schaller Anderson MajestaCare VA Schaller Anderson Maryland Physicians Care Schaller Anderson Mercy Care Schaller Anderson Missouri Care Schaller Anderson Parkland Community Health Plan Schaller Anderson Texas CHRISTUS Scott & White Health Plan Secure Health Plans of Georgia Secure Health Plans of Wisconsin Securian Dental Securian/Patriot Dental Security Health Plan Select Health SC Select Health Utah Select Senior Clinic SelectCare of Texas (Beaumont) SelectCare of Texas (Golden Triangle) SelectCare of Texas (Houston) SelectCare of Texas (Integranet) SelectCare of Texas (Kelsey-Seybold) SelectCare of Texas (Memorial Clinical Assoc) SelectCare of Texas (Northwest Diagnostic) Senior Care Action Network (SCAN) HMO Senior Dimensions Senior Health Services Center Universal American Family of Companies Senior Whole Health Sendero Health Plans Sharp Health Plan /271 Transactions 5/17/

17 Shenandoah Life Insurance Sierra Health Services Significa SisCo Benefits Soundpath Health South Carolina Medicaid 1263 South Dakota Medicaid Southern Health Services (SHS) Special Agents Mutual Benefit Association Spectrum Health SPJST Medicare Supplement Standard Insurance Standard Insurance of New York Standard Life and Accident Insurance Company Star HRG State Mutual (Lincoln Novation) State Mutual Med Supp Staywell Staywell Kids Sterling Investors Life Insurance Stewart C Miller and Co Stonebridge Life Insurance Company Student Insurance StudentResources SummaCare Summit America Insurance Service Sun Orthopaedic Group, Inc Sunshine State Health Plan Superior Health Plan Texas Susquehanna Transit Company Sutter Select TennDent Tennessee Medicaid TexanPlus (Integranet) TexanPlus (Kelsey-Seybold) TexanPlus North Texas Area TexanPlusSoutheast Texas Area Texas Medicaid AIDTX Texas Medicaid LTC AIDTXLTC The Kempton Company The ULLICO Family of Companies /271 Transactions 5/17/

18 Three Rivers Health Plans Time Insurance Company (FIC) TMG Network Health Insurance Today s Health Today s Option TransactRX Part D TransAmerica Admin by KBA Tribute/Select Care of Oklahoma Tricare TRICR TRICARE for Life TRICARE Overseas Trillium Community Health Plan Triple-S Salud (BCBS Puerto Rico) Trustmark Ucare of Minnesota 2596 Ultimate Health Plans UMR (Wausau) UMWA Health and Retirement Funds Underwriters Safety and Claims Unicare UCARE UNICARE Dental Unified Life Insurance Company Union Pacific Railroad Employees Health Systems Union Security Insurance Company (FBIC) United American Insurance Company United Concordia Companies, Inc United Concordia Federal Employees Program United Healthcare United Healthcare - Optum Behavioral Solutions United Healthcare West United Healthcare Plan River Valley United Healthcare SecureHorizons United Teacher Assoc Insurance Co Medicare Supp UnitedHealthcare Community Plan Kansas UnitedHealthcare Community Plan TN UnitedHealthcare Facets Detroit Community and State UnitedHealthcare Facets Pittsburgh Community and State UnitedHealthcare Nevada Market United Health Group - Community Plan Unity Health Plan Universal Benefit Corp /271 Transactions 5/17/

19 Universal Care of California 1054 University Care Advantage Arizona University Family Care University of Arizona Health Plan-UHM University of Missouri University of Utah Health Plans University Physicians Care Advantage (AZ) University Physicians Healthcare Group (Arizona) UPMC Health Plan (Tristate) USAA Life Insurance Company Utah Medicaid VA Fee Basis Program VA Health Administration Center VA Healthcare Valley Care Program Valley Health Plan Vantage Health Plan, Inc Vermont Medicaid Village Family Practice Virginia Medicaid Vista (MCD, FHK, LTC) VIVA Health VNS Choice VYTRA Washington Medicaid Washington National WEA Trust WEB- TPA Well Sense Wellcare Health Plans WellPath Select (Carolinas) Wells Fargo Third Party Administrators, Inc West Virginia Medicaid Western Health Advantage 1043 Western & Southern Financial Group Wilson McShane Wisconsin Medicaid WPS Health Insurance Wyoming Medicaid /271 Transactions 5/17/

20 Payer Name - 276/277 Transactions AARP Access Medicare Added to Claim Status CHRISTUS Health Plan NM Medicare Advantage Advantra- (Texas, New Mexico, Arizona only) Advantra Freedom Aetna Aetna Better Health (KY) Aetna Better Health (MI) Aetna Better Health (NJ) Aetna Better Health of MO Aetna Better Health of NE Aetna Long Term Care Aetna Signature Administrators Affinity Health Plan Medicare AFLAC AFLAC - Medicare Supplemental Aftra Health Fund Alabama Medicaid Allegiance Benefit Plan Management Alternative Insurance Resources, Inc Altius Health Plans AMC American General Life and Accident AMC Health Future AMC- Poly America AmeriBen American Family Insurance Group- Medicare Supplement and PPO Policies American National Insurance Company American National Life Insurance Company of Texas American Network Ins. Medicare American Postal Workers Union Health (APWU) American Republic Insurance Company (ARIC) American Retirement Life Ins Co Medicare Supp AMERIGROUP AmeriHealth AmeriHealth Caritas Louisiana (LaCare) Amerihealth Caritas Pennsylvania Ameritas Life Anthem Vivity Apex Benefits Services Arbor Health Plan ARISE Health Plan-Medicare /277 Transactions 20

21 Payer Name - 276/277 Transactions Arkansas Medicaid Assurant Health- John Alden Insurance Company (JALIC) Assurant Health- Time Insurance Company (FIC) Assurant Health- Union Security Insurance Company (FBIC) Asuris Northwest Health AultCare Bankers Life & Casualty Banner Health Plans BCBS AR BCARK BCBS Mississippi BCBS of Alabama BCBS of Alabama [Institutional] BCBS of Colorado (Wellpoint) BCBS of Connecticut (Wellpoint) 4816 BCBS of Florida AV294 BCBS of Georgia (Wellpoint) BCBS of Illinois BCBS of Indiana (Wellpoint) 4820 BCBS of Iowa BCBS of Kansas 4923 BCBS of Kansas City BCBS of Kansas City BCBS of Kentucky (Wellpoint) 4821 BCBS of Maine (Wellpoint) 4818 BCBS of Massachusetts BCBS of Minnesota BCBS of Missouri (Wellpoint) 4921 BCBS of Nebraska BCBS of Nevada (Wellpoint) BCBS of New Hampshire (Wellpoint) 4817 BCBS of New Jersey (Horizon) BCBS of New Mexico BCBS of New York (Empire) BCBS of New York (Excellus) BCBS of North Carolina BCBS of Ohio (Wellpoint) 4823 BCBS of Oklahoma BCBS of Oregon (Regence) BCBS of South Carolina BCBS of South Dakota BCBS of Tennessee /277 Transactions 21

22 Payer Name - 276/277 Transactions BCBS of Texas BCBS of Vermont BCBS of Virginia BCBSV BCBS of Wisconsin (Wellpoint) BCBSW Benefit Management Inc Best Life and Health Better Health Plans (Unison Health Plan) Blue Cross of California (Wellpoint) BCCAL Blue Cross of Utah (Regence) Blue Cross of Washington and Alaska (Premera) Blue Cross Pennsylvania (Capital) 582 Blue Shield of California Blue Shield of Idaho (Regence) Blue Shield of Washington (Regence) Boon Group Bravo Health Bridgespan C and O Employees Hospital Association Plan Care1st Health Plan Arizona Carefirst Blue Cross Blue Shield (DC) CarePlus Health Plan CarePoint Medicare Advantage Carolina Care Plan, Inc. (CCP) Carpenter s Health and Welfare Trust Fund of St. Louis CDS Group Health Cenpatico - Georgia Cenpatico - Mississippi Cenpatico - Missouri Cenpatico - New Hampshire Cenpatico Behavioral Health Cenpatico Behavioral Health Texas Centene - Advantage by Peach State Centene - Advantage by Sunshine State Centene - California Health & Wellness Centene - Coordinated Care Centene - Granite State Health Plan Centene - Home State Health Plan Centene - IlliniCare Health Plan Centene - Kentucky Spirit Health Plan Centene - Louisiana Healthcare Connections Centene - Magnolia Health Plan /277 Transactions 22

23 Payer Name - 276/277 Transactions Centene - Michigan Fidelis Secure Care Centene - Peach State Health Plan Centene - Sunflower State Health (Kansas) Centene - Sunshine State Health Plan Centene - Total Care Carolina Centene Advantage Plans Central California Alliance for Health Central Reserve Insurance Company Central Reserve Life Ins Co Medicare Supp Central States Fund CHAMPVA/Spina Bifida/Children of Women Vietnam Vets CHC - CoventryOne CHC - Florida/Vista/Summit CHC - PersonalCare/Coventry Health of Illinois CHC Carelink (Advantra) CHC Carelink Medicaid CHC- Mail Handler s Benefit Plan CHC of Delaware CHC of Georgia CHC of Iowa CHC of Kansas CHC of Louisiana CHC of Nebraska CHCCares- South Carolina Christie Student Health Plans CHRISTUS Health Plan Medicaid CHRISTUS Health Plan New Mexico CIGNA CMFG Life Insurance Colonial Penn Life Colorado Medicaid Community Care of Oklahoma Community Health Group Continental General Ins Co Medicare Supp Continental General Insurance Company Cooperative Benefit Administrators CoreSource FMH CoreSource Little Rock CoreSource Ohio CoreSource-MD/PA/IL/NC/AZ/IN/MN Coventry Advantra Savings /277 Transactions 23

24 Payer Name - 276/277 Transactions Coventry Health and Life (Nevada) Coventry Health and Life (OK only) Coventry Health Care Federal Coventry Health Life- TN only Coventry Healthcare Carenet Coventry Healthcare National Network Coventry Missouri Coventry Nebraska Medicaid CoventryCares CSA Fraternal Live Medicare Supp Culinary Health Fund Dean Health Plan Definity Health Denver Health Medical Plan Diamond Plan (Maryland Medicaid) Director's Guild District No. 9, I. A. of M. & A W. Welfare Trust Driscoll Health Plan Easy Choice EBMS (Employee Benefit Management Services) Emblem Health Essence Healthcare Everence Financial Evergreen Health Co-Op Fallon Community Health Plan Federated Insurance Company Fidelis SecureCare of Michigan First Ameritas of New York First Reliance Standard Life FLORIDA HEALTH CARE PLANS Florida Health Care Plans Florida Medicaid Florida True Health Food Employers & Bakery Workers Benefit Georgia Medicaid Gilsbar Globe Life & Accident Ins.Co Golden Rule Insurance Government Hospital Employees Association (GEHA) Great American Life Assurance Co Medicare Supp Group Health Plan (GHP) /277 Transactions 24

25 Payer Name - 276/277 Transactions Harmony Health Plans Health First Health Plans Health First Insurance Health Partners of Philadelphia Health Services for Children with Spec HealthAmerica and Health Assurance Healthcare Inc (Promina) Healthcare USa (HCUSA) HealthChoice AZ HealthEase HealthEase Kids Healthfirst NJ Healthfirst NY Healthgram (formerly Primary PhysicianCare) HealthMarkets HealthPlan Services - Celtic Insurance Company HealthSmart Benefit Solutions HealthSmart Benefit Solutions West Virginia HealthSpring Heritage Physician Network (Houston) HMA (Hawaii Mainland Adminstrators) Horizon New Jersey Health 2840 Humana IBEW Local 508 Health Plan Concentrix Insurance Solution IHC Health Solutions Illinois Medicaid Independent Health Indiana Medicaid Kaiser Foundation Health Plan of Colorado Kentucky Health Exchange Kentucky Medicaid Key Benefits Administrators (IN) Leon Medical Centers Health Plan Liberty National Life Ins.Co Lifewise Health Plan of Oregon Lifewise Health Plan of Washington Lincoln Financial Loyal American Life Ins Co Medicare Supp Managed Health Network Maricopa Health Plan Arizona /277 Transactions 25

26 Payer Name - 276/277 Transactions Massachusetts Medicaid MDWise Hoosier Alliance MedBen (Newark OH) Medica Medica Health Plans Medical Mutual of Ohio Med-Pay, Inc Mega Life Insurance Oklahoma City Meritain Health Meritus Health Partners MetroPlus 861 Mid Atlantic Medical Services, LLC (MAMSI) MAMSI Mississippi Medicaid Missouri Care Missouri Medicaid MMSI (Mayo Health) Molina Healthcare of California Molina Healthcare of Florida Molina Healthcare of Illinois Molina Healthcare of Michigan Molina Healthcare of New Mexico Molina Healthcare of Ohio Molina Healthcare of Puerto Rico Molina Healthcare of SC Molina Healthcare of Texas Molina Healthcare of Utah Molina Healthcare of Washington Mutual Health Services MVP Health Care (New York) NaphCare, Inc National Association of Letter Carriers (NALC) Nationwide Specialty Health Network Health Plan of WI New Era Life Insurance Company New Mexico Medicaid Nippon Life Insurance Co of America Northwest Administrators Ohana Health Plans Ohio Medicaid Oklahoma Employees Group Insurance Division Omnicare (Michigan) /277 Transactions 26

27 Payer Name - 276/277 Transactions Operating Engineers Local No Orange County Fire Authority Pacificare of California (HMO) Pacificare of Oklahoma (HMO) Pacificare of Oregon (HMO) Pacificare of Texas (HMO) Pacificare of Washington (HMO) Pan-American Life Insurance Company Passport Health Plan PENN Treaty Network Medicare Supp Personal Insurance Administrators (PIA) Physicians Mutual Insurance Company Pinnacle Physician Management Org Pittman and Associates Planned Administrators Inc Plumbers and Pipefitters Local Union Preferred Care Partners Prestige Health Choice Principal Life Insurance Company Provident American Life & Health Ins Co Medicare Supp QuikTrip Corporation Reliance Standard Life Reserve National Insruance Company Sanford Health Plan Santa Clara Family Health Plan Schaller Anderson Aetna Better Health of OH Schaller Anderson Aetna Better Schaller Anderson Delaware Phys Schaller Anderson MajestaCare VA Schaller Anderson Maryland Physicians Care Schaller Anderson Mercy Care Schaller Anderson Mercy Maricopa Schaller Anderson Missouri Care Schaller Anderson Parkland Community Schaller Anderson Texas CHRISTUS Select Health of SC SelectCare of Texas (Beaumont) SelectCare of Texas (Houston) SelectCare of Texas (Integranet) Senior Health Services Center-Universal American Family of Companies Senior Whole Health /277 Transactions 27

28 Payer Name - 276/277 Transactions Sharp Health Plan Significa Benefit Services Simply Healthcare Plans Southern Health Services (SHS) SPJST Medicare Supplement Standard Insurance Standard Insurance of New York Staywell StayWell Kids Stonebridge Life Insurance Company SummaCare Health Plan Summit America Insurance Service TexanPlus (Integranet) TexanPlus (Kelsey-Seybold) TexanPlus North Texas Area TexanPlus South Texas Area The Kempton Company The ULLICO Family of Companies Three Rivers Health Plans (Unison Health Plan) TMG Network Health Insurance Today s Health Today s Options Triad Healthcare, Inc Tribute/SelectCare of Oklahoma Tricare Trillium Community Health Plan Trustmark Ultimate Health Plans UMR (Wausau) Unicare UCARE Union Pacific Railroad Employee Health Systems United American Insurance Company United Healthcare United Healthcare Community Plan Kansas United Healthcare Facets Detroit Community and State United Healthcare Facets Pittsburgh Community and State United Healthcare Nevada Market United Healthcare Plan of River Valley United Teacher Assoc Insurance Co Medicare Supp Univera Universal Benefit Corp /277 Transactions 28

29 Payer Name - 276/277 Transactions University Care Advantage Arizona University Care Advantage Arizona University Family Care Arizona University of Arizona Health Plan- UHM University of Missouri University Physicians Healthcare Group Arizona USAA Life Insurance Company UMWA Health and Retirement Funds VA Fee Basis Program /277 Transactions 29