Xerox EDI Direct Eligibility (270/271) 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 (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 Health Plan Affinity Health Plan Medicare AFLAC AFLAC Dental AFLAC Medicare Supplemental Aftra Health Fund Alabama Medicaid Alameda Alliance Health Plan Alan Sturm and Associates Dental Alaska Medicaid All Savers Life Insurance Allegiance Benefit Plan Management Allied Benefit Systems AlohaCare Alternative Insurance Resources, Inc /271 Transactions 11/11/2015 1

2 Altius Health Plans Altus Dental Ambetter of Arkansas 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 BCBS of Central New York /271 Transactions 11/11/2015 2

3 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) BCBS of Vermont /271 Transactions 11/11/2015 3

4 BCBS of Virginia (Wellpoint) BCBSV BCBS of West Virginia BCBS of Wisconsin (Wellpoint Anthem) BCBSW BCBS of Wyoming Beacon Health Strategies 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 Butler Benefit Services, Inc California Children Services California Medicaid (Medi-Cal) AIDCA Cal-Viva Capital District Physicians Health Plan Capitol Administrators CAPROCK Care1st Health Plan Arizona Care1st of California Carefirst Caremore /271 Transactions 11/11/2015 4

5 CarePlus Health Plan CarePoint Medicare Advantage CareSource Health (OH) 994 CareSource of Ohio 994 Carolina Care Plan, Inc. (CCP) CDS Group Health Celtic Insurance Celticare 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 - 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 11/11/2015 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 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 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 Country Life Insurance Company Covenant Administrators (TPA) Coventry Health &Life Nevada /271 Transactions 11/11/2015 6

7 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 CTI Administrators Culinary Health Fund UNITE HERE Health DakotaCare DeCare Dental Health Insurance Definity Health Delaware Medicaid 3018 Delaware Physicians Care 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 Delta Dental of Maryland /271 Transactions 11/11/2015 7

8 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 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 Family Care FCE Benefit Administrators /271 Transactions 11/11/2015 8

9 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 Fox/Everett Freedom Blue Fresenius Medical Care 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 Gold Coast Health Plan 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 Gundersen Lutheran Health Harmony Health Plan /271 Transactions 11/11/2015 9

10 Hawaii Medicaid 6093 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 11/11/

11 Hudson Health Plan Humana Humana CareSource (KY) IBEW Local 508 Health Plan IBM Insurance Outsourcing Services 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 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 L.A. Care Health Plan Leggett & Platt /271 Transactions 11/11/

12 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 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 Martins Point Health Care 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 MedStar Family Choice /271 Transactions 11/11/

13 MedStar Health Plan Mega Life and Health Insurance Mercy Care Plan (Arizona) Mercy Health Care Plan 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 National Association of Letter Carriers (NALC) /271 Transactions 11/11/

14 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 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 Oscar (NY) Oxford Health Plans Pacific Source Health Plan 2597 PacificSource Community Solutions (Medicaid) Panamerican Life Puerto Rico Paramount Health Parkland Community Health Plan Partners National Health Plans of NC Partnership Health Plan of California 1035 Passport Health Plan /271 Transactions 11/11/

15 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 Prairie States Preferred Care Partners Preferred Health System of Kansas Preferred Medicare Choice (PMC) (INMEDIATA HEALTH GROUP) Preferred One Premier Health Presbyterian Health Plan Presbyterian Health Plan 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 11/11/

16 Reliance Standard Life 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 Sharp Health Plan Shenandoah Life Insurance Sierra Health Services Significa /271 Transactions 11/11/

17 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 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 Three Rivers Health Plans Time Insurance Company (FIC) TMG Network Health Insurance /271 Transactions 11/11/

18 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 Triple-S Salud (BCBS Puerto Rico) Trustmark Ucare of Minnesota 2596 Ultimate Health Plans UMR (Wausau) 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 Unity Health Plan 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) /271 Transactions 11/11/

19 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 Value Options Vantage Health Plan, Inc Vermont Medicaid Village Family Practice Virginia Medicaid Virginia Premier Health Plan 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 Wilson McShane WINhealth Partners Wisconsin Medicaid World Insurance (ARIC) WPS Health Insurance Wyoming Medicaid /271 Transactions 11/11/