Phreesia s Eligibility and Benefits Payer Verification List
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1 AARP Absolute Total Care ACN Advantage by Bridgeway Solutions Advantage by Buckeye Community Advantage by Managed Services Advantage by Peach State Advantage by Sunshine State Advantage by Superior Advantage s Trust (Kempton ) American Benefit Administrative Services American Community Mutual American Family Insurance Group American Medicare American Medical Security (AMS) American National American National Life of Texas American Postal Workers Union (APWU) American Republic Anthem Blue Cross Anthem Keepers Arbor Arizona Physicians IPA (APIPA) ARKids Arnett s Assurant - John Alden Insurance Assurant - Time Assurant - Union Security Insurance Asuris Northwest AtlantiCare BCBS of Louisiana BCBS of Maine BCBS of Massachusetts BCBS of Michigan (Institutional/Profession al) BCBS of Minnesota BCBS of Mississippi BCBS of Missouri BCBS of Montana BCBS of Nebraska BCBS of Nevada BCBS of New Hampshire Advantra Freedom - PFFS AETNA Aetna Better (Connecticut) Aetna Better (New York) Aetna Better () Aetna Better (Texas) Affinity Affinity Medicare AFLAC - Medicare al Aftra Fund AHCCCS Alameda Alliance for All Kids (Alabama) All Kids (Illinois) Allegiance Benefit Alliant Plus Altius s American Retirement Life Ins Co Medicare Americhoice of Connecticut Americhoice of Maryland AmeriChoice of New Jersey AmeriChoice of Americhoice of Tennessee (Tenncare) Amerigroup Ameri Ameri Amerihealth Caritas () Ameri Caritas Louisiana Ameri Mercy Ameritas Life Insurance Co. Antares AultCare s AUSHC AvMed BCBS Federal Employee Program BCBS of Alabama BCBS of Arizona BCBS of Arkansas BCBS of Colorado BCBS of Connecticut BCBS of Delaware BCBS of Florida BCBS of Georgia BCBS of Hawaii BCBS of Illinois BCBS of Indiana BCBS of Kansas BCBS of Kansas City BCBS of Kentucky BCBS of New Mexico BCBS of North Caralina BCBS of North Dakota BCBS of Ohio BCBS of Oklahoma BCBS of Rhode Island BCBS of South Carolina BCBS of Tennesee BCBS of Texas BCBS of Vermont BCBS of Virginia BCBS of Western New York BCBS of Wisconsin BCBS of Wyoming Benefit Management Inc Best Choice Best Life and Blue Benefit of Massachussetts
2 Blue Care Network Blue Cross of Idaho Blue Cross of Northeastern Blue Shield of California Blue Shield of Northeastern New York Bluegrass Family Celtic Insurance CeltiCare of Massachusetts Cenpatico (Arizona) Cenpatico (Florida) Cenpatico (Georgia) Cenpatico (Illinois) Cenpatico (Indiana) CIGNA Care Colorado Access Community Choice (CHC) Community Network of Connecticut (CHNCT) Community (Los Angeles) CoreSource () Country Life Insurance Coventry and Life Nevada Coventry and Life (Oklahoma) Coventry and Life (Tenn) BMC Net Boon Group Boon-Chapman Bravo Mid- Atlantic Bravo Bravo Texas Bridgespan Cenpatico (Kansas) Cenpatico (Kentucky) Cenpatico (Massachusetts) Cenpatico (Mississippi) Cenpatico (Missouri) Cenpatico (New Hampshire) Cenpatico (Ohio) Community of Washington (CHPW) Community First Medicare Advantage CommunityCare Managed care s of Oklahoma ConnectiCare ConnectiCare of Massachusetts Coventry Care - Advantra Coventry Care Advantra Savings Coventry Care Carelink (Advantra) Coventry Care Carelink Medicaid Coventry Care Carenet Bridgeway Solutions Cenpatico (South Consolidated Associates Railroad Coventry Care Federal Buckeye Community (BCHP) California & Wellness Capital Blue Cross Capital District Physicians (CDPHP) Capital Caprock s Care Improvement Plus CareFirst BlueCross BlueShield Cenpatico (Texas) Cenpatico (Wisconsin) Cenpatico Behavioral Cenpatico Behavioral Texas Centene Advantage s CenterLight care Central Reserve Life Ins Co Medicare Central States Funds Continental General Ins Co Medicare Continental General Cook Children's (CCHP) Cooperative Benefit (CBA) CoOportunity Coordinated Care CoreSource (Arizona) CoreSource (Arkansas) Delaware Georgia Iowa Kansas Louisiana Missouri Nebraska CareOregon CarePlus plans CarePoint Medicare Advantage CareSource Cariten care Carolina Care (CCP) CDS Group Central States Indemnity CHAMPVA / Spina Bifida / Children of Women Vietnam Vets CHC - Florida / Vista / Summit Chesapeake National Life CHRISTUS CoreSource (Illinois) CoreSource (Indiana) CoreSource (Maryland) CoreSource (Minnesota) CoreSource (New Jersey) CoreSource (North CoreSource (Ohio) Coventry National Network Coventry Nebraska Medicaid CoventryCares CoventryCares of Kentucky CoventryOne Cox
3 CSA Fraternal Life Medicare CTI DAKOTACARE Dean Insurance Definity Delaware Physicians Care Inc Denver Medical Deseret care Trust Diamond (Maryland Medicaid) FirstChoice Kids Florida Care (FHCP) Florida True FMH Benefit Services Freedom Blue Fresenius Medical Care Gateway Geisinger Gold Geisinger Generations care Gerber Life Insurance Alliance Medical s Alliance of Michigan Choice Arizona First s First Insurance Net of Oregon Net Medi-Cal Net National Net of Arizona Net of California first New Jersey first New York gram Now Partners of Nevada s Inc Plus of Michigan SCOPE Smart Benefit Solutions Spring Director's Guild Emblem Empire Blue Cross Blue Shield Erin Group Essence Evercare Everence Excellus BlueCross BlueShield Fallon Community (FCHP) FamilyCare (Illinois) FamilyCare (Oregon) FCE Benefit Federated Insurance Fidelis Care Fidelis SecureCare of Michigan First Ameritas of New York First First Reliance Standard Life FirstChoice Gilsbar Golden Rule Government Employees Association (GEHA) Granite State Great American Life Assurance Co Medicare Great American Life Insurance Co Medicare Great Lakes (GLHP) Great-West care Group & Pension Group Cooperative Group Incorporated (GHI) Group Group Practice Affiliates Harmony Harvard Pilgrim Care Hawaii Medical Service Association Net of the Northeast New England (HNE) Partners of Philadelphia of San Joaquin of San Joaquin Medi-Cal of San Mateo of the Upper Ohio Valley Share of Oregon America / Assurance America of / Assurance Care (Promina) care Solutions Group Care USA of Missouri (HCUSA) HEALTHe Exchange Ease Ease Kids EZ Spring of Alabama Spring of Illinois Spring USA y Indiana (HIP) y Kids y Texas Heartland National Life Highmark Blue Cross Blue Shield Highmark Blue Shield Highmark Medicare Services HIP of New York HIPNY Home State Hometown Horizon Blue Cross Blue Shield Horizon NJ Humana Ideal Life Insurance IlliniCare IMHS (Integrated Mental Services)
4 Independence Independence Blue Cross Independent Association Inland Empire Integral Quality Care Florida InterValley Island Home Insurance Jackson Memorial Hospital JAI Medical Systems Johns Hopkins of Colorado of Georgia of Hawaii of Hawaii (DHMO Choice) of Northern California of Ohio of Southern California of the Mid- Atlantic States of the Northwest Kentucky Exchange Kentucky Spirit (Reactivation) Keystone Mercy KSKJ Life LA Care Leon Medical Centers LifePrint Lifesynch Lifewise of Arizona LifeWise of Oregon Lifewise of Washington Lincoln Financial Lincoln Heritage Loomis Louisiana Exchange Louisiana care Connections Lovelace Loyal American Life Insurance Co Medicare Lumenos M.D.IPA Magellan Behavioral Mail Handlers Benefit MaineCare MaineCare (Children) MajestaCare Managed Services Insurance Corp. (MHS) Managed Services of Indiana MAPFRE Life Puerto Rico Maricopa Care Advantage Maricopa Maryland Physicians Care (MPC) Mass MCHP (Maryland Children's Program) MDWise Hoosier Alliance MedCost Medica s Medicaid (Alabama) Medicaid (Arizona) Medicaid (Arkansas) Medicaid (Colorado) Medicaid (Connecticut) Medicaid (Delaware) Medicaid (District of Columbia) Medicaid (Florida) Medicaid (Georgia) Medicaid (Hawaii) Medicaid (Idaho) Medicaid (Illinois) Medicaid (Indiana) Medicaid (Iowa) Medicaid (Kansas) Medicaid (Kentucky) Medicaid (Louisiana) Medicaid (Maine) Medicaid (Maryland) Medicaid (Massachusetts) Medicaid (Michigan) Medicaid (Minnesota) Medicaid (Montana) Medicaid (Nevada) Medicaid (New Hampshire) Medicaid (New Jersey) Medicaid (New Mexico) Medicaid (New York) Medicaid (North Medicaid (North Dakota) Medicaid (Ohio) Medicaid (Oklahoma) Medicaid (Oregon) Medicaid () Medicaid (Puerto Rico) Medicaid (South Medicaid (South Dakota) Medicaid (Tennessee) Medicaid (Texas) Medicaid (Utah) Medicaid (Vermont) Medicaid (Virginia) Medicaid (Washington) Medicaid (West Virginia) Medicaid (Wisconsin) Medicaid (Wyoming) Medi-Cal Medical Associates / Choices Medical Mutual of Ohio Medicare (Part A & B) Med-Pay MedStar Family Choice Medstar Keystone East MAPFRE Medicare Excel Medicaid (Mississippi) Medicaid (Missouri) Mega Life and Insurance
5 Mercy Care Meridian Meritain Metropolitan (MHP) MHN MHNet Behavioral MIChild Mid Atlantic Medical Services (MAMSI) Mid-West National Life Midwest Security Mississippi Childrens Insurance Program Utah Washington Wisconsin Mountain State Blue Cross Blue Shield Municipal Benefit Fund Mutual Services Mutual of Omaha MVP Care National Association of Letter Carriers (NALC) Nationwide Specialty Oxford s (A United care ) Oxford s of Connecticut Oxford s of New Jersey PacifiCare of Arizona PacifiCare of California PacifiCare of Colorado PacifiCare of Nevada PacifiCare of Oklahoma PacifiCare of Oregon PacifiCare of Texas PacifiCare of Washington Physicians Mutual Piedmont Wellstar s Pittman and Associates Preferred System of Kansas PreferredOne Community Premera Blue Cross Premier Primary PhysicianCare Inc Principal Priority Priority Partners Mississippi Children's Insurance Program (CHIP) Mississippi State Employees and Teachers Missouri Care MMSI (Mayo ) MO Net California Florida Illinois Michigan Missouri New Mexico Ohio South Carolina Neighborhood Partnership Neighborhood (NHP) Neighborhood of Rhode Island Network Nippon Life NOVA care NovaSys NTCA ODS s 'Ohana OmniCare Optima Optimum Choice Optum Care Solutions Optum PA Medicare Oregon Management Services (OHMS) PacificSource s Panamerican Life Puerto Rico Parkland Community PARTNERS National s of North Carolina Partnership of California Passport PCCM (Texas Medicaid) Peach State (Reactivation) PeachCare PEHP (Public Employees Program) Personal Choice PPO Personal Insurance (PIA) PersonalCare PHCS Savility Payers Phoenix Providence Provident American Life & Ins Co Medicare Publicaid (Illinois) Puritan Life Insurance QualCare QualChoice QuikTrip Corporation Regence BlueCross BlueShield of Oregon Regence BlueCross BlueShield of Utah Regence BlueShield Regence BlueShield of Idaho Reliance Standard Life Rocky Mountain s Royal Neighbors of America SAMBA (Special Agents Mutual Benefit Association) Texas Oregon OVATIONS Physicians of Northern Indiana (PHPNI) San Fran Cisco
6 Sanford SCAN Schaller Anderson Parkland Community Scott and White Scott and White Senior Care Secure Horizons Select of South Carolina SelectCare of Oklahoma Select Sentara s Shenandoah Life Insurance Sierra Significa Benefit Services Simply care s SoonerCare SummaCare Summit Sunflower State Sunshine State Superior plan SuperMed Taconic IPA TennCare Select TexanPlus (North Texas) TexanPlus (Southeast Texas) Texas Spring The Chartered The Empire (NYSHIP) TMG Insurance Today s Today s Options Unison of Unison of Tennessee Unison s of South Carolina United Behavioral (UBH) United care United care (AmeriChoice Maryland) United care (Maryland Medicaid) United care (New Jersey/New York) United care of Texas United care Student Resources United Teacher Assoc Insurance Co Medicare Unitedcare Community University of Missouri (Coventry Care) University Physicians Care Advantage University Physicians care Group UPMC US Family USAA Life Insurance VA care Vantage Vista plans Viva VNS CHOICE Select VNSNY CHoice Vytra WEA Trust WEB-TPA Well Sense SoonerCareChild Southern Services SPJST Medicare Standard Insurance Standard Insurance of New York Standard Life and Accident Insurance Star HRG State Farm State Mutual Medicare al State of Maryland Medical Care Program Staywell Staywell Kids Sterling Investors Life Total care TransAmerica Life TriCare Trustmark Life Tufts Associated s UCare Minnesota UMR UNICARE UniCare Texas STAR and CHIP Union Pacific Railroad Employees System Unison Unison of New Jersey Unison of Ohio Unitedcare Community (Kansas) Unitedcare Facets (Detroit) Unitedcare Facets (Pittsburgh) Unitedcare Nevada Market Unitedcare of the River Valley Unity s Insurance Corporation Univera Community Universal American - Senior Services Universal Care University Care Advantage Arizona University Family Care WellCare WellCare of Connecticut WellCare of Florida WellCare of Georgia WellCare of Louisiana WellCare of New Jersey WellCare of New York WellCare of Ohio WellCare of Texas Wellmark Blue Cross and Blue Shield of Iowa Wellmark Blue Cross and Blue Shield of South Dakota WellPath Community s Western Advantage (WHA) Windsor
7 Windsor Medicare Extra World Corp World Insurance (ARIC) Writer s Guild Phreesia s Eligibility and Benefits Payer Verification List
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AARP (A UnitedHealthcare Insurance Company) Acordia (Mohawk Carpet and Hickory Springs) American Community Mutual American Postal Workers Union Aetna Aetna Long Term Care Aflac - Dental Aftra Health Fund
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Payer ID Payer Name Enrollment Required 10001 AARP 10906 Absolute Total Care 13187 Access Medicare 10916 ACS Benefit Services, Inc.
Payer ID Payer Name Enrollment Required 10001 AARP 10906 Absolute Total Care 13187 Access Medicare 10916 ACS Benefit Services, Inc. 10923 Administrative Services, Inc. 10927 Advantage by Bridgeway Health
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Column1 Column2 Column3 Column4 Payer Code Payer Name 10319 Subscriber Dependent *****Blue Exchange 1 (Pass-Through)(Wellpoint)(ONLY USED IF NO STATE BLUE PLAN PAYER ID LISTED!!)***** Y Y 10431 AARP (A
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