ACS EDI Gateway, Inc. Eligibility Payer List

Transcription

1 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 American Republic Insurance Co. Americhoice of New Jersey Amerigroup Corporation AmeriHealth Administrators AMC - Alaska Electrical Health & Welfare Fund AmeriHealth Mercy Health Plan AMC - American General Life & Accident AMC - Health Future AMC - Poly America Medical Dental Ameritas Life Arizona Physicians IPA Avmed of Florida AMC - Touchstone BCBS Carefirst - MD, DC, Northern VA, DE AMC - Touchstone PSO BCBS Central New York Page 1 of 15 UPDATED 6/11/2009

2 BCBS of Alabama BCBS of Arizona BCBS of Arkansas BCBS of Colorado BCBS of Connecticut BCBS of Florida BCBS of Georgia BCBS of Illinois BCBS of Indiana BCBS of Iowa BCBS of Kansas BCBS of Kansas City BCBS of Kentucky BCBS of Louisiana BCBS of Maine BCBS of Massachusetts BCBS of Michigan BCBS of Minnesota BCBS of Mississippi BCBS of Missouri BCBS of Nebraska BCBS of Nevada BCBS of New Hampshire BCBS of New Jersey Horizon Page 2 of 15 UPDATED 6/11/2009

3 BCBS of New Mexico BCBS of New York Empire BCBS of New York Excellus BCBS of North Carolina BCBS of Ohio BCBS of Oregon Regence BCBS of Pennsylvania - Highmark BCBS of Rhode Island BCBS of South Carolina BCBS of South Dakota BCBS of Tennessee BCBS of Texas BCBS of the Rochester Area (NY) BCBS of Utica-Watertown BCBS of Virginia BCBS of West Virginia BCBS of Wisconsin Best Choice Health Plan Best Life and Health Blue Cross California Blue Cross Independence Blue Cross Northeastern Pennsylvania Blue Cross of Idaho Blue Cross Pennsylvania Capital Page 3 of 15 UPDATED 6/11/2009

4 Blue Cross Premera of Alaska and Washington CHAMPVA/Spina Bifida/Children of Women Vietnam Veterans Blue Shield of California Blue Shield of Pennsylvania Highmark Blue Shield of Washington Regence Bluegrass Family Health Capital District Physicians Health Plan Carefirst- Federal Employee Program Careplus Health Plan CHC - CoventryOne Cigna Colorado Access Columbia United Providers Community Care of Oklahoma Community Health Plan of Washington Connecticare CareSource of Ohio/Cincinnati Health/Columbus Health Continental General Insurance Company Cariten Healthcare Cariten Senior Health Central Reserve Insurance Company Cooperative Benefit Administrators Coresource - Little Rock Coresource - MD, PA, IL Page 4 of 15 UPDATED 6/11/2009

5 Coresource - NC, IN Coresource - Ohio Coresource FMH Coventry Health Care Delaware Coventry Health Care Georgia Coventry Health Care Group Health Plan Covenant Health (TennCare) Coventry Health Care HealthAmerica HealthAssurance Coventry - Altius Health Plans Coventry - Carenet Coventry - Personalcare Coventry Health and Life - Nevada Coventry Health and Life (Oklahoma) Coventry Health and Life (Tenn) Coventry Health Care Carelink (Advantra) Coventry Health Care Iowa Coventry Health Care Louisiana Coventry Health Care Nebraska Coventry Health Care Southern Health Coventry Health Care USA Coventry Health Care Wellpath Coventry Healthcare Advantra Freedom Coventry Health Care Carelink Medicaid Coventry Healthcare Advantra (TX, NM, AZ only) Page 5 of 15 UPDATED 6/11/2009

6 Coventry Healthcare Inc (Promina) Coventry Healthcare Missouri Coventry Healthcare National Network Coventry Healthcare University of Missouri Family Care Federated Insurance Co. Fidelis Care New York First Ameritas of New York Coventry Maryland Medicaid - Diamond Plan First Health - Mailhandlers Coventry of Kansas First Reliance Standard Life Coventry Omnicare Health Plan of Michigan Florida Hospital Healthcare System Denver Health Medical Plan Glassman - Directors Guild ECOMPPO (Consolidated Railroad) Elder Health (Bravo Health) Government Employees Hospital Assoc (GEHA) Great West Healthcare (One Health Plan HMO) Erin Group Administrators Fallon Health Plan Health Alliance Medical Plans Health Partners of Philadelphia Page 6 of 15 UPDATED 6/11/2009

7 Healthcare Solutions Group Healthchoice of Arizona Healthfirst New Jersey Healthfirst, Inc. New York Healthnet MEDI-CAL Healthnet National Healthnet of Arizona Healthnet of California & Oregon Healthnet of the Northeast, Inc. HealthPlus of Michigan HealthSpring HIP NY Hometown Health Horizon NJ Health Humana Humana of Florida Independence Administrators Indiana University Health Inland Empire Health Inter Valley Health Plan Jackson Memorial Hospital Health Plan Jefferson Pilot Financial John Alden Life Insurance Co. John Hopkins Health Plan Page 7 of 15 UPDATED 6/11/2009

8 Kaiser Foundation Health Plan Mid Atlantic Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Georgia Kaiser Foundation Health Plan of Hawaii Kaiser Foundation Health Plan of Ohio Maricopa Care Advantage (Arizona) Maricopa Health Plan (Arizona) MedCost Benefit Services Medica Medicaid Alabama Kaiser Foundation Health Plan of the Northwest Medicaid Arizona Kaiser Permanente of Northern CA Kaiser Permanente of Southern CA Keystone Mercy Health Plan Kitsap Physician Services Lovelace Health Plan M Plan of Indiana Medicaid Arkansas Medicaid California Medicaid Colorado Medicaid Connecticut Medicaid Delaware Medicaid District of Columbia Page 8 of 15 UPDATED 6/11/2009

9 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 Michigan Pending Eligibility Medicaid Minnesota Medicaid Mississippi Medicaid Missouri Medicaid Montana Medicaid Nevada Medicaid New Hampshire Medicaid New Jersey Medicaid New Mexico Medicaid New York Page 9 of 15 UPDATED 6/11/2009

10 Medicaid North Carolina Medicaid North Dakota Medicaid Ohio Medicaid Washington Medicaid West Virginia Medicaid Wisconsin Medicaid Oklahoma Medicaid Wisconsin Chronic Disease Program Medicaid Pennsylvania Medicaid Puerto Rico Medicaid South Carolina Medicaid South Dakota Medicaid Tennessee Medicaid Texas Medicaid Vermont Medicaid Virginia Medicaid Wisconsin Well Woman Program Medicaid Wyoming Medical Mutual of Ohio/Consumers Life Ins Medicare Megalife and Health Insurance Megalife Chesapeake National Life Ins Megalife Mid West National Life Ins Megalife Oklahoma City Life Insurance Page 10 of 15 UPDATED 6/11/2009

11 Megalife Transamerica Life Insurance Co. Memorial Care TPA MemorialCare - BCI Mercy Care Plan (Arizona) Mercy Health Care Plan Metlife Dental Metropolitan Health Plan Michigan Child Mid-Atlantic Medical Services Inc. Mississippi CHIP MMSI (Mayo Health) Molina of California Molina of Florida Molina of Indiana Molina of Michigan Molina of New Mexico Molina of Ohio Molina of Texas Molina of Utah Molina of Washington MS State Employee Health Plan Mutual of Omaha MVP Healthcare National Association of Letter Carriers Page 11 of 15 UPDATED 6/11/2009

12 Nationwide Health Plans Neighborhood Health Partnership PacifiCare of California (PPO) PacifiCare of Colorado (HMO) New England Health EDI Network LLC- Harvard Pilgrim Health Care New England Health EDI Network LLC- Neighborhood Health Plan New England Health EDI Network LLC- Tufts Associated Health Plan PacifiCare of Colorado (PPO) PacifiCare of Nevada (HMO) PacifiCare of Nevada (PPO) NovaSys Health Ochsner Health Plan Oxford Health Plans Pacific Source Health Plan PacifiCare of Arizona (HMO) PacifiCare of Arizona (PPO) PacifiCare of California (HMO & POS) PacifiCare of Oklahoma (HMO & POS) PacifiCare of Oklahoma (PPO) PacifiCare of Oregon (HMO & POS) PacifiCare of Oregon (PPO) PacifiCare of Texas (HMO & POS) PacifiCare of Texas (PPO) PacifiCare of Washington (HMO & POS) Page 12 of 15 UPDATED 6/11/2009

13 PacifiCare of Washington (PPO) Partners National Health Plans of NC Principal Financial Group - Nippon Life Insurance Company Principal Financial Group - Principal Life Insurance Company Partnership Health Plan of CA Providence Health System Passport Advantage Passport Health Plan Peach State Health Plan PHCS Savility Payers Phoenix Health Plan Recall Systems - Benefit Mgmt Systems (BNMSYS) Recall Systems - Boon-Chapman Benefit Admin (BNCHAP) Recall Systems - Corporate Ben Service (CPBNSV) Recall Systems - Employee Benefit Services of LA Recall Systems - Group & Pension Administrators Physicians Mutual Recall Systems - JP Farley Corporation Pittman and Assoc Preferred Health Systems Recall Systems - Mississippi Admin Services Recall Systems - Professional Benefits Administrators Preferred One Recall Systems - SRT Administrators Page 13 of 15 UPDATED 6/11/2009

14 Recall Systems - Underwriters Safety & Claims Star HRG Reliance Standard Health Rocky Mountain Health Plan San Francisco Health Plan San Joaquin Health Plan Student Insurance Summacare Sunshine State Health Plan Texas CHIP San Mateo Santa Clara Valley Health and Hospital System Three Rivers Administrative Services - Better Health Plans Three Rivers Administrative Services - Three Rivers Health Plan Scott & White Health Plan Senior Care Action Network (SCAN) HMO Time Insurance Company (FIC) Tricare (Champus) Standard Insurance Trinity Health Plan (Priority Healthcare Choices) Standard Insurance of New York Stanislaus County MIA Program Trustmark Ucare Page 14 of 15 UPDATED 6/11/2009

15 Unicare Union Security Insurance Company (FBIC) UnitedHealthcare United Healthcare of River Valley Unity Health Plans Universal Care of California University Family Care Virginia Premier Health Plan VIVA Health Vytra Wells Fargo (Acordia National) Western Health Advantage World Insurance (ARIC) Writer's Guild University of Pittsburgh Medical Center Health Plan University Physicians Care Advantage (Arizona) University Physicians Healthcare Group (Arizona) USAA Life Insurance Company VA Fee Basis Program Page 15 of 15 UPDATED 6/11/2009