Phreesia s Eligibility & Benefits Payer Verification List
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1 AARP Absolute Total Care Access Medicare ACS Benefit Services Administrative Services Inc Advantage by Bridgeway Health Solutions Advantage by Buckeye Community Health Plan Advantage by Managed Health Services Advantage by Peach State Advantage by Sunshine State Advantage by Superior HealthPlan Aetna Aetna Administrator Medicare Supplement Aetna Better Health (IL) Aetna Better Health (LA) Aetna Better Health (MI) Aetna Better Health (MO) Aetna Better Health (NE) Aetna Better Health (NJ) Aetna Better Health (NY) Aetna Better Health (OH) Aetna Better Health (PA) Aetna Better Health (TX) Aetna Better Health (TX) CHIP Aetna Long Term Care Aetna Senior Supplemental Aetna Signature Administrators Affinity Essentials Affinity Health Plan Affinity Health Plan Medicare AFLAC AFLAC - Dental AFLAC - lemental 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 AlohaCare Alternative Insurance Resources, Inc Altus Dental Ambetter Sunshine Health Ambetter Superior Health Plan (TX) Ameriben American Family Insurance Group- & PPO American Health Medicare American Income Life Ins.Co. American Medical Security (AMS) American National Insurance American National Life Ins Texas American Network Ins. Medicare Supplement American Postal Workers Union (APWU) American Republic Insurance (ARIC) American Retirement Life Ins Co. AmeriChoice of New Jersey (Commercial) Americo Financial Life & Annuity AMERIGROUP AmeriHealth AmeriHealth Administrators AmeriHealth Caritas Louisiana (LaCare) AmeriHealth Caritas Pennsylvania Ameritas Group - Ameritas Life Insurance Co. Ameritas Group - First Ameritas of New York Ameritas Group - First Reliance Standard Life Ameritas Group - Reliance Standard Life Ameritas Group - Standard Insurance Ameritas Group - Standard Insurance of New York Anthem Vivity Arbor Health Plan Arise Health Plan Medicare Select Policy Arizona Medicaid (AHCCCS) Arizona Physicians IPA (APIPA) Arkansas Medicaid Associacion De Maestros Puerto Rico Assurant Health - John Alden Insurance (JALIC) Assurant Health - Time Insurance (FIC) Assurant Health - Union Security Insurance (FBIC) Asuris Northwest Health AultCare Automated Benefit Services Auxiant Avera Health Plans AvMed Health Plans Bankers Life & Casualty Banner Health Plans BCBS of Alabama BCBS of Alabama [Institutional] BCBS of Arizona BCBS of Arkansas BCBS of Central New York BCBS of Colorado (Anthem) BCBS of Connecticut (Anthem) BCBS of Delaware BCBS of Florida BCBS of Georgia (Anthem) BCBS of Hawaii BCBS of Illinois BCBS of Indiana (Anthem) BCBS of Iowa BCBS of Kansas BCBS of Kansas City BCBS of Kentucky (Anthem) BCBS of Louisiana BCBS of Maine (Anthem) BCBS of Massachusetts BCBS of Michigan (Institutional) BCBS of Michigan (Professional) BCBS of Minnesota BCBS of Mississippi BCBS of Missouri (Anthem) BCBS of Montana BCBS of Nebraska BCBS of Nevada (Anthem) BCBS of New Hampshire (Anthem) 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 North Dakota BCBS of Ohio (Anthem) BCBS of Oklahoma BCBS of Oregon (Regence) BCBS of Pennsylvania (Highmark) [Institutional] BCBS of Pennsylvania (Highmark) [Professional] BCBS of Rhode Island BCBS of South Carolina BCBS of South Dakota (Wellmark) BCBS of Tennessee BCBS of Texas BCBS of the Rochester Area (NY)
2 BCBS of Utica-Watertown (NY) Buckeye Community Health CenterLight Healthcare CHC - Virginia BCBS of Vermont BCBS of Virginia (Anthem) BCBS of West Virginia BCBS of Western New York BCBS of Wisconsin (Anthem) BCBS of Wyoming Benefit Management Inc Best Choice Health Plan Best Life and Health Better Health Plans (Unison Health Plans) Better Health Plans of Florida Blue Benefit Administrators of Mass Blue Cross Independence (Pennsylvania) Blue Cross Northeastern Pennsylvania Blue Cross of California (Anthem) Blue Cross of Idaho Blue Cross of Utah (Regence) Blue Cross of Washington and Alaska (Premera) Blue Cross Pennsylvania (Capital) Blue Shield of California Blue Shield of Idaho (Regence) Blue Shield of North Eastern New York Blue Shield of Washington (Regence) BlueChoice HealthPlan South Carolina Medicaid Bluegrass Family Health BMC HealthNet Plan Boon Group Boon-Chapman Benefit Admin Bravo Health, Inc. Bridgespan Bridgeway Arizona Brokers National - Dental California Health & Wellness California Medicaid (Medi-Cal) Cal-Viva Capital District Physicians Health Plan (CDPHP) Capitol Administrators CAPROCK Care Improvement Plus Care1st Health Plan Arizona Carefirst BCBS - DC Carefirst BCBS - MD CareMore CarePlus Health Plan CarePoint Medicare Advantage CareSource Health 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 Plans Central California Alliance for Health Central Reserve Insurance Central Reserve Life Ins Co. Central Senior Care Central States Fund Central States Indemnity Cerner Health Plan CHAMPVA/Spina Bifida/Children of Women Vietnam Vets CHC - Advantra (TX, NM, AZ Only) CHC - Advantra Freedom CHC - Advantra Savings CHC - Altius Health Plans CHC - Coventry Health and Life (Oklahoma) CHC - Coventry Health and Life Nevada CHC - Coventry Health and Life Tennessee CHC - Coventry Health Care Federal CHC - Coventry Missouri CHC - COVENTRYCARES OF KENTUCKY CHC - CoventryOne CHC - Delaware CHC - Florida CHC - Georgia CHC - Group Health Plan (GHP) CHC - HealthCare Inc. (Promina) CHC - Illinois CHC - Iowa CHC - Kansas CHC - Louisiana CHC - Mail Handlers Benefit Plan CHC - Nebraska CHC - University of Missouri CHC - West Virginia CHC of the Carolinas Childrens Mercy PCN CHP Direct Christian Brothers Services Christie Student Health Plans CHRISTUS Health Plan New Mexico CHRISTUS Health Plan NM Medicare Advantage CIGNA-GreatWest Claims Management Service Inc CMFG Life Insurance Colonial Penn Life Colorado Access Colorado Medicaid Community Care of Oklahoma Community Health Group Community Health Plan of Washington (CHPW) Community HealthFirst Medicare Advantage Concentrix Insurance Solutions ConnectiCare Connecticut Medicaid Consolidated Associates Railroad Constellation Health (INMEDIATA HEALTH GROUP) Consumers Life Consumers Mutual Insurance of Michigan Continental General Ins Co. Continental General Insurance Cook Children s Health Plan Cooperative Benefit Administrators (CBA) Coordinated Care CoreSource (FMH) CoreSource (Little Rock)
3 CoreSource (MD, PA, IL, NC, IN) Corporate Benefit Service Country Cupboard Country Life Insurance Covenant Administrators (TPA) Coventry Healthcare National Network CoventryCares of Maryland CoventryCares of Michigan CoventryCares of Virginia CoventryCares of West Virginia Cox Health Plan CSA Fraternal Life Culinary Health Fund DakotaCare Dean Health Plan DeCare Dental Health Insurance Definity Health Delaware Medicaid Delaware Physicians, Inc Delta Dental - Alabama Delta Dental - California Delta Dental - Colorado Delta Dental - Connecticut Delta Dental - Delaware Delta Dental - Florida Delta Dental - Georgia Delta Dental - Hawaii Delta Dental - New York Delta Dental - North Carolina Delta Dental - North Dakota Delta Dental - Ohio Delta Dental - Pennsylvania Delta Dental - Rhode Island Delta Dental - Tennessee Delta Dental - Texas Delta Dental - Utah Delta Dental - Virginia Delta Dental - Washington DC Delta Dental - Washington State Delta Dental - West Virginia DeltaCare USA - Claims DeltaCare USA - Encounters Dental Benefit Providers Denver Health Medical Plan Deseret Mutual (DMBA) 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 Federated Insurance Fidelis Care New York Fidelis SecureCare of Michigan First Medical Network First United American Ins.Co FirstCare FISERV WAUSAU Flex Compensation - Dental Florida Combined Life - DENTAL Florida Health Care Plans Florida Hospital Healthcare System Florida Medicaid Florida True Health Food Employers & Bakery Freedom Blue Fringe Benefits FSL Admin by KBA Gateway Health Plan Geisinger Health Plan Geisinger Health Plan Gold GEMCare Georgia Medicaid GHI Gilsbar Globe Life & Accident Ins.Co. Golden Rule Insurance Government Employees Hospital Association (GEHA) Guardian Life Insurance Co. of America - Dental Harken Health Harmony Health Plan Hawaii Medicaid Hawaii Medical Assurance Association Hawaii Medical Assurance Association - Dental Health Alliance Medical Plan (IL) Health Alliance Medical Plans (HAP) Health America of PA Health Choice Arizona Health Cost Solutions Health First Health Plan Health First Insurance Health Net National Health New England Health Partners of MN Health Partners of Philadelphia Health Plan of San Mateo Health Plan of Upper Ohio Valley HEALTH SERVICES CHILDREN SPECIAL NEEDS Health Share of Oregon Healthcare Management Administrators Healthcare Solutions Group Delta Dental - Indiana EPIC Life Insurance Granite State Health Plan HealthComp Administrators Delta Dental - Louisiana Delta Dental - Maryland Delta Dental - Michigan Delta Dental - Minnesota Delta Dental - Mississippi Delta Dental - Montana Delta Dental - Nebraska Delta Dental - Nevada Delta Dental - New Jersey Delta Dental - New Mexico EPSI, Inc. Essence Healthcare Evangelical Community Hospital Evercare Everence Financial Evergreen Health Co-Op Expert Benefit Solutions Fallon Community Health Plan FamilyCare FCE Benefit Administrators Great American Life Insurance Co. Group & Pension Administrators Group Health Cooperative Group Health Cooperative of South Central Wisconsin - Dental Group Health Northwest Group Hospitalization and Medical Services Group Practice Affiliates HEALTHe Exchange HealthEase HealthEase Kids HealthEZ Healthfirst New York Healthfirst of New Jersey Healthgram (Primary PhysiciansCare) HealthNow HealthPlan of Nevada HealthPlans Inc
4 HealthPlus of Michigan HealthScope HealthSmart Benefit Solutions HealthSmart Benefit Solutions (Wells Fargo TPA) Healthsource Provident - Dental HealthSpring Healthy Texas Heritage Physician Network (Houston) Hershey Healthsmile - Dental Highmark Senior Health Highmark Senior Solutions HIPNY HM Care Advantage Admin by KBA Home State Health Plan Hometown Health Horizon NJ Health Hudson Health Plan Humana Humana CareSource (KY) IBEW Local 508 Health Plan Idaho Medicaid Ideal Life Insurance IlliniCare Health Plan Illinois Medicaid Independence Administrators Independent Health Indiana Medicaid Inland Empire Health Insurers Administrative Corporation (IAC) INTEGRA Administrative Group Integrated Mental Health Services Inter Valley Health Plan International Medical Card Inc Iowa Medicaid Island Home Insurance Johns Hopkins Health Plan Johns Hopkins HealthCare LLC Colorado Hawaii Hawaii (DHMO Choice) the Mid-Atlantic the Northwest Kaiser Permanente of Georgia Kaiser Permanente of Northern CA Kaiser Permanente of Southern CA Kansas Medicaid Katy Medical Group Kemper Benefits Kentucky Medicaid Kentucky Spirit Health Plan Key Benefit Administrators Key Benefit Administrators Key Benefits Administrators (IN) Key Healthy Partners KeySolution Keystone Mercy Health Kitsap Physician Services KSKJ Life Leggett & Platt Leon Medical Centers Health Plan Liberty National Life Ins.Co. Lifetime Benefit Solutions (RMSCO) Lifewise Arizona Lifewise Health Plan of Oregon Lifewise Health Plan of Washington Lincoln Financial Lincoln Heritage Local 1199 LoneStar TPA Loomis Louisiana Health Exchange Louisiana Healthcare Connections Louisiana Medicaid Loyal American Life Insurance Co. Magellan Behavioral Health Magnacare Magnolia Health Plan Maine Community Health Options Maine Medicaid MajestaCare VA MAMSI Health Plan Managed Care of America Managed Health Network (MHN) Managed Health Services Indiana Managed Health Services Wisconsin MAPFRE Life Puerto Rico MAPFRE Medicare Excel Maricopa Care Advantage (Arizona) Maricopa Health Plan (Arizona) Maryland Medicaid Maryland Physicians Care Massachusetts Medicaid MDWise Hoosier Alliance MedBen MedCost Benefit Services Medica Medica Health Plans Medical Associates Health Plan/Health Choices Medical Card System Medical Mutual of Ohio Medicare (Part A & B) Medicare Advantage - Pennsylvania Medicare y Mucho Mas (INMEDIATA HEALTH GRP CORP) Medico Insurance Medigold Health Plans Med-Pay Inc MedStar Family Choice MedStar Health Plan Mercy Care Mercy Care Plan (Arizona) Mercy Maricopa Meridian Health Plan of Illinois Meritain Health Meritus Health Partners MetLife Dental Family Metropolitan Health Plan (MHP) MHNET Behavioral Health Michigan Fidelis Secure Care Michigan Medicaid Michigan Medicaid Pending Eligibility Michigan MIChild Minnesota Medicaid Mississippi Children's Health Insurance Program Mississippi Medicaid Mississippi State Employees and Teachers Missouri Care Missouri Care Missouri Medicaid Missouri Medicare Select 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
5 Molina Healthcare of Washington Ohana Health Plan Piedmont Royal Neighbors of America Molina Healthcare of Wisconsin Ohio Medicaid Piedmont Wellstar HealthPlans S and S Healthcare Strategies Montana Medicaid Montefiore CMO Municipal Health Benefit Fund Mutual Health Services Mutual Health Services Mutual of Omaha MVP Health Care (New York) National Association of Letter Carriers (NALC) National Telecommunications Cooperative Association (NTCA) Nationwide Specialty Health Nebraska Medicaid NEHEN - Harvard Pilgrim Health Care NEHEN - Neighborhood Health Plans NEHEN - Tufts Associated Health Plan Neighborhood Health Partnership Neighborhood Health Plan (RI) Network Health Insurance Corp Network Health Plan of MA Network Health Plan of WI Nevada Medicaid New Era Life Insurance Co. New Hampshire Healthy Families New Hampshire Medicaid New Jersey Medicaid New Mexico Health Connections New Mexico Medicaid New York Medicaid NGS CoreSource North Carolina Medicaid North Dakota Medicaid Northwest Administrators Nova Healthcare Administrators NovaSys Health Oklahoma Employees Group Insurance Division Oklahoma Medicaid Operating Engineers Local No.428 Optima/Sentara Orange County Fire Authority Oregon Medicaid Oregon s Health CO-OP Oscar Oxford Health Plans Pacific Source Health Plan PacificSource Community Solutions (Medicaid) Pan-American Life Insurance Panamerican Life Puerto Rico (PALIC) Paramount Health Parkland Community Health Plan Partners National Health Plans of NC Partnership Health Plan of California Passport Health Plan Patriot Dental Peach State Health Plan Penn Treaty Network America Ins Pennsylvania Medicaid People First Peoples Health Personal Insurance Administrators (PIA) PHCS Savility Payers Physicians Health Plan Northern IN Physicians Health Plan of Mid- Michigan Physicians Mutual Insurance Physicians Plus Insurance Pinnacle Physician Management Org Pittman and Associates Plan de Salud Hospital Menonita Planned Administrator Inc Plumbers & Pipefitters Local 525 Preferred Care Partners Preferred Health System of Kansas Preferred Medicare Choice (PMC)(INMEDIATA HEALTH GRP) PreferredOne Premier Health Prestige Health Choice Principal Financial Group (Nippon Life) Priority Health Pro-Claim Plus Professional Benefits Administrators Providence Health Plan Provident American Life & Health Ins. Co. Mcare Supp Provident Preferred Network - Dental Pruitt Health Premier Public Employee Benefit Authority Public Employees Health Program Public Employees Health Program - CHIP Public Employees Health Program - Medicare Puritan Life Insurance Qualcare Qualchoice QuikTrip Corporation Regence Group Administration Reserve National Insurance Rocky Mountain Health Plan San Francisco Health Plan San Joaquin Health Plan Sanford Health Plan Santa Clara Family Health Plan Scott & White Health Plan Secure Health Plans of Georgia 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 Senior Dimensions Senior Health Services Center-Univ American Family Co. Senior Whole Health Sharp Health Plan Shenandoah Life Insurance Sierra Health Services Signature Advantage Significa Benefit Services Simply Healthcare Plans SisCo Benefits Soundpath Health South Carolina Medicaid South Dakota Medicaid
6 Special Agents Mutual Benefit Assoc (SAMBA) Spectrum Health SPJST lement Standard Life and Accident Insurance Star HRG State Farm State Mutual (Lincoln Novation) State Mutual Med Supp StayWell Staywell Kids Sterling Investors Life Insurance Stewart C Miller and Co Stonebridge Life Insurance Student Insurance StudentResources SummaCare Health Plan Summit America Insurance Service Sun Orthopaedic Group, Inc Sunflower State Health (Kansas) Sunshine State Health Plan Superior Health Plan TX Susquehanna Transit Sutter Select TennDent Tennessee Medicaid TexanPlus (Integranet) TexanPlus (Kelsey-Seybold) TexanPlus North Texas Area TexanPlus Southeast Texas Area Texas CHRISTUS Texas First Health Plan (TOPA) Texas Medicaid The Kempton The ULLICO Family of Companies Three Rivers Health Plans (Unison Health Plan) Today s Health Today's Option Total Care Carolina TransactRX Part D Transamerica Life Insurance (KBA) TRICARE TRICARE for Life TRICARE Overseas Trillium Community Health Plan Triple-S Salud (BCBS Puerto Rico) Trustmark Insurance UCare of Minnesota Ultimate Health Plans UMR UMWA Health and Retirements Funds Underwriters Safety & Claims UNICARE - Dental Unicare (Anthem) Unified Life Insurance Union Pacific Railroad Employees Health Systems United American Ins. United Concordia Companies, Inc. - DENTAL United Concordia Federal Employees Program - DENTAL United Health Group - Community Plan United Health Group - Optum Health Behavioral Solutions United Health Group - UHCWest 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 Healthcare SecureHorizons United Teacher Assoc Insurance Co. Mcare Supp UnitedHealthcare Community Plan (TN) Unity Health Plans Univera Universal Benefit Corp Universal Care of California University Care Advantage Arizona University Family Care University of Arizona Health Plans - UHM University of Utah Health Plans University Physicians Care Advantage (Arizona) University Physicians Healthcare Group (Arizona) UPMC Health Plan (Tristate) USAA Life Insurance 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 Virginia Premier Health Plan VISTA VIVA Health VNS CHOICE Vytra Washington Medicaid Washington National WEA Trust WEB-TPA, Inc Wellcare Health Plans Wellsense West Virginia Medicaid Western and Southern Financial Group Western Health Advantage Westlake Financial Group Wilson McShane - Dental Windsor Medicare Extra Wisconsin Medicaid Wisconsin Medicaid Chronic Disease Program Wisconsin Medicaid Well Woman Program WPS Health Insurance Wyoming Medicaid YourCare Health Plan
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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AARP 10431 Absolute Total Care 10560 ACCESS MEDICARE 11030 ACS Benefit Services 11009 Administrative Services, Inc. 10619 Advantage by BridgewayHealthSolutions 10561 Advantage by Buckeye Community Health
Column1 Column2 Column3 Column4
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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AARP 10431 Absolute Total Care 10560 ACCESS MEDICARE 11030 ACS Benefit Services 11009 Administrative Services, Inc. 10619 Advantage by BridgewayHealthSolutions 10561 Advantage by Buckeye Community Health
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10431 AARP No Yes Yes N/A N/A N/A National 11030 Access Medicare No Yes Yes N/A N/A N/A National 11009 ACS Benefit Services No Yes Yes N/A N/A N/A NC 10619 Administrative Services Inc No Yes N/A N/A N/A
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AK Premera Blue Cross $709,464 Time Insurance Company $227,600 Trustmark Life Insurance Company $645,743 UnitedHealthcare Insurance Company $62,894 AL The MEGA Life and Health Insurance Company $62,541
Phreesia s Eligibility and Benefits Payer Verification List
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