Revenue360 Eligibility Verification 270/271 Available Payer List AARP (A United HealthCare Ins. Co) Absolute Total Care ACS Benefit Services Administrative Services Inc. Advantage by Bridgeway Health Solutions Advantage by Buckeye Comm. Health Plan Advantage by Managed Health Services Advantage by Superior HealthPlan Advantage Health Advantage Health Solutions Aetna Aetna Administrator-Medicare Supplemental Aetna Better Health of LA Aetna Better Health of MI Aetna Better Health of NE Aetna Better Health of NJ Aetna Long Term Care Aetna Senior Supplemental Insurance Affinity Health Plan Affinity Health Plan Medicare AFLAC - Dental Aflac - Medicare Supplemental Aftra Health Fund Alabama Medicaid Alameda Alliance for Health Allegiance Allied Benefit Systems, Inc Alternative Insurance Resources Inc Ambetter of Arkansas* Ameriben American Family Ins. Group - Medicare Supp American Health Medicare (Inmediata Health) American Income Life Insurance Co American National Ins. Company American National Life Ins. Company of Texas American Network Ins. Medicare Supplement American Postal Workers Union Health Plan American Republic Ins. Company (ARIC) American Retirement Life Ins. Co.-Medicare Supp AmeriChoice of New Jersey AmeriChoice of TN Amerigroup AmeriHealth Administrators Amerihealth Caritas Louisiana Amerihealth Caritas Pennsylvania Amerihealth Commercial (DE NJ PA) Ameritas Life Anthem Blue Cross California Anthem Midwest (IN, KY, OH)* Anthem Northeast (CT, ME, NH)* Anthem Southeast (VA) Anthem West (CO, NV) Arbor Health Plan Arise Health Plan Medicare Select Arizona Medicaid (AHCCCS) Arizona Physician s IPA Arkansas Medicaid Associacion De Maestros Puerto Rico Assurant Health - John Alden Life Assurant Health - Time Ins. Assurant Health - Union Security Asuris Northwest Health Plan AultCare Automated Benefit Services Auxiant Avera Health Plans* AvMed Health Plans Bankers Fidelity Bankers Life and Casualty* Banner Health Plans Benefit Management Inc Best Choice Health Plan Best Life and Health Better Health Better Health Plans (Unison Health Plan) Blue Benefit Administrators BlueChoice HealthPlan South Carolina Medicaid BlueCross BlueShield Alabama BlueCross BlueShield Alaska (Premera) BlueCross BlueShield Arizona BlueCross BlueShield Arkansas Bluecross Blueshield Central New York BlueCross BlueShield Colorado BlueCross BlueShield Connecticut BlueCross BlueShield DC (Carefirst) BlueCross BlueShield Florida BlueCross BlueShield Georgia BlueCross BlueShield Hawaii (HMSA) BlueCross BlueShield Illinois BlueCross BlueShield Indiana BlueCross BlueShield Iowa (Wellmark) BlueCross BlueShield Kansas BlueCross BlueShield Kansas City BlueCross BlueShield Kentucky BlueCross BlueShield Louisiana BlueCross BlueShield Maine BlueCross BlueShield Maryland (Carefirst) BlueCross BlueShield Massachusetts BlueCross BlueShield Michigan (Dental) BlueCross BlueShield Michigan (Institutional) BlueCross BlueShield Michigan (Professional) BlueCross BlueShield Minnesota -1-
BlueCross BlueShield Mississippi BlueCross BlueShield Missouri BlueCross BlueShield Montana BlueCross BlueShield Nebraska BlueCross BlueShield Nevada BlueCross BlueShield New Hampshire BlueCross BlueShield New Jersey (Horizon) BlueCross BlueShield New Mexico BlueCross BlueShield New York (Empire) BlueCross BlueShield North Carolina BlueCross BlueShield North Dakota BlueCross BlueShield Ohio BlueCross BlueShield Oklahoma BlueCross BlueShield Oregon (Regence) BlueCross BlueShield Pennsylvania (Highmark) BlueCross BlueShield Rhode Island BlueCross BlueShield Rochester BlueCross BlueShield South Carolina BlueCross BlueShield South Dakota (Wellmark) BlueCross BlueShield Tennessee BlueCross BlueShield Texas Bluecross Blueshield Utah (Regence) BlueCross BlueShield Utica-Watertown BlueCross BlueShield Vermont BlueCross BlueShield Virginia Bluecross Blueshield Western New York BlueCross BlueShield Wisconsin BlueCross BlueShield Wyoming BlueCross Complete of Michigan BlueCross Idaho BlueCross Northeast Pennsylvania Bluecross Pennsylvania (Capital) BlueCross Pennsylvania (Independence) BlueCross Washington (Premera) Bluegrass Family Health BlueShield California Blueshield Idaho (Regence) BlueShield Northeastern New York BlueShield Washington (Regence) Boon Group Boston Medical Center HealthNet Bridgespan Health Bridgeway Arizona Buckeye Community Health Butler Benefit Services, Inc. C and O Employees Hospital Association California Childrens Services* California Health and Wellness CalOptima* Capital District Physicians Health Capitol Administrators Caprock Health Plans Care Improvement Plus* Care1st Health Plan Arizona Care1st of California* CareMore* CarePlus Health Plan Carepoint Medicare Advantage CareSource Health Carolina Care CDS Group Health Celtic Insurance Celticare Health Plan Cencal Health Plan Cenpatico - Illinois Cenpatico - Arizona Cenpatico - Florida Cenpatico - Kansas Cenpatico - Kentucky Cenpatico - Massachusetts Cenpatico - Ohio Cenpatico - South Carolina Cenpatico - Texas Cenpatico - Wisconsin Cenpatico (GA) Cenpatico (MO) Cenpatico (MS) Cenpatico Behavioral Health Indiana CenterLight Healthcare Centerlight Healthcare Medicaid Centerlight Healthcare Medicare Central California Alliance Health Central Health Medicare Plan* Central Reserve Ins. Company Central Reserve Life Ins. Co - Medicare Supplement Central Senior Care Central States Fund CHC Altius Health Plan CHC Delaware CHC Florida CHC Georgia CHC Healthcare USA CHC Illinois CHC Iowa CHC Kansas CHC Louisiana CHC Nebraska CHC Nevada CHC of Carolinas CHC of MO MS AR TN CHC Oklahoma CHC Texas CHC Virginia CHC West Virginia CHCS Services Inc CHF Medicare Advantage CHP Direct Christian Brothers Services CHRISTUS Health Plan NM Health Ins Exchange CHRISTUS Health Plan NM MA Cigna Cigna Voluntary Limited Medical -2-
CMFG Life Insurance Colonial Penn Colorado Access Colorado Medicaid Community Care of Oklahoma Community First Health Plans Community Health Alliance Community Health Group Medicaid* Community Health Plan of Washington* Community Health Plan Services* ConnectiCare Connecticut Medicaid Consolidated Associates Railroad Consolidated Health Plan* Consumers Choice Consumers Life Continental General Ins. Co - Medicare Supplement Continental General Ins. Company Cook Children s Health Plan Cooperative Benefit Administrators (CBA) CoOportunity Coordinated Care CoreSource - FMH CoreSource - Little Rock CoreSource - MD PA & IL CoreSource - OH Country Cupboard County Medical Services* CountyCare CountyCare Behavioral Health Covenant Administrators Coventry Health Care Federal Coventry Health Care National Coventry Missouri CoventryCares of Kentucky CoventryCares of Maryland CoventryCares of Michigan CoventryCares of Nebraska CoventryCares of Pennsylvania CoventryCares of Virginia CoventryCares of West Virginia CoventryOne Cox Health Plans CSA Fraternal Live Medicare Supplement Culinary Health Fund UNITE HERE Health Cypress* DakotaCare* Dean Health Plan Dean Health Plan Medicaid Delaware Medicaid Denver Health Medical Plan Deseret Mutual DH Evans Directors Guild District of Columbia Medicaid DMC Care EBMS Elderplan Emblem Health Employee Benefit Management Services* Employee Benefit System* EPIC Life Insurance EPSI Inc Essence Healthcare Evangelical Community Hospital Everence Financial Evergreen Health Co-op Excellus Blue Cross Blue Shield Fallon Community Health Plan FamilyCare FCE Benefit Administrators Federated Ins. Company FHP Childrens Mercy Care Network Fidelis Care Fidelis Care - Medicare Fidelis Securecare Of Michigan First Administrators First Ameritas of New York First Choice Health* First Medical Network First Plus Puerto Rico First Reliance Standard Life First United American Insurance Company FirstCare* Florida Health Care Plans Florida Hospital Healthcare System Florida Medicaid Florida True Health Food Bakery Confection Workers Fund Of So Cal Fox/Everett* Freedom Blue Freedom Health Fresenius Medical Care Gateway Health Plan Geisinger Health Plan Georgia Medicaid Globe Life and Accident Insurance Company Gold Coast* Golden Rule Government Employees Hospital Association Great American Life Assurance Co Medicare Supp Great American Life Ins. Co Medicare Supplement Great-West HealthCare Group Health Cooperative Group Practice Affiliates GroupLink Gundersen Health Plan Gundersen Health Plan Medicaid Gundersen Health Plan Medicare Harmony Health Plan (WellCare of Florida) Harvard Pilgrim HealthCare Hawaii Medicaid -3-
Health Alliance Plan Health America Of PA Health Choice Arizona Health Cost Solutions Health Choice Insurance Company Health Choice of OK* Health First Health Plan Health First Insurance Health First of Florida Health Net Health New England Health Partners of Minnesota Health Partners of Philadelphia Health Plan of San Mateo Health Plan of the Upper Ohio Valley* Health Services for Special Needs Children Health Share of Oregon Healthcare Management* Healthcare Solutions Group HealthComp Administrators HEALTHe Exchange HealthEase (WellCare of Florida) HealthEase Kids (WellCare of Florida) HealthEZ Healthfirst of New Jersey Healthfirst of New York Healthgram HealthMarkets: Chesapeake National Life Ins. HealthMarkets: Mega Life and Health HealthMarkets: MidWest National Life Ins. HealthMarkets: Transamerica Life Ins. HealthNow Healthplan Services Celtic Insurance Co Healthplan Services First Health Life Health Ins Co Healthplan Services Metlife Insurance Company Healthplan Services Physicians Mutual Healthplan Services Trustmark Life Insurance Co HealthPlus of Michigan Healthscope HealthSmart Benefit Solutions Healthsource Healthspring HealthSpring (AL FL IL) HealthSpring Tennessee (HMO POS and M+C) Healthy Texas Heritage Physician Network (Houston) Highmark BlueCross BlueShield Home State Hometown Health Hometown Health - Medicare Horizon New Jersey Health Hudson Health Plan Humana Humana CareSource (KY) IBEW Local 508 Health Plan IBM Insurance Outsourcing Services Idaho Medicaid IHC Health Solutions* IlliniCare Health Plan Illinois Medicaid Independence Administrators Independent Health Indiana Medicaid Inland Empire Health INTEGRA Administrative Group Integra BMS Integrated Mental Health Services Inter Valley Health Plan Iowa Medicaid Island Home Insurance Jackson Memorial Hospital Health Plan Johns Hopkins Healthcare Kaiser Foundation Health Plan of Mid-Atlantic Kaiser Foundation Health Plan of CO Kaiser Foundation Health Plan of HI Kaiser Foundation Health Plan Of HI (DHMO/Choice) Kaiser Foundation Health Plan of NW Kaiser Foundation Health Plan of OH Kaiser Permanente Insurance Co KPIC Kaiser Permanente of Georgia Kaiser Permanente of North CA Kaiser Permanente of South CA Kansas Medicaid Katy Medical Group Kentucky Health Exchange Kentucky Medicaid Key Benefit Administrators Keystone First Kitsap Physician Services - Commercial Kitsap Physician Services - Medicare KSKJ Life LA Care Health Plan* Leggett and Platt Leon Medical Centers Health Plans Liberty National Life Insurance Company Lifeprint* Lifewise Health Plan of Arizona Lifewise Health Plan of Oregon Lifewise Health Plan of Washington Lincoln Financial Lincoln Heritage Local 1199 Lonestar TPA Loomis* Louisiana Healthcare Connections Louisiana Medicaid Lovelace Health Plan Lovelace Salud Health Plan - Medicaid Loyal American Life Ins. Co - Medicare Supplement Magellan* MagnaCare Magnolia Health Plan -4-
Mail Handlers Benefit Plan Maine Medicaid Managed Care of America Managed Health Services Indiana Managed Health Services Wisconsin MAPFRE Life Puerto Rico MAPFRE Medicare Excel Maricopa Care Advantage (AZ) Maricopa Health Plan Arizona Martins Point Martins Point Medicare Maryland Medicaid Massachusetts Medicaid MDWise Hoosier Alliance Medben (Newark Oh) MedCost Benefit Services Employers (NC SC) Medica Medica Health Plans MEDI-CAL (CA MEDICAID) Medical Associates Health Plan / Health Choices Medical Card System Medical Mutual of Ohio Medicare Medicare y Mucho Mas (Inmediata Health Group Corp) Medico Insurance Company MediGold* Med-Pay MedStar Select Mega Life: Oklahoma City MercyCare Health Plan (WI) Meridian Health Plan of Illinois Meritain Health Meritus Health Partners MetLife Dental Family MetroPlus* Metropolitan Health Plan (MHP) Medicaid MHNET Behavioral Health Michigan Medicaid Michigan MIChild Minnesota Medicaid Mississippi CHIP (UHC) Mississippi Medicaid Mississippi State & School Employees Health Plan 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 South Carolina Molina Healthcare of Texas Molina Healthcare of Utah Molina Healthcare of Washington Molina Healthcare of Wisconsin Montana Medicaid BlueCross BlueShield West Virginia (Highmark) Municipal Health Benefit Fund Mutual Assurance Administrators* Mutual Health Services (Antares) Mutual Medical Plans Mutual of Omaha MVP Health Care (New York) NALC Health Plan National Telecommunications Cooperative Assoc* Nationwide Health Plans Neighborhood Health Plan (MA) Neighborhood Health Plan (RI) Network Health Insurance Corp Network Health Plan Nevada Medicaid New Era Life Insurance Company New Hampshire Healthy Families New Hampshire Medicaid New Jersey Medicaid New Mexico Health Connections* New Mexico Medicaid New York Medicaid NGS American* Nippon Life Benefits North Carolina Medicaid North Dakota Medicaid Nova Healthcare Administrators NovaSys Health ODS* Ohana Health Plan (WellCare of Hawaii) Ohio Medicaid Oklahoma Medicaid Oklahoma Employees Group Insurance Division Op Eng Local 428 Health Welfare Trust Fund Optima Health Optimum Healthcare Orange County Fire Authority Oregon Medicaid Oscar Oxford Health Plans PacificSource Administrators PacificSource Community Solutions PacificSource Health Plan (OR IN) PacificSource Medicare Panamerican Life Puerto Rico (PALIC) Paramount* PARTNERS Health Plan Partnership Health Plan of California Passport Health Plan Peach State Health Plan PEHP - CHIP PEHP - Commercial PEHP - Medicare Penn Treaty Medicare Supplement -5-
Pennsylvania Medicaid Peoples Health Personal Insurance Administrators PHCS Savility Payers Phoenix Health Plan Physicians Health Plan Mid Michigan Physicians Health Plan of Northern Indiana Physicians Mutual Ins. Company Physicians Plus Insurance Corp Piedmont Piedmont WellStar Health Plan Pinnacle Physician Management Org Pittman and Associates Plan De Salud Hospital Menonita Planned Administrators Inc Plumbers and Pipefitters Local Union 525 Prairie States* Preferred Care Partners Preferred Medicare Choice (PMC) PreferredOne Premier Health Plan Prestige Health Choice Primary PhysicianCare, Inc PrimeWest Health Principal Financial Group Principal Life Ins. Company Priority Health Plan Pro-Claim Plus Pro Health Professional Claims Management* Providence Health Plan Provident American Life & Health - Medicare Supp Puerto Rico Medicaid (ODSI) Puritan Life Insurance Pyramid* QualCare QualChoice of Arkansas* QuikTrip Corporation Recall Systems - Boon-Chapman Benefit Admin Recall Systems - Corporate Benefits Service Recall Systems - Gilsbar Inc. Recall Systems - Group & Pension Administrators Recall Systems - Mississippi Admin Services Inc Recall Systems - Professional Benefits Admin (IL) Recall Systems - Underwriters Safety & Claims Reliance Standard Life Rhode Island Medicaid* Rocky Mountain Health Plan Royal Neighbors of America S and S Healthcare Strategies San Joaquin Health Plan Sanford Health Plan Medicare Santa Clara Family Health Plan Schaller Anderson Aetna Better Health - PA Medicaid Schaller Anderson Aetna Better Health of New York Schaller Anderson Aetna Better Health of OH Schaller Anderson Aetna IL Medicaid Schaller Anderson Aetna Texas Medicaid & CHIP Schaller Anderson Delaware Physicians Care Inc. 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 Health Plan Schaller Anderson Texas CHRISTUS Scott and White Health Plan Secure Health Plans Of Georgia Security Health Plan Select Health of South Carolina 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) SelectHealth Senior Care Action Network (SCAN) HMO Senior Health Services Center Senior Whole Health Significa Benefit Services (Formerly Erin Group) SIHO Insurance Services Simply Healthcare Plans SisCo Benefits Soundpath Health South Carolina Medicaid South Dakota Medicaid Special Agents Mutual Benefit Association Specialties and Paper Products Spectrum Health SPJST Medicare Supplement Standard Insurance Standard Insurance of New York Standard Life and Accident Ins. Company State Farm State Mutual Medicare Supplement StayWell (WellCare of Florida) StayWell Kids (WellCare of Florida) Stewart C Miller and Co StudentResources SummaCare - Commercial SummaCare - Medicare Sun Orthopaedic Group, Inc Sunflower State Health Plan Sunshine State Health Plan Superior HealthPlan Texas Susquehanna Transit Company Sutter Select TennCare TexanPlus - North Texas Area -6-
TexanPlus - Southeast Texas Area TexanPlus (Integranet) TexanPlus (Kelsey-Seybold) Texas CHIP Texas First Health Plan (TOPA) Texas Medicaid The Kempton Company The ULLICO Family of Companies Three Rivers Health Plans (Unison Health) TML Intergovernmental Employee Benefits Pool* Today's Options TransactRX Part D Total Health* Tricare Tricare For Life Tricare Overseas BlueCross BlueShield Puerto Rico (Triple-S Salud) Trustmark Tufts Health Plan Ucare Minnesota - Commercial Ucare Minnesota - Medicaid Ucare Minnesota - Medicare Ultimate Health Plans UMR Wausau UniCare Union Pacific Railroad Employees Health Systems United Agriculture Benefit Trust* United American Insurance Company United Healthcare Securehorizons-Medicare Supp United Mine Workers Association* United Teacher Associates Ins. Co. Medicare Supp UnitedHealth Community Plan UnitedHealthcare UnitedHealthcare Community Plan Tennessee UnitedHealthcare Shared Services Unity Health Plan Univera Universal Care of California Universal Health Care Group University Care Advantage (AZ) University Family Care University of Arizona Health Plans - UHM University of Missouri University of Pittsburg Medical Center - Commercial University of Pittsburg Medical Center - Medicaid University Physicians Healthcare Group (AZ) USAA-Medicare Supplemental Utah Medicaid VA Health Administration Center Valley Care Program Valley Health Plan Value Options* Vantage Health Vermont Medicaid Veterans Affairs Fee Basis Program Village Family Practice Virginia Medicaid VISTA VIVA Health VNS Choice Washington Medicaid Waterstone Benefit Administrators WEA Trust WEB-TPA Inc. WellCare Health Plans Wells Fargo Third Party Admin (CHIP and PEIA) West Virginia CHIP West Virginia Medicaid West Virginia PEIA Western Health Advantage Westlake Financial Group Windsor Medicare Extra (AR MS) WINHealth* Wisconsin Medicaid Wisconsin Medicaid Chronic Disease Program Wisconsin Medicaid Well Woman Program World Corp WPS Health Insurance Wyoming Medicaid * Indicates a website payer that requires additional enrollment & logon information for Web Capture. Any payer with a website can be set up for web capture to access a payer or if additional data elements are needed to embellish an existing payer s response. -7-
Revenue360 can connect to ANY health plan that offers real-time X12 eligibility transactions or website eligibility access. Revised March 2015-8-