Revenue360 Eligibility Verification 270/271 Available Payer List



Similar documents
ACS EDI Gateway, Inc. Eligibility Payer List

BASIC FACTS & FIGURES: NONPROFIT HEALTH PLANS 1

Payer ID Payer Name Enrollment Required AARP Absolute Total Care Access Medicare ACS Benefit Services, Inc.

NCQA's Health Insurance Plan Rankings Medicare Plans October 18, 2010

NCQA s health insurance rankings

Issuers Owing Refunds for 2013

Issuers Owing Rebates for 2012 Data as of August 1, 2013 Rebates in the Individual Market

Your questions answered

SUPPORTED HEALTH PLANS

Your questions answered

Column1 Column2 Column3 Column4

Issuers Owing Rebates for 2012

Avoiding Overuse: NCQA s private health insurance rankings

Revenue360 Eligibility Verification 270/271 Available Payer List

NCQA s Medicaid health insurance rankings

SUPPORTED HEALTH PLANS

Subrogees With Whom AHP Has Entered Into a Separate Agreement as of December 6, 2002

Phreesia s Eligibility and Benefits Payer Verification List

Xerox EDI Eligibility Gateway 276/277 Payer Guide

2015 HEDIS Account Managers List

ENS Governmental Format Status (As of 06/16/2008)

ISSUE BRIEF. Insurer ACA Exchange Participation Declines in Edmund F. Haislmaier

Public School Teacher Experience Distribution. Public School Teacher Experience Distribution

Postal Premium Rates for the Federal Employees Health Benefits Program

Essential Health Benefits: Illustrative List of the Largest Three Small Group Products by State

A/B MAC Jurisdiction 1 Original Medicare Claims Processor

An issuer must submit at least one QIS to a Marketplace for the 2017 coverage year if the following participation criteria are met:

Three-Year Moving Averages by States % Home Internet Access

High Risk Health Pools and Plans by State

NON-RESIDENT INDEPENDENT, PUBLIC, AND COMPANY ADJUSTER LICENSING CHECKLIST

Xerox EDI Direct Eligibility (270/271) and Claim Status (276/277) Payer List

Xerox EDI Direct Eligibility (270/271) Payer List

Recons Partly Overturned %

Chex Systems, Inc. does not currently charge a fee to place, lift or remove a freeze; however, we reserve the right to apply the following fees:

Capario Payer ID Table

Xerox EDI Eligibility Gateway 270/271 Payer Guide Commercial

Workers Compensation State Guidelines & Availability

STATE INCOME TAX WITHHOLDING INFORMATION DOCUMENT

Impacts of Sequestration on the States

Licensure Resources by State

J.D. Power Reports: Concerns about Not Having Enough Health Coverage Drive Down Member Satisfaction

Xerox EDI Eligibility Gateway 270/271 Payer Guide Commercial

MAINE (Augusta) Maryland (Annapolis) MICHIGAN (Lansing) MINNESOTA (St. Paul) MISSISSIPPI (Jackson) MISSOURI (Jefferson City) MONTANA (Helena)

2016 Individual Exchange Premiums updated November 4, 2015

SUMMARY REPORT ON TRANSITIONAL REINSURANCE PAYMENTS AND PERMANENT RISK ADJUSTMENT TRANSFERS FOR THE 2014 BENEFIT YEAR

US Department of Health and Human Services Exclusion Program. Thomas Sowinski Special Agent in Charge/ Reviewing Official

Table 1: Advertising, Marketing and Promotional Expense as a Percentage of Net Operating Revenue

AARP AARP-United Healthcare Insurance Co Acordia National - Mohawk / Hickory Springs AETNA Aetna Health Plans PPO Aetna

Xerox EDI Eligibility Gateway 270/271 Payer Guide Commercial

2015 Medicare Advantage and Prescription Drug Plans Offered by Blue Cross and Blue Shield Companies

2016 Medicare Advantage and Prescription Drug Plans Offered by Blue Cross and Blue Shield Companies

VCF Program Statistics (Represents activity through the end of the day on June 30, 2015)

Englishinusa.com Positions in MSN under different search terms.

HCUP Methods Series Supplements 1-3 An Examination of Expected Payer Coding in HCUP Databases Report #

BUSINESS DEVELOPMENT OUTCOMES

United States Bankruptcy Court District of Arizona NOTICE TO: DEBTOR ATTORNEYS, BANKRUPTCY PETITION PREPARERS AND DEBTORS

Rates are valid through March 31, 2014.

INTRODUCTION. Figure 1. Contributions by Source and Year: (Billions of dollars)

United States Bankruptcy Court District of Arizona

ANTHONY P. CARNEVALE NICOLE SMITH JEFF STROHL

Carrier Participation in Public Health Insurance Exchanges

recovery: Projections of Jobs and Education Requirements Through 2020 June 2013

State Tax Information

Hail-related claims under comprehensive coverage

2014 INCOME EARNED BY STATE INFORMATION

LexisNexis Law Firm Billable Hours Survey Top Line Report. June 11, 2012

Health Insurance Coverage of Children Under Age 19: 2008 and 2009

Real Progress in Food Code Adoption

Net-Temps Job Distribution Network

********************

2nd Global Summit Healthcare Fraud: Prevention is better than cure October 2012 Beaumont Estate, Old Windsor, UK

American C.E. Requirements

List of State Residual Insurance Market Entities and State Workers Compensation Funds

OptumInsight Eligibility Payer List ANSI HIPAA 270/271 (As of 1/19/2016)

The Obama Administration and Community Health Centers

Health Insurance Exchanges and the Medicaid Expansion After the Supreme Court Decision: State Actions and Key Implementation Issues

State Pest Control/Pesticide Application Laws & Regulations. As Compiled by NPMA, as of December 2011

SUMMARY ANNUAL REPORT For CITIBUILDER 401(k) PLAN FOR PUERTO RICO This is a summary of the annual report for Citibuilder 401(k) Plan for Puerto Rico,

22 States do not provide access to Chapter 9 Bankruptcy

State-Specific Annuity Suitability Requirements

Notices of Cancellation / Nonrenewal and / or Other Related Forms

NAIC ANNUITY TRAINING Regulations By State

STATISTICAL BRIEF #273

8. Network Usage and Growth

STATE DATA CENTER. District of Columbia MONTHLY BRIEF

STATE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM PARTICIPATION RATES IN 2009 FOOD AND NUTRITION SERVICE

Alabama Commission of Higher Education P. O. Box Montgomery, AL. Alabama

For Alaska, Arizona, Colorado, Hawaii, Iowa, Nevada, North Dakota, Oregon, South Dakota, Washington and Wyoming:

State Tax Information

How To Get A National Rac (And Mac)

50-State Analysis. School Attendance Age Limits. 700 Broadway, Suite 810 Denver, CO Fax:

STATE-SPECIFIC ANNUITY SUITABILITY REQUIREMENTS

Data show key role for community colleges in 4-year

Transcription:

Revenue360 Eligibility Verification 270/271 Available Payer List AARP (A United HealthCare Insurance Company) Absolute Total Care 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 Advantra (Texas - New Mexico - Arizona Only) Advantra Freedom Aetna Aetna Long Term Care Affinity Health Plan AFLAC - Dental Aftra Health Fund Alabama Medicaid Allied Benefit Systems, Inc Altius Health Plans AMC Alaska Electrical Health & Welfare Fund AMC American General Life and Accident AMC Health Future AMC Poly America AMC Touchstone Health / HealthNet SmartChoice AMC Touchstone Health PSO American Family Ins. Group - Medicare Supp American National Ins. Company American National Life Ins. Company of Texas American Postal Workers Union Health Plan American Republic Ins. Company (ARIC) American Retirement Life Ins. Co. - Medicare Supp AmeriChoice of NE AmeriChoice of New Jersey AmeriChoice of TN Amerigroup Amerihealth Commercial (DE NJ PA) AmeriHealth Mercy Health Plan Ameritas Life Antares Arcadian Arkansas Community Care Arizona Medicaid (AHCCCS) Arizona Physician s IPA Arkansas Medicaid Assurant Health - John Alden Life Assurant Health - Time Ins. Assurant Health - Union Security Asuris Northwest Health Plan AultCare Avera Health Plans AvMed Health Plans Bankers Life and Casualty BCBS of Central New York BCBS of Western New York Best Choice Health Plan Best Life and Health Better Health Plans (Unison Health Plan) BlueChoice HealthPlan South Carolina Medicaid BlueCross BlueShield of Montana BlueCross BlueShield of Oklahoma BlueCross BlueShield of Rochester BlueCross BlueShield of Utica-Watertown BlueCross BlueShield of Western New York BlueCross BlueShield Alabama BlueCross BlueShield Alaska (Premera) BlueCross BlueShield Arizona BlueCross BlueShield Arkansas 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 BlueCross BlueShield Mississippi BlueCross BlueShield Missouri 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 Oregon (Regence) BlueCross BlueShield Pennsylvania (Highmark) BlueCross BlueShield Rhode Island BlueCross BlueShield South Carolina BlueCross BlueShield South Dakota (Wellmark) BlueCross BlueShield Tennessee BlueCross BlueShield Texas BlueCross BlueShield Vermont BlueCross BlueShield Virginia BlueCross BlueShield Wisconsin -1-

BlueCross BlueShield Wyoming BlueCross California (Anthem) BlueCross Idaho BlueCross Northeast Pennsylvania BlueCross Pennsylvania (Independence) BlueCross Washington (Premera) Bluegrass Family Health BlueShield California BlueShield of Northeastern New York BlueShield Washington (Regence) Boston Medical Center HealthNet Bravo Health Inc. Bridgestone Americas Bridgeway Arizona Buckeye Community Health California Medicaid (Medi-Cal) Capital BlueCross (Pennsylvania) Capital District Physicians Health Care Improvement Plus Care1st of California CareMore CarePlus Health Plan CareSource Health Cariten Healthcare (Commercial) Carpenter s Health & Welfare Trust - St. Louis CDS Group Health Celtic Insurance CeltiCare Cenpatico - Arizona Cenpatico - Florida Cenpatico - Illinois Cenpatico - Indiana Cenpatico - Kansas Cenpatico - Kentucky Cenpatico - Massachusetts Cenpatico - Ohio Cenpatico - South Carolina Cenpatico - Texas Cenpatico - Wisconsin Central Reserve Ins. Company Central Reserve Life Ins. Co. - Medicare Supp Central States Fund CHC Carelink (Advantra) CHC Carelink Medicaid CHC Florida/Vista/Summit CHC of Delaware CHC of Georgia CHC of Iowa CHC of Kansas CHC of Louisiana CHC of Nebraska CHCcares of South Carolina CHF Medicare Advantage Christian Brothers Services Cigna Cigna Voluntary Limited Medical Citrus Health Colorado Access Colorado Medicaid Columbia United Providers - CHIP Columbia United Providers - Medicaid Community Care Behavioral Health Community Care of Oklahoma Community Health Plan of Washington ConnectiCare Connecticut Medicaid Consolidated Associates Railroad Consolidated Health Plan Continental General Ins. Company Continental General Ins. Co - Medicare Supp Cook Children s Health Plan Cooperative Benefit Administrators (CBA) CoreSource - FMH CoreSource - Little Rock CoreSource - MD PA & IL CoreSource - OH County Medical Services Coventry Advantra Savings Coventry Cares Coventry Cares of Kentucky Coventry Health and Life-Nevada Coventry Health and Life-OK Only Coventry Health and Life-TN Only Coventry Health Care Carenet Coventry Health Care Federal Coventry Health Care National Coventry Health Care of Kansas - Wichita Coventry Missouri Coventry Nebraska Medicaid CoventryOne CSA Fraternal Live Medicare Supplement Cypress DakotaCare Dean Health Plan Denver Health Medical Plan Deseret Mutual DH Evans Diamond Plan (Maryland Medicaid) Director's Guild District of Columbia Medicaid Emblem Health Employee Benefits Administration Essence Healthcare Excellus Blue Cross Blue Shield Fallon Community Health Plan FamilyCare FCE Benefit Administrators Inc. Federated Ins. Company FHP Childrens Mercy Care Network Fidelis Care -2-

Fidelis Care - Medicare First Ameritas of New York First Choice Health First Reliance Standard Life FirstCare Florida Hospital Healthcare System Florida Medicaid Fox/Everett Freedom Blue Fresenius Medical Care Gateway Health Plan Geisinger Health Plan Generations Healthcare Georgia Medicaid Government Employees Hospital Association Great American Life Assurance - Medicare Supp Great American Life Ins. Co. - Medicare Supp GreatWest HealthCare Group Health Cooperative Group Health Plan (GHP) Group Practice Affiliates Harmony Health Plan (WellCare of Florida) Harvard Pilgrim HealthCare Hawaii Medicaid Health Alliance Plan Health Choice Arizona Health Choice of OK Health Net Health New England Health Partners of Minnesota Health Partners of Philadelphia Health Plan of San Mateo Health Services for Special Needs Children HealthAmerica & HealthAssurance Healthcare Management Healthcare Solutions Group Healthcare USA (HCUSA) HEALTHe Exchange HealthEase (WellCare of Florida) HealthEase Kids (WellCare of Florida) Healthfirst of New Jersey Healthfirst of New York HealthMarkets: Chesapeake National Life Ins. HealthMarkets: Mega Life and Health HealthMarkets: MidWest National Life Ins. HealthMarkets: Transamerica Life Ins. HealthNow HealthPlus of Michigan HealthSmart Benefit Solutions Healthsource HealthSpring (AL FL IL) HealthSpring Tennessee (HMO POS and M+C) Healthy Texas Hometown Health Hometown Health - Medicare Horizon New Jersey Health Humana Idaho Medicaid IHC Health Solutions IlliniCare Health Plan Illinois Medicaid Independence Administrators Independent Health Indiana Medicaid Inland Empire Health Integrated Mental Health Services Inter Valley Health Plan Iowa Medicaid Jackson Memorial Hospital Health Plan Johns Hopkins Healthcare Kaiser Foundation Health Plan of CO Kaiser Foundation Health Plan of HI Kaiser Foundation Health Plan of NW Kaiser Foundation Health Plan of OH Kaiser Foundation Health Plan of the Mid-Atlantic Kaiser Permanente of GA Kaiser Permanente of North CA Kaiser Permanente of South CA Kansas Medicaid Kentucky Medicaid Kentucky Spirit Health Plan Key Benefit Administrators Keystone Mercy Health Plan Kitsap Physician Services - Commercial Kitsap Physician Services - Medicare LA Care Health Plan Eligibility Loomis Louisiana Healthcare Connections Louisiana Medicaid Lovelace Health Plan Lovelace Salud Health Plan - Medicaid Loyal American Life Ins. Co - Medicare Supp Magellan Magnolia Health Plan Mail Handlers Benefit Plan Maine Medicaid Managed Health Services Indiana Managed Health Services Wisconsin Maricopa Health Plan Arizona Maryland Medicaid Massachusetts Medicaid MDWise Hoosier Alliance MedCost Benefit Services Employers (NC SC) Medica Medical Card System Medical Mutual of Ohio Medical Services Initiative Medicare Medico Insurance Company MediGold -3-

Mega Life: Oklahoma City Mercy Care Plan (Arizona) Meridian Health Plan of Illinois Meritain Health MetLife Dental Family Metropolitan Health Plan (MHP) 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 Michigan Molina Healthcare of Missouri Molina Healthcare of New Mexico Molina Healthcare of Ohio Molina Healthcare of Texas Molina Healthcare of Utah Molina Healthcare of Washington Molina Healthcare of Wisconsin Montana Medicaid Mountain State Mutual Assurance Administrators Mutual of Omaha MVP Health Care (New York) NALC Health Plan National Telecommunications Cooperative Association (NTCA) Nationwide Health Plans Neighborhood Health Plan (MA) Neighborhood Health Plan (RI) Network Health Plan Nevada Medicaid New Hampshire Medicaid New Jersey Medicaid 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 Omnicare (Michigan) Optima Health Oregon Medicaid Oxford Health Plans Pacific Source Health Plan (OR IN) PacifiCare of Arizona (HMO) PacifiCare of California PacifiCare of Colorado (HMO) PacifiCare of Oklahoma PacifiCare of Oregon PacifiCare of Texas PacifiCare of Washington Paramount PARTNERS Health Plan Partnership Health Plan of California Passport Health Plan PEHP - CHIP PEHP - Commercial PEHP - Medicare Pennsylvania Medicaid Peoples Health Personal Ins. Administrators (PIA) PersonalCare PHCS Savility Payers Phoenix Health Plan Physicians Mutual Ins. Company Pittman and Associates Preferred Health Systems PreferredOne Presbyterian Health Plan Primary PhysicianCare, Inc PrimeWest Health Principal Life Ins. Company Priority Health Plan Providence Health Plan Provident American Life & Health Ins. Medicare Supp Puerto Rico Medicaid (ODSI) Pyramid QualChoice of Arkansas QuikTrip Corporation 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 Recall Systems-Boon-Chapman Benefit Administrators Regence Blue Cross Blue Shield of Utah Regence Blue Shield of Idaho Reliance Standard Life Rhode Island Medicaid Rocky Mountain Health Plan San Joaquin Health Plan Sanford Health Plan Sanford Health Plan Medicare Santa Clara Family Health Plan Schaller Anderson Aetna Better Health - PA Medicaid -4-

Schaller Anderson Aetna Better Health of NY Schaller Anderson Aetna IL Medicaid Schaller Anderson Aetna Texas Medicaid & CHIP Schaller Anderson Delaware Physicians Care Inc. Schaller Anderson Integral Quality Care FL Schaller Anderson MajestaCare VA Schaller Anderson Maryland Physicians Care Schaller Anderson Mercy Care Schaller Anderson Missouri Care Schaller Anderson Parkland Community Hlth Plan Schaller Anderson Texas CHRISTUS Scott and White Health Plan Select Health of South Carolina Senior Care Action Network (SCAN) HMO Significa Benefit Services (Formerly Erin Group) South Carolina Medicaid South Dakota Medicaid Southern Health Services (SHS) Special Agents Mutual Benefit Association SPJST Medicare Supplement Standard Insurance Standard Insurance of New York Standard Life and Accident Ins. Company StayWell (WellCare of Florida) StayWell Kids (WellCare of Florida) StudentResources SummaCare - Commercial SummaCare - Medicare Sunshine State Health Plan Superior HealthPlan Texas Sutter Select TennCare TexanPlus - North Texas Area TexanPlus - Southeast Texas Area Texas CHIP Texas Medicaid The Kempton Company Three Rivers Health Plans (Unison Health) TML Intergovernmental Employee Benefits Pool Today's Health Today's Options Total Health Tribute / SelectCare of Oklahoma Tricare Triple-S Salud (BCBS Puerto Rico) Trustmark Tufts Health Plan Ucare Minnesota - Commercial Ucare Minnesota - Medicaid Ucare Minnesota - Medicare UMR Wausau UniCare Union Pacific Railroad Employees Health Systems United Mine Workers Association United Teacher Assoc. Ins. Co. - Medicare Supp UnitedHealth Community Plan UnitedHealthcare UnitedHealthcare Plan of the River Valley UnitedHealthcare Shared Services Unity Health Plan Univera Universal Care of California Universal Health Care Group University Care Advantage (AZ) University Family Care University of Missouri University of Pittsburg Medical Center - Commercial University of Pittsburg Medical Center - Medicaid University Physicians Healthcare Group (AZ) USAA Life Ins. Company VA Health Administration Center Value Options Vantage Health Vermont Medicaid Veterans Affairs Fee Basis Program Virginia Medicaid VISTA (MCD - FHK - LTC) VIVA Health VNS Choice Washington Medicaid WEB-TPA Inc. WellCare Health Plans Wellpath Select (Carolinas) Wells Fargo Third Party Admin (CHIP and PEIA) West Virginia CHIP West Virginia Medicaid West Virginia PEIA Western Health Advantage Windsor Medicare Extra (AR MS) WINHealth Wisconsin Medicaid Wisconsin Medicaid Chronic Disease Program Wisconsin Medicaid Well Woman Program World Insurance (ARIC) Writer's Guild Wyoming Medicaid -5-

Revenue360 can connect to any health plan that offers real-time X12 eligibility transactions -6-