exchange edi payer listexchangeedi.com/.../10/exchange-edi-eligibility-payer-list-10-2015.pdf ·...

Payer ID Payer Name Eligibility 270/271 Claim Status 276/277

10431 AARP Yes Yes

11030 Access Medicare Yes Yes

11009 ACS Benefit Services Yes Yes

10619 Administrative Services Inc Yes N/A

10561 Advantage by Bridgeway Health Solutions Yes Yes

10562 Advantage by Buckeye Community Health Plan Yes Yes

10563 Advantage by Managed Health Services Yes Yes

10564 Advantage by Superior HealthPlan Yes Yes

10004 Aetna Yes Yes

10891 Aetna Administrator Medicare Supplement Yes N/A

10892 Aetna Better Health (IL) Yes N/A

11008 Aetna Better Health (LA) Yes Yes

11026 Aetna Better Health (MI) Yes Yes

11064 Aetna Better Health (MO) Yes Yes

10976 Aetna Better Health (NE) Yes Yes

10994 Aetna Better Health (NJ) Yes Yes

10894 Aetna Better Health (PA) Yes Yes

10895 Aetna Better Health (TX) Yes N/A

10896 Aetna Better Health (TX) CHIP Yes N/A

10397 Aetna Long Term Care Yes Yes

10897 Aetna Senior Supplemental Yes N/A

10983 Aetna Signature Administrators Yes Yes

10594 Affinity Health Plan Yes N/A

10661 Affinity Health Plan Medicare Yes Yes

10955 Aflac Yes Yes

10398 AFLAC - Dental Yes N/A

10663 AFLAC - Medicare Supplemental Yes Yes

10006 Aftra Health Fund Yes Yes

10007 Alabama Medicaid Yes Yes

10639 Alameda Alliance Health Plan Yes N/A

10798 Alan Sturm and Associates - Dental Yes N/A

11016 Alaska Medicaid Yes N/A

11027 All Savers Life Insurance Yes N/A

10654 Allegiance Benefit Plan Management Yes Yes

10898 Allied Benefit Systems Yes N/A

11017 AlohaCare Yes N/A

Exchange EDI Payer List



11002 Alternative Insurance Resources, Inc Yes Yes

10786 Altus Dental Yes N/A

11057 Ambetter of Arkansas Yes N/A

11082 Ambetter Superior Health Plan (TX) Yes N/A

10985 Ameriben Yes Yes

10487 American Family Insurance Group-Medicare Supp & PPO Yes Yes

10664 American Health Medicare Yes N/A

10986 American Income Life Ins.Co. Yes N/A

10829 American Medical Security (AMS) Yes N/A

10595 American National Insurance Yes Yes

10596 American National Life Ins Texas Yes Yes

10899 American Network Ins. Medicare Supplement Yes Yes

10016 American Postal Workers Union (APWU) Yes Yes

10017 American Republic Insurance Company (ARIC) Yes Yes

10538 American Retirement Life Ins Co. Medicare Supp Yes Yes

10018 AmeriChoice of New Jersey (Commercial) Yes N/A

11085 Americo Financial Life & Annuity Yes N/A

10019 AMERIGROUP Yes Yes

10974 AmeriHealth Yes Yes

10416 AmeriHealth Administrators Yes N/A

10640 AmeriHealth Caritas Louisiana (LaCare) Yes Yes

10340 AmeriHealth Caritas Pennsylvania Yes Yes

10020 Ameritas Group - Ameritas Life Insurance Co. Yes Yes

10232 Ameritas Group - First Ameritas of New York Yes Yes

10233 Ameritas Group - First Reliance Standard Life Yes Yes

10234 Ameritas Group - Reliance Standard Life Yes Yes

10236 Ameritas Group - Standard Insurance Yes Yes

10237 Ameritas Group - Standard Insurance of New York Yes Yes

10559 Antares Yes N/A

10993 Anthem Vivity Yes N/A

10708 Apex Benefits Services N/A Yes

10641 Arbor Health Plan Yes Yes

10868 Arise Health Plan Medicare Select Policy Yes Yes

10021 Arizona Medicaid (AHCCCS) Yes N/A

10022 Arizona Physicians IPA (APIPA) Yes N/A

10023 Arkansas Medicaid Yes Yes



10957 Associacion De Maestros Puerto Rico Yes N/A

10230 Assurant Health - John Alden Insurance Company (JALIC) Yes Yes

10087 Assurant Health - Time Insurance Company (FIC) Yes Yes

10227 Assurant Health - Union Security Insurance Company (FBIC) Yes Yes

10529 Asuris Northwest Health Yes Yes

10472 AultCare Yes Yes

10890 Automated Benefit Services Yes N/A

10900 Auxiant Yes N/A

10869 Avera Health Plans Yes N/A

10024 AvMed Health Plans Yes Yes

10813 Bankers Life & Casualty Yes Yes

10707 Banner Health Plans Yes Yes

10025 BCBS of Alabama Yes Yes

10609 BCBS of Alabama [Institutional] Yes Yes

10027 BCBS of Arizona Yes Yes

10028 BCBS of Arkansas Yes Yes

10461 BCBS of Central New York Yes N/A

10029 BCBS of Colorado (Anthem) Yes Yes

10030 BCBS of Connecticut (Anthem) Yes Yes

10831 BCBS of Delaware Yes N/A

10031 BCBS of Florida Yes Yes

10032 BCBS of Georgia (Anthem) Yes Yes

10530 BCBS of Hawaii Yes N/A

10033 BCBS of Illinois Yes Yes

10258 BCBS of Indiana (Anthem) Yes Yes

10396 BCBS of Iowa Yes Yes

10034 BCBS of Kansas Yes Yes

10473 BCBS of Kansas City Yes Yes

10259 BCBS of Kentucky (Anthem) Yes Yes

10035 BCBS of Louisiana Yes Yes

10036 BCBS of Maine (Anthem) Yes Yes

10037 BCBS of Massachusetts Yes Yes

10519 BCBS of Michigan (Institutional) Yes N/A

10038 BCBS of Michigan (Professional) Yes N/A

10039 BCBS of Minnesota Yes Yes

10040 BCBS of Mississippi Yes Yes



10322 BCBS of Missouri (Anthem) Yes Yes

10516 BCBS of Montana Yes N/A

10384 BCBS of Nebraska Yes Yes

10260 BCBS of Nevada (Anthem) Yes Yes

10261 BCBS of New Hampshire (Anthem) Yes Yes

10041 BCBS of New Jersey (Horizon) Yes Yes

10042 BCBS of New Mexico Yes Yes

10043 BCBS of New York (Empire) Yes Yes

10323 BCBS of New York (Excellus) Yes Yes

10383 BCBS of North Carolina Yes Yes

10478 BCBS of North Dakota Yes N/A

10044 BCBS of Ohio (Anthem) Yes Yes

10582 BCBS of Oklahoma Yes Yes

10045 BCBS of Oregon (Regence) Yes Yes

10524 BCBS of Pennsylvania (Highmark) [Institutional] Yes N/A

10046 BCBS of Pennsylvania (Highmark) [Professional] Yes Yes

10304 BCBS of Rhode Island Yes N/A

10047 BCBS of South Carolina Yes Yes

10395 BCBS of South Dakota (Wellmark) Yes Yes

10430 BCBS of Tennessee Yes Yes

10048 BCBS of Texas Yes Yes

10469 BCBS of the Rochester Area (NY) Yes N/A

10470 BCBS of Utica-Watertown (NY) Yes N/A

10624 BCBS of Vermont Yes Yes

10049 BCBS of Virginia (Anthem) Yes Yes

10462 BCBS of West Virginia Yes N/A

10498 BCBS of Western New York Yes N/A

10299 BCBS of Wisconsin (Anthem) Yes Yes

10480 BCBS of Wyoming Yes N/A

11058 Beacon Health Strategies Yes N/A

10665 Benefit Management Inc Yes Yes

10256 Best Choice Health Plan Yes N/A

10050 Best Life and Health Yes Yes

10187 Better Health Plans (Unison Health Plans) Yes Yes

10999 Better Health Plans of Florida Yes N/A

10803 Blue Benefit Administrators of Mass Yes N/A



10262 Blue Cross Independence (Pennsylvania) Yes N/A

10264 Blue Cross Northeastern Pennsylvania Yes Yes

10051 Blue Cross of California (Anthem) Yes Yes

10638 Blue Cross of Idaho Yes N/A

10618 Blue Cross of Utah (Regence) Yes Yes

10326 Blue Cross of Washington and Alaska (Premera) Yes Yes

10325 Blue Cross Pennsylvania (Capital) Yes Yes

10053 Blue Shield of California Yes Yes

10052 Blue Shield of Idaho (Regence) Yes Yes

10499 Blue Shield of North Eastern New York Yes N/A

10054 Blue Shield of Washington (Regence) Yes Yes

10504 BlueChoice HealthPlan South Carolina Medicaid Yes N/A

10429 Bluegrass Family Health Yes N/A

10556 BMC HealthNet Plan Yes N/A

10821 Boon Group Yes Yes

10414 Boon-Chapman Benefit Admin Yes N/A

10399 Bravo Health, Inc. Yes Yes

10827 Bridgespan Yes Yes

10783 Brokers National - Dental Yes N/A

10902 Butler Benefit Services, Inc. Yes N/A

10997 C and O Employees’ Hospital Association Plan N/A Yes

11070 Cal-Viva Yes N/A

11059 California Children Services Yes N/A

10055 California Medicaid (Medi-Cal) Yes N/A

10458 Capital District Physicians’ Health Plan (CDPHP) Yes N/A

10903 Capitol Administrators Yes N/A

10660 CAPROCK Yes N/A

10806 Care Improvement Plus Yes Yes

10981 Care1st Health Plan Arizona Yes Yes

10973 Care1st of California Yes N/A

10270 Carefirst Blue Cross Blue Shield Yes Yes

11080 CareMore Yes N/A

10056 CarePlus Health Plan Yes Yes

10822 CarePoint Medicare Advantage Yes Yes

10057 CareSource Health Yes Yes

10762 Carolina Care Plan, Inc. (CCP) Yes Yes



10667 CDS Group Health Yes Yes

10668 Celtic Insurance Yes N/A

10567 Cenpatico - Arizona Yes Yes

10568 Cenpatico - Florida Yes Yes

10569 Cenpatico - Georgia Yes Yes

10631 Cenpatico - Illinois Yes Yes

10570 Cenpatico - Indiana Yes Yes

10571 Cenpatico - Kansas Yes Yes

10632 Cenpatico - Kentucky Yes Yes

10588 Cenpatico - Massachusetts Yes Yes

10769 Cenpatico - Mississippi Yes Yes

10768 Cenpatico - Missouri Yes Yes

10770 Cenpatico - New Hampshire Yes Yes

10572 Cenpatico - Ohio Yes Yes

10573 Cenpatico - South Carolina Yes Yes

10633 Cenpatico - Texas Yes Yes

10634 Cenpatico - Wisconsin Yes Yes

10766 Cenpatico Behavioral Health Yes Yes

10767 Cenpatico Behavioral Health Texas Yes Yes

10560 Centene - Absolute Total Care Yes Yes

10763 Centene - Advantage by Peach State Yes Yes

10764 Centene - Advantage by Sunshine State Yes Yes

10565 Centene - Bridgeway Arizona Yes Yes

10566 Centene - Buckeye Community Health Yes Yes

10759 Centene - California Health & Wellness Yes Yes

10589 Centene - Celticare Yes Yes

10761 Centene - Coordinated Care Yes Yes

10765 Centene - Granite State Health Plan Yes Yes

10760 Centene - Home State Health Plan Yes Yes

10620 Centene - Kentucky Spirit Health Plan Yes Yes

10704 Centene - Magnolia Health Plan Yes Yes

10586 Centene - Managed Health Services Indiana Yes Yes

10587 Centene - Managed Health Services Wisconsin Yes Yes

11034 Centene - Michigan Fidelis Secure Care Yes Yes

10865 Centene - New Hampshire Healthy Families Yes Yes

10590 Centene - Peach State Health Plan Yes Yes



10451 Centene - Sunshine State Health Plan Yes Yes

10592 Centene - Superior Health Plan TX Yes Yes

10866 Centene - Total Care Carolina Yes Yes

10771 Centene Advantage Plans Yes Yes

10666 CenterLight Healthcare Yes N/A

10884 Central California Alliance for Health Yes N/A

10450 Central Reserve Insurance Company Yes Yes

10539 Central Reserve Life Ins Co. Medicare Supp Yes Yes

10904 Central Senior Care Yes N/A

10486 Central States Fund Yes Yes

10744 Central States Indemnity Yes N/A

11018 Cerner Health Plan Yes Yes

10061 CHAMPVA/Spina Bifida/Children of Women Vietnam Vets Yes Yes

10447 CHC - Advantra (TX, NM, AZ Only) Yes Yes

10307 CHC - Advantra Freedom Yes Yes

10419 CHC - Advantra Savings Yes Yes

10216 CHC - Altius Health Plans Yes Yes

10212 CHC - Coventry Health and Life (Oklahoma) Yes Yes

10448 CHC - Coventry Health and Life Nevada Yes Yes

10405 CHC - Coventry Health and Life Tennessee Yes Yes

10481 CHC - Coventry Health Care Federal Yes Yes

10449 CHC - Coventry Missouri Yes Yes

10642 CHC - COVENTRYCARES OF KENTUCKY Yes Yes

10440 CHC - CoventryOne Yes Yes

10076 CHC - Delaware Yes Yes

10551 CHC - Florida Yes Yes

10206 CHC - Georgia Yes Yes

10219 CHC - Group Health Plan (GHP) Yes Yes

10221 CHC - HealthCare Inc. (Promina) Yes Yes

10222 CHC - HealthCare USA Yes Yes

10224 CHC - Illinois Yes Yes

10207 CHC - Iowa Yes Yes

10208 CHC - Kansas Yes Yes

10210 CHC - Louisiana Yes Yes

10085 CHC - Mail Handlers Benefit Plan Yes Yes

10211 CHC - Nebraska Yes Yes



10428 CHC - University of Missouri Yes Yes

10225 CHC - Virginia Yes Yes

10214 CHC - West Virginia Yes Yes

10226 CHC of the Carolinas Yes Yes

10906 Childrens Mercy PCN Yes N/A

10907 CHP Direct Yes N/A

10908 Christian Brothers Services Yes N/A

11006 CHRISTUS Health Plan New Mexico Yes Yes

11007 CHRISTUS Health Plan NM Medicare Advantage Yes Yes

10062 CIGNA-GreatWest Yes Yes

11001 Claims Management Service Inc Yes N/A

10909 CMFG Life Insurance Yes Yes

10852 Colonial Penn Life Yes Yes

10064 Colorado Access Yes Yes

10065 Colorado Medicaid Yes Yes

10910 Commerce Benefits Group Yes N/A

10066 Community Care of Oklahoma Yes Yes

10329 Community Health Plan of Washington (CHPW) Yes N/A

10421 Community HealthFirst Medicare Advantage Yes N/A

10303 ConnectiCare Yes N/A

10067 Connecticut Medicaid Yes N/A

10669 Consolidated Associates Railroad Yes N/A

11042 Constellation Health (INMEDIATA HEALTH GROUP) Yes N/A

10911 Consumers Life Yes N/A

11051 Consumers Mutual Insurance of Michigan Yes N/A

10540 Continental General Ins Co. Medicare Supp Yes Yes

10454 Continental General Insurance Company Yes Yes

10610 Cook Children’s Health Plan Yes N/A

10068 Cooperative Benefit Administrators (CBA) Yes Yes

10311 CoreSouce (FMH) Yes Yes

10071 CoreSource (Little Rock) Yes Yes

10072 CoreSource (MD,PA,IL,NC,IN) Yes Yes

10411 Corporate Benefit Service Yes N/A

10912 Country Cupboard Yes N/A

10670 Country Life Insurance Company Yes N/A

10880 Covenant Administrators (TPA) Yes N/A



10084 Coventry Healthcare National Network Yes Yes

10218 CoventryCares of Maryland Yes Yes

10223 CoventryCares of Michigan Yes Yes

10548 CoventryCares of Nebraska Yes Yes

10614 CoventryCares of Pennsylvania Yes Yes

10217 CoventryCares of Virginia Yes Yes

10215 CoventryCares of West Virginia Yes Yes

10838 Cox Health Plan Yes N/A

10541 CSA Fraternal Life Medicare Supp Yes Yes

10775 Culinary Health Fund Yes Yes

10577 DakotaCare Yes N/A

10653 Dean Health Plan Yes Yes

10780 DeCare Dental Health Insurance Yes N/A

10828 Definity Health Yes Yes

10293 Delaware Medicaid Yes N/A

10913 Delaware Physicians Care Yes N/A

10709 Delta Dental Ins. Co. - Alabama Yes N/A

10710 Delta Dental Ins. Co. - Florida Yes N/A

10711 Delta Dental Ins. Co. - Georgia Yes N/A

10712 Delta Dental Ins. Co. - Louisiana Yes N/A

10713 Delta Dental Ins. Co. - Mississippi Yes N/A

10714 Delta Dental Ins. Co. - Montana Yes N/A

10715 Delta Dental Ins. Co. - Nevada Yes N/A

10716 Delta Dental Ins. Co. - Texas Yes N/A

10717 Delta Dental Ins. Co. - Utah Yes N/A

10705 Delta Dental of California Yes N/A

10718 Delta Dental of Colorado Yes N/A

10719 Delta Dental of Connecticut Yes N/A

10720 Delta Dental of Delaware Yes N/A

10721 Delta Dental of Hawaii Yes N/A

10722 Delta Dental of Indiana Yes N/A

10723 Delta Dental of Maryland Yes N/A

10724 Delta Dental of Michigan Yes N/A

10725 Delta Dental of Minnesota Yes N/A

10726 Delta Dental of Nebraska Yes N/A

10727 Delta Dental of New Jersey Yes N/A



10728 Delta Dental of New Mexico Yes N/A

10729 Delta Dental of New York Yes N/A

10730 Delta Dental of North Carolina Yes N/A

10731 Delta Dental of North Dakota Yes N/A

10732 Delta Dental of Ohio Yes N/A

10733 Delta Dental of Pennsylvania Yes N/A

10734 Delta Dental of Rhode Island Yes N/A

10735 Delta Dental of Tennessee Yes N/A

10736 Delta Dental of Virginia Yes N/A

10737 Delta Dental of Washington DC Yes N/A

10738 Delta Dental of Washington State Yes N/A

10739 Delta Dental of West Virginia Yes N/A

10740 DeltaCare USA - Claims Yes N/A

10741 DeltaCare USA - Encounters Yes N/A

10787 Dental Benefit Providers Yes N/A

10331 Denver Health Medical Plan Yes N/A

10578 Deseret Mutual (DMBA) Yes N/A

10077 Director's Guild Yes Yes

10078 District of Columbia Medicaid Yes N/A

11081 DMC Care Yes N/A

10862 EBMS Yes Yes

11010 Elderplan Yes N/A

10616 Emblem Health Yes Yes

10784 Employee Benefit Services - Dental Yes N/A

10914 EPIC Life Insurance Yes N/A

11011 EPSI, Inc. Yes N/A

10601 Essence Healthcare Yes Yes

10915 Evangelical Community Hospital Yes N/A

10807 Evercare Yes N/A

10772 Everence Financial Yes Yes

10860 Evergreen Health Co-Op Yes Yes

11019 Expert Benefit Solutions Yes Yes

10082 Fallon Community Health Plan Yes Yes

10427 FamilyCare Yes N/A

11003 FCE Benefit Administrators Yes N/A

10083 Federated Insurance Company Yes Yes



10459 Fidelis Care New York Yes N/A

10859 Fidelis SecureCare of Michigan Yes Yes

10916 First Medical Network Yes N/A

10987 First United American Ins.Co Yes N/A

10870 FirstCare Yes N/A

11068 FISERV WAUSAU Yes N/A

10799 Flex Compensation - Dental Yes N/A

10811 Florida Combined Life - DENTAL Yes N/A

10615 FLORIDA HEALTH CARE PLANS Yes Yes

10333 Florida Hospital Healthcare System Yes N/A

10086 Florida Medicaid Yes Yes

10839 Florida True Health Yes Yes

10776 Food Employers & Bakery Yes Yes

10971 Fox/Everett Yes N/A

10502 Freedom Blue Yes N/A

10602 Fresenius Medical Care Yes Yes

11069 Fringe Benefits Yes N/A

11052 FSL Admin by KBA Yes N/A

10629 Gateway Health Plan Yes N/A

10611 Geisinger Health Plan Yes N/A

10612 Geisinger Health Plan Gold Yes N/A

11065 GEMCare Yes N/A

10088 Georgia Medicaid Yes Yes

10808 GHI Yes N/A

10509 Gilsbar Yes Yes

10988 Globe Life & Accident Ins.Co. Yes Yes

11063 Gold Coast Health Plan Yes N/A

10652 Golden Rule Insurance Yes Yes

10394 Government Employees Hospital Association (GEHA) Yes Yes

10543 Great American Life Insurance Co. Medicare Supp Yes Yes

10174 Group & Pension Administrators Yes N/A

10608 Group Health Cooperative Yes N/A

10781 Group Health Cooperative of South Central Wisconsin - Dental Yes N/A

11041 Group Health Northwest Yes N/A

10964 Group Hospitalization and Medical Services Yes N/A

10583 Group Practice Affiliates Yes N/A



10788 Guardian Life Insurance Co. of America - Dental Yes N/A

10840 Gundersen Lutheran Health Yes N/A

10514 Harmony Health Plan Yes Yes

10091 Hawaii Medicaid Yes N/A

10785 Hawaii Medical Assurance Association - Dental Yes N/A

10871 Health Alliance Medical Plan (IL) Yes N/A

10308 Health Alliance Medical Plans (HAP) Yes N/A

10220 Health America of PA Yes Yes

10092 Health Choice Arizona Yes Yes

11012 Health Cost Solutions Yes N/A

10673 Health First Health Plan Yes Yes

10674 Health First Insurance Yes Yes

10385 Health Net National Yes Yes

10627 Health New England Yes N/A

10484 Health Partners of MN Yes N/A

10098 Health Partners of Philadelphia Yes Yes

10362 Health Plan of San Mateo Yes N/A

10657 Health Plan of Upper Ohio Valley Yes N/A

10584 HEALTH SERVICES CHILDREN SPECIAL NEEDS Yes Yes

10823 Health Share of Oregon Yes N/A

11084 Healthcare Management Administrators Yes N/A

10463 Healthcare Solutions Group Yes N/A

11020 HealthComp Administrators Yes Yes

10597 HEALTHe Exchange Yes N/A

10510 HealthEase Yes Yes

10511 HealthEase Kids Yes Yes

11036 HealthEdge Administrators Yes Yes

10656 HealthEZ Yes N/A

10099 Healthfirst New York Yes Yes

10438 Healthfirst of New Jersey Yes Yes

10692 Healthgram (Primary PhysiciansCare) Yes Yes

10500 HealthNow Yes N/A

10804 HealthPlan of Nevada Yes N/A

10856 Healthplan Services - Celtic Insurance Company N/A Yes

10802 HealthPlans Inc Yes N/A

10309 HealthPlus of Michigan Yes N/A



10621 HealthScope Yes N/A

11079 HealthSmart Benefit Solutions Yes Yes

10003 HealthSmart Benefit Solutions (Wells Fargo TPA) Yes Yes

10789 Healthsource Provident - Dental Yes N/A

10552 HealthSpring Yes Yes

10824 Healthy Texas Yes N/A

10918 Heritage Physician Network (Houston) Yes Yes

10795 Hershey Healthsmile - Dental Yes N/A

10406 HIPNY Yes N/A

11053 HM Care Advantage Admin by KBA Yes N/A

10335 Hometown Health Yes N/A

10337 Horizon NJ Health Yes Yes

11046 Hudson Health Plan Yes N/A

10100 Humana Yes Yes

10920 Humana CareSource (KY) Yes N/A

10855 IBEW Local 508 Health Plan Yes Yes

10861 IBM Insurance Outsourcing Services Yes Yes

10101 Idaho Medicaid Yes N/A

10747 Ideal Life Insurance Yes N/A

10998 IHC Health Solutions N/A Yes

10757 IlliniCare Health Plan Yes Yes

10102 Illinois Medicaid Yes Yes

10417 Independence Administrators Yes N/A

10536 Independent Health Yes Yes

10103 Indiana Medicaid Yes Yes

10104 Inland Empire Health Yes N/A

11021 Insurers Administrative Corporation (IAC) Yes Yes

11054 INTEGRA Administrative Group Yes Yes

10585 Integrated Mental Health Services Yes N/A

10105 Inter Valley Health Plan Yes N/A

11028 International Medical Card Inc Yes N/A

10581 Intracorp N/A N/A

10107 Iowa Medicaid Yes N/A

10675 Island Home Insurance Yes N/A

10267 Johns Hopkins Health Plan Yes N/A

10110 Kaiser Foundation Health Plan of Colorado Yes Yes



10111 Kaiser Foundation Health Plan of Hawaii Yes N/A

10676 Kaiser Foundation Health Plan of Hawaii (DHMO Choice) Yes N/A

10113 Kaiser Foundation Health Plan of the Mid-Atlantic Yes N/A

10114 Kaiser Foundation Health Plan of the Northwest Yes N/A

10238 Kaiser Permanente of Georgia Yes N/A

10115 Kaiser Permanente of Northern CA Yes N/A

10239 Kaiser Permanente of Southern CA Yes N/A

10116 Kansas Medicaid Yes N/A

10921 Katy Medical Group Yes N/A

11047 Kemper Benefits Yes N/A

10117 Kentucky Medicaid Yes Yes

11067 Key Benefit Administrators Yes N/A

11066 Key Benefit Administrators - 37216 Yes N/A

10754 Key Benefits Administrators (IN) Yes Yes

11044 Key Healthy Partners Yes N/A

11055 KeySolution Yes N/A

10300 Keystone Mercy Health Yes N/A

10341 Kitsap Physician Services Yes N/A

10748 KSKJ Life Yes N/A

11060 L.A. Care Health Plan Yes N/A

10975 Leggett & Platt Yes N/A

10677 Leon Medical Centers Health Plan Yes Yes

10989 Liberty National Life Ins.Co. Yes Yes

10978 Lifetime Benefit Solutions (RMSCO) Yes N/A

10843 Lifewise Arizona Yes N/A

10651 Lifewise Health Plan of Oregon Yes Yes

10650 Lifewise Health Plan of Washington Yes Yes

10678 Lincoln Financial Yes Yes

10749 Lincoln Heritage Yes N/A

10979 Local 1199 Yes N/A

11013 LoneStar TPA Yes N/A

10755 Loomis Company Yes N/A

10830 Louisiana Health Exchange Yes Yes

10756 Louisiana Healthcare Connections Yes Yes

10118 Louisiana Medicaid Yes N/A

10544 Loyal American Life Insurance Co. Medicare Supp Yes Yes



10649 Magellan Behavioral Health Yes N/A

10867 Magnacare Yes Yes

10121 Maine Medicaid Yes Yes

10122 MAMSI Health Plan Yes Yes

10885 Managed Care of America Yes N/A

10863 Managed Health Network (MHN) Yes Yes

10679 MAPFRE Life Puerto Rico Yes N/A

10680 MAPFRE Medicare Excel Yes N/A

10435 Maricopa Care Advantage (Arizona) Yes N/A

10434 Maricopa Health Plan (Arizona) Yes Yes

11045 Martins Point Health Care Yes N/A

10289 Maryland Medicaid Yes N/A

10124 Massachusetts Medicaid Yes Yes

10598 MDWise Hoosier Alliance Yes Yes

10682 Med-Pay Inc Yes Yes

10681 MedBen Yes Yes

10272 MedCost Benefit Services Yes N/A

10125 Medica Yes Yes

11029 Medica Health Plans Yes Yes

10683 Medical Associates Health Plan/Health Choices Yes Yes

10952 Medical Card System Yes N/A

10126 Medical Mutual of Ohio Yes Yes

10001 Medicare (Part A & B) Yes N/A

11000 Medicare Advantage - Pennsylvania Yes N/A

10960 Medicare y Mucho Mas (INMEDIATA HEALTH GRP CORP) Yes N/A

10923 Medico Insurance Company Yes N/A

10800 Medigold Health Plans Yes N/A

10844 MedStar Family Choice Yes N/A

10845 MedStar Health Plan Yes N/A

10130 Mega Life (Oklahoma City) Yes Yes

10133 Mercy Care Plan (Arizona) Yes N/A

10644 Meridian Health Plan of Illinois Yes N/A

10635 Meritain Health Yes Yes

10980 Meritus Health Partners Yes Yes

10134 MetLife Dental Family Yes N/A

10135 Metropolitan Health Plan (MHP) Yes N/A



10659 MHNET Behavioral Health Yes N/A

10136 Michigan Medicaid Yes N/A

10392 Michigan Medicaid Pending Eligibility Yes N/A

10138 Michigan MIChild Yes N/A

10139 Minnesota Medicaid Yes N/A

10140 Mississippi Children's Health Insurance Program Yes N/A

10141 Mississippi Medicaid Yes Yes

10142 Mississippi State Employees and Teachers Yes N/A

10702 Missouri Care Yes Yes

10143 Missouri Medicaid Yes Yes

10144 MMSI (Mayo Health) Yes Yes

11005 Moda Health Yes N/A

10145 Molina Healthcare of California Yes Yes

10445 Molina Healthcare of Florida Yes Yes

10685 Molina Healthcare of Illinois Yes Yes

10250 Molina Healthcare of Michigan Yes Yes

10146 Molina Healthcare of New Mexico Yes Yes

10251 Molina Healthcare of Ohio Yes Yes

11031 Molina Healthcare of Puerto Rico Yes Yes

10815 Molina Healthcare of South Carolina Yes Yes

10391 Molina Healthcare of Texas Yes Yes

10252 Molina Healthcare of Utah Yes Yes

10253 Molina Healthcare of Washington Yes Yes

10628 Molina Healthcare of Wisconsin Yes Yes

10147 Montana Medicaid Yes N/A

11035 Montefiore CMO Yes N/A

10687 Municipal Health Benefit Fund Yes Yes

10686 Mutual Health Services Yes Yes

10382 Mutual of Omaha Yes N/A

10148 MVP Health Care (New York) Yes Yes

10992 NaphCare,Inc. N/A Yes

10149 National Association of Letter Carriers (NALC) Yes Yes

10812 National Telecommunications Cooperative Association (NTCA) Yes N/A

10150 Nationwide Specialty Health Yes Yes

10966 Nebraska Medicaid Yes N/A

10376 NEHEN - Harvard Pilgrim Health Care Yes N/A



10377 NEHEN - Neighborhood Health Plans Yes N/A

10379 NEHEN - Tufts Associated Health Plan Yes N/A

10151 Neighborhood Health Partnership Yes Yes

10630 Neighborhood Health Plan (RI) Yes N/A

10688 Network Health Insurance Corp Yes Yes

10626 Network Health Plan of MA Yes N/A

10706 Network Health Plan of WI Yes Yes

10152 Nevada Medicaid Yes N/A

10991 New Era Life Insurance Co. Yes Yes

10153 New Hampshire Medicaid Yes N/A

10154 New Jersey Medicaid Yes N/A

10247 New Mexico Medicaid Yes Yes

10155 New York Medicaid Yes N/A

10074 NGS CoreSource Yes Yes

10156 North Carolina Medicaid Yes Yes

10157 North Dakota Medicaid Yes N/A

11038 Northwest Administrators Yes Yes

10537 Nova Healthcare Administrators Yes N/A

10466 NovaSys Health Yes Yes

10515 Ohana Health Plan Yes Yes

10158 Ohio Medicaid Yes Yes

10995 Oklahoma Employees Group Insurance Division Yes Yes

10159 Oklahoma Medicaid Yes N/A

10777 Operating Engineers Local No.428 Yes Yes

10477 Optima/Sentara Yes N/A

10951 Orange County Fire Authority Yes Yes

10160 Oregon Medicaid Yes N/A

10881 Oscar Yes N/A

10161 Oxford Health Plans Yes Yes

10375 Pacific Source Health Plan Yes N/A

10689 Panamerican Life Puerto Rico (PALIC) Yes N/A

10854 Paramount Health Yes N/A

10369 Partners National Health Plans of NC Yes N/A

10164 Partnership Health Plan of California Yes N/A

10368 Passport Health Plan Yes Yes

10782 Patriot Dental Yes N/A



10924 Penn Treaty Network America Ins Medicare Supp Yes Yes

10165 Pennsylvania Medicaid Yes N/A

11022 People First Yes Yes

10636 Peoples Health Yes N/A

10492 Personal Insurance Administrators (PIA) Yes Yes

10471 PHCS Savility Payers Yes Yes

10658 Physicians Health Plan Northern IN Yes N/A

11015 Physicians Health Plan of Mid-Michigan Yes N/A

10167 Physicians Mutual Insurance Company Yes Yes

11004 Physicians Plus Insurance Yes N/A

10882 Piedmont Yes N/A

10825 Piedmont Wellstar HealthPlans Yes N/A

10926 Pinnacle Physician Management Org Yes Yes

10408 Pittman and Associates Yes Yes

10958 Plan de Salud Hospital Menonita Yes N/A

10886 Planned Administrator Inc Yes Yes

10778 Plumbers & Pipefitters Local 525 Yes Yes

11071 Prairie States Yes N/A

10691 Preferred Care Partners Yes Yes

10847 Preferred Health System of Kansas Yes N/A

10959 Preferred Medicare Choice(PMC)(INMEDIATA HEALTH GRP) Yes N/A

10169 PreferredOne Yes N/A

10848 Premier Health Yes N/A

10646 Presbyterian Health Plan Yes N/A

10965 Prestige Health Choice Yes Yes

10170 Principal Financial Group (Nippon Life) Yes Yes

10490 Priority Health Yes N/A

11014 Pro-Claim Plus Yes Yes

10242 Professional Benefits Administrators Yes N/A

10172 Providence Health Plan Yes N/A

10545 Provident American Life & Health Ins. Co. Mcare Supp Yes Yes

10790 Provident Preferred Network - Dental Yes N/A

11043 Public Employee Benefit Authority Yes N/A

10574 Public Employees Health Program Yes N/A

11050 Public Employees Health Program - CHIP Yes N/A

11049 Public Employees Health Program - Medicare Yes N/A



10743 Puritan Life Insurance Yes N/A

10637 Qualcare Yes N/A

10553 Qualchoice Yes N/A

10508 QuikTrip Corporation Yes Yes

11056 Regence Group Administration Yes N/A

10175 Rocky Mountain Health Plan Yes N/A

10751 Royal Neighbors of America Yes N/A

10875 S and S Healthcare Strategies Yes N/A

10849 San Francisco Health Plan Yes N/A

10177 San Joaquin Health Plan Yes N/A

10533 Sanford Health Plan Yes N/A

10876 Santa Clara Family Health Plan Yes N/A

10816 Schaller Anderson Aetna Better Health of New York Yes Yes

10887 Schaller Anderson Aetna Better Health OH Yes Yes

10817 Schaller Anderson Delaware Physicians, Inc Yes Yes

10818 Schaller Anderson MajestaCare VA Yes Yes

10693 Schaller Anderson Maryland Physicians Care Yes Yes

10694 Schaller Anderson Mercy Care Yes Yes

10996 Schaller Anderson Mercy Maricopa Yes Yes

10695 Schaller Anderson Missouri Care Yes Yes

10643 Schaller Anderson Parkland Community Health Plan Yes Yes

10696 Schaller Anderson Texas CHRISTUS Yes Yes

10360 Scott & White Health Plan Yes N/A

10883 Secure Health Plans of Georgia Yes N/A

10792 Securian Dental Yes N/A

10793 Securian/Patriot Dental Yes N/A

10864 Security Health Plan Yes N/A

10520 Select Health SC Yes Yes

10575 Select Health Utah Yes N/A

10927 Select Senior Clinic Yes N/A

10928 SelectCare of Texas (Beaumont) Yes Yes

10929 SelectCare of Texas (Golden Triangle) Yes N/A

10930 SelectCare of Texas (Houston) Yes Yes

10931 SelectCare of Texas (Integranet) Yes Yes

10932 SelectCare of Texas (Kelsey-Seybold) Yes N/A

10933 SelectCare of Texas (Memorial Clinical Assoc) Yes N/A



10934 SelectCare of Texas (Northwest Diagnostic) Yes N/A

10178 Senior Care Action Network Yes N/A

11023 Senior Dimensions Yes N/A

10697 Senior Health Services Center-Univ American Family Co. Yes Yes

10962 Senior Whole Health Yes Yes

10967 Sharp Health Plan Yes Yes

10752 Shenandoah Life Insurance Yes N/A

10282 Sierra Health Services Yes N/A

10081 Significa Benefit Services Yes Yes

10826 Simply Healthcare Plans Yes Yes

10935 Soundpath Health Yes N/A

10179 South Carolina Medicaid Yes N/A

10180 South Dakota Medicaid Yes N/A

10591 Special Agents Mutual Benefit Assoc (SAMBA) Yes Yes

10936 Spectrum Health Yes N/A

10546 SPJST Medicare Supplement Yes Yes

10593 Standard Life and Accident Insurance Yes N/A

10833 Star HRG Yes N/A

10645 State Farm Yes N/A

10982 State Mutual (Lincoln Novation) Yes N/A

10750 State Mutual Med Supp Yes N/A

10512 StayWell Yes Yes

10513 Staywell Kids Yes Yes

10753 Sterling Investors Life Insurance Yes N/A

10937 Stewart C Miller and Co Yes N/A

11032 Stonebridge Life Insurance Company N/A Yes

10183 Student Insurance Yes N/A

10938 StudentResources Yes N/A

10294 SummaCare Health Plan Yes Yes

11073 Summit America Insurance Service Yes Yes

10939 Sun Orthopaedic Group, Inc Yes N/A

10758 Sunflower State Health (Kansas) Yes Yes

10940 Susquehanna Transit Company Yes N/A

10941 Sutter Select Yes N/A

10794 TennDent Yes N/A

10184 Tennessee Medicaid Yes N/A



10942 TexanPlus (Integranet) Yes Yes

10943 TexanPlus (Kelsey-Seybold) Yes Yes

10604 TexanPlus North Texas Area Yes Yes

10605 TexanPlus Southeast Texas Area Yes Yes

10944 Texas First Health Plan (TOPA) Yes N/A

10186 Texas Medicaid Yes N/A

10698 The Kempton Company Yes Yes

10945 The ULLICO Family of Companies Yes Yes

10318 Three Rivers Health Plans (Unison Health Plan) Yes Yes

10505 Today's Option Yes Yes

10606 Today’s Health Yes Yes

11037 TransactRX Part D Yes N/A

10946 Transamerica Life Insurance (KBA) Yes N/A

10963 Triad Healthcare, Inc N/A Yes

10189 TRICARE Yes Yes

10879 TRICARE for Life Yes N/A

10947 TRICARE Overseas Yes N/A

10953 Triple-S Salud (BCBS Puerto Rico) Yes N/A

10190 Trustmark Insurance Yes Yes

10352 UCare of Minnesota Yes N/A

10888 Ultimate Health Plans Yes Yes

10501 UMR Yes Yes

10246 Underwriters Safety & Claims Yes N/A

10285 Unicare (Anthem) Yes Yes

10791 UNICARE - Dental Yes N/A

11086 Unified Life Insurance Company Yes N/A

10599 Union Pacific Railroad Employees Health Systems Yes Yes

10990 United American Ins.Company Yes Yes

10810 United Concordia Companies, Inc. - DENTAL Yes N/A

10809 United Concordia Federal Employees Program - DENTAL Yes N/A

11076 United Health Group - Optum Health Behavioral Solutions Yes N/A

11077 United Health Group - UHCWest Yes N/A

10002 United Healthcare Yes Yes

10835 United Healthcare Community Plan - Kansas Yes Yes

10836 United Healthcare Facets Detroit Community and State Yes Yes

10834 United Healthcare Facets Pittsburgh Community and State Yes Yes



10837 United Healthcare Nevada Market Yes Yes

10192 United Healthcare Plan of River Valley Yes Yes

10655 United Healthcare SecureHorizons Yes Yes

10547 United Teacher Assoc Insurance Co. Mcare Supp Yes Yes

11025 UnitedHealthcare Community Plan – TN Yes N/A

10349 Unity Health Plans Yes N/A

10535 Univera Yes Yes

11033 Universal Benefit Corp N/A Yes

10193 Universal Care of California Yes N/A

10699 University Care Advantage Arizona Yes Yes

10194 University Family Care Yes Yes

10889 University of Arizona Health Plans - UHM Yes Yes

10977 University of Utah Health Plans Yes N/A

10433 University Physicians Care Advantage (Arizona) Yes Yes

10439 University Physicians Healthcare Group (Arizona) Yes Yes

10288 UPMC Health Plan (Tristate) Yes N/A

10195 USAA Life Insurance Company Yes Yes

10648 UTAH MEDICAID Yes N/A

10196 VA Fee Basis Program Yes Yes

10956 VA Health Administration Center Yes Yes

10850 VA Healthcare Yes N/A

10948 Valley Care Program Yes N/A

10949 Valley Health Plan Yes N/A

11061 Value Options Yes N/A

10858 Vantage Health Plan,Inc Yes Yes

10197 Vermont Medicaid Yes Yes

10950 Village Family Practice Yes N/A

10198 Virginia Medicaid Yes N/A

10467 Virginia Premier Health Plan Yes N/A

10483 VISTA Yes Yes

10468 VIVA Health Yes Yes

10600 VNS CHOICE Yes Yes

10407 Vytra Yes N/A

10424 Washington Medicaid Yes N/A

10853 Washington National Yes Yes

10554 WEA Trust Yes N/A



10532 WEB-TPA, Inc Yes Yes

10488 Wellcare Health Plans Yes Yes

10814 Wellsense Yes N/A

10200 West Virginia Medicaid Yes Yes

10201 Western Health Advantage Yes Yes

11083 Westlake Financial Group Yes N/A

10797 Wilson McShane - Dental Yes N/A

10576 Windsor Medicare Extra Yes Yes

10969 WINhealth Partners Yes N/A

10202 Wisconsin Medicaid Yes Yes

10452 Wisconsin Medicaid Chronic Disease Program Yes Yes

10453 Wisconsin Medicaid Well Woman Program Yes Yes

10386 World Insurance (ARIC) Yes Yes

10878 WPS Health Insurance Yes N/A

10204 Wyoming Medicaid Yes Yes

11089 YourCare Health Plan Yes N/A

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