real-time payer list · 2016. 1. 14. · orderrite eligibility: claim status (real-time) batch file...
TRANSCRIPT
Last Updated 1/14/2016* Indicates a payer that requires additional enrollment information.
1
State Name of Payer OrderRite Eligibility
Claim Status (Real-time)
Batch File
Claim Status
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NAT'L AARP X X X*SC Absolute Total Care X X X X
NAT'L ACS Benefit Services X XNY Access Medicare X XFL Administrative Services Inc XAZ Advantage (Bridgeway Health Solutions) XOH Advantage (Buckeye Community Health Plan) XWI Advantage (Managed Health Services) XTX Advantage (Superior HealthPlan) XMI Advantage Health X
MULTI Advantra (AZ, NM, TX) X XNAT'L Advantra Freedom Medicare X XNAT'L Aetna X X X X X X XNAT'L Aetna Administrator Medicare Supplement X X
IL Aetna Better Health (IL) X XLA Aetna Better Health (LA) X XMI Aetna Better Health (MI) X XMO Aetna Better Health (MO) X XNE Aetna Better Health (NE) X XNJ Aetna Better Health (NJ) X XNY Aetna Better Health (NY) X XOH Aetna Better Health(OH) X XPA Aetna Better Health (PA) X XTX Aetna Better Health (TX) CHIP X XTX Aetna Better Health (TX) X X
NAT'L Aetna Enhanced X*NAT'L Aetna Long Term Care X XNAT'L Aetna Senior Supplemental X X
WI Affinity Health X XNAT'L Affinity Health Plan Medicare X XNAT'L AFLAC X XNAT'L AFLAC Medicare Supplement X XNAT'L AFTRA Healthfund X X
AL Alabama Medicaid X* XCA Alameda Alliance for Health X *AK Alaska Medicaid (Batch) X*AK Alaska Medicaid X*
NAT'L All Savers X XNAT'L Allegiance X X
REAL-TIME PAYER LIST
Last Updated 1/14/2016* Indicates a payer that requires additional enrollment information.
2
State Name of Payer OrderRite Eligibility
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REAL-TIME PAYER LIST
NAT'L Allied Benefit Systems X XHI AlohaCare X
NAT'L AltaMed X*AL Alternative Insurance Resources X X
MULTI Altius Health Plans (WY, UT, ID) X XAR Ambetter of Arkansas X X X
MULTI AmeriBen X XWI American Family Insurance Group X XPR American Health Medicare Eligibility X
NAT'L American Income Life Insurance Company XNAT'L American National Life Insurance Company X X
TX American National Life Insurance Company of Texas X XNAT'L American Network Ins. Medicare Supplement X XNAT'L American Postal Workers Union (APWU) X XMULTI American Republic Insurance X XNAT'L American Retirement Life Insurance Company X X
NJ AmeriChoice of NJ Medicaid XMULTI Amerigroup X X X XMULTI Amerigroup Medicare XMULTI Amerihealth Administrators X*
LA Amerihealth Caritas (LA) XMULTI Amerihealth Caritas (PA) X* X X XNAT'L AmeriHealth DC XMULTI Amerihealth Commercial (DE, NJ, PA) X* XNAT'L Ameritas Life Insurance Company X X
NY Amida Care X*OH Antares X
MULTI Anthem Blue Cross Blue Shield (CO, CT, IN, KY, ME, NH, NV, OH, VA) X X X XGA Anthem Blue Cross Blue Shield of GA X X X XIN Apex Benefit Services XNE Arbor Health Plan X XWI Arise Health Plan Medicare Select Policy X XAZ Arizona Medicaid XAZ Arizona Physicians IPA XAR Arkansas Medicaid X* X
NAT'L Aspire (CHOMP) X*NAT'L Assurant - John Alden Life Insurance Company X XNAT'L Assurant – Time Insurance (FIC) X XNAT'L Assurant – Union Security Insurance (USIC) X X
Last Updated 1/14/2016* Indicates a payer that requires additional enrollment information.
3
State Name of Payer OrderRite Eligibility
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REAL-TIME PAYER LIST
WA Asuris Northwest Health Plan X XOH AultCare X
NAT'L Automated Benefit Services X XNAT'L Auxiant XMULTI Avera Health Plans X
FL AvMed Health Plans XGA Bankers Fidelity X *
NAT'L Bankers Life and Casualty X *NAT'L Banner Health X X
NY BCBS of Central New York XNY BCBS of Western New York X
NAT'L Beacon Health Strategies X*NE Benefit Management Inc X XOK Best Choice Plus - Broward Health (FL) X
NAT'L Best Life and Health X XFL Better Health Plans of Florida X
MULTI Better Health Plan Medicaid (PA, SC, TN) known as Unison Health Plan X XMA Blue Benefit Administrators X *AL Blue Cross Blue Shield of Alabama X XAK Blue Cross Blue Shield of Alaska (Premera) X XAZ Blue Cross Blue Shield of Arizona X XAR Blue Cross Blue Shield of Arkansas X* XFL Blue Cross Blue Shield of Florida X X X X X X XGA Blue Cross Blue Shield of Georgia X X X XHI Blue Cross Blue Shield of Hawaii XIL Blue Cross Blue Shield of Illinois X* X X X X*KS Blue Cross Blue Shield of Kansas X* X X XKS Blue Cross Blue Shield of Kansas City X XLA Blue Cross Blue Shield of Louisiana XMD Blue Cross Blue Shield of Maryland (CareFirst) XMA Blue Cross Blue Shield of Massachusetts X X X X X X XMI Blue Cross Blue Shield of Michigan X*MN Blue Cross Blue Shield of Minnesota X XMS Blue Cross Blue Shield of Mississippi X XMO Blue Cross Blue Shield of Missouri X X X X MT Blue Cross Blue Shield of Montana XNE Blue Cross Blue Shield of Nebraska X XNM Blue Cross Blue Shield of New Mexico X XNC Blue Cross Blue Shield of North Carolina X X X X
Last Updated 1/14/2016* Indicates a payer that requires additional enrollment information.
4
State Name of Payer OrderRite Eligibility
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ND Blue Cross Blue Shield of North Dakota XOK Blue Cross Blue Shield of Oklahoma X* XRI Blue Cross Blue Shield of Rhode Island XNY Blue Cross Blue Shield of Rochester (see Excellus BCBS) XSC Blue Cross Blue Shield of South Carolina X* X X X SC Blue Cross Blue Shield of South Carolina BlueChoice X* X X X SC Blue Cross Blue Shield of South Carolina Companion XSC Blue Cross Blue Shield of South Carolina State Health X*TN Blue Cross Blue Shield of Tennessee X X X X TN Blue Cross Blue Shield of Tennessee (BlueCare) X XTN Blue Cross Blue Shield of Tennessee (Out-of-State) X XTN Blue Cross Blue Shield of Tennessee (TennCare Select) X XTX Blue Cross Blue Shield of Texas X X X X TX Blue Cross Blue Shield of Texas Medicaid XNY Blue Cross Blue Shield of Utica-Watertown (see Excellus BCBS) XVT Blue Cross Blue Shield of Vermont X X X NY Blue Cross Blue Shield of Western New York (see Excellus BCBS) XWI Blue Cross Blue Shield of Wisconsin X X X X WY Blue Cross Blue Shield of Wyoming XCA Blue Cross of California X XID Blue Cross of Idaho X XPA Blue Cross of Northeast Pennsylvania XCA Blue Shield of California X XNY Blue Shield of Northeastern New York XWA Blue Shield of Washington XKY Bluegrass Family Health Eligibility X
NAT'L Boon Group X XTX Boon-Chapman TPA X XMA Boston Medical Center HealthNet X
MULTI Bravo Health Plan Medicare (MD, PA, DC, TX) X XMULTI Bridgespan Health (ID, OR, UT, WA) XNAT'L Bridgestone Americas, Inc. X X
AZ Bridgeway Arizona X XOH Buckeye X X X X
NAT'L Butler Benefit Services, Inc. XNAT'L C and O Employees Hospital Association X X
CA Califormia Children Services X*CA California Health and Wellness X XCA CalOptima X*
Last Updated 1/14/2016* Indicates a payer that requires additional enrollment information.
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State Name of Payer OrderRite Eligibility
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PA Capital BlueCross (PA) X XNY Capital District Physicians Health X
NAT'L Capitol Administrators X XNAT'L Caprock Health Plans XMULTI Care Improvement Plus X X
NY Care Management Company (CMO) XCA Care1st of California X*MD CareFirst (Blue Cross Blue Shield of Maryland) X X X X VA CareFirst (Blue Cross Blue Shield of Virginia) X X X X DC CareFirst (Blue Cross Blue Shield of Washington DC) X X X X FL CareMore X*OR CareOregon X*FL CarePlus Health Plan X XNJ CarePoint Medicare Advantage XOH CareSource (OH) Medicaid X XIN CareSource Indiana XSC Carolina Care XNV CDS Group Health X XMA Celtic Insurance XMA CeltiCare X XCA Cencal Health Plan X
MULTI Cenpatico (AZ,FL,GA,IL,IN,KS,KY,MA,MS,MO,OH,SC,TX,WI) X XAZ Cenpatico (AZ) X XFL Cenpatico (FL) X XGA Cenpatico (GA) X XIL Cenpatico (IL) X XIN Cenpatico (IN) X XKS Cenpatico (KS) X XKY Cenpatico (KY) X XMA Cenpatico (MA) X XMS Cenpatico (MS) X XMO Cenpatico (MO) X XOH Cenpatico (OH) X XSC Cenpatico (SC) X XTX Cenpatico (TX) (IMHS) X XWI Cenpatico (WI) X XNY Centerlight Healthcare XNY Centerlight Healthcare Medicaid XNY Centerlight Healthcare Medicare X
Last Updated 1/14/2016* Indicates a payer that requires additional enrollment information.
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State Name of Payer OrderRite Eligibility
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CA Central California Alliance Health X XCA Central Health Medicare Plan X*
MULTI Central Reserve Insurance Company X XMULTI Central Reserve Insurance Company Medicare X X
TX Central Senior Care X XNAT'L Cerner Health Plan X XMULTI Central States Funds X XNAT'L CHAMPVA X X
SC CHC Cares of South Carolina X XMULTI CHF Medicare Advantage XMULTI CHP Direct XMULTI Childrens Mercy PCN XNAT'L Christian Brothers Services X XNAT'L Christie Student Health Plans X X
TX CHRISTUS Health Plan X XNM CHRISTUS Health Plan New Mexico Health Insurance Exchange X XNM CHRISTUS Health Plan New Mexico Medicare Advantage X X
NAT'L CIGNA X X X X* X X XNAT'L CIGNA Dental XNAT'L CMFG Life Insurance X XNAT'L Colonial Penn X*
CO Colorado Access X CO Colorado Medicaid X XIL Community Care Alliance of Illinois X* X*
OK Community Care of Oklahoma X XTX Community First Health Plans X* XTN Community Health Alliance XWA Community Health First (CHF) Medicare Advantage XCA Community Health Group X*WA Community Health Plan of Washington X XMI Community Health Plan Services X*CT ConnectiCare XCT Connecticut Medicaid X*
NAT'L Consolidated Associates Railroad XMA Consolidated Health Plan X*PR Constellation Health (Inmediata Health Group Corp) XMI Consumer Mutual of Michigan XSC Consumers Choice XOH Consumers Life X
Last Updated 1/14/2016* Indicates a payer that requires additional enrollment information.
7
State Name of Payer OrderRite Eligibility
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REAL-TIME PAYER LIST
MULTI Continental General Insurance Company X XNAT'L Continental General Insurance Company Medicare X X
TX Cook Children’s Health Plan XNE Cooperative Benefit Administrators (CBA) X XWA Coordinated Care X X
MULTI CoreSource (AR, IL, IN, MD, NC, OH, PA) X XMULTI CoreSource (AZ, MN) X
KS CoreSource Kansas (FMH) X XNAT'L Corporate Benefit Service X XNAT'L Country Cupboard XNAT'L Country Life Insurance Company X
IL CountyCare Behavioral X XIL CountyCare X X
CA County Medical Services X*NAT'L Covenant Administrators X XNAT'L Coventry Advantra Savings X X
VA Coventry CHC - Carenet X XID Coventry CHC Altius Health X XOH Coventry CHC Carelink Commercial X XOH Coventry CHC Carelink Medicaid X X
NAT'L Coventry CHC Group Health Plan X XMULTI Coventry CHC Healthcare Inc. X X X
MO Coventry CHC Healthcare USA (MO) X X X NV Coventry Health and Life – NV X X X OK Coventry Health and Life – OK X X X TN Coventry Health and Life – TN X X X
NAT'L Coventry Health Care Federal X X X NAT'L Coventry Health Care National X X X
DE Coventry Health Care of Delaware X X X GA Coventry Health Care of Georgia X X X IA Coventry Health Care of Iowa X X X
NAT'L Coventry Health Care of Kansas City X X X NAT'L Coventry Health Care of Kansas, Wichita X X X
LA Coventry Health Care of Louisiana X X X X NE Coventry Health Care of Nebraska X X X X VA Coventry Health Care of Southern Services X X
MULTI Coventry Health Care of the Carolinas (NC, SC) X X X MULTI Coventry Vista/Summit X X
PA CoventryCares X X X
Last Updated 1/14/2016* Indicates a payer that requires additional enrollment information.
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State Name of Payer OrderRite Eligibility
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REAL-TIME PAYER LIST
KY CoventryCares of Kentucky X X X MULTI CoventryOne X XNAT'L Cox Health Plans XNAT'L CSA Fraternal Live Medicare Supplement X X
NV Culinary Health Fund UNITE HERE Health XMULTI Cypress XNAT'L D H Evans X
SD DakotaCare X*WI Dean Health Plan X XWI Dean Health Plan Medicaid XDE Delaware Medicaid X*DE Delaware Physicians Care X XCO Denver Health Medical Plan XUT Deseret Mutual XMD Diamond Plan X X
NAT'L Directors Guild XMULTI District 9 IAM and AW Welfare Trust X
DC District of Columbia Medicaid XMULTI DMC Care X
TX Driscoll Health Plan XNY ElderPlan XNY Emblem Health X X X*NY Empire Blue Cross Blue Shield X* X X X X*
NAT'L Employee Benefit Management Services X* XNAT'L Employee Benefit System X*NAT'L Employee Benefits Administration(EBA) XNAT'L EPIC Life Insurance XNAT'L EPSI, Inc. XMULTI Essence Healthcare X X
PA Evangelical Community Hospital XNAT'L Everence Financial X
MD Evergreen Health Co-op X XNY Excellus BCBS (Provides BCBS of Western NY through Blue Exchange) X
NAT'L Expert Benefit Solutions X XMA Fallon Community Health XIL FamilyCare X
MULTI FCE Benefit Administrators XMULTI Federated Life Insurance Company X XMULTI FHP Childrens Mercy Care Network X
Last Updated 1/14/2016* Indicates a payer that requires additional enrollment information.
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State Name of Payer OrderRite Eligibility
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REAL-TIME PAYER LIST
NY Fidelis Care Medicaid & Medicare XMI Fidelis SecureCare of Michigan X X
NAT'L Fidelity Security Life Insurance Company XMULTI First Administrators X*
NY First Ameritas of New York X XWA First Choice Health X*SC First Choice VIP Care Plus Medicaid XSC First Choice VIP Care Plus Medicare XGA First Medical Network X
NAT'L First Reliance Statndard Life X XNY First United American Insurance X XTX FirstCare X XFL Florida Health Care Plans X FL Florida Hospital Healthcare System XFL Florida Medicaid X* XFL Florida Medicaid Span of Eligibility XFL Florida True Health X XCA Food, Bakery, Confection Workers Fund of So Cal X XMS Fox/Everett X*WI Freedom Blue X XFL Freedom Health X*PA Gateway Health Plan X
NAT'L GEHA X XPA Geisinger Health Plan X X X PA Geisinger Health Plan Gold XGA Georgia Medicaid (See Peach State Health Plan) X XGA Georgia Medicaid Batch X
NAT'L Gilsbar TPA X XNAT'L Globe Life and Accident Insurance Company X X
CA Goldcoast X*NAT'L Golden Rule X XNAT'L Government Employees Hospital Association (GEHA) X XNAT'L Great American Life Insurance Company Medicare X XNAT'L Great West Healthcare/One Health HMA X
TX Group and Pension TPA X XMULTI Group Health Cooperative (ID,WA) X XNAT'L Group Health Cooperative Eau Claire X*NAT'L Group Health Plan XNAT'L Grouplink X
Last Updated 1/14/2016* Indicates a payer that requires additional enrollment information.
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State Name of Payer OrderRite Eligibility
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REAL-TIME PAYER LIST
WI Group Practice Affiliates XNAT'L Guardian Life Ins Dental XNAT'L Gunderson Health Plan X*MULTI Harmony Health Plan (A WellCare affiliated plan) X XMULTI Harmony Health Plan Medicare X XMULTI Harvard Pilgrim (MA, NH) X X X X
HI Hawaii Mainland Administrators X*HI Hawaii Medical Assurance Association XHI Hawaii Medical Service Association (BCBS of Hawaii) XHI Hawaii Medicaid XDC Health Services for Children with Special Needs XIL Health Alliance Medical Plan of IL X X X
MULTI Health Alliance Plan (IN, WI, OH, MI) X X X OH Health America/Health Assurance X XAZ Health Choice of AZ X XOK Health Choice of OK X*
NAT'L Health Cost Solutions XFL Health First Insurance Inc. XFL Health First Health Plans X* XCA Health Net Medi-Cal X
MULTI Health Net National Commercial (NJ, NY, OR, AZ, CA, CT) X X X*MA Health New England XMN Health Partners of Minnesota XPA Health Partners of Philadelphia X XNV Health Plan of Nevada XCA Health Plan of San Joaquin Medicaid XCA Health Plan of San Mateo XOH Health Plan of Upper Ohio Valley XOH Health Plan of Upper Ohio Valley Medicaid XOH Health Plan of Upper Ohio Valley Medicare XMI Health Plus of MI XDC Health Services for Children with Special Needs X XOR Health Share of Oregon XWA Healthcare Management XMO Healthcare Inc. X X
MULTI Healthcare Solutions Group XMO Healthcare USA (MO) X XCA HealthComp Administrators X XFL HealthEase (A WellCare affiliated plan) X X
Last Updated 1/14/2016* Indicates a payer that requires additional enrollment information.
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State Name of Payer OrderRite Eligibility
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FL HealthEase Kids (A WellCare affiliated plan) X XCA HealthEdge Administrators X X
NAT'L HealthEZ XNJ Healthfirst of New Jersey X XNY Healthfirst of New York Medicaid & Medicare X XFL Healthgram X XNY HealthNow X
NAT'L HealthScope XNAT'L HealthSmart X*
WV HealthSmart Benefit Solutions West Virginia X XMULTI HealthSpring (AL, FL, IL) X X X X
TN HealthSpring Tennessee (HMO, POS and M+C) X X X IN Healthy Indiana Plan XTX Healthy Texas XTX Heritage Physician Network (Houston) X XPA Highmark Blue Cross Blue Shield X X X X DE Highmark Blue Cross Blue Shield of Delaware X*MO Home State X XNV Hometown Health XNJ Horizon Blue Cross Blue Shield of New Jersey X X X X NJ Horizon NJ Health Medicaid X X X X
NAT'L HM Care Advantage XNY Hudson Health Plan X
NAT'L Humana X X X X XKY Humana CareSource (KY) X XGA IBEW Local 508 Health Plan X X
NAT'L IBM Insurance Outsourcing Services X XID Idaho Medicaid X
NAT'L IHC Health Solutions XIL IlliniCare Health Plan X XIL Illinois Medicaid X XPA Independence Administrators XPA Independence Blue Cross FOC XNY Independent Health XIN Indiana Medicaid X X X*CA Inland Empire Health Plan (IEHP) Commercial XCA Inland Empire Health Plan (IEHP) Medicaid X
NAT'L Insurers Administrative Corporation (IAC) X XDE INTEGRA Administrative Group X X
Last Updated 1/14/2016* Indicates a payer that requires additional enrollment information.
12
State Name of Payer OrderRite Eligibility
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TX Integrated Mental Health Services XCA Inter Valley Health Plan XPR Internation Medical Card XIA Iowa Medicaid X X
GU Island Home Insurance XNAT'L John Alden Life Insurance Company (see Fortis) X
MD Johns Hopkins Health Plan XMULTI Kaiser Foundation Health Plan Mid - Atlantic ( DC, MD, VA) XMULTI Kaiser Foundation Health Plan of CO, HI and the Northwest (OR & WA) XNAT'L Kaiser Permanente Insurance Co KPIC X
GA Kaiser Permanente of Georgia XCA Kaiser Permanente of Northern CA XCA Kaiser Permanente of Southern CA XKS Kansas Medicaid XKS Kansas Medicaid (Batch) XTX Katy Medical Group X X
NAT'L Kemper Benefits XOK Kempton Company X XKY Kentucky Medicaid X X
NAT'L Key Benefit Administrators X XNAT'L Key Healthy Partners XMULTI KeySolution X
PA Keystone First X XPA Keystone Health Plan East Commercial X XWA Kitsap Physician Services X
NAT'L KSKJ Life XCA L.A. Care X*LA LaCare XIL Land of Lincoln X
NAT'L Leggett and Platt XFL Leon Medical Centers Health Plans X X
NAT'L Liberty National Life Insurance Company X XAZ Lifeprint X*AZ Lifewise Health Plan of Arizona XOR Lifewise Health Plan of Oregon XWA Lifewise Health Plan of Washington X
NAT'L Lincoln Financial Group X XNAT'L Lincoln Heritage XNAT'L Local 1199 X
Last Updated 1/14/2016* Indicates a payer that requires additional enrollment information.
13
State Name of Payer OrderRite Eligibility
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NAT'L LoneStar TPA XNAT'L Loomis X X
LA Louisiana Healthcare Connections X XLA Louisiana Medicaid XNM Lovelace Health Plan XNM Lovelace Salud Health Plan Medicaid X
NAT'L Loyal American Life Insurance Company Medicare X XNAT'L Magellan X
NJ MagnaCare X XMS Magnolia Health Plan X X
NAT'L Mail Handlers Benefit Plan X XME Maine Medicaid XVA MajestaCare X X
MULTI Managed Care of America X XCA Managed Health Network X XIN Managed Health Services Indiana X XWI Managed Health Services Wisconsin X XPR MAPFRE Life Puerto Rico XPR MAPFRE Medicare Excel XAZ Maricopa Care Advantage (AZ) XAZ Maricopa Health Plan X XOR Marion Polk HPA X*ME Martins Point X*ME Martins Point Medicare X*MD Maryland Medicaid XMD Maryland Physicians Care X XMD Maryland Physicians Care XMA Massachusetts Medicaid X XIN MDWise Health Indiana Plan X*IN MDWise Hoosier Alliance X XIN MDWise Methodist X*IN MDWise ProHealth X*IN MDWise Select Health Network X*IN MDWise St. Catherine X*IN MDWise St. Francis X*IN MDWise St. Margaret Mercy X*IN MDWise St. Vincent X*IN MDWise Total Health X*IN MDWise Wishard X*
Last Updated 1/14/2016* Indicates a payer that requires additional enrollment information.
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State Name of Payer OrderRite Eligibility
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REAL-TIME PAYER LIST
MULTI MedCost Benefit Services Employers (NC, SC) XWI Medica (WI, MN, SD) X X
MULTI Medical Associates Health Plan/Health Choices X XMULTI Medical Benefits Administrators / MedBen X
OH Medical Benefits Administrators Inc. (Newark OH) XOH Medical Benefits Companies (Newark OH) XOH Medical Benefits Mutual (Newark OH) X
MULTI Medical Benefits Mutual / MedBen XMULTI Medical Benefits Mutual Life Insurance Co. X
CA Medi-Cal Medicaid X*OH Medical Mutual of Ohio X X X X CA Medi-Cal Share of Cost XIA Medical Associates Health Plan/Health Choices X X
NAT'L Medicare DDE X*NAT'L Medicare Part A & B XNAT'L Medico Insurance Company X XNAT'L MediGold X*MULTI Med-Pay X XNAT'L MedSolutions X* X*NAT'L MedStar Select X
AZ Mercy Care Plan X XIL Meridian Health Plan of Illinois X X*
NAT'L Meritain Batch XNAT'L Meritain Health X X
AZ Meritus Health Partners XNY MetroPlus (Medicare/Medicaid) X* XMN Metropolitian Health Plan (MHP) X
NAT'L MHNET Behavioral Health X XMI Michigan Medicaid XMI Michigan Medicaid Pending Eligibility XMI MIChild XMN Minnesota Medicaid X*MS Mississippi Medicaid X XMS Mississippi State Employees and Teachers X XMO Missouri Care Health Plan X XMO Missouri Medicaid X* XMN MMSI Mayo X XOR Moda Health X X X*PR Molina (PR) X X
Last Updated 1/14/2016* Indicates a payer that requires additional enrollment information.
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SC Molina (SC) XMULTI Molina Healthcare Medicaid (CA, FL, IL, MI, MO, NM, OH, TX, UT, WA) X X X X
MT Montana Medicaid XWV Mountain States BCBS X*AR Municipal Health Benefit Fund X X
MULTI Mutual Assurance Administrators X*NAT'L Mutual Health Services X XNAT'L Mutual Medical Plans X XNAT'L Mutual of Omaha Commercial XMULTI MVP Healthcare (NY, NH, VT) X* XNAT'L NaphCare XNAT'L National Association of Letter Carriers (NALC) X XMULTI Nationwide Health Plans (CA, OH) X XNAT'L NCTA X*
NE Nebraska Medicaid (Batch) XNE Nebraska Medicaid XFL Neighborhood Health Partnership X
MULTI Neighborhood Health Plan (MA, RI) XMA Network Health XWI Network Health (WI) X XWI Network Health Insurance Corp. XNV Nevada Medicaid XTX New Era Life Insurance X XNH New Hampshire Healthy Families XNH New Hampshire Medicaid XNJ New Jersey Medicaid X*NM New Mexico Health Connections X*NM New Mexico Medicaid X XNY New York Medicaid X
MULTI Nippon Life Insurance Company X XTN North American Administrators XNC North Carolina Medicaid X XND North Dakota Medicaid X
MULTI Northwest Administrators (CA,NV,OR,WA) X XNY Nova Healthcare Administrators XAR NovaSys X XHI Ohana Health Plan (A WellCare affiliated plan) X XOH Ohio Medicaid X X X OK Oklahoma Employees Group Insurance Division X X
Last Updated 1/14/2016* Indicates a payer that requires additional enrollment information.
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State Name of Payer OrderRite Eligibility
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OK Oklahoma Medicaid XMI OmniCare X X
MULTI Operating Eng Local 428 Health and Welfare X XVA Optima Health XFL Optimum Healthcare X*GA Orange County Fire Authority X XOR Oregon Medicaid X
MULTI Oscar X XMULTI Oxford Health Plan (NY, CT, DE, NJ, PA, RI) X X X X X XMULTI Pacific Source Health Plan (OR, ID, MT) X X X*
OR PacificSource Community Solutions X XMULTI PacificSource Medicare (OR, ID) XMULTI PacifiCare (AZ, CA, CO, NM, NV, OK, OR, TX, WA) X XNAT'L Panamerican Life Puerto Rico X
OH Paramount X*TX Parkland Community Health Plan X X
NAT'L PARTNERS Health Plan XCA Partnership Health Plan of California Commercial XCA Partnership Health Plan of California Medicaid XKY Passport Health Plan X XGA Peach State Health Plan X XUT PEHP XPA Penn Treaty Network America Ins. Medicare Supplement X XPA Pennsylvania Medicaid X
NAT'L People First X XLA Peoples Health X XIL PersonalCare (Coventry) X X
NAT'L Personal Insurance Administrators (PIA) X XMULTI PHCS Savility Payers X X
MI PHP of Mid-Michigan XTN PHP of TN Medicaid XIN Physicians Health Plan of Northern Indiana X
NAT'L Physicians Mutual Insurance Company X XWI Physicians Plus Insurance Corporation X
NAT'L Piedmont X XNAT'L Piedmont WellStar Health Plan X
CA Pinnacle Claims Management X*TX Pinnacle Physician Management Org XTN Pittman & Assciates X X
Last Updated 1/14/2016* Indicates a payer that requires additional enrollment information.
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State Name of Payer OrderRite Eligibility
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SC Planned Administrators Inc. X XNV Plumbers Pipefitters Local 525 Health and Welfare Trust X X
NAT'L Prairie States X*NAT'L Preferred Care Partners X XMULTI Preferred One (MN, IA, MT, MI, ND, SD) X
WA Premera Blue Cross of Washington X XPA Premier Health Plan XNM Presbyterian Health Plan X*FL Prestige Health Choice XMN PrimeWest X
NAT'L Principal Financial Group X XMI Priority Health Plan XIN Pro Health X
NAT'L Pro-Claim Plus X XNAT'L Professional Benefit Administrators XNAT'L Professional Claims Management X*MULTI Providence Health Plan (OR, WA) X XNAT'L Provident American Life & Health Insurance Company X XNAT'L Psychcare X*
PR Puerto Rico Medicaid XNAT'L Puitan Life Insurance XNAT'L Pyramid X*MULTI QualCare X
AR QualChoice of Arkansas X*MULTI QuickTrip X X
OR Regence Blue Cross Blue Shield of Oregon X XUT Regence Blue Cross Blue Shield of Utah X XID Regence Blue Shield of Idaho X X
WA Regence Blue Shield of Washington X XNAT'L Reliance Standard Life X X
RI Rhode Island Medicaid X*NAT'L Royal Neighbors of America XNAT'L S and S Healthcare Strategies X XMULTI Sanford Health Plan XMULTI Sanford Health Plan Medicare X
CA Santa Clara Family Health Plan (Valley Health Plan Network only) X XCA SCAN Medicare Supplement XTX Scott and White Health Plan Commercial and Medicare XGA Secure Health Plans Of Georgia X X
Last Updated 1/14/2016* Indicates a payer that requires additional enrollment information.
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State Name of Payer OrderRite Eligibility
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REAL-TIME PAYER LIST
WI Security Health Plan XMS Select Administrative Services XUT Select Health XSC Select Health of South Carolina X XTX Select Senior Clinic X XOK SelectCare of Oklahoma X XTX SelectCare of Texas (Beaumont) X XTX SelectCare of Texas (Golden Triangle) X XTX SelectCare of Texas (Houston) X XTX SelectCare of Texas (Integranet) X XTX SelectCare of Texas (Kelsey-Seybold) X XTX SelectCare of Texas (Memorial Clinical Assoc) X XTX SelectCare of Texas (Northwest Diagnostic) XNV Senior Dimensions X
NAT'L Senior Health Services Center X XMULTI Senior Whole Health Medicaid (NY, MA) XMULTI Senior Whole Health Medicare (NY, MA) X
CA SCFHP (Santa Clara Family Health Plan) XCA Sharp Health Plan X XPA Significa Benefit Services X XIN SIHO Insurance Services X*NV Sierra Health and Life XFL Simply Healthcare Plans X XFL Simply Healthcare Plans Medicaid X XFL Simply Healthcare Plans Medicare X X
NAT'L SisCo Benefits X XNAT'L Soundpath Health X X
SC South Carolina Medicaid XSC South Carolina State Health Plan (Blue Cross Blue Shield of SC) XSD South Dakota Medicaid X
NAT'L Special Agents Mutual Benefits Association X XNAT'L Specialties & Paper Products X
PA Spectrum Health XNAT'L SPJST Medicare Supplement X XMULTI SRT Administrators XNAT'L Standard Insurance X X
NY Standard Insurance of New York X XNAT'L Standard Life and Accident Insurance Company X XNAT'L State Farm X
Last Updated 1/14/2016* Indicates a payer that requires additional enrollment information.
19
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REAL-TIME PAYER LIST
NAT'L Star HRG X XNAT'L State Mutual Medicare Supplement X
FL StayWell (A WellCare affiliated plan) X XFL StayWell Kids (A WellCare affiliated plan) X X
NAT'L Sterling Insurance X*Stewart C. Miller X X
MULTI Stonebridge Life Insurance X XNAT'L Student Insurance X
OH SummaCare XNAT'L Summit America Insurance Services X X
PA Sun Orthopaedic Group, Inc XKS Sunflower State Health Plan X XFL Sunshine State Health Plan X XTX Superior Health Plan X X X* X X
NAT'L Susquehanna Transit Company XCA Sutter Select XNV Teachers Health Trust X*TN TennCare XTX TexanPlus (Integranet) X XTX TexanPlus (Kelsey-Seybold) X XTX TexanPlus North Texas Area X XTX TexanPlus Southeast Texas Area X XTX Texas First Health Plan (TOPA) X XTX Texas Medicaid X X
NAT'L The ULLICO Family of Companies X XMULTI Three Rivers Health Plan (PA, SC, WV) X XMULTI TLC Benefit Solutions (GA, TN) X
TX TML Intergovernmental Employee Benefits Pool X*WI Todays Health X XIN Todays Options X X
NAT'L Total Health X*NAT'L Touchstone Health X*NAT'L TransactRX Part D X X
NY Transamerica Financial Life Insurance XNAT'L Transamerica Premier Life Insurance X XNAT'L TriCare X XNAT'L TRICARE For Life X XNAT'L TRICARE Overseas X X
PR Triple-S Salud (BCBS Puerto Rico) X
Last Updated 1/14/2016* Indicates a payer that requires additional enrollment information.
20
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REAL-TIME PAYER LIST
NAT'L Trustmark X XMULTI Tufts Health Plan (MA, NH) X X X
MN Ucare Minnesota XNAT'L UHC Secure Horizons AARP Medicare Supp X X
FL Ultimate Health Plans X XNAT'L UMR Wausau X XMULTI Underwriters Safety and Claims XNAT'L UNICARE X XNAT'L Union Pacific Railroad Employees X XNAT'L Unison Health Plan X X
CA United Agriculture Benefit Trust X*NAT'L United American Insurance Company Eligibility X XNAT'L United Healthcare X X X X XNAT'L United Healthcare Enhanced X*NAT'L United Teacher Associates Ins Co Medicare Supplement X XNAT'L United Teacher Associates Insurance Company X XNAT'L UnitedHealth Community Plan X X X NAT'L UnitedHealthCare Life Insurance Company XNAT'L UnitedHealthcare Secure Horizons XNAT'L UnitedHealthcare Shared Services X
WI Unity Health Plan XNY Univera XMD Universal Benefit Corp X XCA Universal Care XFL Universal Health Care Group XAZ University Care Advantage Arizona X XAZ University Family Care X XAZ University of Arizona Health Plans - UHM X XMO University of Missouri X XPA University of Pittsburgh Medical Center Health Plan XAZ University Physicians Care Advantage X X
MULTI UPMC Health Plans XNAT'L USAA Life Insurance Company X XNAT'L USAA Medicare Supplement X X
UT Utah Medicaid X*UT Utah Medicaid (Batch)* X*
NAT'L VA Fee Basis Program X* XCA Valley Care Program XCA Valley Health Plan X
Last Updated 1/14/2016* Indicates a payer that requires additional enrollment information.
21
State Name of Payer OrderRite Eligibility
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REAL-TIME PAYER LIST
NAT'L Value Options X* XPA Vantage Health X XVT Vermont Medicaid X* XTX Village Family Practice X XVA Virginia Medicaid XVA Virginia Premier Health Plan XNY Visiting Nurse Services of New York X XFL Vista Health Plan X X
NAT'L Vista/Summit X XAL VIVA Health XWA Washington Medicaid X XWI WEA Trust X
NAT'L WEB-TPA X XMULTI Wellcare (OH, FL, IL, GA, MO, NY, HI) X X X X MULTI Wellmark Blue Cross Blue Shield (IA, SD) X X X X
NC Wellpath Select X XWV West Virginia CHIP XWV West Virginia Medicaid XWV West Virginia PEIA X
NAT'L Western and Southern Financial Group X XCA Western Health Advantage X X
MULTI Windsor Medicare Extra (AR, MS) X XWY WINHealth Partners X*WI Wisconsin Chronic Disease Program X XWI Wisconsin Medicaid X XWI Wisconsin Well Women Program X XWI WPS Health Insurance X