hellonote eligibility
How to add Eligibility ID in HelloNote
Settings -> PayerID match -> input the Eligibility ID from the table on the left side -> press update.
If you are not enrolled in the eligibility system, please email [email protected] with your full name, business name, address, phone number taxID#, and group NPI.
If there are any insurance codes that are not on this list, please let us know!
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Eligibility Checker
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Eligibility Check for Commercial
| Code | Payer Name |
|---|---|
| 10105 | INTER VALLEY HEALTH PLAN |
| 10575 | SELECT HEALTH UTAH IN |
| 10597 | HEALTHE EXCHANGE |
| 10629 | CHRISTUS HEALTH MEDICARE |
| 10850 | METROPOLITAN HEALTH PLAN |
| 11067 | KEY BENEFIT ADMINISTRATOR IN |
| 00112 | UNITED HEALTHCARE |
| 11303 | MAGNACARE |
| 11315 | FIDELIS CARE |
| 11695 | ICARE INDEPENDENT CARE WI |
| 12115 | VA FEE BASIS PROGRAMS |
| 12399 | PHYSICIANS HEALTH PLAN OF IN |
| 12422 | MEDICA IFB |
| 01260 | MAGELLAN HEALTH |
| 128CA | AETNA BETTER HEALTH CA |
| 128FL | AETNA BETTER HEALTH OF FL |
| 128KS | AETNA BETTER HEALTH KANSA KS |
| 128KY | AETNA BETTER HEALTH OF KE KY |
| 128LA | AETNA BETTER HEALTH OF LO LA |
| 128MD | AETNA BETTER HEALTH OF MA MD |
| 128MI | AETNA BETTER HEALTH OF MI MI |
| 128NV | AETNA BETTER HEALTH NV |
| 128VA | AETNA BETTER HEALTH OF VI VA |
| 128WV | AETNA BETTER HEALTH OF WE WV |
| 00130 | MEDPAY MO |
| 13162 | 1199 SEIU FAMILY OF FUNDS NJ |
| 13174 | MONTEFIORE CONTRACT MANAG |
| 13189 | MERIDIAN HEALTH PLAN |
| 13193 | LOYAL AMERICAN |
| 13265 | METRO PLUS HEALTH PLAN |
| 13285 | CLOVER HEALTH-CARE POINT |
| 13333 | AFFINITY HEALTH PLANS |
| 13335 | HUDSON HEALTH PLAN NY |
| 13337 | WELL SENSE HEALTH PLAN |
| 13350 | MODA HEALTH - ODS HEALTH |
| 13360 | CENTERLIGHT HEALTHCARE |
| 13402 | TOUCHSTONE HEALTH/HEALTH |
| 00139 | BCBS MASSACHUSETTS MA |
| 01508 | BETTER HEALTH FLORIDA |
| 00151 | BCBS GEORGIA GA |
| 15460 | PA CARE ADVANTAGE HIGHMAR PA |
| 00016 | OXFORD |
| 16146 | MOLINA HEALTHCARE OF NEW NY |
| 16644 | NOVA HEALTHCARE ADMINISTR |
| 16663 | BANNER MEDICARE ADVANTAGE |
| 16664 | BANNER MEDICARE ADVANTAGE |
| 00019 | COX HEALTH PLAN AR |
| 20356 | THE HEALTH EXCHANGE - CER |
| 20377 | PACIFICSOURCE MEDICARE |
| 20416 | PACIFICSOURCE COMMUNITY S |
| 20554 | MOLINA HEALTHCARE OF TEXA TX |
| 21313 | KAISER PERMANENTE GEORGIA |
| 22248 | AMERIHEALTH MERCY HEALTH |
| 22254 | FALLON COMMUNITY HEALTH |
| 22264 | VYTRA HEALTHCARE |
| 22326 | HORIZON NEW JERSEY HEALTH |
| 22348 | MARYLAND PHYSICIANS CARE |
| 22355 | AMERIHEALTH VIP CARE |
| 00226 | MOLINA HEALTHCARE OF MICH |
| 22771 | MANAGED HEALTH NETWORKS - |
| 00230 | BCBS MISSISSIPPI MS |
| 23037 | AMERIHEALTH HMO DE |
| 23045 | CAPITAL BLUE CROSS PROFES PA |
| 23160 | MEDICO INSURANCE COMPANY |
| 23223 | THE LOOMIS COMPANY |
| 23249 | SENTINEL MANAGEMENT SERVI |
| 23250 | SIGNIFICA BENEFIT SERVICE |
| 23253 | SPECTRUM ADMINISTRATORS |
| 23284 | KEYSTONE FIRST |
| 23285 | SELECT HEALTH OF SOUTH CA SC |
| 23334 | AFFINITY ESSENTIALS |
| 23342 | QUALCARE |
| 23626 | CENTRAL PENNSYLVANIA TEAM |
| 23856 | TOUCHSTONE HEALTH PSO |
| 00240 | HEALTH FIRST |
| 24077 | SANTA CLARA FAMILY HEALTH CA |
| 00243 | HELIX FAMILY CHOICE MD |
| 00243 | MEDSTAR PHYSICIAN PARTNER MD |
| 00246 | BCBS WESTERN NY MEDICAID NY |
| 24735 | PINNACLE CLAIMS MANAGEMEN |
| 25125 | SL CARPENTERS FUND |
| 25127 | COVENTRY HEALTH CARE GEOR |
| 25132 | COVENTRY HEALTH CARE IOWA |
| 25135 | COVENTRY HEALTH CARE LOUI |
| 25136 | COVENTRY HEALTH CARE LOUI |
| 25150 | OMNICARE |
| 25160 | DGA - DIVERSIFIED GROUP A |
| 25175 | AMERICHOICE PERSONAL CARE |
| 25463 | BIND - UHC CHOICE MULTIPL |
| 26337 | AETNA BETTER HEALTH MEDIC IL |
| 26375 | AMERIGROUP DC, GA, NM |
| 26378 | AMERIGROUP |
| 00265 | BCBS NEVADA - ANTHEM NV |
| 00267 | BCBS FLORIDA FL |
| 00268 | BCBS ILLINOIS IL |
| 27094 | SIMPLY HEALTHCARE PLANS |
| 00271 | BCBS TEXAS TX |
| 27514 | AMERIGROUP GEORGIA / TENN GA |
| 00282 | KAISER PERMANENTE (N CA) |
| 00283 | KAISER PERMANENTE (S CA) |
| 28804 | AMERIGROUP |
| 28804 | AMERIGROUP ILLINOIS TX |
| 28805 | AMERIGROUP / AMERICAID - TX |
| 28807 | AMERIGROUP - MARYLAND, VI MD |
| 28809 | AMERIGROUP FLORIDA FL |
| 29076 | CAROLINA CARE PLAN SC |
| 02937 | ANTHEM BCBS (OHIO MEDICAI OH |
| 31048 | WESTERN SOUTHERN FINANCIA |
| 31053 | STATE FARM |
| 31059 | STATE FARM - CASUALTY AND |
| 31107 | UMR CINCINNATI |
| 31114 | CARESOURCE |
| 31441 | S AND S HEALTHCARE STRATE |
| 03150 | CARESOURCE OHIO MEDICAID OH |
| 31625 | ELDERPLAN |
| 32002 | BC MICHIGAN COMPLETE |
| 32004 | BUCKEYE COMMUNITY HEALTH OH |
| 00324 | CAREPLUS HEALTH PLAN |
| 33001 | UNIVERSAL CARE - CALIFORN CA |
| 33033 | FCE BENEFIT ADMINISTRATOR |
| 33628 | MERCY MARICOPA INTEGRATED |
| 34097 | CENTRAL RESERVE LIFE |
| 34136 | JP FARLEY CORPORATION |
| 34186 | CSI NETWORK SERVICES |
| 34192 | ANTARES MANAGEMENT SOLUTI |
| 34192 | MUTUAL HEALTH SERVICES |
| 34196 | APEX BENEFIT SERVICES |
| 03432 | ARIZONA PHYSICIANS IPA AZ |
| 03440 | PHOENIX HEALTH PLAN AZ |
| 35092 | MORRIS ASSOCIATES AKA HEA |
| 35161 | INDIANA PROHEALTH NETWORK IN |
| 35174 | QUALCHOICE OF ARKANSAS AR |
| 35180 | CORESOURCE OF NORTH CAROL NC |
| 35182 | CORESOURCE IL |
| 35183 | CORESOURCE OF OHIO OH |
| 35187 | CORESOURCE |
| 35374 | AMERIHEALTH CARITAS OH OH |
| 35605 | EVERENCE |
| 00360 | APWU HEALTH PLAN |
| 36215 | CENTRAL STATES SOUTHEAST |
| 36215 | TEAMCARE |
| 36331 | PROFESSIONAL BENEFIT ADMI IL |
| 36373 | PRAIRIE STATES ENTERPRISE |
| 36405 | HARMONY HEALTH PLAN OF IN IN |
| 36406 | HARMONY HEALTH PLAN OF IL IL |
| 36878 | ENTRUST |
| 37086 | PEKIN INSURANCE |
| 37217 | KEY BENEFIT ADMINISTRATOR |
| 37224 | PITTMAN AND ASSOCIATES |
| 37287 | PLANNED ADMINISTRATORS, I |
| 37290 | HEALTH SERVICES FOR CHILD |
| 37292 | MACHINIST DISTRICT 9 WELF |
| 37301 | SUMMIT AMERICA INSURANCE |
| 37308 | ALLIED BENEFIT SYSTEMS |
| 37316 | LEON MEDICAL CENTER HEALT |
| 37330 | PHYSICIANS HEALTH PLAN (P |
| 37602 | GOLDEN RULE / ALL SAVERS |
| 37602 | ROONEY LIFE INS |
| 38216 | HEALTH PLUS OF MICHIGAN MI |
| 38217 | PRIORITY HEALTH |
| 38259 | AUTOMATED BENEFIT SERVICE |
| 38308 | CHRISTIAN BROTHERS SERVIC |
| 38309 | HEALTHNET OF AZ AZ |
| 38333 | MOLINA HEALTHCARE OF CALI CA |
| 38336 | MOLINA HEALTHCARE OF WASH WA |
| 38338 | MCLAREN HEALTH PLAN |
| 3833A | MCLAREN HEALTH ADVANTAGE |
| 3833C | MCLAREN MEDICAID |
| 38692 | AETNA TX MEDICAID AND CHI TX |
| 00039 | ANTHEM BC CA CA |
| 39026 | UMR WAUSAU / UHIS |
| 39045 | SECURITY HEALTH PLAN |
| 39144 | NETWORK HEALTH PLAN OF WI |
| 39151 | WEA INSURANCE GROUP |
| 39156 | PHYSICIANS PLUS INSURANCE |
| 39185 | PREVEA HEALTH INSURANCE P |
| 39186 | IN MANAGED HEALTH SERVICE IN |
| 39190 | MEDSTAR FAMILY CHOICE |
| 39856 | ANGLE HEALTH UT |
| 00403 | BLUE CHOICE MEDICAID SC |
| 00041 | HUMANA |
| 41041 | FEDERATED MUTUAL INSURANC |
| 41095 | WILSON-MCSHANE |
| 41124 | IBI |
| 41147 | PREFERRED ONE |
| 41154 | MAYO MANAGEMENT SERVICES |
| 41212 | FREEDOM HEALTH PLAN |
| 42011 | AMERICAN REPUBLIC INSURAN |
| 04202 | BUCKEYE OHIO MEDICAID (CE OH |
| 42139 | COUNTY CARE |
| 42172 | RIVERLINK / SOUNDPATH HEA |
| 04218 | PAN AMERICAN LIFE INSURAN |
| 04286 | HEALTH NEW ENGLAND |
| 04293 | ALLWAYS HEALTH PLAN |
| 00430 | PREMERA WA |
| 00430 | STANDARD LIFE INS COMP |
| 43166 | PREMIER HEALTH PLAN |
| 43174 | MOLINA HEALTHCARE OF WASH WA |
| 43197 | FRESENIUS HEALTH PARTNERS |
| 00432 | MVP HEALTH PLAN OF NY |
| 43313 | HARKEN HEALTH |
| 04332 | NETWORK HEALTH |
| 04332 | NETWORK HEALTH MASSACHUSE |
| 43324 | BEACON HEALTH STRATEGIES |
| 00044 | BCBS OF CNY NY |
| 00044 | EMPIRE NY NY |
| 00440 | HIGHMARK PA PA |
| 44054 | GOVERNMENT EMPLOYEES HOSP |
| 00445 | MOLINA HEALTHCARE OF OHIO |
| 45129 | NEW MEXICO HEALTH CONNECT |
| 451NM | NEW MEXICO HEALTH CONNECT |
| 45289 | FRINGE BENEFIT GROUP |
| 45289 | LONE STAR TPA |
| 45332 | OREGONS HEALTH CO-OP OR |
| 45341 | MAINE COMMUNITY HEALTH OP |
| 46045 | AVERA HEALTH PLANS |
| 46120 | CRYSTAL RUN HEALTH PLANS |
| 46299 | MOLINA HEALTHCARE OF SOUT |
| 46320 | AETNA BETTER HEALTH - NJ NJ |
| 46430 | CRYSTAL RUN HEALTH PLANS |
| 47027 | PHYSICIANS MUTUAL INSURAN |
| 47073 | AMERIHEALTH CARITAS NEXT DE |
| 47171 | BLUE SHIELD OF KANSAS CIT KS |
| 47181 | HIGHMARK BCBSD HEALTH OPT |
| 48055 | TODAYS OPTION |
| 48117 | FMH BENEFIT SERVICES |
| 48143 | IMAGINE360 |
| 48145 | COMMUNITY HEALTH CHOICE |
| 00050 | BCBS COLORADO - ANTHEM CO |
| 50023 | AETNA BETTER HEALTH OF OH |
| 05047 | NEIGHBORHOOD HEALTH PLAN RI |
| 00510 | COVENTRY HEALTH CARE |
| 51020 | INTEGRA ADMINISTRATIVE |
| 51062 | MOLINA HEALTHCARE OF FLOR |
| 52103 | NATIONAL TELECOMMUNICATIO |
| 52106 | CHRISTUS HEALTH PLAN TEXA |
| 52123 | JOHNS HOPKINS - USFHP |
| 52132 | COOPERATIVE BENEFITS ADMI |
| 52132 | NATIONAL RURAL ELECTRIC |
| 52180 | UMWA HEALTH AND RETIREMEN |
| 52189 | JOHN HOPKINS HEALTHCARE - |
| 52312 | ARBOR HEALTH |
| 52461 | MARCH VISION CARE |
| 52629 | UCARE OF MINNESOTA � DO MN |
| 00530 | MISSOURI CARE |
| 53011 | NATIONAL ASSOCIATION OF L |
| 53120 | BCBS LOUISIANA LA |
| 53275 | MARTINS POINT HEALTH CARE |
| 53589 | BCBS ARIZONA AZ |
| 53589 | SW SERVICE ADMINISTRATORS AZ |
| 00540 | SISCO |
| 00541 | HEALTHY BLUE - MISSOURI MO |
| 54154 | OPTIMA INSURANCE COMPANY |
| 54154 | SENTARA FAMILY PLAN |
| 54154 | SENTARA HEALTH MANAGEMENT |
| 00544 | HEALTHY BLUE NEBRASKA NE |
| 54763 | AMERIHEALTH ADMIN |
| 54828 | BCBS WEST VIRGINIA - HIGH WV |
| 00551 | HEALTHY BLUE DUAL ADVANTA LA |
| 55204 | HEALTHNOW NY NY |
| 55764 | HEALTHPARTNERS OF MINNESO MN |
| 55892 | NEXTBLUE |
| 56116 | CORPORATE BENEFITS SERVIC NC |
| 56139 | BENEFIT MANAGEMENT SERVIC |
| 56144 | HEALTHGRAM |
| 56144 | PRIMARY PHYSICIANCARE |
| 56152 | PARTNERS NATIONAL HEALTH |
| 56162 | MEDCOST |
| 56196 | FIRST CAROLINA CARE (DATE |
| 00562 | BCBSMN BLUE PLUS MEDICAID MN |
| 56205 | MEDCOST BENEFIT SERVICES |
| 00570 | BCBS DELAWARE DE |
| 57106 | TRICARE NORTH/SOUTH |
| 57115 | CARE 1ST HEALTH PLAN OF C CA |
| 57116 | CARE 1ST HEALTH PLAN OF A AZ |
| 00580 | BCBS ALABAMA AL |
| 58102 | COVENANT ADMINISTRATORS |
| 58182 | NAPHCARE |
| 58233 | EVERGREEN HEALTH PLAN |
| 58234 | ALLIANT HEALTH PLANS OF G GA |
| 58379 | QUAL CHOICE OF ARKANSAS ( AR |
| 59140 | AMERICAN BENEFITS PLAN AD NV |
| 59140 | CONSOLIDATED GROUP |
| 59141 | ADMINISTRATIVE SERVICES, |
| 59144 | CULINARY LAS VEGAS - UNIT |
| 59204 | FRINGE BENEFIT COORDINATO |
| 59222 | TRANSAMERICA LIFE |
| 59274 | AVMED FL |
| 59321 | FLORIDA HOSPITAL HEALTHCA FL |
| 59322 | FLORIDA HEALTH PLAN FL |
| 59354 | WELLCARE HEALTH PLAN |
| 59608 | HEALTHEASE FL |
| 60061 | AMERIHEALTH - NEW JERSEY |
| 60110 | PREFERRED HEALTH SYSTEMS |
| 00602 | HEALTHY BLUE NORTH CAROLI NC |
| 60495 | COMMUNITY HEALTH PLAN TX |
| 60550 | GATEWAY HEALTH PLAN |
| 60550 | GATEWAY HEALTH PLAN PA |
| 00610 | BC IDAHO ID |
| 00611 | BS IDAHO - REGENCE ID |
| 61103 | HUMANA - HEALTHY HORIZONS OH |
| 61115 | HUMANA LONG TERM CARE |
| 61129 | PASSPORT HEALTH PLAN |
| 61184 | TRIBUTE HEALTH PLAN |
| 61271 | PRINCIPAL FINANCIAL GROUP |
| 61325 | PASSPORT HEALTH PLAN |
| 61604 | PRIME WEST HEALTH PLAN MN |
| 62030 | AMERICAN GENERAL |
| 62061 | UMR KANSAS |
| 62073 | CARITEN COMMERCIAL |
| 62111 | HEALTH COST SOLUTIONS |
| 62153 | WINDSOR MEDICARE EXTRA |
| 62179 | HEALTH CHOICE OF AZ AZ |
| 62413 | MAILHANDLERS |
| 62553 | COUNTRY LIFE |
| 00630 | BCBS INDIANA - ANTHEM IN |
| 63092 | HEALTHSPRING HMO/HEALTHSP |
| 63114 | VIVA HEALTH PLAN |
| 64069 | FOX-EVERETT |
| 64071 | ACCLAIM |
| 64157 | MERITAIN HEALTH |
| 64158 | MERITAIN HEALTH / AGENCY |
| 64159 | DEFINITY HEALTH |
| 64246 | GUARDIAN LIFE INSURANCE C |
| 65088 | PREFERRED CARE PARTNERS FL |
| 06541 | CCHS |
| 65465 | MORECARE IL |
| 00660 | BCBS KENTUCKY - ANTHEM KY |
| 66001 | BCBS TEXAS MEDICAID STAR |
| 66006 | BLUE CROSS MEDICARE ADVAN MT |
| 66010 | CARE N CARE |
| 06603 | ASAGEHA |
| 00661 | HEALTHY BLUE LOUISIANA LA |
| 66901 | BANNER-UNIVERSITY FAMILY |
| 66917 | PARKLAND COMMUNITY HEALTH |
| 00680 | BCBS MAINE - ANTHEM ME |
| 68011 | CAPITOL ADMINISTRATORS |
| 68024 | AETNA BETTER HEALTH OF IL |
| 68035 | HEALTH PLAN OF SAN JOAQUI |
| 68039 | WESTERN HEALTH ADVANTAGE |
| 68048 | CENPATICO BEHAVIORAL HEAL AZ |
| 68049 | PEACH STATE HP |
| 68055 | TOTAL CAROLINA CARE |
| 68056 | CENTENE ADVANTAGE |
| 68057 | SUNSHINE HEALTH PLAN |
| 68060 | CELTICARE |
| 68062 | MAGNOLIA |
| 68064 | HEALTHY TEXAS TX |
| 68066 | ILLINI CARE HEALTH. INVAL |
| 68067 | KENTUCKY SPIRIT HEALTH |
| 68068 | INTEGRATED MENTAL HEALTH |
| 68069 | AMBETTER |
| 68195 | HEALTHPOINT CORPORATION |
| 68195 | HEALTHSOURCE PROVIDENT |
| 07003 | HEALTHPARTNERS |
| 71063 | HEALTHSCOPE BENEFITS |
| 71064 | HEALTHCHOICE |
| 71080 | NOVASYS HEALTH NETWORK |
| 71404 | CONTINENTAL GENERAL INSUR |
| 71412 | MUTUAL OF OMAHA |
| 71412 | MUTUAL OF OMAHA INSURANCE |
| 71890 | MEDICA HEALTH PLAN SOLUTI |
| 00720 | BS MINNESOTA MN |
| 00720 | COMMPREHENSIVE CARE SERVI MN |
| 07205 | 360 ALLIANCE PPO GILSBAR |
| 07205 | GILSBAR INC |
| 72107 | BCBS LA BLUE ADVANTAGE LA |
| 72126 | PEOPLES HEALTH NETWORK LA |
| 72128 | VANTAGE HEALTH PLAN LA |
| 72467 | ACS BENEFIT SERVICES |
| 00726 | BCBSMN BLUE PLUS MEDICAID MN |
| 73066 | RESERVE NATIONAL INSURANC |
| 73067 | QUICKTRIP CORPORATION |
| 73099 | STANDARD LIFE AND ACCIDEN |
| 73100 | KEMPTON GROUP |
| 73143 | COMMUNITY CARE MANAGED HE OK |
| 73147 | HEALTHCARE SOLUTIONS GROU |
| 73159 | FIRST HEALTH NETWORK |
| 07316 | MOLINA OHIO MEDICAID OH |
| 74048 | AMERICAN NATIONAL INSURAN |
| 74095 | USAA |
| 74205 | RIGHT CARE FROM SCOTT AND |
| 74212 | EMPLOYER PLAN SERVICES |
| 74227 | MEGA LIFE AND HEALTH - ST |
| 74234 | COMPUSYS INCORPORATED AZ |
| 74238 | BOON-CHAPMAN BENEFIT ADMI |
| 74284 | DRISCOLL CHILDRENS HEALTH |
| 74289 | MENTAL HEALTH NETWORK |
| 07503 | UNIVERSITY FAMILY CARE - |
| 75068 | ASSURANT HEALTH SELF FUND |
| 00751 | BCBS MONTANA MT |
| 75136 | LUMINARE HEALTH LITTLE RO AR |
| 75137 | AMERIBEN SOLUTIONS |
| 75261 | WEBTPA - COMMUNITY HEALTH |
| 75273 | GEISINGER HEALTH PLAN |
| 75281 | NEW ERA LIFE |
| 75284 | CONSOLIDATED ASSOCIATES R |
| 75544 | CHRISTIE STUDENT HEALTH P |
| 76045 | SELECTCARE OF TEXAS -HPN TX |
| 76048 | TEXAS CHILDREN'S HEALTH P TX |
| 76342 | SIERRA HEALTH AND LIFE CA |
| 76498 | MARYLAND PHYSICIANS CARE |
| 77001 | AMERIHEALTH NORTHEAST |
| 77002 | AMERIHEALTH DISTRICT OF C |
| 77003 | PRESTIGE HEALTH CHOICE |
| 77013 | AMERIHEALTH CARITUS VIP M MI |
| 77022 | UlLTIMATE HEALTH PLAN |
| 77022 | ULTIMATE HEALTH PLAN |
| 77023 | CLOVER (FORMERLY CAREPOIN |
| 77045 | ARCADIAN MANAGEMENT SERVI |
| 77062 | AMERIHEALTH CARITAS VIP C |
| 77075 | AMERIHEALTH CARITAS IOWA IA |
| 77076 | NETWORK HEALTH INSURANCE |
| 77082 | CARE IMPROVEMENT PLUS |
| 77153 | INDIANA UNIVERSITY |
| 77153 | SOUTHEASTERN INDIANA HEAL |
| 77160 | GOLD COAST |
| 77170 | COMMON GROUND HEALTHCARE |
| 77350 | PROVIDENCE HEALTH ASSURAN |
| 77701 | VANTAGE HEALTH PLAN LA |
| 77741 | KEYSTONE FIRST PA COMMUNI |
| 77780 | BCBS NEBRASKA NE |
| 77799 | AMERIHEALTH CARITAS DE DE |
| 77950 | HEALTH ALLIANCE OF IL |
| 78375 | CONNECTICARE - MEDICARE |
| 78857 | MEDICA HEALTH CARE PLAN FL |
| 00790 | BCBS NEW MEXICO NM |
| 00080 | TRICARE / CHAMPUS |
| 00800 | BS NORTHEAST NEW YORK NY |
| 80095 | PROMINENCE HEALTH PLAN OF |
| 80141 | HEALTHFIRST NY NY |
| 80142 | HEALTH PARTNERS PA PA |
| 80314 | UNICARE LIFE AND HEALTH |
| 00806 | BLUE SHIELD OF UTICA NY NY |
| 80705 | ONE HEALTH PLAN |
| 81039 | EBMS - EMPLOYEE BENEFIT M |
| 81040 | ALLEGIANCE |
| 81264 | NIPPON LIFE |
| 81400 | ALL SAVERS INSURANCE (UNI |
| 81671 | AMERIHEALTH CARITAS NC NC |
| 81793 | MOLINA HEALTH REFORMA PR |
| 81883 | MUNICIPAL HEALTH BENEFITS |
| 00820 | BCBS NORTH DAKOTA ND |
| 00822 | BLUE SHIELD OF ALASKA AK |
| 83035 | SENIOR WHOLE HEALTH |
| 83148 | AMERIHEALTH CARITAS NEXT NC |
| 83248 | ZING HEALTH CHOICE |
| 84129 | COLORADO ACCESS |
| 84135 | DENVER HEALTH MEDICAL PLA CO |
| 84146 | CHAMPVA-HAC |
| 84223 | KEYSTONE VIP CHOICE |
| 84980 | BCBS TEXAS TX |
| 86052 | MERCY HEALTH PLAN OF AZ AZ |
| 86220 | MASS ADVANTAGE |
| 86304 | INSURERS ADMINISTRATIVE |
| 86916 | MEDICAID TEXAS HEALTH STE TX |
| 00087 | HORIZON NJ NJ |
| 00870 | BCBS RHODE ISLAND RI |
| 00870 | BLUE CHIP RHODE ISLAND RI |
| 87042 | UNION PACIFIC RAILROAD EM |
| 87406 | AMERIHEALTH CARITAS VIP C DE |
| 87716 | AMERIHEALTH CARITAS HEALT NH |
| 87815 | ACORDIA NATIONAL - WELLS |
| 87843 | CONSOLIDATED HEALTH PLANS |
| 88022 | CDS GROUP HEALTH |
| 88023 | HOMETOWN HEALTH PLAN NEVA NV |
| 88030 | SCOTT AND WHITE HEALTH CA TX |
| 88050 | NATIONAL HEALTH BENEFITS |
| 88058 | MED PAY |
| 88250 | HEALTHTEAM ADVANTAGE |
| 88600 | MMM - MEDICARE Y MUCHO MA PR |
| 88848 | BCBS IOWA - WELLMARK IA |
| 88848 | BCBS SOUTH DAKOTA - WELLM SD |
| 90551 | US FAMILY HEALTH PLAN |
| 90560 | WESTLAKE FINANCIAL GROUP |
| 90753 | MEDCOST / LIBERTY HEALTH |
| 00091 | AMERICHOICE NJ |
| 00910 | BCBS UTAH - REGENCE UT |
| 91049 | LIFEWISE HEALTH PLAN OF W WA |
| 91051 | GROUP HEALTH COOPERATIVE WA |
| 91121 | GROUP HEALTH NORTHWEST ID |
| 91131 | SOUND HEALTH |
| 91184 | SANFORD HEALTH PLAN |
| 91617 | KAISER FOUNDATION HEALTH |
| 00922 | BLUECHOICE SOUTH CAROLINA SC |
| 00923 | BCBS VIRGINIA VA |
| 93029 | PACIFICSOURCE HEALTH PLAN |
| 93079 | KAISER FOUNDATION HEALTH |
| 93082 | PROMINENCE HEALTH PLAN OF |
| 93093 | LIFEWISE HEALTH PLAN OF O OR |
| 93093 | LIFEWISE OR |
| 93121 | FAMILYCARE COORDINATED CA |
| 00932 | BS WASHINGTON - REGENCE WA |
| 93221 | ASURIS NW HEALTH |
| 93240 | EVERGREEN HEALTH COOPERAT |
| 00934 | BC WASHINGTON STATE - PRE WA |
| 00934 | BCBS PREMERA WA |
| 93688 | AMERIHEALTH - DE (PPO) |
| 93975 | CAREOREGON OR |
| 94135 | KAISER FOUNDATION HEALTH CA |
| 94265 | MEDICA |
| 94267 | HEALTH PARTNERS UPH MN |
| 94998 | FIRSTCARE STAR MEDICAID |
| 94999 | FIRSTCARE |
| 95112 | CAPITAL HEALTH PLAN |
| 95123 | NEIGHBORHOOD HEALTH PARTN |
| 95202 | SUMMACARE HEALTH PLAN |
| 95241 | AGIA INC |
| 95308 | INDEPENDENT HEALTH |
| 95376 | COMMUNITY HEALTH GROUP |
| 95378 | AMERICHOICE TENNESEE TN |
| 95386 | CENCAL HEALTH CA |
| 95397 | PERSONAL INSURANCE ADMINI |
| 95397 | PIA |
| 95444 | CLARIAN HEALTH PLANS |
| 95655 | MEDIGOLD |
| 95655 | MOUNT CARMEL |
| 95677 | THE HEALTH PLAN OF WEST V OH |
| 95958 | PACIFICARE CA |
| 95999 | PACIFICARE PPO |
| 00960 | BCBS WYOMING WY |
| 96240 | NEIGHBORHOOD HEALTH PLAN RI |
| 96385 | UNITED HEALTHCARE COMMUNI |
| 97300 | TRIPLE S PR |
| 09824 | MOLINA HEALTHCARE OF NEW NM |
| 09830 | UNIVERSITY FAMILY CARE AZ |
| 99030 | ALOHA CARE |
| 09908 | UNIVERSITY FAMILY CARE - |
| A5236 | OCHSNER HEALTH PLAN |
| 0AARP | AARP |
| ABRI1 | ABRI HEALTHPLAN |
| ABRI1 | MOLINA HEALTHCARE WISCONS |
| AETNA | AETNA |
| AFNTY | AFFINITY HEALTH PLAN |
| ALOHA | ALOHACARE HI |
| AMF11 | AMERICAN FAMILY INSURANCE |
| AMGRP | AMERIGROUP |
| AMNPA | AMERIHEALTH CARITAS PA PA |
| ARCS1 | CARESOURCE ARKANSAS AR |
| ATRIO | ATRIO HEALTH PLANS OR |
| AWNY6 | AGE WELL NY NY |
| BANK1 | BANKERS FIDELITY LIFE INS |
| BC001 | DIRECTORS GUILD OF AMERIC |
| BCCAC | ANTHEM BC CA CA |
| BCCTC | BCBS CONNECTICUT CT |
| BCCTN | BCBS TENNESSEE TN |
| BCIBC | INDEPENDENCE PA PA |
| BCKSC | BCBS KANSAS KS |
| BCMDC | CAREFIRST MARYLAND MD |
| BCMID | BCBS MICHIGAN MI |
| BCMOC | BCBS MISSOURI MO |
| BCNCC | BCBS N CAROLINA NC |
| BCOHC | BCBS OHIO OH |
| BCORC | BCBS OREGON OR |
| BCSAL | BCBS ALABAMA AL |
| BCSCC | BCBS S CAROLINA NC |
| BCTXC | BCBS TEXAS TX |
| BCWIC | ANTHEM BCBS WI |
| BCWIC | BCBS WISCONSIN WI |
| BHOVO | CARELON BEHAVIORAL HEALTH |
| BOONG | THE BOON GROUP |
| BRGHT | BRIGHT HEALTHCARE |
| BRIDG | BRIDGESPAN |
| BRT01 | BRIGHT HEALTH PLAN MEDICA |
| BTSS1 | BROWN AND TOLAND SUTTER |
| C1SCA | BS CALIFORNIA PROMISE HEA CA |
| CALOP | CALOPTIMA DIRECT |
| CAPHP | CAPROCK HEALTH PLANS |
| CARMO | CAREMORE VALUE PLUS |
| CB186 | BRIGHT HEALTH PLAN |
| CCHP1 | COOK CHILDREN'S HEALTH PL |
| CCStpa | CCSTPA COMPREHENSIVE CARE |
| CDPHP | CAPITAL DISTRICT PHP |
| CELTC | CELTIC INSURANCE |
| CHPWA | COMMUNITY HEALTH PLAN OF WA |
| CIGNA | CIGNA |
| CIPA1 | CENTRAL SENIOR CARE |
| CLEAR | CLEAR HEALTH ALLIANCE |
| CM001 | CAREMORE |
| CNTCR | CONNECTICARE |
| CNTCR | CONNECTICARE CT |
| COACC | ACCESS BEHAVIORAL CARE CO |
| COKSR | COLORADO KAISER PERMANENT CO |
| COMMF | COMMUNITY FIRST |
| CTYCR | COUNTYCARE |
| CURTV | CURATIVE |
| DAK01 | DAKOTACARE SD |
| DEAN1 | DEAN HEALTH PLAN (DOS PRI WI |
| DEVOT | DEVOTED HEALTH FL |
| DRHCP | DOCTORS HEALTHCARE PLANS FL |
| EBSRM | LIFETIME BENEFITS SOLUTIO |
| ECLLS | EXCELLUS NY |
| EH001 | EVRY HEALTH |
| ELDER | BRAVO HEALTH |
| EMBLM | EMBLEM |
| EMBLM | EMBLEM HEALTH |
| EMBLM | GHI |
| EMBLM | HIP OF GREATER NY |
| ESSNC | ESSENCE HEALTHCARE |
| FCC01 | FIRST CAROLINA CARE |
| FCC01 | FIRSTMEDICARE DIRECT |
| FOREN | TRICARE OVERSEAS |
| GACS1 | CARESOURCE GEORGIA GA |
| GHOKC | GLOBAL HEALTH |
| HAPMC | HEALTH ALLIANCE OF MI |
| HC001 | UNIVERA HEALTHCARE - CNY |
| HCA77 | HEALTHCOMP |
| HCH01 | HEALTHCARE HIGHWAYS |
| HIBCS | BCBS HAWAII HI |
| HMA01 | HEALTHCARE MANAGEMENT ADM |
| HMAPD | BLUECROSS MEDICARE ADVANT IL |
| 0HNNC | HEALTH NET OF CA |
| HPAMN | COOPORTUNITY HEALTH |
| 0HPHC | HARVARD PILGRIM |
| HPSM1 | HEALTH PLAN OF SAN MATEO CA |
| HT001 | HEALTHSPRING HMO |
| IDBLC | BC IDAHO ID |
| IEHP1 | INLAND EMPIRE HEALTH PLAN |
| INCHN | INTERCOMMUNITY HEALTH NET |
| INCS1 | CARESOURCE IN IN |
| J1908 | CHESAPEAKE INSURANCE |
| JAI01 | JAI MEDICAL SYSTEMS |
| KYCS1 | CARESOURCE KY KY |
| KYMHP | KEYSTONE HEALTH PLAN |
| L0250 | PREFERRED MEDICARE |
| L0260 | CONSTELLATION HEALTH |
| LACAR | LA CARE HEALTH PLAN |
| LIFE1 | OPTUMCARE (OPTUM MEDICAL |
| MAHC1 | MEDICAL ASSOCIATES HEALTH |
| MAHP1 | MEDICAL ASSOCIATES HEALTH |
| MC721 | BLUE CROSS COMMUNITY CENT |
| MCA11 | MEMORIAL CLINICAL ASSOCIA |
| MCCVA | MAGELLAN COMPLETE CARE OF VA |
| MCDIL | BLUE CROSS COMMUNITY OPTI |
| MCS01 | GEMCARE - GOLDEN EMPIRE M |
| MCS04 | MANAGED CARE SYSTEMS CA |
| MEDM1 | MEDICA GOVERNMENT PROGRAM |
| MHPIL | MERIDIAN HEALTH PLAN IL IL |
| MHPMI | MERIDIAN HEALTH PLAN MICH |
| MIBCN | BCBS MICHIGAN BLUE CARE H MI |
| MICS1 | HAP CARESOURCE OF MICHIGA MI |
| MIFEP | MICHIGAN FEP MI |
| MIMPB | MICHIGAN MEDICARE PLUSBLU MI |
| MLNIL | MOLINA HEALTHCARE OF IL |
| MMLI3 | TRANSAMERICA PREMIER LIFE |
| MNAUL | AULTCARE OH |
| NG007 | KAISER FOUNDATION HEALTH OH |
| NG008 | KAISER MID-ATLANTIC |
| NJBCS | BLUE SHIELD OF NEW JERSEY NJ |
| NM505 | MOLINA HEALTHCARE OF NEW NM |
| NWDC1 | NORTHWEST DIAGNOSTIC CLIN |
| OMN02 | OMNICARE IPA |
| OOWPS | WPS COMMERCIAL |
| OSCAR | OSCAR HEALTH |
| PCCAZ | PACIFICARE ARIZONA AZ |
| PDSHM | PLAN DE SALUD HOSPITAL ME |
| PEAK0 | PEAK HEALTH |
| PENNS | AETNA BETTER HEALTH - PA PA |
| PHP00 | PROVIDENCE PREFERRED - PP |
| PHP02 | PARTNERSHIP HEALTH PLAN CA |
| PRAHM | TRIPLE S - AHM PR |
| PRAUX | AUXILIO SALUD PLUS PR |
| PRBEL | PLAN DE SALUD BELLA VISTA PR |
| PRBIE | PLAN DE BIENESTAR UTM-PRS PR |
| PREHP | PRESBYTERIAN HEALTH PLAN NM |
| PREMD | PREFERRED MEDICARE CHOICE |
| PRFHC | FHCHS OF PUERTO RICO PR |
| PRFMV | FIRST MEDICAL VITAL PR |
| PRMAP | MAPFRE LIFE INSURANCE PR |
| PRMCS | MEDICAL CARD SYSTEM - MCS PR |
| PRMEV | PLAN DE SALUD HOSPITAL ME PR |
| PVDNC | PROVIDENCE FOR OREGON OR |
| RGA01 | REGENCE GROUP ADMINISTRAT |
| RH011 | KAISER PERMANENTE HAWAII HI |
| RLH01 | LIFEMAP |
| RMHMO | ROCKY MOUNTAIN HMO CO |
| RMSCO | RMSCO NY |
| RP061 | FARM BUREAU HEALTH PLANS TN |
| RRMCR | RAILROAD MEDICARE |
| RX001 | TRANSACTRX INFUSION AND S |
| SB520 | BCBS ARKANSAS AR |
| SB570 | BCBS DELAWARE DE |
| SB580 | BCBS DC / FED DC |
| SB613 | COMMUNITY HEALTH PLAN OF WA |
| SB690 | BCBS MARYLAND MD |
| SB700 | BCBS MASSACHUSETTS MA |
| SB731 | MS BCBS STATE EMPLOYEES MS |
| SB770 | BCBS NEW HAMPSHIRE NH |
| SB801 | BCBS WESTERN NY NY |
| SB810 | BCBS NORTH CAROLINA NC |
| SB840 | BCBS OKLAHOMA OK |
| SB915 | BCBS VERMONT VT |
| SC446 | EMPLOYEE BENEFIT SERVICES SC |
| SCAN1 | SCAN CA CA |
| SFHP1 | SAN FRANCISCO HEALTH PLAN |
| SHMS1 | SHARED HEALTH MISSISSIPPI |
| SHP01 | SHARP HEALTH PLAN |
| SLIC1 | STONEBRIDGE LIFE - VALLEY |
| SMPLY | SIMPLY HEALTHCARE PLANS |
| SPBSC | BS OF CALIFORNIA CA |
| STJOE | MISSION HOSPITAL AFFILIAT CA |
| SX006 | UNIVERA COMMUNITY HEALTH |
| SX022 | WPS HEALTH INSURANCE |
| SX105 | DESERET MUTUAL UT |
| SX106 | PEHP - UTAH PUBLIC EMPLOY UT |
| SX107 | INTERMOUNTAIN HEALTHCARE |
| SX109 | MOLINA HEALTHCARE UTAH UT |
| SX110 | EMI HEALTH UT |
| SX113 | ALTIUS HEALTH PLANS |
| SX141 | ROCKY MOUNTAIN HEALTH PLA CO |
| SX158 | PARAMOUNT HEALTH |
| SX169 | CENTRAL CALIFORNIA ALLIAN CA |
| SX179 | ASURIS NORTHWEST/MEDADVAN |
| TA720 | INDEPENDENCE ADMINISTRATO |
| TDFIC | TRICARE FOR LIFE |
| TH095 | AMERICAN FAMILY INSURANCE |
| THRIV | THRIVENT FINANCIAL |
| THS01 | TEXAS HEALTHSPRING TX |
| TLINS | TRANSAMERICA LIFE |
| TREST | TRICARE EAST |
| TRICE | TRICARE WEST |
| TRP1E | TRANSAMERICA LIFE |
| TRSEL | SELMAN TRICARE SUPPLEMENT |
| TRULI | TRULI HEALTH |
| TUFTS | TUFTS HEALTH PLAN |
| TX1ST | TEXAS FIRST HEALTH PLANS TX |
| UCARM | UCARE OF MINNESOTA |
| ULLIC | ULLICO - VALLEY FORGE PEN |
| UNBCI | UNIVERSAL BENEFITS |
| UNINW | UNIVERA TRADITIONAL PPO |
| UNITE | UNITE HERE |
| 0UPMC | UPMC HEALTH PLAN |
| USFHP | US FAMILY HEALTH PLAN |
| UTAMS | UNITED TEACHER ASSOCIATES |
| VCIPA | VALLEY CARE IPA |
| VFP11 | VILLAGE FAMILY PRACTICE |
| VHA11 | VALLEY HEALTH ADMINISTRAT |
| VHP01 | VALLEY HEALTH PLAN |
| VNSNY | VNS CHOICE |
| 0WCHP | WELLCARE HEALTH PLANS |
| WLPNT | AMERIGROUP - WELLPOINT AZ |
Eligibility Check for Medicaid
| Code | Payer Name |
|---|---|
| AID01 | MEDICAID FL |
| AID03 | MEDICAID MO |
| AID05 | MEDICAID TX |
| AID07 | MEDICAID WA |
| AID09 | MEDICAID OH |
| AID11 | MEDICAID CA |
| AID13 | MEDICAID TN |
| AID14 | MEDICAID CO |
| AID16 | MEDICAID IN |
| AID17 | MEDICAID MD |
| AID18 | MEDICAID NY |
| AID19 | MEDICAID NJ |
| AID20 | MEDICAID MS |
| AID21 | MEDICAID NC |
| AID22 | MEDICAID KS |
| AID23 | MEDICAID VA |
| AID24 | MEDICAID CT |
| AID25 | MEDICAID IL |
| AID26 | MEDICAID AR |
| AID27 | MEDICAID NM |
| AID28 | MEDICAID GA |
| AID28 | MEDICAID SD |
| AID29 | MEDICAID PA |
| AID30 | MEDICAID VT |
| AID31 | MEDICAID KY |
| AID32 | MEDICAID OK |
| AID33 | MEDICAID WV |
| AID34 | MEDICAID WY |
| AID35 | MEDICAID ID |
| AID36 | MEDICAID IA |
| AID37 | MEDICAID AZ |
| AID38 | MEDICAID MN |
| AID40 | MEDICAID AL |
| AID41 | MEDICAID WI |
| AID42 | MEDICAID LA |
| AID44 | MEDICAID OR |
| AID45 | MEDICAID MA |
| AID52 | MEDICAID DC |
| AID53 | MEDICAID HI |
| AID54 | MEDICAID ME |
| AID55 | MEDICAID MI |
| AID57 | MEDICAID MT |
| AID58 | MEDICAID NV |
| AID59 | MEDICAID ND |
| AID60 | MEDICAID PR |
| AID61 | MEDICAID SC |
| AID62 | MEDICAID NE |
| AID62 | MEDICAID RI |
| AKMCD | MEDICAID AK |
| DEMCD | MEDICAID DE |
| NEBMD | MEDICAID NE |
| NHMCD | MEDICAID NH |
| UTMCD | MEDICAID UT |
Eligibility Check for Medicare
| Code | Payer Name |
|---|---|
| 00431 | Medicare (All States) |
