eligibility
Eligibility Check for Commercial Payor
| Code | Payer Name |
|---|---|
| AARP | AARP |
| AETNA | AETNA |
| PENNS | AETNA BETTER HEALTH |
| AFNTY | AFFINITY HEALTH PLAN |
| 00091 | AMERICHOICE NJ |
| AMGRP | AMERIGROUP |
| 00039 | ANTHEM BC CA |
| BCWIC | ANTHEM BCBS |
| 00360 | APWU HEALTH PLAN |
| SB510 | BCBS ALABAMA |
| SB530 | BCBS ARIZONA |
| SB550 | BCBS COLORADO |
| BCCTC | BCBS CONNECTICUT |
| 00267 | BCBS FLORIDA |
| 00268 | BCBS ILLINOIS |
| SB630 | BCBS INDIANA |
| SB640 | BCBS IOWA |
| SB660 | BCBS KENTUCKY |
| 23738 | BCBS LOUISIANA |
| SB680 | BCBS MAINE |
| SB690 | BCBS Maryland |
| 00139 | BCBS MASSACHUSETTS |
| BCMID | BCBS MICHIGAN |
| BCMOC | BCBS MISSOURI |
| SB820 | BCBS N DAKOTA |
| SB760 | BCBS NEBRASKA |
| SB765 | BCBS NEVADA |
| 00044 | BCBS OF CNY |
| 00151 | BCBS OF GEORGIA |
| BCNCC | BCBS OF N CAROLINA |
| SB880 | BCBS OF S CAROLINA |
| SB801 | BCBS OF WESTERN NY |
| BCOHC | BCBS OHIO |
| SB840 | BCBS OK |
| SB870 | BCBS RHODE ISLAND |
| SB889 | BCBS S DAKOTA |
| BCCTC | BCBS TENNESSEE |
| SB923 | BCBS VIRGINIA |
| SB941 | BCBS W VIRGINIA |
| BCWIC | BCBS WISCONSIN |
| SB960 | BCBS WYOMING |
| ELDER | BRAVO HEALTH |
| BCMDC | Carefirst |
| CIGNA | CIGNA |
| 13285 | CLOVER HEALTH-CARE POINT |
| CMTWA | COMMUNITY HEALTH PLAN WA |
| CNTCR | CONNECTICARE |
| 00510 | COVENTRY HEALTH CARE |
| EMBLM | EMBLEM HEALTH |
| 00044 | EMPIRE NY |
| ECLLS | EXCELLUS |
| 11315 | FIDELIS CARE |
| 60550 | GATEWAY HEALTH PLAN |
| 75273 | GEISINGER HEALTH PLAN |
| EMBLM | GHI |
| HPHC | HARVARD PILGRIM |
| 00240 | HEALTH FIRST |
| HNNC | HEALTH NET OF CA |
| 00440 | HIGHMARK PA |
| EMBLM | HIP OF GREATER NY |
| 00087 | HORIZON NJ |
| 00041 | HUMANA |
| BCIBC | INDEPENDENCE PA |
| 95308 | INDEPENDENT HEALTH |
| 00282 | KAISER PERMANENTE (NCA) |
| 00283 | KAISER PERMANENTE (SCA) |
| KYMHP | KEYSTONE HEALTH PLAN |
| 53275 | Martin’s Point Health Care |
| MLNIL | MOLINA HEALTHCARE OF IL |
| 00226 | MOLINA HEALTHCARE OF MICH |
| 00445 | MOLINA HEALTHCARE OF IL |
| 00432 | MVP HEALTH PLAN OF NY |
| VNSNY | NS CHOICE |
| 00016 | OXFORD |
| 61129 | PASSPORT HEALTH PLAN |
| 00430 | STANDARD LIFE INS COMP |
| THRIV | THRIVENT FINANCIAL |
| 00080 | TRICARE / CHAMPUS |
| TREST | TRICARE EAST |
| TDFIC | TRICARE FOR LIFE |
| 57106 | TRICARE NORTH/SOUTH |
| TRICE | TRICARE WEST |
| TUFTS | TUFTS HEALTH PLAN |
| UCARM | UCARE OF MINNESOTA |
| 31107 | UMR CINCINNATI |
| 62061 | UMR KANSAS |
| 39026 | UMR WAUSAU/UHIS |
| 00112 | UNITED HEALTHCARE |
| 15003 | UNIVERA COMMUNITY HEALTH |
| HC001 | UNIVERA HEALTHCARE – CNY |
| UNINW | UNIVERA TRADITIONALPPO |
| UPMC | UPMC HEALTH PLAN |
| USFHP | US FAMILY HEALTH PLAN |
| WCHP | WELLCARE HEALTH PLANS |
| OOWPS | WPS COMMERCIAL |
| SX022 | WPS HEALTH INSURANCE |
| 00019 | Cox Health Plan |
| 00050 | BCBS Colorado - Anthem |
| 00130 | Medpay |
| 00230 | BCBS Mississippi |
| 00243 | Helix Family Choice |
| 00243 | Medstar Physician Partners |
| 00265 | BCBS Nevada - Anthem |
| 00430 | Premera |
| 00530 | Missouri Care |
| 00540 | SISCO |
| 00541 | Healthy Blue - Missouri Care |
| 00544 | Healthy Blue Nebraska |
| 00551 | Healthy Blue Dual Advantage Louisiana |
| 00570 | BCBS Delaware |
| 00580 | BCBS Alabama |
| 00602 | Healthy Blue North Carolina |
| 00610 | BC Idaho |
| 00611 | BS Idaho - Regence |
| 00630 | BCBS Indiana - Anthem |
| 00660 | BCBS Kentucky - Anthem |
| 00661 | Healthy Blue Louisiana |
| 00680 | BCBS Maine - Anthem |
| 00720 | BS Minnesota |
| 00720 | Commprehensive Care Services (BCBSMN) |
| 00790 | BCBS New Mexico |
| 00800 | BS Northeast New York |
| 00806 | Blue Shield of Utica NY |
| 00820 | BCBS North Dakota |
| 00822 | Blue Shield of Alaska |
| 00870 | BCBS Rhode Island |
| 00870 | Blue Chip Rhode Island |
| 00910 | BCBS Utah - Regence |
| 00922 | BlueChoice South Carolina |
| 00923 | BCBS Virginia |
| 00932 | BS Washington - Regence |
| 00934 | BC Washington State - Premera |
| 00960 | BCBS Wyoming |
| 01260 | Magellan Health |
| 01508 | Better Health Florida |
| 03432 | Arizona Physicians IPA |
| 03440 | Phoenix Health Plan |
| 04218 | Pan American Life Insurance |
| 04286 | Health New England |
| 04293 | Allways Health Plan |
| 04332 | Network Health |
| 04332 | Network Health Massachusetts |
| 05047 | Neighborhood Health Plan of Rhode Island |
| 06541 | CCHS |
| 06603 | ASAGEHA |
| 07003 | HealthPartners |
| 07205 | 360 Alliance PPO Gilsbar |
| 07205 | Gilsbar Inc |
| 07503 | University Family Care - Healthcare Group |
| 09824 | Molina Healthcare of New Mexico Salud |
| 09830 | University Family Care |
| 09908 | University Family Care - Maricopa Health Plan |
| 10105 | Inter Valley Health Plan |
| 10575 | Select Health Utah |
| 10597 | Healthe Exchange |
| 10629 | Christus Health Medicare Advantage |
| 10850 | Metropolitan Health Plan |
| 11067 | Key Benefit Administrators (IN) |
| 11303 | Magnacare |
| 11695 | iCare Independent Care Health Plan |
| 12115 | VA Fee Basis Programs |
| 12399 | Physicians Health Plan of Northern Indiana |
| 12422 | Medica IFB |
| 128CA | Aetna Better Health CA |
| 128FL | Aetna Better Health of Florida |
| 128KS | Aetna Better Health Kansas |
| 128KY | Aetna Better Health of Kentucky |
| 128LA | Aetna Better Health of Louisiana |
| 128MD | Aetna Better Health of Maryland |
| 128MI | Aetna Better Health of Michigan |
| 128NV | Aetna Better Health NV |
| 128VA | Aetna Better Health of Virginia |
| 128WV | Aetna Better Health of West Virginia |
| 13162 | 1199 SEIU Family of Funds |
| 13174 | Montefiore Contract Management Organization |
| 13189 | Meridian Health Plan |
| 13193 | Loyal American |
| 13285 | Clover (formerly Carepoint) |
| 13333 | Affinity Health Plans - TMG Health |
| 13335 | Hudson Health Plan |
| 13337 | Boston Medical Center Healthnet |
| 13350 | MODA Health - ODS Health Plan |
| 13402 | Touchstone Health/Health Net Smart |
| 15460 | PA Care Advantage Highmark Senior Health |
| 16146 | Molina Healthcare of New York (Total Care NY) |
| 16644 | Nova Healthcare Administrators, Inc |
| 16663 | Banner Medicare Advantage Plus (PPO) |
| 16664 | Banner Medicare Advantage Prime (HMO) |
| 20356 | The Health Exchange - Cerner Corporation |
| 20377 | Pacificsource Medicare |
| 20416 | Pacificsource Community Solutions |
| 20554 | Molina Healthcare of Texas |
| 21313 | Kaiser Permanente Georgia |
| 22248 | AmeriHealth Mercy Health Plan |
| 22254 | Fallon Community Health |
| 22264 | VYTRA Healthcare |
| 22326 | Horizon New Jersey Health |
| 22348 | Maryland Physicians Care |
| 22355 | AmeriHealth VIP Care |
| 22771 | Managed Health Networks - MHN |
| 23037 | Amerihealth HMO |
| 23045 | Capital Blue Cross Professional |
| 23160 | Medico Insurance Company |
| 23223 | The Loomis Company |
| 23249 | Sentinel Management Services |
| 23250 | Significa Benefit Services / Erin |
| 23253 | Spectrum Administrators |
| 23284 | Keystone First |
| 23285 | Select Health of South Carolina |
| 23334 | Affinity Essentials |
| 23342 | Qualcare |
| 23626 | Central Pennsylvania Teamsters Fund |
| 23856 | Touchstone Health PSO |
| 24077 | Santa Clara Family Health Plans |
| 24735 | Pinnacle Claims Management |
| 25125 | SL Carpenters Fund |
| 25127 | Coventry Health Care Georgia |
| 25132 | Coventry Health Care Iowa |
| 25135 | Coventry Health Care Louisiana |
| 25136 | Coventry Health Care Louisiana |
| 25150 | OmniCare |
| 25160 | DGA - Diversified Group Administrators |
| 25175 | Americhoice Personal Care Plus PA - United Healcar |
| 25463 | BIND - UHC Choice Multiplan |
| 26375 | Amerigroup DC, GA, NM |
| 26378 | Amerigroup |
| 27094 | Simply HealthCare Plans |
| 27514 | Amerigroup Georgia / Tennessee |
| 28804 | Amerigroup |
| 28804 | Amerigroup Illinois |
| 28805 | Amerigroup / Americaid - Houston |
| 28807 | Amerigroup - Maryland, Virginia and District of Co |
| 28809 | Amerigroup Florida |
| 29076 | Carolina Care Plan |
| 31048 | Western Southern Financial Group |
| 31059 | State Farm - Casualty and Property |
| 31114 | Caresource |
| 31441 | S and S Healthcare Strategies |
| 32002 | BC Michigan Complete |
| 32004 | Buckeye Community Health |
| 33001 | Universal Care - California |
| 33033 | FCE Benefit Administrators |
| 33628 | Mercy Maricopa Integrated Care |
| 34097 | Central Reserve Life |
| 34136 | JP Farley Corporation |
| 34186 | CSI Network Services |
| 34192 | Antares Management Solutions |
| 34192 | Mutual Health Services |
| 34196 | Apex Benefit Services |
| 35092 | Morris Associates aka HealthScope Benefits |
| 35161 | Indiana ProHealth Network |
| 35174 | QualChoice of Arkansas |
| 35180 | CoreSource of North Carolina |
| 35182 | CoreSource |
| 35183 | CoreSource of Ohio |
| 35187 | CoreSource |
| 35605 | Everence |
| 36215 | Central States Southeast and Southwest Areas Healt |
| 36215 | Teamcare |
| 36331 | Professional Benefit Administrators - Oak Brook, I |
| 36373 | Prairie States Enterprises |
| 36405 | Harmony Health Plan of Indiana |
| 36406 | Harmony Health Plan of Illinois |
| 36878 | Entrust |
| 37086 | Pekin Insurance |
| 37217 | Key Benefit Administrators |
| 37224 | Pittman and Associates |
| 37287 | Planned Administrators, Inc - PAI |
| 37290 | Health Services for Children with Special Needs - |
| 37292 | Machinist District 9 Welfare |
| 37301 | Summit America Insurance Services |
| 37308 | Allied Benefit Systems |
| 37316 | Leon Medical Center Health Plan |
| 37330 | Physicians Health Plan (PHP) Mid-Michigan |
| 37602 | Golden Rule / All Savers Insurance |
| 37602 | Rooney Life Ins |
| 38216 | Health Plus of Michigan |
| 38259 | Automated Benefit Services - ABS |
| 38308 | Christian Brothers Services |
| 38309 | Healthnet of AZ |
| 38333 | Molina Healthcare of California |
| 38336 | Molina Healthcare of Washington |
| 38338 | McLaren Health Plan |
| 3833A | McLaren Health Advantage |
| 39045 | Security Health Plan |
| 39144 | Network Health Plan of Wisconsin |
| 39151 | WEA Insurance Group |
| 39156 | Physicians Plus Insurance |
| 39185 | Prevea Health Insurance Plan / Arise Health Plan |
| 39186 | IN Managed Health Services |
| 39190 | MedStar Family Choice |
| 39856 | Angle Health |
| 41041 | Federated Mutual Insurance |
| 41095 | Wilson-McShane |
| 41124 | IBI |
| 41147 | Preferred One |
| 41154 | Mayo Management Services |
| 41212 | Freedom Health Plan |
| 42011 | American Republic Insurance Company - ARIC |
| 42172 | Riverlink / Soundpath Health |
| 43166 | Premier Health Plan |
| 43174 | Molina Healthcare of Washington - Encounters Only |
| 43197 | Fresenius Health Partners |
| 43313 | Harken Health |
| 43324 | Beacon Health Strategies |
| 44054 | Government Employees Hospital Association - GEHA |
| 45129 | New Mexico Health Connections (Dates of Service pr |
| 451NM | New Mexico Health Connections |
| 45289 | Fringe Benefit Group |
| 45289 | Lone Star TPA |
| 45332 | Oregons Health CO-OP |
| 45341 | Maine Community Health Options |
| 46045 | Avera Health Plans |
| 46120 | Crystal Run Health Plans |
| 46299 | Molina Healthcare of South Carolina |
| 46430 | Crystal Run Health Plans |
| 47027 | Physicians Mutual Insurance Company |
| 47073 | AmeriHealth Caritas Next Delaware |
| 47171 | Blue Shield of Kansas City |
| 47181 | Highmark BCBSD Health Options |
| 48117 | FMH Benefit Services |
| 48143 | Imagine360 |
| 48145 | Community Health Choice |
| 50023 | Aetna Better Health of Ohio |
| 51062 | Molina Healthcare of Florida |
| 52103 | National Telecommunications Cooperative Associatio |
| 52106 | Christus Health Plan Texas HIX |
| 52123 | Johns Hopkins - USFHP |
| 52132 | Cooperative Benefits Administrators - CBA |
| 52132 | National Rural Electric |
| 52180 | UMWA Health and Retirement Funds |
| 52189 | John Hopkins Healthcare - EHP/PP |
| 52312 | Arbor Health |
| 52461 | March Vision Care |
| 52629 | Ucare of Minnesota – DOS before 2019 |
| 53011 | National Association of Letter Carriers |
| 53120 | BCBS Louisiana |
| 53589 | BCBS Arizona |
| 53589 | SW Service Administrators |
| 54154 | Optima Insurance Company |
| 54154 | Sentara Family Plan |
| 54154 | Sentara Health Management |
| 54828 | BCBS West Virginia - Highmark |
| 55204 | HealthNow NY |
| 55764 | HealthPartners of Minnesota |
| 55892 | NextBlue |
| 56116 | Corporate Benefits Service |
| 56139 | Benefit Management Services |
| 56144 | HealthGram |
| 56144 | Primary PhysicianCare |
| 56152 | PARTNERS National Health Plans of North Carolina |
| 56162 | MedCost |
| 56196 | First Carolina Care (Dates of Service prior to 1.1 |
| 56205 | MedCost Benefit Services |
| 57115 | Care 1st Health Plan of CA |
| 57116 | Care 1st Health Plan of Arizona (DOS prior to 12/1 |
| 58102 | Covenant Administrators |
| 58182 | Naphcare |
| 58233 | Evergreen Health Plan |
| 58234 | Alliant Health Plans of Georgia |
| 58379 | Qual Choice of Arkansas (formerly payer ID 35174) |
| 59140 | American Benefits Plan Administrators - Las Vegas, |
| 59140 | Consolidated Group |
| 59141 | Administrative Services, Inc |
| 59144 | Culinary Las Vegas - Unite HERE Health |
| 59204 | Fringe Benefit Coordinators |
| 59222 | Transamerica Life |
| 59274 | AvMed |
| 59321 | Florida Hospital Healthcare Systems |
| 59322 | Florida Health Plan |
| 59354 | Wellcare Health Plan |
| 59608 | Healthease |
| 60061 | AmeriHealth - New Jersey (Non-HMO Claims) |
| 60110 | Preferred Health Systems |
| 60495 | Community Health Plan |
| 61115 | Humana Long Term Care |
| 61184 | Tribute Health Plan |
| 61271 | Principal Financial Group |
| 61325 | Passport Health Plan |
| 61604 | Prime West Health Plan |
| 62030 | American General |
| 62073 | Cariten Commercial |
| 62111 | Health Cost Solutions |
| 62153 | Windsor Medicare Extra |
| 62179 | Health Choice of AZ |
| 62413 | MailHandlers |
| 62553 | Country Life |
| 63092 | HealthSpring HMO/HealthSpring Medicare+Choice |
| 63114 | Viva Health Plan |
| 64069 | Fox-Everett |
| 64071 | Acclaim |
| 64157 | Meritain Health |
| 64158 | Meritain Health / Agency Services |
| 64159 | Definity Health |
| 64246 | Guardian Life Insurance Company of America |
| 65088 | Preferred Care Partners |
| 65465 | MoreCare |
| 66006 | Blue Cross Medicare Advantage |
| 66010 | Care N Care |
| 66901 | Banner-University Family Care - University of Ariz |
| 66917 | Parkland Community Health Plan |
| 68011 | Capitol Administrators |
| 68024 | Aetna Better Health of Illinois Inc |
| 68035 | Health Plan of San Joaquin |
| 68039 | Western Health Advantage |
| 68048 | Cenpatico Behavioral Health AZ |
| 68049 | Peach State HP |
| 68055 | Total Carolina Care |
| 68056 | Centene Advantage |
| 68057 | Sunshine Health Plan |
| 68060 | Celticare |
| 68062 | Magnolia |
| 68064 | Healthy Texas |
| 68066 | Illini Care Health. Invalid after 11.30.2020 |
| 68067 | Kentucky Spirit Health |
| 68068 | Integrated Mental Health Services |
| 68195 | Healthpoint Corporation |
| 68195 | Healthsource Provident |
| 71063 | HealthSCOPE Benefits |
| 71064 | HealthChoice |
| 71080 | NovaSys Health Network |
| 71404 | Continental General Insurance |
| 71412 | Mutual of Omaha Insurance Company |
| 71890 | Medica Health Plan Solutions |
| 72107 | BCBS LA Blue Advantage |
| 72126 | Peoples Health Network |
| 72128 | Vantage Health Plan |
| 72467 | ACS Benefit Services |
| 73066 | Reserve National Insurance |
| 73067 | Quicktrip Corporation |
| 73099 | Standard Life and Accident |
| 73100 | Kempton Group |
| 73143 | Community Care Managed Health Care Plans of Oklaho |
| 73147 | HealthCare Solutions Group |
| 73159 | First Health Network |
| 74048 | American National Insurance |
| 74095 | USAA |
| 74205 | Right Care from Scott and White |
| 74212 | Employer Plan Services |
| 74227 | MEGA Life and Health - Student Division |
| 74234 | CompuSys Incorporated |
| 74238 | Boon-Chapman Benefit Administrators |
| 74284 | Driscoll Childrens Health Plan |
| 74289 | Mental Health Network |
| 75068 | Assurant Health Self Funded |
| 75136 | Luminare Health Little Rock |
| 75137 | Ameriben Solutions |
| 75261 | webTPA - Community Health Electronic Claims/CHEC |
| 75281 | New ERA Life |
| 75284 | Consolidated Associates Railroad |
| 75544 | Christie Student Health Plans |
| 76045 | SelectCare of Texas -HPN - Heritage Physicians Net |
| 76048 | Texas Children's Health Plan |
| 76342 | Sierra Health and Life |
| 76498 | Maryland Physicians Care (After DOS 12.31.2020) |
| 77001 | AmeriHealth NorthEast |
| 77002 | Amerihealth District of Columbia |
| 77003 | Prestige Health Choice |
| 77013 | Amerihealth Caritus VIP Michigan |
| 77022 | Ultimate Health Plan |
| 77045 | Arcadian Management Services |
| 77062 | AmeriHealth Caritas VIP Care |
| 77075 | Amerihealth Caritas Iowa |
| 77076 | Network Health Insurance Corp - Medicare |
| 77082 | Care Improvement Plus |
| 77153 | Indiana University |
| 77153 | Southeastern Indiana Health SIHO |
| 77160 | Gold Coast |
| 77170 | Common Ground Healthcare Cooperative |
| 77701 | Vantage Health Plan |
| 77741 | Keystone First PA Community Health Choices |
| 77780 | BCBS Nebraska |
| 78375 | Connecticare - Medicare |
| 78857 | Medica Health Care Plan |
| 80095 | Prominence Health Plan of Texas |
| 80141 | Healthfirst NY |
| 80142 | Health Partners PA |
| 80314 | Unicare Life and Health |
| 80705 | One Health Plan |
| 81039 | EBMS - Employee Benefit Management Services |
| 81264 | Nippon Life |
| 81400 | All Savers Insurance (UnitedHealthOne) |
| 81671 | Amerihealth Caritas NC |
| 81793 | Molina Health Reforma |
| 81883 | Municipal Health Benefits Fund |
| 83148 | AmeriHealth Caritas Next North Carolina |
| 84129 | Colorado Access |
| 84135 | Denver Health Medical Plan |
| 84146 | CHAMPVA-HAC |
| 84223 | Keystone VIP Choice |
| 84980 | BCBS Texas |
| 86052 | Mercy Health Plan of AZ |
| 86220 | Mass Advantage |
| 86304 | Insurers Administrative |
| 87042 | Union Pacific Railroad Employees Health Systems |
| 87406 | AmeriHealth Caritas VIP Care - Delaware DSNP |
| 87716 | Amerihealth Caritas Healthplan NH |
| 87815 | Acordia National - Wells Fargo TPA |
| 87843 | Consolidated Health Plans |
| 88022 | CDS Group Health |
| 88023 | Hometown Health Plan Nevada |
| 88030 | Scott and White Health Care |
| 88050 | National Health Benefits Corporation - NHBC02 |
| 88058 | Med Pay |
| 88250 | HealthTeam Advantage |
| 88600 | MMM - Medicare y mucho mas |
| 88848 | BCBS Iowa - Wellmark |
| 88848 | BCBS South Dakota - Wellmark |
| 90551 | US Family Health Plan |
| 90560 | WestLake Financial Group |
| 90753 | MedCost / Liberty Health Share |
| 91049 | Lifewise Health Plan of Washington |
| 91051 | Group Health Cooperative (WA) |
| 91121 | Group Health Northwest |
| 91131 | Sound Health |
| 91184 | Sanford Health Plan |
| 91617 | Kaiser Foundation Health Plan Colorado |
| 93029 | PacificSource Health Plans |
| 93079 | Kaiser Foundation Health Plan of the Northwest |
| 93082 | Prominence Health Plan of Nevada |
| 93093 | Lifewise |
| 93093 | Lifewise Health Plan of Oregon |
| 93121 | FamilyCare Coordinated Care Organization |
| 93221 | Asuris NW Health |
| 93240 | Evergreen Health Cooperative |
| 93688 | AmeriHealth - DE (PPO) |
| 94135 | Kaiser Foundation Health Plan of Northern CA Regio |
| 94265 | Medica |
| 94999 | FirstCare |
| 95112 | Capital Health Plan |
| 95123 | Neighborhood Health Partnership - NHP |
| 95202 | SummaCare Health Plan |
| 95241 | AGIA Inc |
| 95376 | Community Health Group |
| 95378 | AmeriChoice Tennesee |
| 95386 | CenCal Health |
| 95397 | PIA |
| 95397 | Personal Insurance Administrators |
| 95444 | Clarian Health Plans |
| 95655 | Medigold |
| 95655 | Mount Carmel |
| 95677 | The Health Plan of West Virginia Inc |
| 95958 | PacifiCare |
| 95999 | PacifiCare PPO |
| 96240 | Neighborhood Health Plan of RI - Integrity |
| 96385 | United Healthcare Community Plan Kansas |
| 97300 | Triple S |
| 99030 | Aloha Care |
| A5236 | Ochsner Health Plan |
| ABRI1 | Abri Healthplan |
| ABRI1 | Molina Healthcare Wisconsin |
| ALOHA | AlohaCare |
| AMF11 | American Family Insurance |
| ARCS1 | CareSource Arkansas |
| ATRIO | ATRIO Health Plans |
| AWNY6 | Age Well NY |
| BANK1 | BANKERS FIDELITY LIFE INSURANCE CO (ERA ONLY) |
| BC001 | Directors Guild of America |
| BCSAL | BCBS Alabama |
| BHOVO | Carelon Behavioral Health |
| BOONG | The Boon Group |
| BRGHT | Bright HealthCare |
| BRIDG | Bridgespan |
| BRT01 | Bright Health Plan Medicare |
| BTSS1 | Brown and Toland Sutter |
| C1SCA | BS California Promise Health Plan |
| CALOP | CalOptima Direct |
| CAPHP | Caprock Health Plans |
| CARMO | Caremore Value Plus |
| CB186 | Bright Health Plan |
| CCHP1 | Cook Children's Health Plan |
| CCStpa | CCSTPA Comprehensive Care Services |
| CELTC | Celtic Insurance |
| CHPWA | Community Health Plan of WA |
| CIPA1 | Central Senior Care |
| CLEAR | Clear Health Alliance |
| CM001 | Caremore |
| COACC | Access Behavioral Care |
| COKSR | Colorado Kaiser Permanente - Colorado plans only |
| COMMF | Community First |
| CURTV | Curative |
| DAK01 | DakotaCare |
| DEAN1 | Dean Health Plan (DOS prior to 1/1/24) |
| DRHCP | Doctors HealthCare Plans |
| EBSRM | Lifetime Benefits Solutions |
| EH001 | Evry Health |
| EMBLM | EMBLEM |
| FCC01 | First Carolina Care |
| FCC01 | FirstMedicare Direct |
| FOREN | Tricare Overseas |
| GACS1 | CareSource of Georgia |
| GHOKC | Global Health |
| HCA77 | Healthcomp |
| HCH01 | Healthcare Highways |
| HIBCS | BCBS Hawaii |
| HMA01 | Healthcare Management Administrators - HMA service |
| HMAPD | BlueCross Medicare Advantage |
| HPAMN | Cooportunity Health |
| HPSM1 | Health Plan of San Mateo |
| HT001 | HealthSpring HMO |
| IDBLC | BC Idaho |
| IEHP1 | Inland Empire Health Plan |
| INCHN | Intercommunity Health Net |
| INCS1 | CareSource IN |
| J1908 | Chesapeake Insurance |
| JAI01 | JAI Medical Systems |
| KYCS1 | CareSource KY |
| L0250 | Preferred Medicare |
| L0260 | Constellation Health |
| LACAR | LA Care Health Plan |
| LIFE1 | OptumCare (Optum Medical Network / Lifeprint) |
| MAHC1 | Medical Associates Health Plan (Live360) |
| MAHP1 | Medical Associates Health Plan |
| MC721 | Blue Cross Community Centennial |
| MCA11 | Memorial Clinical Associates |
| MCCVA | Magellan Complete Care of VA |
| MCDIL | Blue Cross Community Options |
| MCS01 | GEMCare - Golden Empire Managed Care System |
| MCS04 | Managed Care Systems |
| MEDM1 | Medica Government Programs |
| MHPMI | Meridian Health Plan Michigan Complete |
| MIBCN | BCBS Michigan Blue Care HMO - BCN of Michigan |
| MIFEP | Michigan FEP |
| MIMPB | Michigan Medicare PlusBlue |
| MMLI3 | Transamerica Premier Life Insurance - Monumental |
| MNAUL | Aultcare |
| NG007 | Kaiser Foundation Health Plan of Ohio |
| NG008 | Kaiser Mid-Atlantic |
| NJBCS | Blue Shield of New Jersey |
| NM505 | Molina Healthcare of New Mexico |
| NWDC1 | Northwest Diagnostic Clinic |
| OMN02 | Omnicare IPA |
| OSCAR | Oscar Health |
| PCCAZ | Pacificare Arizona |
| PDSHM | Plan de Salud Hospital Menonita |
| PEAK0 | Peak Health |
| PHP00 | Providence Preferred - PPO |
| PHP02 | Partnership Health Plan |
| PRAHM | Triple S - AHM |
| PRAUX | Auxilio Salud Plus |
| PRBEL | Plan de Salud Bella Vista |
| PRBIE | Plan de Bienestar UTM-PRSSA |
| PREHP | Presbyterian Health Plan |
| PREMD | Preferred Medicare Choice (PMC) |
| PRFHC | FHCHS of Puerto Rico |
| PRFMV | First Medical Vital |
| PRMAP | Mapfre Life Insurance |
| PRMCS | Medical Card System - MCS |
| PRMEV | Plan de Salud Hospital Menonita Vital |
| RGA01 | Regence Group Administrators |
| RH011 | Kaiser Permanente Hawaii |
| RLH01 | Lifemap |
| RMHMO | Rocky Mountain HMO |
| RMSCO | RMSCO |
| RP061 | Farm Bureau Health Plans MAPD |
| RRMCR | Railroad Medicare |
| RX001 | TransactRx Infusion and Specialty |
| SB570 | BCBS Delaware |
| SB613 | Community Health Plan of Washington |
| SB700 | BCBS Massachusetts |
| SB731 | MS BCBS State Employees |
| SB810 | BCBS North Carolina |
| SC446 | Employee Benefit Services DBA Key Benefit Administ |
| SCAN1 | Scan CA |
| SFHP1 | San Francisco Health Plan |
| SHMS1 | Shared Health Mississippi |
| SHP01 | Sharp Health Plan |
| SLIC1 | Stonebridge Life - Valley Forge Pennsylvania |
| SMPLY | Simply Healthcare Plans |
| STJOE | Mission Hospital Affiliates |
| SX105 | Deseret Mutual |
| SX106 | PEHP - Utah Public Employee Health Plan |
| SX107 | Intermountain Healthcare |
| SX109 | Molina Healthcare Utah |
| SX110 | EMI Health |
| SX113 | Altius Health Plans |
| SX141 | Rocky Mountain Health Plan Grand Junction |
| SX158 | Paramount Health |
| SX169 | Central California Alliance for Health |
| SX179 | Asuris Northwest/MedAdvantage |
| TA720 | Independence Administrators |
| TH095 | American Family Insurance |
| THS01 | Texas HealthSpring |
| TLINS | Transamerica Life |
| TRP1E | Transamerica Life |
| TRSEL | Selman Tricare Supplement |
| TRULI | Truli Health |
| TX1ST | Texas First Health Plans |
| ULLIC | Ullico - Valley Forge Pennsylvania |
| UNBCI | Universal Benefits |
| UNITE | UNITE HERE |
| UTAMS | UNITED TEACHER ASSOCIATES |
| VCIPA | Valley Care IPA |
| VFP11 | Village Family Practice |
| VHA11 | Valley Health Administrators |
| VHP01 | Valley Health Plan |
| WLPNT | Amerigroup - Wellpoint |
| BCCAC | ANTHEM BC CA |
| SB520 | BCBS ARKANSAS |
| SB580 | BCBS DC / FED |
| 00151 | BCBS GEORGIA |
| BCKSC | BCBS KANSAS |
| 00751 | BCBS MONTANA |
| BCNCC | BCBS N CAROLINA |
| SB770 | BCBS NEW HAMPSHIRE |
| SB840 | BCBS OKLAHOMA |
| BCORC | BCBS OREGON |
| BCSCC | BCBS S CAROLINA |
| 00271 | BCBS TEXAS |
| BCTXC | BCBS TEXAS |
| SB915 | BCBS VERMONT |
| SB801 | BCBS WESTERN NY |
| SPBSC | BS OF CALIFORNIA |
| BCMDC | CAREFIRST MARYLAND |
| 71412 | Mutual of Omaha |
| 00019 | Cox Health Plan (Requires Provider ID in Box 33a. |
| 00403 | Blue Choice Medicaid |
| 00562 | BCBSMN BLUE PLUS MEDICAID |
| 00726 | BCBSMN Blue Plus Medicaid |
| 02937 | Anthem BCBS (Ohio Medicaid) |
| 03150 | CareSource Ohio Medicaid |
| 04202 | Buckeye Ohio Medicaid (Centene) |
| 07316 | Molina Ohio Medicaid |
| 26337 | Aetna Better Health Medicaid IL |
| 3833C | McLaren Medicaid |
| 38692 | Aetna TX Medicaid and CHIP |
| 61103 | Humana - Healthy Horizons (Ohio Medicaid) |
| 66001 | BCBS Texas Medicaid STAR CHIP |
| 77350 | Providence Health Assurance Medicaid |
| 86916 | Medicaid Texas Health Steps and CSHCN |
| 94998 | FirstCare Star Medicaid |
| AKMCD | Medicaid of Alaska |
| DEMCD | Medicaid of Delaware |
| MICS1 | HAP CareSource of Michigan Medicaid |
| NHMCD | Medicaid of New Hampshire |
| UTMCD | Medicaid of Utah |
| 00039 | BCBS CA |
| 46320 | AETNA Better Health NJ |
| 81040 | Allegiance |
| 68069 | Ambetter |
| 54763 | Amerihealth Admin |
| 77799 | Amerihealth Caritas DE |
| AMNPA | Amerihealth Caritas PA |
| CDPHP | Capital District PHP |
| 93975 | Careoregon |
| 00324 | Careplus Health Plan |
| 13360 | Centerlight Healthcare |
| 42139 | County Care |
| CTYCR | Countycare |
| DEVOT | Devoted Health |
| 31625 | Elderplan |
| ESSNC | Essence Healthcare |
| 77950 | Health Alliance of IL |
| HAPMC | Health Alliance of MI |
| 94267 | Health Partners UPH |
| 51020 | Integra Administrative |
| MHPIL | Meridian Health Plan IL |
| 13265 | Metro Plus Health Plan |
| 38217 | Priority Health |
| PVDNC | Providence for Oregon |
| 83035 | Senior Whole Health |
| 31053 | State Farm |
| 48055 | Todays Option |
| SX006 | Univera Community Health |
| 83248 | Zing Health Choice |
| VNSNY | VNS Choice |
| 54398 | Allina Health (Aetna) |
| 44273 | Health Plans Inc |
| 35245 | WellSystems LLC |
| 74234 | 8th District Electrical |
| 36273 | AARP Medicare Supplement/Fixed Indemity by UnitedHealthcare |
| 87726 | AARP MedicareComplete |
| 36273 | AARP UnitedHealthcare Insurance |
| 87815 | Acordia National ‐ Wells Fargo TPA |
| 74234 | Advanstaff |
| 23228 | Aetna Better Health ‐ PA Medicaid |
| 60054 | Aetna Health Plan ‐ PPO |
| 60054 | Aetna Life and Casualty Company |
| 13333 | Affinity Health Plans ‐ TMG Health |
| 80705 | AH and L |
| 37602 | All Savers Insurance |
| 81040 | Allegiance Benefit Plan Management |
| 80705 | ALTA Health and Life Insurance Company |
| 59140 | American Benefits Plan Administrators ‐ Las Vegas, NV |
| 87726 | American International Group |
| 81400 | American Medical Security |
| 81400 | American Medical Security (UnitedHealthOne) |
| 44444 | American Postal Workers Union Health Plan ‐ APWU |
| 42011 | American Republic Insurance Company ‐ ARIC |
| 87726 | AmeriChoice ‐ CT, FL, MD, RI, TX, WI (UnitedHealthcare Community Plan) |
| 87726 | AmeriChoice by UnitedHealthcare (NYU) (UnitedHealthcare Community Plan) |
| 87726 | AmeriChoice MS ‐ CHIP and CAN (UnitedHealthcare Community Plan) |
| 86047 | AmeriChoice NJ, Medicaid, NJ Family Care ‐ UnitedHealthcare Community Plan |
| 87726 | AmeriChoice of Florida |
| 87726 | AmeriChoice of Illinois |
| 87726 | AmeriChoice of Maryland |
| 87726 | AmeriChoice of Nebraska |
| 87726 | AmeriChoice of Nebraska (UnitedHealthcare Community Plan) |
| 86047 | AmeriChoice of NJ Medicaid and Family Care |
| 87726 | AmeriChoice of Rhode Island |
| 25175 | Americhoice Personal Care Plus PA ‐ United Healcare Community Plan |
| 95378 | AmeriChoice Tennesee ‐ TennCare, Secure Plus Complete ‐ UnitedHealthcare Community Plan |
| 28807 | Amerigroup ‐ Maryland, Virginia and District of Columbia |
| 28806 | Amerigroup ‐ New Jersey |
| WLPNT | Amerigroup ‐ Wellpoint |
| 28805 | Amerigroup / Americaid ‐ Houston |
| 27514 | Amerigroup Georgia |
| 27514 | Amerigroup Tennessee |
| 93688 | AmeriHealth ‐ DE (PPO) |
| 60061 | AmeriHealth ‐ New Jersey (Non‐HMO Claims) |
| 54763 | AmeriHealth Administrators |
| 27357 | Amerihealth Caritas |
| 35374 | AmeriHealth Caritas Ohio Medicaid |
| 87406 | AmeriHealth Caritas VIP Care ‐ Delaware DSNP |
| 77799 | Amerihealth DE |
| 80705 | Anthem Health and Life Insurance Company of New Jersey |
| 68069 | Arizona Complete Health |
| 3432 | Arizona Physicians IPA ‐ APIPA (UnitedHealthcare Arizona Physicians IPA) |
| 74234 | Arizona Pipe Trades Health and Welfare Trust Fund Local Union Nos. 469 and 741 Metal Trades Health Plan |
| 74234 | Arizona Pipe Trades Health and Welfare Trust Fund Local Union Nos. 469 and 741 Pipe Trades Health Plan |
| 68069 | Ascension Complete |
| 38265 | ASR Corporation |
| 38259 | Automated Benefit Services ‐ ABS |
| 74227 | Bankers United Life ‐ Student Division |
| 66901 | Banner‐University Family Care ‐ University of Arizona Health Plans |
| 47198 | BC California |
| 00934 | BCBS PREMERA |
| 00520 | BCBS Arkansas |
| 00050 | BCBS Colorado ‐ Anthem |
| 00060 | BCBS Connecticut ‐ Anthem |
| 00590 | BCBS Florida |
| 00601 | BCBS Georgia (State Health of GA) |
| 00601 | BCBS Georgia State Health Benefit Plan |
| 00621 | BCBS Illinois |
| 00630 | BCBS Indiana ‐ Anthem |
| 88848 | BCBS Iowa ‐ Wellmark |
| 00660 | BCBS Kentucky ‐ Anthem |
| 00680 | BCBS Maine ‐ Anthem |
| 00200 | BCBS Massachusetts |
| 00710 | BCBS Michigan |
| MIBCN | BCBS Michigan Blue Care HMO ‐ BCN of Michigan |
| 00241 | BCBS Missouri ‐ Anthem |
| BCSMT | BCBS Montana |
| 00265 | BCBS Nevada ‐ Anthem |
| 00770 | BCBS New Hampshire ‐ Anthem |
| 00803 | BCBS New York ‐ Anthem ‐ Empire |
| 00804 | BCBS New York ‐ Blue Choice of Rochester NY |
| 00804 | BCBS New York ‐ Blue Shield of Rochester NY ‐ Excellus |
| 00805 | BCBS New York ‐ BS of Central NY HMO/PPO |
| 005536 | BCBS North Carolina |
| 00834 | BCBS Ohio ‐ Anthem |
| 00840 | BCBS Oklahoma |
| 00851 | BCBS Oregon ‐ Regence |
| 54771 | BCBS Pennsylvania ‐ Highmark |
| SCBCS | BCBS South Carolina |
| 88848 | BCBS South Dakota ‐ Wellmark |
| 00601 | BCBS State Merit GA |
| 00390 | BCBS Tennessee |
| TXBLS | BCBS Texas |
| 84980 | BCBS Texas HCSC |
| 00910 | BCBS Utah ‐ Regence |
| VTBLS | BCBS Vermont |
| 00923 | BCBS Virginia ‐ Blue Care PPO |
| 00923 | BCBS Virginia ‐ Blue Shield of Virginia |
| 00923 | BCBS Virginia ‐ COVA ‐ Commonwealth of VA |
| 00923 | BCBS Virginia ‐ Healthkeeper HMO |
| 00923 | BCBS Virginia ‐ Keycare PPO |
| 00923 | BCBS Virginia ‐ Local Choice |
| 00923 | BCBS Virginia ‐ Medicare Supplemental |
| 00923 | BCBS Virginia ‐ Peninsula Healthcare |
| 00923 | BCBS Virginia ‐ Priority Healthcare |
| 00923 | BCBS Virginia ‐ VA State Employer Funds |
| 54828 | BCBS West Virginia ‐ Highmark |
| 00801 | BCBS Western New York |
| 00950 | BCBS Wisconsin ‐ Anthem |
| 61425 | Benefit Trust Life Insurance Company |
| 25463 | BIND ‐ UHC Choice Multiplan |
| 47163 | Blue Shield of Kansas |
| 74238 | Boon‐Chapman Benefit Administrators |
| 84367 | BRAVEN HEALTH |
| BTSS1 | Brown and Toland SutterSelect |
| BS001 | BS California |
| 00611 | BS Idaho ‐ Regence |
| 00932 | BS Washington ‐ Regence |
| 68069 | Buckeye Community Health (Also 32004) |
| 68069 | California Health and Wellness |
| 23045 | Capital Advantage Insurance Company Professional |
| SX065 | Capital District PHP |
| 68069 | Care 1st Health Plan of Arizona |
| 57116 | Care 1st Health Plan of Arizona (DOS prior to 12/1/22) |
| SB580 | CareFirst BCBS ‐ DC, National Capital Area |
| CARMO | Caremore IPA |
| 95092 | CarePlus Health Plans |
| 68069 | Carolina Crescent (Also 68055) |
| 41124 | CBSA ‐ Corporation Benefit Services of America |
| 68068 | Cenpatico ‐ Multiple States |
| 68068 | Cenpatico Kansas |
| 68069 | Centene Advantage Plans (Also 68056) |
| 36215 | Central States Southeast and Southwest Areas Health and Welfare and Pensions Funds |
| 84146 | CHAMPVA‐HAC |
| 62308 | Cigna ‐ PPO |
| 62308 | Cigna Health Plan ‐ HMO |
| 62308 | Cigna Premier Plus |
| 74234 | City of Austin |
| 77023 | Clover formerly Carepoint Health Plan |
| COACC | Colorado Access HMO |
| COKSR | Colorado Kaiser Permanente ‐ Colorado plans only |
| 73143 | Community Care Managed Health Care Plans of Oklahoma |
| 74234 | CompuSys Incorporated Arizona |
| 74234 | CompuSys Incorporated New Mexico |
| 74234 | CompuSys Incorporated Utah |
| 74234 | CompuSys/Erisa Group, Incorporated AZ |
| 74234 | CompuSys/Erisa Group, Incorporated NM |
| 74234 | CompuSys/Erisa Group, Incorporated TX |
| 80705 | Confederation Admin Services |
| 80705 | Confederation Life Insurance |
| 78375 | Connecticare ‐ Medicare |
| 06105 | Connecticare Inc |
| 52132 | Cooperative Benefits Administrators ‐ CBA |
| 35182 | CoreSource of Illinois |
| 35182 | CoreSource of Iowa |
| 35182 | CoreSource of Maryland |
| 35182 | CoreSource of Pennsylvania |
| 00019 | Cox Health Plan (Requires Provider ID in Box 33a. Contact Cox Health Plan for ID.) |
| 80705 | Crown Life |
| 59140 | Culinary Health and Welfare Fund ‐ Las Vegas, NV |
| 59144 | Culinary Las Vegas ‐ Unite HERE Health |
| 87726 | Definity Health Plan (UnitedHealthcare) |
| 87726 | Definity Services |
| 25160 | DGA ‐ Diversified Group Administrators |
| SX105 | DMBA AKA Missionary Medical |
| 74284 | Driscoll Childrens Health Plan ‐ CHIP |
| 81039 | EBMS ‐ Employee Benefit Management Services |
| 52192 | Elder Health Maryland HMO |
| 87726 | Empire Plan (UnitedHealthcare) |
| SC446 | Employee Benefit Services DBA Key Benefit Administrators |
| 62308 | Equicor |
| 62308 | Equicor ‐ PPO |
| 23250 | Erin Group Administrators |
| 74234 | Erisa Administrative Services |
| 74234 | Erisa Administrative Services Incorporated |
| 57082 | Essence Healthcare |
| 55413 | EssentiaCare (2020 DOS) |
| 87726 | Evercare Special Needs (Evercare by UnitedHealthcare) |
| 87726 | Evercare Star Plus |
| 11315 | Fidelis Care NY |
| 56196 | First Carolina Care (Dates of Service prior to 1.1.2021) |
| 91131 | First Choice Health Network |
| 80705 | First Great‐West Life and Annuity |
| 87726 | First Seniority Freedom |
| 41124 | Fortis Self Funded Administrative Services |
| 64069 | Fox‐Everett |
| 25169 | Gateway Health Plan Medicaid PA |
| MCS01 | GEMCare ‐ Golden Empire Managed Care System |
| 61271 | Georgia Power Medical Benefits Plan |
| GHMCR | GHI Medicare Part B of New York |
| 37602 | Golden Rule Insurance |
| 44054 | Government Employees Hospital Association ‐ GEHA |
| 80705 | Great West ‐ SF |
| 80705 | Great West ‐ WA |
| 80705 | Great West Care |
| 80705 | Great West Denver |
| 80705 | Great West Life Assurance |
| 80705 | Great West Life Assurance Company of America |
| 80705 | Great‐West Bellevue |
| 13551 | Group Health Incorporated ‐GHI ‐ New York |
| 61101 | Group Health Insurance ‐ DE |
| 80705 | GWL |
| 80705 | GWL and A |
| 38224 | HAP ‐ Health Alliance Plan of MI (DOS prior to 10/1/23) |
| 14163 | Harmony‐Wellcare HMO, Inc |
| 4271 | Harvard Pilgrim Health Care |
| 87726 | Harvard Pilgrim Passport Connect |
| 77950 | Health Alliance Medical Plans of Illinois |
| 95019 | Health First Health Plans |
| 95567 | Health Net ‐ California |
| 76342 | Health Plan of Nevada |
| 59140 | Health Plan Services, Tampa |
| 37290 | Health Services for Children with Special Needs ‐ HSCSN |
| HMA01 | Healthcare Management Administrators ‐ HMA serviceing Wester Region |
| 27514 | Healthplus Amerigroup |
| 87815 | HealthSmart Benefit Solutions ‐ Wells Fargo TPA |
| 68195 | Healthsource Providen |
| 00541 | Healthy Blue ‐ Missouri Care |
| 55247 | HIP ‐ Health Insurance Plan of Greater NY |
| 68069 | Home State Health Plan |
| 22099 | Horizon BCBS New Jersey |
| 61103 | Humana ‐ Healthy Horizons (Ohio Medicaid) |
| 74234 | IBEW Local 640 and Arizona Chapter NECA Health and Welfare Trust |
| 74234 | IBEW Western Utilities or Local 57 |
| 68069 | Illinicare Group Health (Also 68066). Invalid after 11.30.2020 |
| 54704 | Independent BLC of PA |
| INHEA | Independent Health of New Jersey |
| 95444 | Indiana University Health Plan |
| 51020 | INTEGRA Administrative Group |
| 74234 | Intermountain Ironworkers Trust Fund |
| 41124 | Iowa Benefits, Inc |
| 80142 | Jefferson Health Plans |
| 61271 | JF Molloy |
| 52189 | John Hopkins Healthcare ‐ EHP/PP |
| 52123 | Johns Hopkins ‐ USFHP |
| 94135 | Kaiser Foundation Health Plan of Northern CA Region |
| 94134 | Kaiser Foundation Health Plan of Southern CA Region |
| NG008 | Kaiser Mid‐Atlantic |
| KS003 | Kaiser Permanente ‐ Northern California Only |
| 68069 | Kentucky Spirit Health Plan (Also 68067) |
| 95056 | Keystone Health Plan East (claims only) |
| 95056 | Keystone Health Plan East (encounters only) |
| 27357 | LA Care |
| EBSRM | Lifetime Benefit Solutions |
| 68069 | Louisiana Healthcare Connections |
| 60054 | Magellan Behavioral Health |
| 68069 | Magnolia Mississippi (Also 68062) |
| 87726 | MAHP (MD IPA, Optumun Choice and MLH) UnitedHealthcare |
| 22771 | Managed Health Networks ‐ MHN |
| 68069 | Managed Health Services Indiana (Also 39186) |
| 68069 | Managed Health Services of Wisconsin |
| 87726 | MD‐Individual Practice Association, Inc. |
| ALMCD | Medicaid of Alabama |
| AZMCD | Medicaid of Arizona ‐ AHCCCS |
| ARMCD | Medicaid of Arkansas |
| CAMCD | Medicaid of California ‐ Medi‐Cal |
| COMCD | Medicaid of Colorado |
| CTMCD | Medicaid of Connecticut |
| FLMCD | Medicaid of Florida |
| GAMCD | Medicaid of Georgia |
| HIMCD | Medicaid of Hawaii |
| IDMCD | Medicaid of Idaho |
| ILMCD | Medicaid of Illinois |
| INMCD | Medicaid of Indiana |
| IAMCD | Medicaid of Iowa |
| KSMCD | Medicaid of Kansas |
| KYMCD | Medicaid of Kentucky |
| LAMCD | Medicaid of Louisiana ‐ Includes KidMed claims |
| MEMCD | Medicaid of Maine |
| MDMCD | Medicaid of Maryland |
| MAMCD | Medicaid of Massachusetts |
| MIMCD | Medicaid of Michigan |
| MNMCD | Medicaid of Minnesota |
| MSMCD | Medicaid of Mississippi |
| MOMCD | Medicaid of Missouri |
| MTMCD | Medicaid of Montana |
| NEMCD | Medicaid of Nebraska |
| NVMCD | Medicaid of Nevada |
| NJMCD | Medicaid of New Jersey |
| NMMCD | Medicaid of New Mexico |
| NYMCD | Medicaid of New York |
| NCMCD | Medicaid of North Carolina |
| NDMCD | Medicaid of North Dakota |
| OHMCD | Medicaid of Ohio |
| OKMCD | Medicaid of Oklahoma |
| ORMCD | Medicaid of Oregon |
| PAMCD | Medicaid of Pennsylvania |
| RIMCD | Medicaid of Rhode Island |
| SCMCD | Medicaid of South Carolina |
| SDMCD | Medicaid of South Dakota |
| TNMCD | Medicaid of Tennessee (TennCare) |
| TXMCD | Medicaid of Texas |
| VTMCD | Medicaid of Vermont |
| VAMCD | Medicaid of Virginia |
| DCMCD | Medicaid of Washington DC |
| WAMCD | Medicaid of Washington State |
| WVMCD | Medicaid of West Virginia |
| WIMCD | Medicaid of Wisconsin |
| WYMCD | Medicaid of Wyoming |
| PRMCS | Medical Card System ‐ MCS |
| 29076 | Medical Mutual Ohio |
| 38224 | Medical Value Plan ‐ Ohio MVP |
| ALMCR | Medicare Part A/B of Alabama |
| AKMCR | Medicare Part A/B of Alaska |
| AZMCR | Medicare Part A/B of Arizona |
| ARMCR | Medicare Part A/B of Arkansas |
| COMCR | Medicare Part A/B of Colorado |
| CTMCR | Medicare Part A/B of Connecticut |
| DEMCR | Medicare Part A/B of Delaware |
| FLMCR | Medicare Part A/B of Florida |
| GAMCR | Medicare Part A/B of Georgia |
| HIMCR | Medicare Part A/B of Hawaii |
| IDMCR | Medicare Part A/B of Idaho |
| ILMCR | Medicare Part A/B of Illinois |
| INMCR | Medicare Part A/B of Indiana |
| IAMCR | Medicare Part A/B of Iowa |
| KSMCR | Medicare Part A/B of Kansas |
| KYMCR | Medicare Part A/B of Kentucky |
| LAMCR | Medicare Part A/B of Louisiana |
| MEMCR | Medicare Part A/B of Maine |
| MDMCR | Medicare Part A/B of Maryland |
| MAMCR | Medicare Part A/B of Massachusetts |
| MIMCR | Medicare Part A/B of Michigan |
| MNMCR | Medicare Part A/B of Minnesota |
| MSMCR | Medicare Part A/B of Mississippi |
| MOMCR | Medicare Part A/B of Missouri |
| MTMCR | Medicare Part A/B of Montana |
| NEMCR | Medicare Part A/B of Nebraska |
| NVMCR | Medicare Part A/B of Nevada |
| NHMCR | Medicare Part A/B of New Hampshire |
| NMMCR | Medicare Part A/B of New Mexico |
| ENMCR | Medicare Part A/B of New York ‐ Empire ‐ Downstate |
| NYMCR | Medicare Part A/B of New York ‐ Upstate |
| NJMCR | Medicare Part A/B of NJ |
| NCMCR | Medicare Part A/B of North Carolina |
| NDMCR | Medicare Part A/B of North Dakota |
| CNMCR | Medicare Part A/B of Northern California |
| OHMCR | Medicare Part A/B of Ohio |
| OKMCR | Medicare Part A/B of Oklahoma |
| ORMCR | Medicare Part A/B of Oregon |
| PAMCR | Medicare Part A/B of PA |
| RIMCR | Medicare Part A/B of Rhode Island |
| SCMCR | Medicare Part A/B of South Carolina |
| SDMCR | Medicare Part A/B of South Dakota |
| CSMCR | Medicare Part A/B of Southern California |
| TNMCR | Medicare Part A/B of Tennessee |
| TXMCR | Medicare Part A/B of Texas |
| UTMCR | Medicare Part A/B of Utah |
| VTMCR | Medicare Part A/B of Vermont |
| VAMCR | Medicare Part A/B of Virginia |
| WAMCR | Medicare Part A/B of Washington |
| DCMCR | Medicare Part A/B of Washington DC |
| WVMCR | Medicare Part A/B of West Virginia |
| WIMCR | Medicare Part A/B of Wisconsin |
| WYMCR | Medicare Part A/B of Wyoming |
| ASMCR | Medicare Part B of American Samoa |
| QUMCR | Medicare Part B of New York ‐ Queens |
| 74227 | MEGA Life and Health ‐ Student Division |
| 86052 | Mercy Health Plan ‐ AHCCCS |
| MHPIL | Meridian Health Plan Illinois |
| 41124 | Meritain Health Minneapolis |
| 74227 | Mid‐West United Life ‐ Student Division |
| SX105 | Missionary Medical |
| 88600 | MMM ‐ Medicare y mucho mas |
| 13350 | MODA Health ‐ ODS Health Plan |
| 20934 | Molina Healthcare of Illinois |
| 38334 | Molina Healthcare of Michigan |
| 43174 | Molina Healthcare of Washington ‐ Encounters Only |
| 95444 | MPLAN Healthcare Group |
| 71412 | Mutually Preferred |
| 88050 | National Health Benefits Corporation ‐ NHBC02 |
| 52103 | National Telecommunications Cooperative Association ‐ NTCA |
| 95123 | Neighborhood Health Partnership ‐ NHP |
| 96240 | Neighborhood Health Plan of RI ‐ Integrity |
| 96240 | Neighborhood Health RI Exchange, Unity, Integrity Plans |
| 77076 | Network Health Insurance Corp ‐ Medicare |
| 68069 | New Hampshire Healthy Family |
| 74234 | New Mexico District Council of Carpenters |
| 45129 | New Mexico Health Connections (Dates of Service prior to 1.1.2020) |
| 74234 | New Mexico Painters and Allied Trades Local No 823 |
| 74234 | New Mexico‐West Texas Multi‐Craft ‐ New Mexico Laborers |
| 64157 | North American Administrators |
| 80705 | One Health Plan Michigan |
| 80705 | One Health Plan New York |
| 80705 | One Health Plan of Alaska |
| 80705 | One Health Plan of Arizona |
| 80705 | One Health Plan of DC |
| 80705 | One Health Plan of Florida |
| 80705 | One Health Plan of Indiana |
| 80705 | One Health Plan of Kansas and Missouri |
| 80705 | One Health Plan of Maine |
| 80705 | One Health Plan of Massachusetts |
| 80705 | One Health Plan of Minnesota |
| 80705 | One Health Plan of Nevada |
| 80705 | One Health Plan of New Jersey |
| 80705 | One Health Plan of North Carolina |
| 80705 | One Health Plan of Ohio |
| 80705 | One Health Plan of Pennsylvania |
| 80705 | One Health Plan of South Carolina |
| 80705 | One Health Plan of Tennessee |
| 80705 | One Health Plan of Texas |
| 80705 | One Health Plan of Virginia |
| 80705 | One Health Plan of Washington |
| 80705 | One Health Plan of Wisconsin |
| 80705 | One Health Plan of Wyoming |
| 74234 | Operating Engineers Local No 53 |
| 87726 | Optimum Choice |
| 87726 | OptumHealth Behavior Solutions |
| 87726 | OptumHealth Behavioral Solutions of NM |
| 87726 | OptumHealth New Mexico |
| 45332 | Oregons Health CO‐OP |
| 61101 | OSF Health Plans |
| 06111 | Oxford ‐ UnitedHealthcare/Oxford |
| 06111 | Oxford Health Plans |
| 81400 | PacifiCare Individual Business Plan (UnitedHealthOne) |
| 95958 | PacifiCare of CA Encounters |
| 95958 | PacifiCare of OK Encounters |
| 95958 | PacifiCare of OR Encounters |
| 95958 | PacifiCare of TX Encounters |
| 95958 | PacifiCare of WA Encounters |
| 68069 | Peach State Health Plan ‐ Behavioral Health |
| 68069 | Peach State Health Plan ‐ Medicaid |
| SX106 | PEHP ‐ Utah Public Employee Health Plan |
| 54704 | Personal Choice PPO of Pennsylvania |
| 38265 | Physicians Care Network |
| 37330 | Physicians Health Plan (PHP) Mid‐Michigan |
| PRBIE | Plan de Bienestar UTM‐PRSSA |
| 37287 | Planned Administrators, Inc ‐ PAI |
| 73159 | PPO Oklahoma ‐ WinterBrook HealthCare Management |
| 60054 | Primary Choice (Aetna HP‐NY/NJ) |
| 36331 | Professional Benefit Administrators ‐ Oak Brook, IL |
| PHP01 | Providence Choice Option |
| PHP01 | Providence Good Health Plan |
| PHP00 | Providence Preferred ‐ PPO |
| 68195 | Provident Life and Accident Insurance Company |
| 68195 | Provident Life and Accident Insurance Company of America |
| 68195 | Provident Life and Casualty Insurance Company |
| 42172 | Riverlink Health |
| 87726 | SecureHorizons MedicareComplete |
| 87726 | SecureHorizons MedicareDirect |
| 60054 | Select Choice |
| 76045 | SelectCare of Texas ‐HPN ‐ Heritage Physicians Network |
| 60054 | Senior Choice (Aetna HP‐NY/NJ) |
| 95444 | Senior Smart Choice |
| 76342 | Sierra Health Services |
| 23250 | Significa Benefit Services, Inc. |
| 68069 | Silver Summit Health Plan |
| 42172 | Soundpath Health |
| 61425 | Starmark |
| 31059 | State Farm ‐ Casualty and Property |
| SLIC1 | Stonebridge Life ‐ Valley Forge Pennsylvania |
| 74227 | Student Insurance |
| 74227 | Student Insurance ‐ Boston Mutual Life Insurance Company |
| 74227 | Student Insurance ‐ Life Insurance Company of Boston and New York |
| 74227 | Student Insurance ‐ MEGA Life and Health Insurance Company |
| 74227 | Student Insurance ‐ Mid‐West National Life Insurance Company of Tennessee |
| 74227 | Student Insurance ‐ Reliance Insurance Company |
| 74227 | Student Insurance ‐ Reliance National Insurance Company |
| 74227 | Student Insurance Division |
| 74227 | Student Resources International ‐ UnitedHealthcare |
| 68069 | Sunflower State Healthcare Plan |
| 68069 | Sunshine Health Plan (Also 68057) |
| 68069 | Superior Health Plan (Also 39188) |
| 74234 | Tech‐Steel |
| 87726 | The Empire Plan |
| 20356 | The Health Exchange ‐ Cerner Corporation |
| 63092 | The Oath ‐ Health Partners of Alabama |
| 25175 | Three Rivers Provider Network |
| 48055 | Todays Option ‐ American Progressive and Pyramid Life ‐ APP |
| 61425 | Tooling and Manufacturing |
| 68069 | Total Carolina Care (Also 68055) |
| 87726 | Touchpoint |
| MMLI3 | Transamerica Premier Life Insurance ‐ Monumental |
| 74234 | Transwestern General Agency |
| PRAHM | Triple S ‐ AHM |
| 61425 | Trustmark (Includes Starmark and TMA) |
| 04298 | Tufts Associated Health |
| 87726 | UBH Employer Division |
| 87726 | UBH RIOS |
| 55413 | UCare Individual and Family Plans |
| 55413 | UCare Medicare (2020 DOS) |
| 55413 | UCare Medicare with M Health Fairview and North Memorial Health (2020 DOS) |
| 55413 | Ucare of Minnesota ‐ DOS after 1.1.2019 |
| BS001 | UFCW Local 400‐5205 |
| 39026 | UHIS‐UnitedHealthcare Integrated Services |
| ULLIC | Ullico ‐ Valley Forge Pennsylvania |
| 25175 | Unison DC, DE, NJ, OH, PA, SC, TN ‐UnitedHealthcare Community Plan |
| 25175 | Unison Health Plan |
| 87726 | United Behavioral Health |
| 31107 | United Medical Resources |
| 71412 | United of Omaha |
| 87726 | UnitedHealthcare |
| 87726 | UnitedHealthcare / MAMSI Life and Health ‐ MLH |
| 87726 | UnitedHealthcare Group Medicare Advantage |
| 87726 | UnitedHealthcare hawk‐I ‐ UnitedHealthcare Community Plan |
| 87726 | UnitedHealthcare Plan of the River Valley ‐ UnitedHealthcare Community Plan |
| 87726 | UnitedHealthcare River Valley |
| 87726 | UnitedHealthcare West |
| 95958 | UnitedHealthcare West Encounters |
| HC001 | Univera Healthcare ‐ CNY |
| 33001 | Universal Care ‐ California |
| 7503 | University Family Care ‐ Healthcare Group |
| 9908 | University Family Care ‐ Maricopa Health Plan |
| USFHP | US Family Health Plan ‐ USFHP |
| 74234 | Utah Carpenters |
| 74234 | Utah Laborers |
| 74234 | Utah Pipe Trades |
| 77073 | VNS Choice Medicare |
| 39026 | Wausau Insurance Companies |
| 75261 | webTPA ‐ Community Health Electronic Claims/CHEC |
| 13337 | Well Sense Health Plan |
| 24735 | Western Grower's Assurance Trust |
| 24735 | Western Grower's Insurance Company |
| 62061 | Willis Administrative Services |
| 41095 | Wilson‐McShane |
| 68069 | YouthCare Health Choice |
| 83248 | Zing Choice IL (HMO) |
| 20149 | Molina Healthcare of Ohio |
| 14165 | MVP Health Plan of NY |
| TDDIR | Tricare for Life |
| 99726 | Tricare West |
| 23281 | UPMC Health Plan |
Eligibility Check for Medicaid Payor
| Code | Payer Name |
|---|---|
| AID40 | AL MEDICAID |
| AID26 | AR MEDICAID |
| AID37 | AZ MEDICAID |
| AID11 | CA MEDICAID |
| AID24 | CT MEDICAID |
| AID52 | DISTRICT OF COLUMBIA MEDICAID |
| AID01 | FL MEDICAID |
| AID28 | GA MEDICAID |
| AID53 | HAWAII MEDICAID |
| AID35 | IDAHO MEDICAID |
| AID25 | IL MEDICAID |
| AID16 | IN MEDICAID |
| AID36 | IOWA MEDICAID |
| AID22 | KANSAS MEDICAID |
| AID31 | KY MEDICAID |
| AID42 | LOUISIANA MEDICAID |
| AID54 | ME MEDICAID (MaineCare) |
| AID45 | MA MEDICAID |
| AID55 | MI MEDICAID |
| AID38 | MINNESOTA MEDICAID |
| AID20 | MISSISSIPPI MEDICAID |
| AID03 | MO MEDICAID |
| AID57 | MONTANA MEDICAID |
| AID62 | NEBRASKA MEDICAID |
| AID19 | NJ MEDICAID |
| AID27 | NEW MEXICO MEDICAID |
| AID58 | NV MEDICAID |
| AID18 | NY MEDICAID |
| AID21 | NC MEDICAID |
| AID59 | NORTH DAKOTA MEDICAID |
| AID09 | OH MEDICAID |
| AID32 | OK MEDICAID |
| AID44 | OREGON MEDICAID |
| AID29 | PA MEDICAID |
| AID60 | PUERTO RICO MEDICAID |
| AID61 | SC MEDICAID |
| AID28 | SOUTH DAKOTA MEDICAID |
| AID13 | TN MEDICAID |
| AID05 | TEXAS MEDICAID |
| AID30 | VERMONT MEDICAID |
| AID23 | VIRGINIA MEDICAID |
| AID07 | WASHINGTON MEDICAID |
| AID33 | WEST VIRGINIA MEDICAID |
| AID41 | WI MEDICAID |
| AID34 | WYOMING MEDICAID |
| 00246 | BCBS Western NY Medicaid |
| 00403 | Blue Choice Medicaid |
| 00562 | BCBSMN BLUE PLUS MEDICAID |
| 00726 | BCBSMN Blue Plus Medicaid |
| 02937 | Anthem BCBS (Ohio Medicaid) |
| 03150 | CareSource Ohio Medicaid |
| 04202 | Buckeye Ohio Medicaid (Centene) |
| 07316 | Molina Ohio Medicaid |
| 26337 | Aetna Better Health Medicaid IL |
| 3833C | McLaren Medicaid |
| 38692 | Aetna TX Medicaid and CHIP |
| 61103 | Humana - Healthy Horizons (Ohio Medicaid) |
| 66001 | BCBS Texas Medicaid STAR CHIP |
| 77350 | Providence Health Assurance Medicaid |
| 86916 | Medicaid Texas Health Steps and CSHCN |
| 94998 | FirstCare Star Medicaid |
| AKMCD | Medicaid of Alaska |
| DEMCD | Medicaid of Delaware |
| MICS1 | HAP CareSource of Michigan Medicaid |
| NHMCD | Medicaid of New Hampshire |
| UTMCD | Medicaid of Utah |
| AID40 | AL MEDICAID |
| AID26 | AR MEDICAID |
| AID37 | AZ MEDICAID |
| AID11 | CA MEDICAID |
| AID14 | CO MEDICAID |
| AID24 | CT MEDICAID |
| AID52 | DC MEDICAID |
| AID01 | FL MEDICAID |
| AID28 | GA MEDICAID |
| AID53 | HI MEDICAID |
| AID36 | IA MEDICAID |
| AID35 | ID MEDICAID |
| AID25 | IL MEDICAID |
| AID16 | IN MEDICAID |
| AID22 | KS MEDICAID |
| AID31 | KY MEDICAID |
| AID42 | LA MEDICAID |
| AID45 | MA MEDICAID |
| AID17 | MD MEDICAID |
| AID54 | ME MEDICAID |
| AID55 | MI MEDICAID |
| AID38 | MN MEDICAID |
| AID03 | MO MEDICAID |
| AID20 | MS MEDICAID |
| AID57 | MT MEDICAID |
| AID21 | NC MEDICAID |
| AID59 | ND MEDICAID |
| NEBMD | NE MEDICAID |
| AID62 | NE MEDICAID |
| AID19 | NJ MEDICAID |
| AID27 | NM MEDICAID |
| AID58 | NV MEDICAID |
| AID18 | NY MEDICAID |
| AID09 | OH MEDICAID |
| AID32 | OK MEDICAID |
| AID44 | OR MEDICAID |
| AID29 | PA MEDICAID |
| AID60 | PR MEDICAID |
| AID | RI MEDICAID |
| AID61 | SC MEDICAID |
| AID28 | SD MEDICAID |
| AID13 | TN MEDICAID |
| AID05 | TX MEDICAID |
| AID23 | VA MEDICAID |
| AID30 | VT MEDICAID |
| AID07 | WA MEDICAID |
| AID41 | WI MEDICAID |
| AID33 | WV MEDICAID |
| AID34 | WY MEDICAID |
Eligibility Check for Medicare
| Code | Payer Name |
|---|---|
| 00431 | Medicare (All States) |
How to add Eligibility ID in HelloNote
Settings -> PayerID match -> input the Eligibility ID from the table on the right side -> press update.
If you are not enrolled in the eligibility system, please email hello@hellonote.com 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!