exchange edi eligibility payer list as of june 26,...
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Payer ID Payer Name Eligibility 270/271 Dental 270/271
10431 AARP X
10619 Administrative Services Inc X
10561 Advantage by Bridgeway Health Solutions X
10562 Advantage by Buckeye Community Health Plan X X
10563 Advantage by Managed Health Services X X
10564 Advantage by Superior HealthPlan X X
10004 Aetna X X
10397 Aetna Long Term Care X X
10594 Affinity Health Plan X X
10661 Affinity Health Plan Medicare X
10398 AFLAC - Dental X
10663 AFLAC - Medicare Supplemental X X
10006 Aftra Health Fund X X
10007 Alabama Medicaid X X
10798 Alan Sturm and Associates - Dental X
10654 Allegiance Benefit Plan Management X X
10786 Altus Dental X
10487 American Family Insurance Group-Medicare Supp & PPO X X
10664 American Health Medicare X
10829 American Medical Security (AMS) X X
10595 American National Insurance X
10596 American National Life Ins Texas X
10016 American Postal Workers Union (APWU) X X
10017 American Republic Insurance Company (ARIC) X X
10538 American Retirement Life Ins Co. Medicare Supp X X
10018 AmeriChoice of New Jersey (Commercial) X X
10019 AMERIGROUP X
10416 AmeriHealth Administrators X X
10640 AmeriHealth Caritas Louisiana (LaCare) X X
10340 AmeriHealth Caritas Pennsylvania X X
10020 Ameritas Group - Ameritas Life Insurance Co. X X
10232 Ameritas Group - First Ameritas of New York X
10233 Ameritas Group - First Reliance Standard Life X
10234 Ameritas Group - Reliance Standard Life X
10236 Ameritas Group - Standard Insurance X
Exchange EDI Eligibility Payer List
As of June 26, 2014
Payer ID Payer Name Eligibility 270/271 Dental 270/271
Exchange EDI Eligibility Payer List
As of June 26, 2014
10237 Ameritas Group - Standard Insurance of New York X
10559 Antares X X
10641 Arbor Health Plan X
10868 Arise Health Plan Medicare Select Policy X
10021 Arizona Medicaid (AHCCCS) X
10022 Arizona Physicians IPA (APIPA) X
10023 Arkansas Medicaid X X
10230 Assurant Health - John Alden Insurance Company (JALIC) X X
10087 Assurant Health - Time Insurance Company (FIC) X X
10227 Assurant Health - Union Security Insurance Company (FBIC) X X
10529 Asuris Northwest Health X X
10472 AultCare X X
10869 Avera Health Plans X
10024 AvMed Health Plans X X
10813 Bankers Life & Casualty X
10707 Banner Health Plans X
10831 BCBS Delaware X
10025 BCBS of Alabama X X
10027 BCBS of Arizona X X
10028 BCBS of Arkansas X X
10461 BCBS of Central New York X X
10029 BCBS of Colorado (Wellpoint) X X
10030 BCBS of Connecticut (Wellpoint) X X
10031 BCBS of Florida X X
10032 BCBS of Georgia (Wellpoint) X X
10530 BCBS of Hawaii X X
10033 BCBS of Illinois X X
10258 BCBS of Indiana (Wellpoint) X X
10396 BCBS of Iowa X X
10034 BCBS of Kansas X X
10473 BCBS of Kansas City X X
10259 BCBS of Kentucky (Wellpoint) X X
10035 BCBS of Louisiana X X
10036 BCBS of Maine (Wellpoint) X X
10037 BCBS of Massachusetts X X
Payer ID Payer Name Eligibility 270/271 Dental 270/271
Exchange EDI Eligibility Payer List
As of June 26, 2014
10519 BCBS of Michigan (Institutional) X X
10038 BCBS of Michigan (Professional) X X
10039 BCBS of Minnesota X X
10040 BCBS of Mississippi X X
10322 BCBS of Missouri (Wellpoint) X X
10516 BCBS of Montana X
10384 BCBS of Nebraska X X
10260 BCBS of Nevada (Wellpoint) X X
10261 BCBS of New Hampshire (Wellpoint) X X
10041 BCBS of New Jersey (Horizon) X X
10042 BCBS of New Mexico X X
10043 BCBS of New York (Empire) X X
10323 BCBS of New York (Excellus) X X
10383 BCBS of North Carolina X X
10478 BCBS of North Dakota X X
10044 BCBS of Ohio (Wellpoint) X X
10582 BCBS of Oklahoma X X
10045 BCBS of Oregon (Regence) X X
10524 BCBS of Pennsylvania (Highmark) [Institutional] X X
10046 BCBS of Pennsylvania (Highmark) [Professional] X X
10304 BCBS of Rhode Island X X
10047 BCBS of South Carolina X X
10395 BCBS of South Dakota (Wellmark) X X
10430 BCBS of Tennessee X X
10048 BCBS of Texas X X
10469 BCBS of the Rochester Area (NY) X X
10470 BCBS of Utica-Watertown (NY) X X
10624 BCBS of Vermont X X
10049 BCBS of Virginia (Wellpoint) X X
10462 BCBS of West Virginia X X
10498 BCBS of Western New York X X
10299 BCBS of Wisconsin (Wellpoint) X X
10480 BCBS of Wyoming X X
10665 Benefit Management Inc X
10256 Best Choice Health Plan X
Payer ID Payer Name Eligibility 270/271 Dental 270/271
Exchange EDI Eligibility Payer List
As of June 26, 2014
10050 Best Life and Health X
10187 Better Health Plans (Unison Health Plans) X
10803 Blue Benefit Administrators of Mass X
10262 Blue Cross Independence (Pennsylvania) X X
10264 Blue Cross Northeastern Pennsylvania X X
10051 Blue Cross of California (Wellpoint) X X
10638 Blue Cross of Idaho X X
10326 Blue Cross of Washington and Alaska (Premera) X X
10325 Blue Cross Pennsylvania (Capital) X X
10053 Blue Shield of California X X
10052 Blue Shield of Idaho (Regence) X X
10499 Blue Shield of North Eastern New York X X
10054 Blue Shield of Washington (Regence) X X
10504 BlueChoice HealthPlan South Carolina Medicaid X X
10429 Bluegrass Family Health X
10556 BMC HealthNet Plan X X
10821 Boon Group X
10399 Bravo Health, Inc. X X
10827 Bridgespan X
10783 Brokers National - Dental X
10055 California Medicaid (Medi-Cal) X
10458 Capital District Physicians’ Health Plan (CDPHP) X X
10660 CAPROCK X X
10806 Care Improvement Plus X
10270 Carefirst Blue Cross Blue Shield X X
10056 CarePlus Health Plan X X
10822 CarePoint Medicare Advantage X
10057 CareSource Health X
10058 Cariten Healthcare X
10059 Cariten Senior Health X
10762 Carolina Care Plan, Inc. (CCP) X X
10667 CDS Group Health X X
10668 Celtic Insurance X
10567 Cenpatico - Arizona X X
10568 Cenpatico - Florida X X
Payer ID Payer Name Eligibility 270/271 Dental 270/271
Exchange EDI Eligibility Payer List
As of June 26, 2014
10569 Cenpatico - Georgia X X
10631 Cenpatico - Illinois X
10570 Cenpatico - Indiana X X
10571 Cenpatico - Kansas X X
10632 Cenpatico - Kentucky X
10588 Cenpatico - Massachusetts X X
10769 Cenpatico - Mississippi X
10768 Cenpatico - Missouri X
10770 Cenpatico - New Hampshire X
10572 Cenpatico - Ohio X X
10573 Cenpatico - South Carolina X
10633 Cenpatico - Texas X
10634 Cenpatico - Wisconsin X
10766 Cenpatico Behavioral Health X X
10767 Cenpatico Behavioral Health Texas X
10560 Centene - Absolute Total Care X
10763 Centene - Advantage by Peach State X X
10764 Centene - Advantage by Sunshine State X
10565 Centene - Bridgeway Arizona X
10566 Centene - Buckeye Community Health X X
10759 Centene - California Health & Wellness X
10589 Centene - Celticare X X
10761 Centene - Coordinated Care X X
10765 Centene - Granite State Health Plan X
10760 Centene - Home State Health Plan X X
10620 Centene - Kentucky Spirit Health Plan X
10704 Centene - Magnolia Health Plan X X
10586 Centene - Managed Health Services Indiana X
10587 Centene - Managed Health Services Wisconsin X X
10865 Centene - New Hampshire Healthy Families X
10590 Centene - Peach State Health Plan X X
10451 Centene - Sunshine State Health Plan X X
10592 Centene - Superior Health Plan TX X X
10866 Centene - Total Care Carolina X
10771 Centene Advantage Plans X
Payer ID Payer Name Eligibility 270/271 Dental 270/271
Exchange EDI Eligibility Payer List
As of June 26, 2014
10666 CenterLight Healthcare X X
10884 Central California Alliance for Health X
10450 Central Reserve Insurance Company X X
10539 Central Reserve Life Ins Co. Medicare Supp X X
10486 Central States Fund X X
10744 Central States Indemnity X
10061 CHAMPVA/Spina Bifida/Children of Women Vietnam Vets X X
10447 CHC - Advantra (TX, NM, AZ Only) X X
10307 CHC - Advantra Freedom X X
10419 CHC - Advantra Savings X X
10216 CHC - Altius Health Plans X X
10212 CHC - Coventry Health and Life (Oklahoma) X
10405 CHC - Coventry Health and Life (Tenn) X X
10448 CHC - Coventry Health and Life - Nevada X X
10481 CHC - Coventry Health Care Federal X X
10449 CHC - Coventry Missouri X X
10642 CHC - COVENTRYCARES OF KENTUCKY X X
10440 CHC - CoventryOne X X
10076 CHC - Delaware X X
10206 CHC - Georgia X X
10219 CHC - Group Health Plan (GHP) X
10221 CHC - HealthCare Inc. (Promina) X X
10207 CHC - Iowa X X
10208 CHC - Kansas X X
10210 CHC - Louisiana X
10085 CHC - Mail Handlers Benefit Plan X X
10211 CHC - Nebraska X
10428 CHC - University of Missouri X
10551 CHC Florida X X
10222 CHC HealthCare USA X X
10224 CHC Illinois X X
10226 CHC of Carolinas X X
10225 CHC Virginia X
10214 CHC West Virginia X X
10062 CIGNA-GreatWest X X
Payer ID Payer Name Eligibility 270/271 Dental 270/271
Exchange EDI Eligibility Payer List
As of June 26, 2014
10852 Colonial Penn Life X
10064 Colorado Access X
10065 Colorado Medicaid X X
10066 Community Care of Oklahoma X
10329 Community Health Plan of Washington (CHPW) X X
10421 Community HealthFirst Medicare Advantage X
10303 ConnectiCare X
10067 Connecticut Medicaid X X
10669 Consolidated Associates Railroad X
10540 Continental General Ins Co. Medicare Supp X X
10454 Continental General Insurance Company X
10610 Cook Children’s Health Plan X
10068 Cooperative Benefit Administrators (CBA) X X
10701 CoOportunity X
10311 CoreSouce (FMH) X X
10071 CoreSource (Little Rock) X X
10072 CoreSource (MD,PA,IL,NC,IN,AZ,MN) X X
10074 CoreSource (OH) X X
10670 Country Life Insurance Company X
10880 Covenant Administrators (TPA) X
10084 Coventry Healthcare National Network X
10218 CoventryCares of Maryland X
10223 CoventryCares of Michigan X X
10548 CoventryCares of Nebraska X X
10614 CoventryCares of Pennsylvania X X
10217 CoventryCares of Virginia X X
10215 CoventryCares of West Virginia X X
10838 Cox Health Plan X
10541 CSA Fraternal Life Medicare Supp X
10671 CTI Administrators X X
10577 DakotaCare X
10653 Dean Health Plan X X
10780 DeCare Dental Health Insurance X
10828 Definity Health X
10293 Delaware Medicaid X X
Payer ID Payer Name Eligibility 270/271 Dental 270/271
Exchange EDI Eligibility Payer List
As of June 26, 2014
10709 Delta Dental Ins. Co. - Alabama X
10710 Delta Dental Ins. Co. - Florida X
10711 Delta Dental Ins. Co. - Georgia X
10712 Delta Dental Ins. Co. - Louisiana X
10713 Delta Dental Ins. Co. - Mississippi X
10714 Delta Dental Ins. Co. - Montana X
10715 Delta Dental Ins. Co. - Nevada X
10716 Delta Dental Ins. Co. - Texas X
10717 Delta Dental Ins. Co. - Utah X
10705 Delta Dental of California X
10718 Delta Dental of Colorado X
10719 Delta Dental of Connecticut X
10720 Delta Dental of Delaware X
10721 Delta Dental of Hawaii X
10722 Delta Dental of Indiana X
10723 Delta Dental of Maryland X
10724 Delta Dental of Michigan X
10725 Delta Dental of Minnesota X
10726 Delta Dental of Nebraska X
10727 Delta Dental of New Jersey X
10728 Delta Dental of New Mexico X
10729 Delta Dental of New York X
10730 Delta Dental of North Carolina X
10731 Delta Dental of North Dakota X
10732 Delta Dental of Ohio X
10733 Delta Dental of Pennsylvania X
10734 Delta Dental of Rhode Island X
10735 Delta Dental of Tennessee X
10736 Delta Dental of Virginia X
10737 Delta Dental of Washington DC X
10738 Delta Dental of Washington State X
10739 Delta Dental of West Virginia X
10740 DeltaCare USA - Claims X
10741 DeltaCare USA - Encounters X
10787 Dental Benefit Providers X
Payer ID Payer Name Eligibility 270/271 Dental 270/271
Exchange EDI Eligibility Payer List
As of June 26, 2014
10331 Denver Health Medical Plan X
10578 Deseret Mutual (DMBA) X X
10077 Director's Guild X X
10078 District of Columbia Medicaid X
10616 Emblem Health X X
10784 Employee Benefit Services - Dental X
10601 Essence Healthcare X X
10807 Evercare X
10772 Everence Financial X
10860 Evergreen Health Co-Op X
10082 Fallon Community Health Plan X
10427 FamilyCare X
10672 FCE Benefit Administrators Inc X
10083 Federated Insurance Company X X
10459 Fidelis Care New York X X
10859 Fidelis SecureCare of Michigan X
10870 FirstCare X
10799 Flex Compensation - Dental X
10811 Florida Combined Life - DENTAL X
10615 FLORIDA HEALTH CARE PLANS X
10333 Florida Hospital Healthcare System X
10086 Florida Medicaid X
10839 Florida True Health X X
10502 Freedom Blue X
10602 Fresenius Medical Care X
10629 Gateway Health Plan X
10611 Geisinger Health Plan X X
10612 Geisinger Health Plan Gold X X
10603 Generations Healthcare X X
10088 Georgia Medicaid X X
10745 Gerber Life Insurance X
10808 GHI X
10509 Gilsbar X X
10652 Golden Rule Insurance X X
10394 Government Employees Hospital Association (GEHA) X X
Payer ID Payer Name Eligibility 270/271 Dental 270/271
Exchange EDI Eligibility Payer List
As of June 26, 2014
10543 Great American Life Insurance Co. Medicare Supp X X
10608 Group Health Cooperative X X
10781 Group Health Cooperative of South Central Wisconsin - Dental X
10583 Group Practice Affiliates X
10788 Guardian Life Insurance Co. of America - Dental X
10514 Harmony Health Plan X X
10091 Hawaii Medicaid X X
10785 Hawaii Medical Assurance Association - Dental X
10871 Health Alliance Medical Plan (IL) X
10308 Health Alliance Medical Plans (HAP) X
10220 Health America of PA X X
10092 Health Choice Arizona X X
10673 Health First Health Plan X X
10674 Health First Insurance X
10385 Health Net National X X
10627 Health New England X
10484 Health Partners of MN X X
10098 Health Partners of Philadelphia X
10362 Health Plan of San Mateo X
10657 Health Plan of Upper Ohio Valley X
10823 Health Share of Oregon X X
10463 Healthcare Solutions Group X
10597 HEALTHe Exchange X
10510 HealthEase X X
10511 HealthEase Kids X X
10656 HealthEZ X X
10099 Healthfirst New York X
10438 Healthfirst of New Jersey X
10248 HealthMarkets (Chesapeake National Life) X
10127 HealthMarkets (Mega Life and Health Insurance) X
10129 HealthMarkets (Mid-West National Life) X
10131 HealthMarkets (TransAmerica Life) X
10500 HealthNow X
10804 HealthPlan of Nevada X
10802 HealthPlans Inc X X
Payer ID Payer Name Eligibility 270/271 Dental 270/271
Exchange EDI Eligibility Payer List
As of June 26, 2014
10309 HealthPlus of Michigan X
10621 HealthScope X
10003 HealthSmart Benefit Solutions (Wells Fargo TPA) X
10789 Healthsource Provident - Dental X
10552 HealthSpring X X
10824 Healthy Texas X
10795 Hershey Healthsmile - Dental X
10406 HIPNY X
10335 Hometown Health X
10337 Horizon NJ Health X X
10100 Humana X X
10861 IBM Insurance Outsourcing Services X
10101 Idaho Medicaid X X
10747 Ideal Life Insurance X
10757 IlliniCare Health Plan X
10102 Illinois Medicaid X X
10417 Independence Administrators X X
10536 Independent Health X
10103 Indiana Medicaid X
10104 Inland Empire Health X
10842 Integral Quality Care Florida X
10585 Integrated Mental Health Services X
10105 Inter Valley Health Plan X
10107 Iowa Medicaid X X
10675 Island Home Insurance X
10108 Jackson Memorial Hospital Health Plan X
10267 Johns Hopkins Health Plan X X
10110 Kaiser Foundation Health Plan of Colorado X X
10111 Kaiser Foundation Health Plan of Hawaii X X
10676 Kaiser Foundation Health Plan of Hawaii (DHMO Choice) X
10112 Kaiser Foundation Health Plan of Ohio X
10113 Kaiser Foundation Health Plan of the Mid-Atlantic X
10114 Kaiser Foundation Health Plan of the Northwest X
10238 Kaiser Permanente of Georgia X
10115 Kaiser Permanente of Northern CA X X
Payer ID Payer Name Eligibility 270/271 Dental 270/271
Exchange EDI Eligibility Payer List
As of June 26, 2014
10239 Kaiser Permanente of Southern CA X X
10116 Kansas Medicaid X
10857 Kentucky Health Exchange X
10117 Kentucky Medicaid X X
10754 Key Benefits Administrators (IN) X
10300 Keystone Mercy Health X X
10341 Kitsap Physician Services X X
10748 KSKJ Life X
10677 Leon Medical Centers Health Plan X X
10843 Lifewise Arizona X
10651 Lifewise Health Plan of Oregon X X
10650 Lifewise Health Plan of Washington X X
10678 Lincoln Financial X
10749 Lincoln Heritage X
10755 Loomis Company X
10830 Louisiana Health Exchange X
10756 Louisiana Healthcare Connections X X
10118 Louisiana Medicaid X X
10119 Lovelace Health Plan X
10544 Loyal American Life Insurance Co. Medicare Supp X
10649 Magellan Behavioral Health X
10867 Magnacare X
10121 Maine Medicaid X X
10122 MAMSI Health Plan X
10679 MAPFRE Life Puerto Rico X
10680 MAPFRE Medicare Excel X
10435 Maricopa Care Advantage (Arizona) X
10434 Maricopa Health Plan (Arizona) X
10289 Maryland Medicaid X
10124 Massachusetts Medicaid X
10598 MDWise Hoosier Alliance X X
10682 Med-Pay Inc X X
10681 MedBen X X
10272 MedCost Benefit Services X
10125 Medica X
Payer ID Payer Name Eligibility 270/271 Dental 270/271
Exchange EDI Eligibility Payer List
As of June 26, 2014
10683 Medical Associates Health Plan/Health Choices X
10126 Medical Mutual of Ohio X X
10001 Medicare (Part A & B) X
10800 Medigold Health Plans X
10844 MedStar Family Choice X
10845 MedStar Health Plan X
10130 Mega Life (Oklahoma City) X
10133 Mercy Care Plan (Arizona) X X
10644 Meridian Health Plan of Illinois X
10635 Meritain Health X X
10134 MetLife Dental Family X
10135 Metropolitan Health Plan (MHP) X X
10659 MHNET Behavioral Health X
10136 Michigan Medicaid X X
10392 Michigan Medicaid Pending Eligibility X X
10138 Michigan MIChild X
10139 Minnesota Medicaid X X
10140 Mississippi Children's Health Insurance Program X
10141 Mississippi Medicaid X X
10142 Mississippi State Employees and Teachers X
10702 Missouri Care X X
10143 Missouri Medicaid X X
10144 MMSI (Mayo Health) X X
10145 Molina Healthcare of California X X
10445 Molina Healthcare of Florida X X
10685 Molina Healthcare of Illinois X
10250 Molina Healthcare of Michigan X X
10523 Molina Healthcare of Missouri X
10146 Molina Healthcare of New Mexico X X
10251 Molina Healthcare of Ohio X X
10815 Molina Healthcare of South Carolina X
10391 Molina Healthcare of Texas X X
10252 Molina Healthcare of Utah X X
10253 Molina Healthcare of Washington X
10628 Molina Healthcare of Wisconsin X X
Payer ID Payer Name Eligibility 270/271 Dental 270/271
Exchange EDI Eligibility Payer List
As of June 26, 2014
10147 Montana Medicaid X X
10687 Municipal Health Benefit Fund X X
10872 Mutual Assurance Administrators X
10686 Mutual Health Services X X
10382 Mutual of Omaha X
10148 MVP Health Care (New York) X X
10149 National Association of Letter Carriers (NALC) X
10812 National Telecommunications Cooperative Association (NTCA) X X
10150 Nationwide Specialty Health X
10376 NEHEN - Harvard Pilgrim Health Care X X
10377 NEHEN - Neighborhood Health Plans X X
10379 NEHEN - Tufts Associated Health Plan X
10151 Neighborhood Health Partnership X
10630 Neighborhood Health Plan (RI) X
10688 Network Health Insurance Corp X
10626 Network Health Plan of MA X X
10706 Network Health Plan of WI X
10152 Nevada Medicaid X X
10153 New Hampshire Medicaid X X
10154 New Jersey Medicaid X X
10247 New Mexico Medicaid X X
10155 New York Medicaid X X
10873 NGS American X
10156 North Carolina Medicaid X X
10157 North Dakota Medicaid X X
10537 Nova Healthcare Administrators X X
10466 NovaSys Health X
10515 Ohana Health Plan X X
10158 Ohio Medicaid X
10159 Oklahoma Medicaid X
10477 Optima/Sentara X
10160 Oregon Medicaid X X
10881 Oscar X
10161 Oxford Health Plans X
10375 Pacific Source Health Plan X
Payer ID Payer Name Eligibility 270/271 Dental 270/271
Exchange EDI Eligibility Payer List
As of June 26, 2014
10689 Panamerican Life Puerto Rico (PALIC) X
10369 Partners National Health Plans of NC X
10164 Partnership Health Plan of California X
10368 Passport Health Plan X X
10782 Patriot Dental X
10165 Pennsylvania Medicaid X X
10471 PHCS Savility Payers X
10166 Phoenix Health Plan X
10658 Physicians Health Plan Northern IN X X
10167 Physicians Mutual Insurance Company X
10882 Piedmont X
10825 Piedmont Wellstar HealthPlans X
10408 Pittman and Associates X
10691 Preferred Care Partners X X
10847 Preferred Health System of Kansas X
10169 PreferredOne X X
10848 Premier Health X
10646 Presbyterian Health Plan X X
10692 Primary PhysicianCare Inc X X
10170 Principal Financial Group (Nippon Life) X X
10490 Priority Health X X
10172 Providence Health Plan X
10545 Provident American Life & Health Ins. Co. Mcare Supp X
10790 Provident Preferred Network - Dental X
10574 Public Employees Health Program X
10743 Puritan Life Insurance X
10637 Qualcare X
10553 Qualchoice X
10508 QuikTrip Corporation X
10414 Recall Systems - Boon-Chapman Benefit Admin X X
10411 Recall Systems - Corporate Benefit Service X X
10174 Recall Systems - Group & Pension Administrators X X
10241 Recall Systems - Mississippi Admin Services X
10242 Recall Systems - Professional Benefits Administrators X X
10246 Recall Systems - Underwriters Safety & Claims X
Payer ID Payer Name Eligibility 270/271 Dental 270/271
Exchange EDI Eligibility Payer List
As of June 26, 2014
10175 Rocky Mountain Health Plan X
10751 Royal Neighbors of America X
10875 S and S Healthcare Strategies X
10849 San Francisco Health Plan X
10177 San Joaquin Health Plan X
10533 Sanford Health Plan X
10876 Santa Clara Family Health Plan X
10816 Schaller Anderson Aetna Better Health of New York X
10817 Schaller Anderson Delaware Physicians, Inc X
10818 Schaller Anderson MajestaCare VA X
10693 Schaller Anderson Maryland Physicians Care X X
10694 Schaller Anderson Mercy Care X
10695 Schaller Anderson Missouri Care X
10643 Schaller Anderson Parkland Community Health Plan X
10696 Schaller Anderson Texas CHRISTUS X
10360 Scott & White Health Plan X
10792 Securian Dental X
10793 Securian/Patriot Dental X
10864 Security Health Plan X
10520 Select Health SC X X
10575 Select Health Utah X X
10178 Senior Care Action Network (SCAN) HMO X
10697 Senior Health Services Center-Univ American Family Co. X
10752 Shenandoah Life Insurance X
10282 Sierra Health Services X
10081 Significa Benefit Services X X
10826 Simply Healthcare Plans X X
10179 South Carolina Medicaid X
10180 South Dakota Medicaid X
10591 Special Agents Mutual Benefit Assoc X
10546 SPJST Medicare Supplement X
10593 Standard Life and Accident Insurance X X
10833 Star HRG X
10645 State Farm X
10750 State Mutual Med Supp X
Payer ID Payer Name Eligibility 270/271 Dental 270/271
Exchange EDI Eligibility Payer List
As of June 26, 2014
10512 StayWell X X
10513 Staywell Kids X X
10753 Sterling Investors Life Insurance X
10183 Student Insurance X X
10294 SummaCare Health Plan X
10758 Sunflower State Health (Kansas) X
10794 TennDent X
10184 Tennessee Medicaid X
10604 TexanPlus North Texas Area X X
10605 TexanPlus Southeast Texas Area X X
10186 Texas Medicaid X X
10698 The Kempton Company X X
10318 Three Rivers Health Plans (Unison Health Plan) X
10505 Today's Option X X
10606 Today’s Health X X
10805 Total Healthcare X
10607 Tribute-SelectCare of Oklahoma X
10189 TRICARE X
10879 TRICARE for Life X X
10190 Trustmark Insurance X
10352 UCare of Minnesota X X
10501 UMR X X
10285 Unicare (Wellpoint) X
10791 UNICARE - Dental X
10599 Union Pacific Railroad Employees Health Systems X
10810 United Concordia Companies, Inc. - DENTAL X
10809 United Concordia Federal Employees Program - DENTAL X
10002 United Healthcare X X
10835 United Healthcare Community Plan - Kansas X
10836 United Healthcare Facets Detroit Community and State X
10834 United Healthcare Facets Pittsburgh Community and State X
10837 United Healthcare Nevada Market X
10192 United Healthcare Plan of River Valley X
10655 United Healthcare SecureHorizons X
10547 United Teacher Assoc Insurance Co. Mcare Supp X
Payer ID Payer Name Eligibility 270/271 Dental 270/271
Exchange EDI Eligibility Payer List
As of June 26, 2014
10349 Unity Health Plans X
10535 Univera X
10193 Universal Care of California X
10699 University Care Advantage Arizona X
10194 University Family Care X
10433 University Physicians Care Advantage (Arizona) X
10439 University Physicians Healthcare Group (Arizona) X
10288 UPMC Health Plan (Tristate) X
10195 USAA Life Insurance Company X
10648 UTAH MEDICAID X X
10196 VA Fee Basis Program X X
10850 VA Healthcare X
10858 Vantage Health Plan,Inc X
10197 Vermont Medicaid X X
10198 Virginia Medicaid X X
10483 VISTA X
10468 VIVA Health X X
10600 VNS CHOICE X X
10407 Vytra X
10424 Washington Medicaid X X
10853 Washington National X
10554 WEA Trust X X
10532 WEB-TPA, Inc X
10488 Wellcare Health Plans X X
10814 Wellsense X
10200 West Virginia Medicaid X X
10201 Western Health Advantage X
10797 Wilson McShane - Dental X
10576 Windsor Medicare Extra X X
10202 Wisconsin Medicaid X X
10452 Wisconsin Medicaid Chronic Disease Program X X
10453 Wisconsin Medicaid Well Woman Program X
10700 World Corp X
10386 World Insurance (ARIC) X X
10878 WPS Health Insurance X X
Payer ID Payer Name Eligibility 270/271 Dental 270/271
Exchange EDI Eligibility Payer List
As of June 26, 2014
10203 Writer's Guild X
10204 Wyoming Medicaid X X
10796 Zenith Administrators (MN) - Dental X
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