eligibility payer list april 2018 · 10639 alameda alliance health plan * yes yes ca 10798 alan...

Payer ID Payer Name Enrollment? Eligibility 270/271 State(s)

10431 AARP No Yes National11009 ACS Benefit Services No Yes NC10619 Administrative Services Inc No Yes IL10561 Advantage by Bridgeway Health Solutions No Yes AZ10562 Advantage by Buckeye Community Health Plan No Yes OH, WV10563 Advantage by Managed Health Services No Yes WI10564 Advantage by Superior HealthPlan No Yes TX10004 Aetna Yes Yes National11224 Aetna Better Health (CA) No Yes CA11099 Aetna Better Health (FL) No Yes FL10892 Aetna Better Health (IL) No Yes IL11119 Aetna Better Health (KY) No Yes KY11008 Aetna Better Health (LA) No Yes LA11207 Aetna Better Health (MD) No Yes MD11026 Aetna Better Health (MI) No Yes MI11064 Aetna Better Health (MO) No Yes MO10994 Aetna Better Health (NJ) No Yes NJ10894 Aetna Better Health (PA) No Yes PA10895 Aetna Better Health (TX) No Yes TX10896 Aetna Better Health (TX) CHIP No Yes TX10217 Aetna Better Health (VA) No Yes VA11154 Aetna Better Health (WV) No Yes WV10397 Aetna Long Term Care No Yes National10891 Aetna Retiree Medical Plan - Administrator No Yes National10897 Aetna Senior Supplemental No Yes National11115 Affinity Essentials No Yes NY10594 Affinity Health Plan No Yes NY, WI10661 Affinity Health Plan Medicare No Yes NY10955 Aflac No Yes National10398 AFLAC - Dental No Yes National10663 AFLAC - Medicare Supplemental No Yes National11225 AgeWell NewYork * Yes Yes NY11149 AGIA. Inc. No Yes National10007 Alabama Medicaid No Yes AL10639 Alameda Alliance Health Plan * Yes Yes CA10798 Alan Sturm and Associates - Dental No Yes National11016 Alaska Medicaid No Yes AK11027 All Savers Life Insurance No Yes National10654 Allegiance Benefit Plan Management No Yes CA, CO, ID, IL, IA, KS, MN, MT,

NE, ND, SD, UT, WA, WI, WY11109 Alliant Health Plans No Yes GA10898 Allied Benefit Systems No Yes National11017 AlohaCare No Yes HI11002 Alternative Insurance Resources, Inc No Yes AL10786 Altus Dental No Yes MA, RI11057 Ambetter of Arkansas * Yes Yes AR11082 Ambetter Superior Health Plan (TX) No Yes TX10985 Ameriben No Yes AZ10664 American Health Medicare No Yes PR10986 American Income Life Ins.Co. No Yes National10829 American Medical Security (AMS) No Yes National10595 American National Insurance No Yes National10596 American National Life Ins Texas No Yes TX10899 American Network Ins. Medicare Supplement No Yes National10016 American Postal Workers Union (APWU) No Yes National10538 American Retirement Life Ins Co. Medicare Supp No Yes National10018 AmeriChoice of New Jersey (Commercial) No Yes NJ11085 Americo Financial Life & Annuity No Yes National10019 AMERIGROUP No Yes NJ10974 AmeriHealth Yes Yes DE, NJ, PA10416 AmeriHealth Administrators Yes Yes National

Eligibility Payer ListApril 2018

Greenway Eligibility Payer List April 2018 of 14


11193 AmeriHealth Caritas DC No Yes DC11142 AmeriHealth Caritas Iowa No Yes IA10640 AmeriHealth Caritas Louisiana (LaCare) No Yes LA10340 AmeriHealth Caritas Pennsylvania No Yes PA11151 AmeriHealth Caritas VIP Care Plus No Yes MI11189 AmeriHealth Northeast Pennsylvania No Yes PA11152 AmeriHealth VIP Care No Yes PA10020 Ameritas Group - Ameritas Life Insurance Co. No Yes National10232 Ameritas Group - First Ameritas of New York No Yes NY10233 Ameritas Group - First Reliance Standard Life No Yes NY10234 Ameritas Group - Reliance Standard Life No Yes National10236 Ameritas Group - Standard Insurance No Yes National10237 Ameritas Group - Standard Insurance of New York No Yes NY10993 Anthem Vivity No Yes CA10708 Apex Benefits Services No N/A National11181 Arise Health Care No Yes WI10868 Arise Health Plan Medicare Select Policy No Yes WI10021 Arizona Medicaid (AHCCCS) No Yes AZ10022 Arizona Physicians IPA (APIPA) No Yes AZ10023 Arkansas Medicaid No Yes AR10957 Associacion De Maestros Puerto Rico No Yes PR10529 Asuris Northwest Health No Yes WA10472 AultCare No Yes OH10890 Automated Benefit Services No Yes National10900 Auxiant No Yes National11145 Avalon Administrative Services No N/A FL10869 Avera Health Plans No Yes IA, MN, NE, ND, SD10024 AvMed Health Plans No Yes FL10813 Bankers Life & Casualty No Yes National10707 Banner Health Plans No Yes AK, AZ, CA, CO, NE, NV, WY11209 Banner University Family Care No Yes AZ10025 BCBS of Alabama No Yes AL10609 BCBS of Alabama [Institutional] No Yes AL10027 BCBS of Arizona No Yes AZ10028 BCBS of Arkansas Yes Yes AR10461 BCBS of Central New York No Yes NY10029 BCBS of Colorado (Anthem) No Yes CO10030 BCBS of Connecticut (Anthem) No Yes CT10831 BCBS of Delaware Yes Yes DE10031 BCBS of Florida No Yes FL10032 BCBS of Georgia (Anthem) No Yes GA10530 BCBS of Hawaii No Yes HI10033 BCBS of Illinois No Yes IL10258 BCBS of Indiana (Anthem) No Yes IN10396 BCBS of Iowa No Yes IA10034 BCBS of Kansas No Yes KS10473 BCBS of Kansas City No Yes MO10259 BCBS of Kentucky (Anthem) No Yes KY10035 BCBS of Louisiana No Yes LA10036 BCBS of Maine (Anthem) No Yes ME10037 BCBS of Massachusetts No Yes MA10519 BCBS of Michigan (Institutional) Yes Yes MI10038 BCBS of Michigan (Professional) Yes Yes MI10039 BCBS of Minnesota No Yes MN10040 BCBS of Mississippi No Yes MS10322 BCBS of Missouri (Anthem) No Yes MO10516 BCBS of Montana No Yes MT10384 BCBS of Nebraska No Yes NE10260 BCBS of Nevada (Anthem) No Yes NV10261 BCBS of New Hampshire (Anthem) No Yes NH10041 BCBS of New Jersey (Horizon) No Yes NJ10042 BCBS of New Mexico No Yes NM10043 BCBS of New York (Empire) No Yes NY10323 BCBS of New York (Excellus) No Yes NY10383 BCBS of North Carolina No Yes NC10478 BCBS of North Dakota Yes Yes ND10044 BCBS of Ohio (Anthem) No Yes OH



10582 BCBS of Oklahoma No Yes OK10045 BCBS of Oregon (Regence) No Yes OR10524 BCBS of Pennsylvania (Highmark) [Institutional] Yes Yes PA10046 BCBS of Pennsylvania (Highmark) [Professional] Yes Yes PA10304 BCBS of Rhode Island No Yes RI10047 BCBS of South Carolina No Yes SC10395 BCBS of South Dakota (Wellmark) No Yes SD10430 BCBS of Tennessee No Yes TN10048 BCBS of Texas No Yes TX10469 BCBS of the Rochester Area (NY) No Yes NY10470 BCBS of Utica-Watertown (NY) No Yes NY10624 BCBS of Vermont No Yes VT10049 BCBS of Virginia (Anthem) No Yes VA10462 BCBS of West Virginia Yes Yes WV10498 BCBS of Western New York No Yes NY10299 BCBS of Wisconsin (Anthem) No Yes WI10480 BCBS of Wyoming Yes Yes WY11196 BCBS Texas Medicaid STAR CHIP No Yes TX11058 Beacon Health Strategies * Yes Yes National11227 Behavioral Health Systems, Inc. No Yes National10665 Benefit Management Inc No Yes KS10256 Best Choice Health Plan No Yes CO10050 Best Life and Health No Yes CA10187 Better Health Plans (Unison Health Plans) No Yes CA10999 Better Health Plans of Florida No Yes FL10803 Blue Benefit Administrators of Mass No Yes MA11183 Blue Cross Community Options No Yes IL10262 Blue Cross Independence (Pennsylvania) Yes Yes PA10264 Blue Cross Northeastern Pennsylvania No Yes PA10051 Blue Cross of California (Anthem) No Yes CA10638 Blue Cross of Idaho No Yes ID10618 Blue Cross of Utah (Regence) No Yes UT10326 Blue Cross of Washington and Alaska (Premera) No Yes WA, AK10325 Blue Cross Pennsylvania (Capital) Yes Yes PA10053 Blue Shield of California No Yes CA10052 Blue Shield of Idaho (Regence) No Yes ID10499 Blue Shield of North Eastern New York No Yes NY10054 Blue Shield of Washington (Regence) No Yes WA10504 BlueChoice HealthPlan South Carolina Medicaid No Yes SC11174 BlueCross Medicare Advantage No Yes IL, MT, NM, OK, TX10429 Bluegrass Family Health No Yes KY10556 BMC HealthNet Plan No Yes MA10821 Boon Group No Yes National10414 Boon-Chapman Benefit Admin No Yes National10399 Bravo Health, Inc. No Yes AL, DE, FL, IL, MD, MN, NJ,

PA, TN , TX, WA10827 Bridgespan No Yes ID, OR, UT, WA10783 Brokers National - Dental No Yes National10997 C and O Employees’ Hospital Association Plan No N/A National11070 Cal-Viva No Yes AZ, CA, OR, WA11059 California Children Services * Yes Yes CA10055 California Medicaid (Medi-Cal) No Yes CA10972 CalOptima No Yes CA10458 Capital District Physicians’ Health Plan (CDPHP) No Yes NY10903 Capitol Administrators No Yes National10660 CAPROCK No Yes National10806 Care Improvement Plus No Yes AR, GA, IL, IN, IA, MO, NE, NM,

NC, SC, TX, WI10981 Care1st Health Plan Arizona No Yes AZ10973 Care1st of California * Yes Yes CA11102 Carefirst BCBS - DC No Yes DC10270 Carefirst Blue Cross Blue Shield - MD No Yes DC, MD, VA11080 CareMore No Yes CA10056 CarePlus Health Plan No Yes FL10057 CareSource Health No Yes IN, MI, OH10762 Carolina Care Plan, Inc. (CCP) No Yes SC11161 Carpenters Health and Welfare Trust Fund of St Louis No Yes MO



10667 CDS Group Health No Yes NV10668 Celtic Insurance No Yes National11106 CenCal No Yes CA10567 Cenpatico - Arizona No Yes AZ10568 Cenpatico - Florida No Yes FL10569 Cenpatico - Georgia No Yes IL10631 Cenpatico - Illinois No Yes IN10570 Cenpatico - Indiana No Yes GA10571 Cenpatico - Kansas No Yes KS10632 Cenpatico - Kentucky No Yes KY10588 Cenpatico - Massachusetts No Yes MA10769 Cenpatico - Mississippi No Yes MS10768 Cenpatico - Missouri No Yes MO10770 Cenpatico - New Hampshire No Yes NH10572 Cenpatico - Ohio No Yes OH10573 Cenpatico - South Carolina No Yes SC10633 Cenpatico - Texas No Yes TX10634 Cenpatico - Wisconsin No Yes WI10766 Cenpatico Behavioral Health No Yes AZ10767 Cenpatico Behavioral Health Texas No Yes TX10560 Centene - Absolute Total Care No Yes SC10763 Centene - Advantage by Peach State No Yes GA10764 Centene - Advantage by Sunshine State No Yes FL11126 Centene - Ambetter Sunshine Health No Yes FL10565 Centene - Bridgeway Arizona No Yes AZ10566 Centene - Buckeye Community Health No Yes OH10759 Centene - California Health & Wellness No Yes CA10589 Centene - Celticare No Yes MA10761 Centene - Coordinated Care No Yes WA10765 Centene - Granite State Health Plan No Yes NH10760 Centene - Home State Health Plan No Yes MO10620 Centene - Kentucky Spirit Health Plan No Yes KY10704 Centene - Magnolia Health Plan No Yes MS10586 Centene - Managed Health Services Indiana No Yes IN10587 Centene - Managed Health Services Wisconsin No Yes WI11034 Centene - Michigan Fidelis Secure Care No Yes MI10865 Centene - New Hampshire Healthy Families No Yes NH10590 Centene - Peach State Health Plan No Yes GA10451 Centene - Sunshine State Health Plan No Yes FL10592 Centene - Superior Health Plan TX No Yes TX10866 Centene - Total Care Carolina No Yes SC10771 Centene Advantage Plans No Yes National10884 Central California Alliance for Health No Yes CA10539 Central Reserve Life Ins Co. Medicare Supp No Yes National10904 Central Senior Care No Yes TX10486 Central States Fund No Yes National10744 Central States Indemnity No Yes National11018 Cerner Health Plan No Yes National10061 CHAMPVA/Spina Bifida/Children of Women Vietnam Vets No Yes National10447 CHC - Advantra (TX, NM, AZ Only) No Yes TX, NM, AZ10307 CHC - Advantra Freedom No Yes National10419 CHC - Advantra Savings No Yes National10216 CHC - Altius Health Plans No Yes UT10212 CHC - Coventry Health and Life (Oklahoma) No Yes OK10448 CHC - Coventry Health and Life Nevada No Yes NV10405 CHC - Coventry Health and Life Tennessee No Yes TN10481 CHC - Coventry Health Care Federal No Yes National10449 CHC - Coventry Missouri No Yes MO10642 CHC - COVENTRYCARES OF KENTUCKY No Yes KY10440 CHC - CoventryOne No Yes AR, DE, FL, GA, IL, IA, LA, MD,

MS, MO, NE, NV, NC, OH, OK,

PA, SC, SD, TN, TX, UT, WV, WY

10076 CHC - Delaware No Yes DE10551 CHC - Florida No Yes FL10206 CHC - Georgia No Yes GA10219 CHC - Group Health Plan (GHP) No Yes IL, MO



10221 CHC - HealthCare Inc. (Promina) No Yes MI10224 CHC - Illinois No Yes IL10207 CHC - Iowa No Yes IA10208 CHC - Kansas No Yes KS10210 CHC - Louisiana No Yes LA10085 CHC - Mail Handlers Benefit Plan No Yes National10211 CHC - Nebraska No Yes NE10428 CHC - University of Missouri No Yes MO10225 CHC - Virginia No Yes VA10214 CHC - West Virginia No Yes OH, WV10226 CHC of the Carolinas No Yes NC, SC10906 Childrens Mercy PCN No Yes KS, MO10907 CHP Direct No Yes GA, IN, KY, OH, SC10908 Christian Brothers Services No Yes National11113 Christie Student Health Plans No Yes MA, RI11105 CHRISTUS Health Plan Medicaid No Yes NM11006 CHRISTUS Health Plan New Mexico No Yes NM11007 CHRISTUS Health Plan NM Medicare Advantage No Yes NE10062 CIGNA-GreatWest No Yes National11001 Claims Management Service Inc No Yes WI10822 Clover Health No Yes NJ10909 CMFG Life Insurance No Yes National10852 Colonial Penn Life No Yes National10064 Colorado Access No Yes CO10065 Colorado Medicaid No Yes CO10066 Community Care of Oklahoma No Yes OK11165 Community Health Choice No Yes National11087 Community Health Group No Yes CA10329 Community Health Plan of Washington (CHPW) No Yes WA10421 Community HealthFirst Medicare Advantage No Yes WA10861 Concentrix Insurance Solutions No Yes National10303 ConnectiCare No Yes CT10517 ConnectiCare - Medicare No Yes CT10067 Connecticut Medicaid No Yes CT10669 Consolidated Associates Railroad No Yes NM11042 Constellation Health (INMEDIATA HEALTH GROUP) No Yes PR10911 Consumers Life No Yes OH11051 Consumers Mutual Insurance of Michigan No Yes MI10540 Continental General Ins Co. Medicare Supp No Yes National10610 Cook Children’s Health Plan No Yes TX10068 Cooperative Benefit Administrators (CBA) No Yes National10311 CoreSource (FMH) No Yes KS10071 CoreSource (Little Rock) No Yes AR10072 CoreSource (MD,PA,IL,NC,IN,AZ,MN) No Yes AZ, IL, IN, MD, MN, NC, PA10411 Corporate Benefit Service No Yes National10670 Country Life Insurance Company No Yes IL11143 CountyCare No Yes IL10880 Covenant Administrators (TPA) No Yes National10084 Coventry Healthcare National Network No Yes National10223 CoventryCares of Michigan No Yes MI10215 CoventryCares of West Virginia No Yes WV10838 Cox Health Plan No Yes MO11176 Crystal Run Health Plans* Yes Yes NY11160 CSI Life Insurance Company No Yes AZ, CO, GA, IL, MS, NC, SC, TN,

TX10775 Culinary Health Fund No Yes NV10577 DakotaCare No Yes SD10653 Dean Health Plan No Yes WI10780 DeCare Dental Health Insurance No Yes National10828 Definity Health No Yes National10293 Delaware Medicaid No Yes DE10709 Delta Dental Ins. Co. - Alabama No Yes AL10710 Delta Dental Ins. Co. - Florida No Yes FL10711 Delta Dental Ins. Co. - Georgia No Yes GA10712 Delta Dental Ins. Co. - Louisiana No Yes LA10713 Delta Dental Ins. Co. - Mississippi No Yes MS10714 Delta Dental Ins. Co. - Montana No Yes MT



10715 Delta Dental Ins. Co. - Nevada No Yes NV10716 Delta Dental Ins. Co. - Texas No Yes TX10717 Delta Dental Ins. Co. - Utah No Yes UT10705 Delta Dental of California No Yes CA10718 Delta Dental of Colorado No Yes CO10719 Delta Dental of Connecticut No Yes CT10720 Delta Dental of Delaware No Yes DE10721 Delta Dental of Hawaii No Yes HI11192 Delta Dental of Illinois No Yes IL10722 Delta Dental of Indiana No Yes IN10723 Delta Dental of Maryland No Yes MD10724 Delta Dental of Michigan No Yes MI10725 Delta Dental of Minnesota No Yes MN10726 Delta Dental of Nebraska No Yes NE10727 Delta Dental of New Jersey No Yes NJ10728 Delta Dental of New Mexico No Yes NM10729 Delta Dental of New York No Yes NY10730 Delta Dental of North Carolina No Yes NC10731 Delta Dental of North Dakota No Yes ND10732 Delta Dental of Ohio No Yes OH11175 Delta Dental of Oklahoma No Yes OK10733 Delta Dental of Pennsylvania No Yes PA10734 Delta Dental of Rhode Island No Yes RI10735 Delta Dental of Tennessee No Yes TN10736 Delta Dental of Virginia No Yes VA10737 Delta Dental of Washington DC No Yes DC10738 Delta Dental of Washington State No Yes WA10739 Delta Dental of West Virginia No Yes WV11203 Delta Dental of Wisconsin No Yes WI10740 DeltaCare USA - Claims No Yes National10741 DeltaCare USA - Encounters No Yes National10787 Dental Benefit Providers No Yes National10331 Denver Health Medical Plan No Yes CO10578 Deseret Mutual (DMBA) No Yes UT10077 Director's Guild No Yes CA11098 District No. 9, I. A. of M. & A. W. Welfare Trust No Yes MO10078 District of Columbia Medicaid No Yes DC11166 Diversified Administration Corp No Yes FL11090 Driscoll Health Plan No Yes TX10862 EBMS No Yes National11135 Educators Mutual Insurance (EMI) No Yes UT11010 Elderplan No Yes NY10616 Emblem Health No Yes NY10784 Employee Benefit Services - Dental No Yes National10914 EPIC Life Insurance No Yes WI11011 EPSI, Inc. No Yes TX11153 Equitable Life Casualty Insurance Company No Yes UT10601 Essence Healthcare No Yes IL, MO, NY, WA10807 Evercare No Yes MA10772 Everence Financial No Yes National11136 Evergreen Health No Yes National10860 Evergreen Health Co-Op No Yes MD11019 Expert Benefit Solutions No Yes AZ, IL, KY, MN, OH, WI10082 Fallon Community Health Plan No Yes MA11167 Farm Bureau Health Plans No Yes TN11003 FCE Benefit Administrators No Yes CA, DC, FL, LA, MD, TX, VA10083 Federated Insurance Company No Yes National10459 Fidelis Care New York No Yes NY11221 First Carolina Care No Yes NC11222 First Community Health Plan No Yes AL11190 First Health Network (Coventry National) No Yes National10916 First Medical Network No Yes GA10987 First United American Ins.Co No Yes National10870 FirstCare No Yes TX11068 FISERV WAUSAU No Yes National10799 Flex Compensation - Dental No Yes MN10811 Florida Combined Life - DENTAL No Yes National



10615 FLORIDA HEALTH CARE PLANS No Yes FL10086 Florida Medicaid No Yes FL10776 Food Employers & Bakery No Yes CA10971 Fox/Everett * Yes Yes TN11130 Fresenius Health Partners No Yes MA11069 Fringe Benefits No Yes CO, IA, SD11052 FSL Admin by KBA No Yes National11144 G.M.P. Employers Retiree Trust No Yes National10629 Gateway Health Plan No Yes PA10611 Geisinger Health Plan No Yes PA10612 Geisinger Health Plan Gold No Yes PA11065 GEMCare No Yes CA10088 Georgia Medicaid No Yes GA10808 GHI No Yes NJ, NY10509 Gilsbar No Yes LA11146 Global Health* Yes Yes OK10988 Globe Life & Accident Ins.Co. No Yes National11063 Gold Coast Health Plan * Yes Yes CA10652 Golden Rule Insurance No Yes National10394 Government Employees Health Association (GEHA) No Yes National10543 Great American Life Insurance Co. Medicare Supp No Yes National11156 Greek Catholic Union of the USA No Yes PA10174 Group & Pension Administrators No Yes National11188 Group Dental Service No Yes MD11041 Group Health Northwest No Yes WA10964 Group Hospitalization and Medical Services No Yes MD, DC, VA10583 Group Practice Affiliates No Yes WI10788 Guardian Life Insurance Co. of America - Dental No Yes National11110 Harken Health No Yes National10514 Harmony Health Plan No Yes National10091 Hawaii Medicaid No Yes HI11125 Hawaii Medical Assurance Association No Yes HI10871 Health Alliance Medical Plan (IL) No Yes IL, IA, NE, WA10308 Health Alliance Medical Plans (HAP) No Yes MI10220 Health America of PA No Yes PA10092 Health Choice Arizona No Yes AZ11148 Health Choice Oklahoma No Yes OK11012 Health Cost Solutions No Yes National10673 Health First Health Plan No Yes FL10674 Health First Insurance No Yes FL10385 Health Net National No Yes AZ, CA, OR, WA10627 Health New England No Yes MA10484 Health Partners of MN Yes Yes MN10098 Health Partners of Philadelphia No Yes PA10362 Health Plan of San Mateo No Yes CA10657 Health Plan of Upper Ohio Valley No Yes OH10584 HEALTH SERVICES CHILDREN SPECIAL NEEDS No Yes DC10823 Health Share of Oregon No Yes OR11084 Healthcare Management Administrators No Yes WA11020 HealthComp Administrators No Yes CA10597 HEALTHe Exchange No Yes National10510 HealthEase No Yes FL10511 HealthEase Kids No Yes FL10656 HealthEZ No Yes National10099 Healthfirst New York No Yes NY10438 Healthfirst of New Jersey No Yes NJ10692 Healthgram (Primary PhysiciansCare) No Yes National10500 HealthNow No Yes NY10804 HealthPlan of Nevada No Yes NV10856 Healthplan Services - Celtic Insurance Company No N/A National10802 HealthPlans Inc No Yes MA10309 HealthPlus of Michigan No Yes MI10621 HealthScope No Yes National11079 HealthSmart Benefit Solutions No Yes National10003 HealthSmart Benefit Solutions (Wells Fargo TPA) No Yes National10789 Healthsource Provident - Dental No Yes TN



10552 HealthSpring No Yes AL, AR, DE, FL, GA, IL, IN, MD,

MS, NC, OK, PA, SC, TN, TX, DC

11155 Heartland National Life Insurance Company No Yes National10918 Heritage Physician Network (Houston) No Yes TX10795 Hershey Healthsmile - Dental No Yes National11024 Highmark Senior Solutions Yes Yes PA10406 HIPNY No Yes NY11053 HM Care Advantage Admin by KBA No Yes National11112 HMA (Hawaii Mainland Administrators) No Yes HI10335 Hometown Health No Yes NV10337 Horizon NJ Health No Yes NJ10408 HSBS Memphis- FKA Pittman and Associates No Yes TN11169 HSBS Oklahoma City No Yes OK11046 Hudson Health Plan No Yes NY10100 Humana No Yes National10920 Humana CareSource (KY) No Yes KY11213 Humana Dental No Yes National10855 IBEW Local 508 Health Plan No Yes GA10101 Idaho Medicaid No Yes ID10747 Ideal Life Insurance No Yes National10998 IHC Health Solutions No N/A National10757 IlliniCare Health Plan No Yes IL10102 Illinois Medicaid No Yes IL10417 Independence Administrators Yes Yes PA10536 Independent Health No Yes NY10103 Indiana Medicaid No Yes IN10104 Inland Empire Health No Yes CA11021 Insurers Administrative Corporation (IAC) No Yes National11054 INTEGRA Administrative Group No Yes National10585 Integrated Mental Health Services No Yes National10105 Inter Valley Health Plan No Yes CA11028 International Medical Card Inc No Yes PR10581 Intracorp No N/A National10107 Iowa Medicaid No Yes IA10675 Island Home Insurance No Yes HI11147 Jai Medical Systems No Yes MD10267 Johns Hopkins Health Plan No Yes MD11132 Johns Hopkins HealthCare LLC No Yes MD10110 Kaiser Foundation Health Plan of Colorado Yes Yes CO10111 Kaiser Foundation Health Plan of Hawaii Yes Yes HI10676 Kaiser Foundation Health Plan of Hawaii (DHMO Choice) No Yes HI10113 Kaiser Foundation Health Plan of the Mid-Atlantic Yes Yes DC, MD, VA10114 Kaiser Foundation Health Plan of the Northwest Yes Yes OR, WA10608 Kaiser Foundation HP of Washington (Group Health Cooperative)No Yes ID, WA10238 Kaiser Permanente of Georgia Yes Yes GA10115 Kaiser Permanente of Northern CA Yes Yes CA10239 Kaiser Permanente of Southern CA Yes Yes CA10116 Kansas Medicaid No Yes KS10921 Katy Medical Group No Yes TX11047 Kemper Benefits No Yes National10117 Kentucky Medicaid No Yes KY10368 Kentucky Passport (formerly Passport Health Plan) No Yes KY11067 Key Benefit Administrators No Yes National10754 Key Benefits Administrators (IN) No Yes IN11044 Key Healthy Partners No Yes National11055 KeySolution No Yes National10300 Keystone Mercy Health No Yes National11182 Keystone VIP Choice No Yes PA10341 Kitsap Physician Services No Yes WA10748 KSKJ Life No Yes National11060 L.A. Care Health Plan No Yes CA11118 Land of Lincoln No Yes IL10975 Leggett & Platt No Yes IL, MO10677 Leon Medical Centers Health Plan No Yes FL10989 Liberty National Life Ins.Co. No Yes National11170 LifeCare Assurance Company No Yes CA



10978 Lifetime Benefit Solutions (RMSCO) No Yes NY10843 Lifewise Arizona No Yes AZ10651 Lifewise Health Plan of Oregon No Yes OR10650 Lifewise Health Plan of Washington No Yes WA10678 Lincoln Financial No Yes National10749 Lincoln Heritage No Yes National10979 Local 1199 No Yes National11013 LoneStar TPA No Yes TX10755 Loomis Company No Yes National10830 Louisiana Health Exchange No Yes LA10756 Louisiana Healthcare Connections No Yes LA10118 Louisiana Medicaid No Yes LA10544 Loyal American Life Insurance Co. Medicare Supp No Yes National11159 Loyal Christian Benefit Association No Yes OK10649 Magellan Behavioral Health No Yes National10867 Magnacare No Yes NJ, NY11122 Maine Community Health Options No Yes ME10121 Maine Medicaid No Yes ME10122 MAMSI Health Plan No Yes NC10885 Managed Care of America No Yes PA10863 Managed Health Network (MHN) No Yes National10679 MAPFRE Life Puerto Rico No Yes PR10435 Maricopa Care Advantage (Arizona) No Yes AZ10434 Maricopa Health Plan (Arizona) No Yes AZ11045 Martins Point Health Care * Yes Yes ME, NH, NY, PA, VT10289 Maryland Medicaid Yes Yes MD10124 Massachusetts Medicaid No Yes MA11173 MDWise Exchange No Yes IN11172 MDWise Medicaid Health Plans No Yes IN10682 Med-Pay Inc No Yes MO10681 MedBen No Yes National10272 MedCost Benefit Services No Yes NC10125 Medica No Yes National11029 Medica Health Plans No Yes FL11171 Medica2 No Yes National10683 Medical Associates Health Plan/Health Choices No Yes IA10952 Medical Card System No Yes PR10126 Medical Mutual of Ohio No Yes OH10001 Medicare (Part A & B) Yes Yes National11000 Medicare Advantage - Pennsylvania No Yes PA10960 Medicare y Mucho Mas (INMEDIATA HEALTH GRP CORP) No Yes PR10800 Medigold Health Plans No Yes OH10844 MedStar Family Choice No Yes MD10845 MedStar Health Plan No Yes DC, MD10133 Mercy Care Plan (Arizona) No Yes AZ11141 MercyCare Health Plan (WI) No Yes WI10644 Meridian Health Plan of Illinois No Yes IL10635 Meritain Health No Yes National10980 Meritus Health Partners No Yes AZ10134 MetLife Dental Family No Yes National10846 MetroPlus No Yes NY10135 Metropolitan Health Plan (MHP) No Yes MN, MO10659 MHNET Behavioral Health No Yes National10136 Michigan Medicaid Yes Yes MI10392 Michigan Medicaid Pending Eligibility Yes Yes MI10138 Michigan MIChild No Yes MI10139 Minnesota Medicaid No Yes MN10140 Mississippi Children's Health Insurance Program No Yes MS10141 Mississippi Medicaid No Yes MS10142 Mississippi State Employees and Teachers No Yes MS10702 Missouri Care No Yes MO10143 Missouri Medicaid No Yes MO10144 MMSI (Mayo Health) No Yes IA, MN11005 Moda Health No Yes AK, CA, OR, WA10145 Molina Healthcare of California No Yes CA10445 Molina Healthcare of Florida No Yes FL10685 Molina Healthcare of Illinois No Yes IL



10250 Molina Healthcare of Michigan No Yes MI10146 Molina Healthcare of New Mexico No Yes NM10251 Molina Healthcare of Ohio No Yes OH11031 Molina Healthcare of Puerto Rico No Yes PR10815 Molina Healthcare of South Carolina No Yes SC10391 Molina Healthcare of Texas No Yes TX10252 Molina Healthcare of Utah No Yes UT10253 Molina Healthcare of Washington No Yes WA10628 Molina Healthcare of Wisconsin No Yes WI10147 Montana Medicaid No Yes MT11035 Montefiore CMO No Yes NY10687 Municipal Health Benefit Fund No Yes AR10686 Mutual Health Services No Yes OH10382 Mutual of Omaha No Yes NE10148 MVP Health Care (New York) No Yes NY10992 NaphCare,Inc. No N/A National10149 National Association of Letter Carriers (NALC) No Yes National10812 National Telecommunications Cooperative Association (NTCA)No Yes National10966 Nebraska Medicaid Yes Yes NE11180 Nebraska Total Care No Yes NE10376 NEHEN - Harvard Pilgrim Health Care No Yes ME, MA, NH, RI, VT10377 NEHEN - Neighborhood Health Plans No Yes ME, MA, NH, RI, VT10151 Neighborhood Health Partnership No Yes FL10630 Neighborhood Health Plan (RI) No Yes RI10688 Network Health Insurance Corp No Yes National10706 Network Health Plan of WI No Yes WI10152 Nevada Medicaid No Yes NV10991 New Era Life Insurance Co. No Yes TX,NE10153 New Hampshire Medicaid No Yes NH10154 New Jersey Medicaid No Yes NJ11123 New Mexico Health Connections No Yes NM10247 New Mexico Medicaid No Yes NM10155 New York Medicaid No Yes NY10074 NGS CoreSource No Yes OH10156 North Carolina Medicaid Yes Yes NC10157 North Dakota Medicaid No Yes ND11038 Northwest Administrators No Yes CA, NV, OR, WA10537 Nova Healthcare Administrators No Yes NY10466 NovaSys Health No Yes AR10515 Ohana Health Plan No Yes HI10158 Ohio Medicaid No Yes OH10995 Oklahoma Employees Group Insurance Division No Yes OK10159 Oklahoma Medicaid No Yes OK10777 Operating Engineers Local No.428 No Yes AZ10477 Optima/Sentara No Yes VA10951 Orange County Fire Authority No Yes CA10160 Oregon Medicaid No Yes OR11124 Oregon’s Health CO-OP No Yes OR10881 Oscar No Yes CA, NY, TX10161 Oxford Health Plans No Yes CT, NJ, NY10375 Pacific Source Health Plan No Yes OR11177 PacificSource Administrators No Yes ID, MT, OR11091 PacificSource Community Solutions (Medicaid) No Yes OR11178 PacificSource Medicare No Yes ID, MT, OR11114 Pan-American Life Insurance No Yes National10689 Panamerican Life Puerto Rico (PALIC) No Yes PR10854 Paramount Health No Yes MI, OH10369 Partners National Health Plans of NC No Yes NC10164 Partnership Health Plan of California No Yes CA10782 Patriot Dental No Yes TX11211 Pekin Life Insurance No Yes AZ, GA, IL, IN, IA, KS, LA, MI, MS,

MO, NE, OH, TN, TX, WI10924 Penn Treaty Network America Ins Medicare Supp No Yes National11223 Pennsylvania Health and Wellness No Yes PA10165 Pennsylvania Medicaid No Yes PA11022 People First No Yes DE10636 Peoples Health No Yes LA



10492 Personal Insurance Administrators (PIA) No Yes National10658 Physicians Health Plan Northern IN No Yes IN11015 Physicians Health Plan of Mid-Michigan No Yes MI10167 Physicians Mutual Insurance Company No Yes IN11004 Physicians Plus Insurance No Yes WI10882 Piedmont No Yes GA10825 Piedmont Wellstar HealthPlans No Yes GA10926 Pinnacle Physician Management Org No Yes TX10958 Plan de Salud Hospital Menonita No Yes PR10886 Planned Administrator Inc No Yes SC11071 Prairie States * Yes Yes National10691 Preferred Care Partners No Yes FL10847 Preferred Health System of Kansas No Yes KS10959 Preferred Medicare Choice(PMC)(INMEDIATA HEALTH GRP) No Yes PR10169 PreferredOne No Yes CT10848 Premier Health No Yes OH10646 Presbyterian Health Plan * Yes Yes NM10965 Prestige Health Choice No Yes FL10494 PrimeWest Health No Yes MN10170 Principal Financial Group (Nippon Life) No Yes National10171 Principal Financial Group (Principal Life) - Dental & Vision No Yes National10490 Priority Health No Yes MI10242 Professional Benefits Administrators No Yes National11198 Prominence Health Plan of Nevada No Yes IN, NV11199 Prominence Health Plan of Texas No Yes TX10172 Providence Health Plan No Yes OR, WA10545 Provident American Life & Health Ins. Co. Mcare Supp No Yes National10790 Provident Preferred Network - Dental No Yes OR11043 Public Employee Benefit Authority No Yes SC, VA10574 Public Employees Health Program No Yes UT11050 Public Employees Health Program - CHIP No Yes UT11049 Public Employees Health Program - Medicare No Yes UT10743 Puritan Life Insurance No Yes National10637 Qualcare No Yes NJ, NY, PA10553 Qualchoice No Yes AR, OH10508 QuikTrip Corporation No Yes IL, IN, IA, KS, MI, MN, MO, MT,

NE, ND, OH, OK, SD, TX, UT

11056 Regence Group Administration No Yes OR, WA11127 Reserve National Insurance Company No Yes National11140 Rhode Island Medicaid * Yes Yes RI11116 RightCare from Scott and White Health Plan No Yes TX10175 Rocky Mountain Health Plan No Yes CO10751 Royal Neighbors of America No Yes National10875 S and S Healthcare Strategies No Yes National11163 S. USA Life Insurance Company, Inc. No Yes National10849 San Francisco Health Plan No Yes CA10177 San Joaquin Health Plan No Yes CA10533 Sanford Health Plan No Yes IA, MN, ND, SD10876 Santa Clara Family Health Plan No Yes CA11162 SBLI USA Life Insurance Company, Inc. No Yes National10816 Schaller Anderson Aetna Better Health of New York No Yes NY10887 Schaller Anderson Aetna Better Health OH No Yes OH10817 Schaller Anderson Delaware Physicians, Inc No Yes DE10818 Schaller Anderson MajestaCare VA No Yes VA10693 Schaller Anderson Maryland Physicians Care No Yes MD10694 Schaller Anderson Mercy Care No Yes AZ10996 Schaller Anderson Mercy Maricopa No Yes AZ10695 Schaller Anderson Missouri Care No Yes MO10643 Schaller Anderson Parkland Community Health Plan No Yes AZ, CA, DE, MD, MO, TX10696 Schaller Anderson Texas CHRISTUS No Yes TX10360 Scott & White Health Plan No Yes TX10883 Secure Health Plans of Georgia No Yes GA10792 Securian Dental No Yes National10793 Securian/Patriot Dental No Yes VT10864 Security Health Plan No Yes WI10520 Select Health SC No Yes SC



10575 Select Health Utah No Yes UT10927 Select Senior Clinic No Yes TX10928 SelectCare of Texas (Beaumont) No Yes TX10929 SelectCare of Texas (Golden Triangle) No Yes TX10930 SelectCare of Texas (Houston) No Yes TX10931 SelectCare of Texas (Integranet) No Yes TX10932 SelectCare of Texas (Kelsey-Seybold) No Yes TX10933 SelectCare of Texas (Memorial Clinical Assoc) No Yes TX10934 SelectCare of Texas (Northwest Diagnostic) No Yes TX11150 Selman & Company No Yes National10178 Senior Care Action Network No Yes CA11023 Senior Dimensions No Yes NV10697 Senior Health Services Center-Univ American Family Co. No Yes TX, NY, ME10962 Senior Whole Health No Yes NY,MA10967 Sharp Health Plan No Yes CA10752 Shenandoah Life Insurance No Yes VA10282 Sierra Health Services No Yes NV10081 Significa Benefit Services No Yes National10826 Simply Healthcare Plans No Yes FL11129 SisCo Benefits No Yes National10935 Soundpath Health No Yes WA10179 South Carolina Medicaid No Yes SC10180 South Dakota Medicaid No Yes SD11228 Southeastern Indiana Health Organization No Yes IN10591 Special Agents Mutual Benefit Assoc (SAMBA) No Yes National10936 Spectrum Health No Yes PA10546 SPJST Medicare Supplement No Yes National10593 Standard Life and Accident Insurance No Yes National10645 State Farm No Yes National10982 State Mutual (Lincoln Novation) No Yes National10750 State Mutual Med Supp No Yes National10512 StayWell No Yes FL10513 StayWell Kids No Yes FL10937 Stewart C Miller and Co No Yes National11032 Stonebridge Life Insurance Company No Yes National10183 Student Insurance No Yes FL, GA10938 StudentResources No Yes National10294 SummaCare Health Plan No Yes OH11073 Summit America Insurance Service No Yes National10758 Sunflower State Health (Kansas) No Yes KS10941 Sutter Select No Yes CA10794 TennDent No Yes TN10184 Tennessee Medicaid No Yes TN10942 TexanPlus (Integranet) No Yes TX10943 TexanPlus (Kelsey-Seybold) No Yes TX10604 TexanPlus North Texas Area No Yes TX10605 TexanPlus Southeast Texas Area No Yes TX10944 Texas First Health Plan (TOPA) No Yes TX10186 Texas Medicaid No Yes TX11208 Texas Medicaid - Long Term Care No Yes TX10698 The Kempton Company No Yes OK, TX10945 The ULLICO Family of Companies No Yes National10318 Three Rivers Health Plans (Unison Health Plan) No Yes PA11158 Thrivent No Yes National10505 Today's Option No Yes National11168 TransactRX Infusion and Specialty No Yes National11037 TransactRX Part D No Yes National10946 Transamerica Life Insurance (KBA) No Yes National11100 Transamerica Premier Life Insurance Co. No Yes National10963 Triad Healthcare, Inc No N/A CT11218 TRICARE East No Yes AL, AR, CT, DC, DE, FL, GA, IL, IN,

IA, KY, LA, ME, MD, MA, MI, MS,

MO, NH, NJ, NY, NC, OH, OK,

PA, RI, SC, TN, TX, VT, VA, WV,

WI10879 TRICARE for Life No Yes National10947 TRICARE Overseas No Yes National



10189 TRICARE West No Yes National11120 Trillium Community Health Plan No Yes OR10953 Triple-S Salud (BCBS Puerto Rico) No Yes PR10190 Trustmark Insurance No Yes National10379 Tufts Health Plan No Yes ME, MA, NH, RI, VT10352 UCare of Minnesota No Yes MN10888 Ultimate Health Plans No Yes FL10501 UMR No Yes WI11121 UMWA Health and Retirements Funds No Yes UT10246 Underwriters Safety & Claims No Yes National10285 Unicare (Anthem) No Yes National10791 UNICARE - Dental No Yes National11086 Unified Life Insurance Company No Yes National10599 Union Pacific Railroad Employees Health Systems No Yes National10990 United American Ins.Company No Yes National10810 United Concordia Companies, Inc. - DENTAL No Yes National10809 United Concordia Federal Employees Program - DENTAL No Yes National11107 United Health Group - Community Plan No Yes CA, FL, HI, LA, MD, MI, OH, RI,

TX, WI11076 United Health Group - Optum Health Behavioral Solutions No Yes National11077 United Health Group - UHCWest No Yes National10002 United Healthcare No Yes National10835 United Healthcare Community Plan - Kansas No Yes KS10836 United Healthcare Facets Detroit Community and State No Yes MI10834 United Healthcare Facets Pittsburgh Community and State No Yes PA10837 United Healthcare Nevada Market No Yes NV10192 United Healthcare Plan of River Valley No Yes FL10655 United Healthcare SecureHorizons No Yes National10547 United Teacher Assoc Insurance Co. Mcare Supp No Yes National11025 UnitedHealthcare Community Plan – TN No Yes TN10349 Unity Health Plans No Yes WI10535 Univera No Yes NY11216 Universal American No Yes ME, NY, TX11033 Universal Benefit Corp No Yes National10699 University Care Advantage Arizona No Yes AZ10194 University Family Care No Yes CA10889 University of Arizona Health Plans - UHM No Yes AZ10977 University of Utah Health Plans No Yes UT10433 University Physicians Care Advantage (Arizona) No Yes AZ10288 UPMC Health Plan (Tristate) No Yes PA10195 USAA Life Insurance Company No Yes National10648 Utah Medicaid Yes Yes UT10196 VA Fee Basis Program No Yes National10956 VA Health Administration Center No Yes National10850 VA Healthcare No Yes National10948 Valley Care Program No Yes CA10949 Valley Health Plan No Yes CA11061 Value Options * Yes Yes National10858 Vantage Health Plan,Inc No Yes OK10197 Vermont Medicaid No Yes VT10950 Village Family Practice No Yes TX10198 Virginia Medicaid No Yes VA10468 VIVA Health No Yes AL10600 VNS CHOICE No Yes NY10407 Vytra No Yes NY10424 Washington Medicaid No Yes WA10853 Washington National No Yes National10554 WEA Trust No Yes WI10532 WEB-TPA, Inc No Yes National10488 Wellcare Health Plans No Yes National10814 Wellsense No Yes NH11226 West Virginia Family Health Plan No Yes WV10200 West Virginia Medicaid No Yes WV11111 Western and Southern Financial Group No Yes National10201 Western Health Advantage No Yes CA11083 Westlake Financial Group No Yes IL10797 Wilson McShane - Dental No Yes MN



10576 Windsor Medicare Extra No Yes MS, SC, TN10969 WINhealth Partners * Yes Yes WY10202 Wisconsin Medicaid No Yes WI10452 Wisconsin Medicaid Chronic Disease Program No Yes WI10453 Wisconsin Medicaid Well Woman Program No Yes WI10878 WPS Health Insurance No Yes WI10204 Wyoming Medicaid No Yes WY11089 YourCare Health Plan No Yes NY


eligibility payer list april 2018 · 10639 alameda alliance health plan * yes yes ca 10798 alan...

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