Patient Access Solutions

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REAL TIME TRANSACTIONS INSURANCE PAYER LIST

Carrier	States	Affiliated Carrier	Eligibility	Referral Add	Referral Cancel / Delete	Referral View	Claim Status
Accordia	National		X
Aetna LTC	National		X				X
Aetna US Healthcare	National		X	X		X	X
AFTRA Health Fund (Directors Guild, Writers Guild)	National		X
Alameda Alliance Health Plan			X
Alaska Electrical Health & Welfare Fund	AK		X
Altius Health Plan	National	Coventry ALTIUS	X				X
AMC – American General Life and Accident	National		X				X
AMC – Poly America	National		X
American Postal Workers Union	National		X
American Republic Insurance Company (ARIC)	National		X				X
Americhoice of NJ (Commercial)	NJ		X
AmeriHealth Mercy Health Plan	PA		X
Amerigroup	National		X
Ameritas First Ameritas of NY			X
Ameritas First Reliance Standard			X
Ameritas Ins Co of NY			X
Ameritas Reliance Standard Life			X
Ameritas Standard Ins Co			X
Arizona Physicians IPA	AZ		X
AVMED(Aviation Medical)Florida	FL		X
Best Life and Health	National	Glassman	X
Better Health Plan	PA,TN		X
Blue Cross Blue Shield Alaska (Premera)	AK		X
Blue Cross Blue Shield of Arkansas
Blue Cross Blue Shield of Alabama	AL		X
Blue Cross Blue Shield of Arizona	AZ		X
Blue Cross Blue Shield of California	CA		X				X
Blue Cross Blue Shield of Colorado	CO		X
Blue Cross Blue Shield of Connecticut	CT		X
Blue Cross Blue Shield of Florida	FL		X
Blue Cross Blue Shield of Georgia	GA		X
Blue Cross Blue Shield of Illinois	IL		X
Carrier	States	Affiliated Carrier	Eligibility	Referral Add	Referral Cancel / Delete	Referral View	Claim Status
Blue Cross Blue Shield of Indiana	IN		X
Blue Cross Blue Shield of Kentucky	KY		X
Blue Cross Blue Shield of Louisiana	LA		X
Blue Cross Blue Shield of Maine- Anthem	ME		X
Blue Cross Blue Shield Maryland	MD		X
Blue Cross Blue Shield of Massachusetts	MA		X	X	X	X	X
Blue Cross Blue Shield of Michigan	MI		X
Blue Cross Blue Shield of Minnesota	MN		X
Blue Cross Blue Shield of Mississippi	MS		X				X
Blue Cross Blue Shield of The National Capital Area (Carefirst)	National		X
Blue Cross Blue Shield of Nevada	NV		X
Blue Cross Blue Shield of New Hampshire	NH		X
Blue Cross Blue Shield of New Jersey- Horizon	NJ		X	X			X
Blue Cross Blue Shield of New Mexico	NM		X
Blue Cross Blue Shield of New York- Empire –	NY		X
Blue Cross Blue Shield of New York Excellus	NY		X
Blue Cross Blue Shield of Ohio	OH
Blue Cross Blue Shield of Oregon	OR		X
Blue Cross Blue Shield of Pennsylvania - Highmark	PA		X
Blue Cross Blue Shield of Pennsylvania-Capital	PA		X
Blue Cross Blue Shield of Pennsylvania-Independence	PA		X
Blue Cross Blue Shield S.Carolina	SC		X
Blue Cross Blue Shield of Texas	TX		X
Blue Cross Blue Shield of Virginia	VA		X
Carrier	States	Affiliated Carrier	Eligibility	Referral Add	Referral Cancel / Delete	Referral View	Claim Status
Blue Cross Blue Shield Washington State (Premera)	WA		X
Blue Cross Blue Shield of Wisconsin	WI		X
Blue Cross of California	CA		X
Blue Cross, Independence Penn.	PA		X
Blue Shield of California	CA		X
Care Choice HMO	National		X
Carefirst Federal Employee Program	National		X
Care Oregon	OR		X
Carelink	National	Coventry Carelink	X	X			X
CareNet	National	Coventry Carenet	X
CarePlus Health Plan	National		X
CareSource of Ohio	OH		X
Cariten Healthcare	TN	Convenant Commercial	X				X
Cariten Senior Healthcare	TN	Covenant Cariten (Medicare)	X				X
Catholic Health Alliance (CHA) of Kentucky	KY		X
CHA_Kentucky	KY		X
Christian Brothers Services	National	Principle Financ	X				X
Cigna	National		X	X			X
Cigna Puerto Rico	PR		X
Cimarron
Colorado Access	CO		X
Columbia UP	National		X
Community Care of Arizona	AZ		X
Consolidated Assoc. of Railroad Employees	National	ECOMPPO_CON (consolidated Railroad)	X
Cooperativa de Seguros Vida de Puerto Rico (COSVI)	PR		X
Carrier	States	Affiliated Carrier	Eligibility	Referral Add	Referral Cancel / Delete	Referral View	Claim Status
Cooperative Benefit Administrators (CBA)	National		X				X
CoreSource	AZ		X				X
CoreSource	IN
CoreSource	MN		X				X
CoreSource	NC
Covenant (Commercial)	National		X				X
Covenant Cariten(Medicare),Tenncare	TN		X				X
Coventry (All are the same prompting)	National		X				X
Coventry Health Care Carelink	National		X				X
Coventry Health Care Carenet	National		X				X
Coventry Health Care Group Health Plan	National		X				X
Coventry Health Care Health America	National		X
Coventry Health Care of Delaware	DE,NJ,MD,PA		X				X
Coventry Health Care of Georgia	GA		X				X
Coventry Health Care of Iowa	IA		X				X
Coventry Health Care of Iowa	IA		X				X
Coventry Health Care of Kansas, Kansas City	KS		X				X
Coventry Health Care of Kansas, Wichita	KS		X				X
Coventry Health Care of Louisiana	LA		X				X
Coventry Health Care of Nebraska	NE		X				X
Coventry Health Care of the Carolinas /Wellpath	NC		X				X
Coventry Health Care of USA (HCUSA)	National		X				X
Coventry Health Care Southern Health Service (SHS)	National		X	X		X
Coventry Health Carelink Medicaid	National		X				X
Coventry, Diamond Plan (MD Medicaid)	DE, MD		X				X
Coventry, HealthCare Inc.	National		X				X
Coventry, Personal Care	National		X				X
Carrier	States	Affiliated Carrier	Eligibility	Referral Add	Referral Cancel / Delete	Referral View	Claim Status
Diamond Plan	National	Coventry Diamond Plan	X
Directors Guild of America -Producers	National	Glassman	X				X
EComPPO (consolidated Railroad & Linn County)	National	ECOMPPO_CON (consolidated Railroad)	X				X
Equicor (thru Cigna)	National	Cigna	X				X
Erin Group	National		X				X
Evercare	National	United Health Care	X				X
Fallon Health Plans	National		X				X
Fedinsco (Federated Ins. Company)	National		X				X
First Guard	National		X
First Health (mail Handlers)	National		X				X
Fortis	National		X
Glassman Health Plan	National		X				X
Great Western HealthCare	National		X
Group Health Plan	IL, MO	Coventry GHP	X				X
Health Alliance Plan of Michigan	MI,OH		X
Health America/Health Assurance	National	Coventry HAPA	X				X
Health Choice (Memphis)	TN		X
Health Choice of AZ	AZ		X
Health Future LLC	National	AMC Health Future	X				X
Health Guard	National		X
Health Partners	National		X	X			X
Health Partners of Philadelphia	PA		X
Healthcare Inc.	National	Coventry	X				X
Healthcare USA	National	Coventry HCUSA	X				X
HealthFirst of New York	NY		X	X			X
HealthNet Medi-Cal	CA		X
HealthNet of California	CA		X
HealthNet of Oregon	OR		X
HealthNet of the Northeast and Health Net of Arizona	CT, MA, AZ		X
Hometown Health Network
Horizon Mercy	National		X
Carrier	States	Affiliated Carrier	Eligibility	Referral Add	Referral Cancel / Delete	Referral View	Claim Status
Humana	National		X
Humana Puerto Rico	PR		X
Inland - Empire Health	National		X
Inter Valley Health Plan	National		X
J.F. Molloy and Associates	National	Principle Financial	X
Jackson Memorial Hospital (JMH)	National		X
John Deer HP	National		X
Kaiser – Colorado, Georgia, Northwest, Ohio	CO, GA, OH		X
Kaiser Hawaii
Kaiser - TMS (Mid-Atlantic)	VA, MD		X
Kaiser Permanente of Southern and Northern California	CA		X
Keystone Mercy Health Plan	National		X
La Cruz Azul (BCBS of Puerto Rico)	PR		X
Linn County	National	ECOMPPO_LIN (Linn County)	X				X
Lovelace Health Plan	National		X
Maricopa County Integrated Medical	National		X
Maricopa County Tobacco Program	National		X
Medica	MN		X
Medicaid Georgia (ACS)	GA		X
Medicaid Oklahoma (MIS-EDS)	OK		X
Medicaid Alabama	AL		X
Medicaid Arizona (AHCCCS)	AZ		X
Medicaid Arkansas	AR		X
Medicaid California (Medi-Cal)	CA		X
Medicaid Colorado	CO		X
Medicaid Connecticut	CT		X
Medicaid Delaware	DE		X
Medicaid District of Columbia	DC		X
Medicaid Florida	FL		X				X
Medicaid Hawaii	HI		X
Medicaid Idaho	ID		X
Medicaid Illinois	IL		X
Medicaid Indiana	IN		X
Medicaid Iowa	IA		X
Carrier	States	Affiliated Carrier	Eligibility	Referral Add	Referral Cancel / Delete	Referral View	Claim Status
Medicaid Kansas	KS,MO		X
Medicaid Kentucky	KY		X				X
Medicaid Louisiana	LA		X
Medicaid Maine	ME		X
Medicaid Maryland	MD		X
Medicaid Massachusetts	MA		X
Medicaid Michigan	MI		X
Medicaid Minnesota	MN		X
Medicaid Mississippi	MS		X
Medicaid Missouri	MO		X				X
Medicaid Montana	MT		X
Medicaid Nevada	NV		X
Medicaid New Hampshire	NH		X
Medicaid New Jersey	NJ		X
Medicaid New Mexico	NM		X
Medicaid New York	NY		X	X		X
Medicaid North Carolina	NC		X
Medicaid North Dakota	ND		X
Medicaid Ohio	OH		X
Medicaid Oregon	OR		X
Medicaid Pennsylvania	PA		X
Medicaid Puerto Rico	PR		X
Medicaid South Carolina	SC		X
Medicaid South Dakota	SD		X
Medicaid Tennessee (TennCare)	TN		X
Medicaid Texas	TX		X
Medicaid Vermont	VT		X				X
Medicaid Virginia	VA		X
Medicaid Washington	WA		X
Medicaid West Virginia	WV		X
Medicaid Wisconsin	WI		X
Medicaid Wisconsin Health Risk Sharing Program	WI		X
Medicaid Wisconsin Chronic Disease Program	WI		X
Medicaid Wyoming	WY		X				X
Medical Card Systems (MCS)	PR		X
Medical Mutual of Ohio	OH		X				X
Medical Value Plan			X
Carrier	States	Affiliated Carrier	Eligibility	Referral Add	Referral Cancel / Delete	Referral View	Claim Status
Medicare y Mucho Mas (MMM)	PR		X
Medicare Part A & B Alabama	AL		X
Medicare Part A & B Alaska	AK		X
Medicare Part A & B Arizona	AZ		X
Medicare Part A & B Arkansas	AR		X
Medicare Part A & B California	CA		X
Medicare Part A & B Colorado	CO		X
Medicare Part A & B Connecticut	CT		X
Medicare Part A & B Delaware	DE		X
Medicare Part A & B Florida	FL		X
Medicare Part A & B Georgia	GA		X
Medicare Part A & B Idaho	ID		X
Medicare Part A & B Illinois	IL		X
Medicare Part A & B Indiana	IN		X
Medicare Part A & B Iowa	IA		X
Medicare Part A & B Kansas	KS		X
Medicare Part A & B Kentucky	KY		X
Medicare Part A & B Louisiana	LA		X
Medicare Part A & B Maine	ME		X
Medicare Part A & B Maryland	MD		X
Medicare Part A & B Massachusetts	MA		X
Medicare Part A & B Michigan	MI		X
Medicare Part A & B Minnesota	MN		X
Medicare Part A & B Mississippi	MS		X
Medicare Part A & B Missouri	MO		X
Medicare Part A & B Montana	MT		X
Medicare Part A & B Mutual of Omaha	NE		X
Medicare Part A & B Nebraska	NE		X
Medicare Part A & B Nevada	NV		X
Medicare Part A & B New Hampshire	NH		X
Medicare Part A & B New Jersey	NJ		X
Medicare Part A & B New Mexico	NM		X
Medicare Part A & B New York	NY		X
Medicare Part A & B North Carolina	NC		X
Medicare Part A & B North Dakota	ND		X
Medicare Part A & B Ohio	OH		X
Medicare Part A & B Oklahoma	OK		X
Medicare Part A & B Oregon	OR		X
Carrier	States	Affiliated Carrier	Eligibility	Referral Add	Referral Cancel / Delete	Referral View	Claim Status
Medicare Part A & B Pennsylvania	PA		X
Medicare Part A & B Rhode Island	RI		X
Medicare Part A & B S. Dakota	SD		X
Medicare Part A & B South Carolina	SC		X
Medicare Part A & B Tennessee	TN		X
Medicare Part A & B Texas	TX		X
Medicare Part A & B Utah	UT		X
Medicare Part A & B Vermont	VT		X
Medicare Part A & B Virginia	VA		X
Medicare Part A & B Washington	WA		X
Medicare Part A & B West Virginia	WV		X
Medicare Part A & B Wisconsin	WI		X
Medicare Part A & B Wyoming	WY		X
Megalife	National		X				X
Megalife Chesapeake National Life			X
Megalife Oklahoma City			X
Megalife TransAmerica Life Ins.			X
Memorial Care TPA	National		X
Mercy Care	National		X
Mercy Care Plan of Arizona	AZ		X
Michigan Child	MI		X
Minnesota UCARE	MN		X
Mississippi Blue Cross State Employee Health Plan	MS		X
Mississippi Children’s Health Insurance Program (CHIP)	MS		X
MVP Healthplan	NY		X
Molina (CA,IN, MI,OH, UT, WA)	WA		X				X
Molina New Mexico			X				X
NALC (National Association of Letter Carriers)	National		X				X
Nationwide Health Plans	National		X	X			X
OmniCare	National		X				X
Oregon Family Care	OR		X
Oxford	Northeast		X	X		X
PacifiCare-California	CA		X				X
PacifiCare-Florida	FL		X				X
PacifiCare-Oklahoma	OK		X				X
Carrier	States	Affiliated Carrier	Eligibility	Referral Add	Referral Cancel / Delete	Referral View	Claim Status
PacifiCare-Oregon	OR		X				X
PacifiCare-Texas	TX		X				X
PacifiCare-Washington	WA		X				X
Partners National Health Plan-NC	NC		X
Partnership – HPCA			X
PersonalCare	IL	Coventry Personal care	X				X
Phoenix HP	AZ		X
PHP of Michigan	MI	United Health Care	X
Poly-America Medical Benefits Plan		AMC_POLY	X
Preferred Health Systems	PA		X				X
Preferred One	National		X
Presbyterian Health Plan	NM		X
Principle Financial Group – Nippon Life Insurance Company of America (Same prompting as Principle above)	National		X	X			X
Principle Financial Group – Principle Life Insurance Company	National		X	X			X
Providence Health Plan	OR		X
Recall Group and Pension Administrators			X
Recall Group SRT Administrators Inc			X
Recall Superior Administrators Inc			X
Recall Underwriters Safety and Claims			X
Recall JP Farly Corporation			X
Recall Mississippi Adminstative Services Inc.			X
Recall Professional Benefit Administrators Inc.			X
Regence	OR		X
Rocky Mountain			X
San Francisco – HP	CA		X
San Joaquin	CA		X
Senior Care Action Network (SCAN) HMO	National		X
Southern Health Services	VA	COVENTRY SHS	X
Stanislaus	National		X
Carrier	States	Affiliated Carrier	Eligibility	Referral Add	Referral Cancel / Delete	Referral View	Claim Status
Star – HRG	National		X				X
Student INS			X
Texas CHIP	TX		X
Three Rivers Administrative Services (TRAS) – Three Rivers Health Plans	PA		X	X			X
TLC Health Plans (Memphis)	TN
TRICARE	National		X
Trustmark	National		X				X
Tufts	MA		X	X		X
United Health Care	National		X				X
Universal Care of California	CA		X
UPMC Health Plan	PA		X
US Healthcare	National	Aetna	X
VA – FEE	VA		X	X			X
VA – HAC	VA		X	X			X
Virginia Premier	VA		X
Wellchoice of NJ	NJ	Empire BCBS	X
Wellpath	NC,SC	Coventry Wellpat	X				X
Western – HA			X
Writers Guild-Industry Health Plan	CA	Glassman (Writer's Guild)	X				X