Phreesia’s E&B Payer Verification List

The following is a list of payers that can be verified by Phreesia. Payers marked with an asterisk* require Special Enrollment and are not immediately available to providers. Special Enrollment involves submitting information and/or paperwork via email, fax or online and is the only way providers can enroll to use eligibility EDI services for these payers.

Please be advised that special enrollment is a process that is separate from a provider registering their NPI with the payer. Providers must ensure they have correctly registered their Group Level NPI (National Provider Identifier) with any applicable health plans (often referred as credentialing). Phreesia and their affiliated Clearing House are not responsible for registering individual NPI numbers.

If you are interested in adding a payer to this list, please contact Phreesia Support.

Payer Changes – Last modified: July 15, 2020

New Payers:

  • Anthem Vivity
  • Automated Benefit Services
  • Cal-Viva
  • Claims Management Services
  • Crum & Forster
  • Humana Caresource (KY)
  • Prominence Health Plan of Texas (Medicare Advantage)

Deactivated:

  • New Mexico Health Connections (temporarily)

Payers are deactivated if they are experiencing issues with no firm ETA to avoid inaccurate data being returned, or they are no longer offering real-time eligibility services.

0-9 | A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z

0-9

  • 1199 SEIU

A

  • AARP Medicare Complete
  • AARP Medicare Supplement Plan
  • Absolute Total Care
  • ACN
  • ACS Benefit Services
  • Advantage by Bridgeway Health Solutions
  • Advantage by Buckeye Community Health Plan
  • Advantage by Managed Health Services
  • Advantage by Peach State
  • Advantage by Sunshine State
  • Advantage by Superior HealthPlan
  • Advantage Health Plans Trust (Kempton Company)
  • Advantek Benefit Administrators*
  • Advantra Freedom – PFFS
  • Aetna Better Health (California)
  • Aetna Better Health (Connecticut)
  • Aetna Better Health (Florida)
  • Aetna Better Health (Illinois)
  • Aetna Better Health (Kansas)
  • Aetna Better Health (Kentucky)
  • Aetna Better Health (Louisiana)
  • Aetna Better Health (MD)
  • Aetna Better Health (Michigan)
  • Aetna Better Health (Nevada)
  • Aetna Better Health (NJ)
  • Aetna Better Health (Pennsylvania)
  • Aetna Better Health (Texas)
  • Aetna Better Health (Texas) CHIP
  • Aetna Better Health (Virginia)
  • Aetna Better Health (West Virginia)
  • Aetna Better Health Ohio
  • Aetna Health and Life Insurance Company (Medicare Supplement)
  • AETNA Health Inc.
  • Aetna Long Term Care
  • Aetna Retiree Medical Plan – Administrator
  • Aetna Senior Supplemental
  • Aetna Signature
  • Administrators Affinity Essentials
  • Affinity Health Plan
  • AFLAC
  • AFLAC – Dental
  • Agewell New York
  • AHCCCS
  • Alameda Alliance for Health*
  • Alignment Health
  • All Kids (Alabama)
  • All Kids (Illinois)
  • All Savers Insurance
  • Allegiance Benefit Plan Management
  • Alliance
  • Alliant Health Plans, Inc.
  • Alliant Plus Health Plan
  • Allianz Life Insurance Company of New York
  • Allied Benefit Systems, Inc
  • AlohaCare
  • Alternative Insurance Resources, Inc
  • Altius Health Plans, Inc.
  • Altus Dental
  • Ambetter New Hampshire Healthy Families
  • Ambetter Sunshine Health
  • AmeriBen
  • American Benefit Administrative Services, Inc
  • American Continental Insurance Company
  • American Family Insurance Group
  • American Family Life Insurance of Columbus (AFLAC) – Medicare Supplemental
  • American General Life and Accident
  • American General Life Insurance Company (Medicare Supplement)
  • American Health Medicare
  • American Insurance Administrators
  • American Medical Security (AMS)
  • American National Insurance Company
  • American National Life Insurance Company of Texas
  • American Postal Workers Union (APWU)
  • American Retirement Life Ins Co Medicare Supplement
  • Americhoice of Connecticut
  • Americhoice of Maryland
  • AmeriChoice of New Jersey (Medicaid)
  • AmeriChoice of New Jersey, Inc.
  • AmeriChoice of New York, Inc.
  • AmeriChoice of Pennsylvania, Inc.
  • Americhoice of Tennessee (Tenncare)
  • Americo Financial Life & Annuity
  • Amerigroup
  • AmeriHealth*
  • AmeriHealth Administrators*
  • AmeriHealth Caritas DC
  • AmeriHealth Caritas Delaware
  • AmeriHealth Caritas Louisiana (Former LaCare)
  • AmeriHealth Caritas New Hampshire
  • AmeriHealth Caritas Northwestern PA
  • Amerihealth Caritas Pennsylvania*
  • AmeriHealth Caritas VIP Care Plus
  • AmeriHealth Mercy Health Plan*
  • AmeriHealth New Jersey
  • AmeriHealth Pennsylvania
  • AmeriHealth VIP Care
  • Anthem – Blue Cross Blue Shield of Missouri
  • Anthem Blue Cross and Blue Shield (Colorado)
  • Anthem Blue Cross and Blue Shield (Nevada)
  • Anthem Blue Cross and Blue Shield of Connecticut
  • Anthem Blue Cross and Blue Shield of Indiana
  • Anthem Blue Cross and Blue Shield of Kentucky
  • Anthem Blue Cross and Blue Shield of Maine
  • Anthem Blue Cross and Blue Shield of New Hampshire
  • Anthem Blue Cross and Blue Shield of Ohio
  • Anthem Blue Cross and Blue Shield of Wisconsin
  • Anthem Health Plans of Virginia
  • Anthem HealthKeepers
  • Anthem HealthKeepers Plus
  • Anthem Vivity
  • Arise Health Plan
  • Arizona Physicians IPA (APIPA)
  • Arkansas BlueCross BlueShield
  • ARKids
  • Arnett Health Plans, Inc.
  • Asuris Northwest Health
  • AtlantiCare
  • AultCare Health Plans
  • AUSHC
  • Automated Benefit Services
  • Auxiant
  • Avera Health Plans
  • AvMed, Inc.

B

  • Bankers Fidelity Life Insurance Company
  • Bankers Life and Casualty (Medicare Supplemental)
  • Banner Health
  • Baycare Select Health Plans
  • BCBS of Arizona Advantage
  • BCBS Texas Medicaid STAR CHIP
  • Beacon Health Strategies*
  • Behavioral Health Systems, Inc
  • Benefit Management Inc
  • Blue Benefit Administrators of Mass
  • Blue Care Network of Michigan*
  • Blue Cross & Blue Shield of Mississippi
  • Blue Cross & Blue Shield of Rhode Island
  • Blue Cross and Blue Shield of Alabama
  • Blue Cross and Blue Shield of Florida, Inc.
  • Blue Cross and Blue Shield of Illinois
  • Blue Cross and Blue Shield of Kansas
  • Blue Cross and Blue Shield of Kansas City
  • Blue Cross and Blue Shield of Louisiana
  • Blue Cross and Blue Shield of Montana
  • Blue Cross and Blue Shield of Nebraska
  • Blue Cross and Blue Shield of New Mexico
  • Blue Cross and Blue Shield of North Carolina
  • Blue Cross and Blue Shield of Oklahoma
  • Blue Cross and Blue Shield of Texas
  • Blue Cross and Blue Shield of Vermont
  • Blue Cross and Blue Shield of Wyoming
  • Blue Cross Blue Shield of Arizona
  • Blue Cross Blue Shield of Delaware
  • Blue Cross Blue Shield of Georgia
  • Blue Cross Blue Shield of Hawaii
  • Blue Cross Blue Shield of Massachusetts
  • Blue Cross Blue Shield of Michigan*
  • Blue Cross Blue Shield of Michigan (Institutional)*
  • Blue Cross Blue Shield of Minnesota
  • Blue Cross Blue Shield of Missouri
  • Blue Cross Blue Shield of North Dakota
  • Blue Cross Blue Shield of Northeast New York
  • Blue Cross Blue Shield of Tennessee
  • Blue Cross Blue Shield of Western New York
  • Blue Cross Community Centennial
  • Blue Cross Community Options
  • Blue Cross Medicare Advantage
  • Blue Cross of California
  • Blue Cross of Idaho
  • Blue Cross of Northeastern Pennsylvania
  • Blue Shield of California
  • BlueCross BlueShield of South Carolina
  • BlueCross BlueShield of Tennessee
  • BMC HealthNet Plan
  • Boon Group
  • Boon-Chapman
  • Bravo Health Mid-Atlantic, Inc.
  • Bridgespan
  • Bridgeway Health Solutions
  • Bright Health
  • Bright Health Medicare Advantage
  • Brokers National – Dental
  • Buckeye Community Health Plan Inc. (BCHP)

C

  • California Health & Wellness
  • CalOPTIMA
  • Cal-Viva
  • Capital Blue Cross
  • Capital District Physicians Health Plan, Inc. (CDPHP)
  • Capital Health Plan
  • Capitol Administrators
  • Caprock Health Plans
  • Care 1st Health Plan*
  • Care 1st Health Plan Arizona*
  • Care Improvement Plus
  • CareFirst Administrators
  • Carefirst BCBS of DC
  • CareFirst BlueCross BlueShield
  • CareMore Health Plan
  • CareOregon
  • CarePlus Healthplans, Inc.
  • CareSource
  • Caresource of Georgia
  • Caresource of Ohio
  • Caresource West Virginia
  • Cariten Healthcare
  • Carolina Care Plan, Inc. (CCP)
  • Carpenter’s Health and Welfare Trust Fund of St. Louis
  • CDS Group Health
  • Celtic Insurance Company
  • CeltiCare Health Plan of Massachusetts
  • CenCal
  • Cenpatico – Arizona
  • Cenpatico – Florida
  • Cenpatico – Georgia
  • Cenpatico – Illinois
  • Cenpatico – Indiana
  • Cenpatico – Kansas
  • Cenpatico – Kentucky
  • Cenpatico – Massachusetts
  • Cenpatico – Mississippi
  • Cenpatico – Missouri
  • Cenpatico – New Hampshire
  • Cenpatico – Ohio
  • Cenpatico – South Carolina
  • Cenpatico – Texas
  • Cenpatico – Wisconsin
  • Cenpatico Behavioral Health
  • Cenpatico Behavioral Health Texas
  • Centene – Magnolia Health Plan
  • Centene Advantage Plans
  • Centene – Arkansas Total Care
  • Central California Alliance for Health
  • Central Health*
  • Central Health Medicare Plan
  • Central Reserve Life Ins Co Medicare Supplement
  • Central States Funds
  • Central States Health & Life Co. of Omaha
  • Central States Indemnity
  • Cerner Health Plan
  • CHAMPVA / Spina Bifida / Children of Women Vietnam Vets
  • Chartered Health Plan, Inc., The
  • CHC – CoventryOne
  • CHC – Florida / Vista / Summit
  • Children’s Community HealthPlan
  • Chinese Community Health Plan*
  • CHIP
  • Christian Brothers Services
  • Christus Health Plan TX HIX
  • Cigna – Intermountain Ironworker Health & Welfare Trust
  • CIGNA HealthCare, Inc.
  • Cigna Medicare Advantage
  • Claims Management Services
  • Clear Health Alliance
  • Clover Health
  • Colonial Penn Life (Medicare Supplemental)
  • Colorado Access Health Plan
  • Combined Insurance Company of America
  • Common Ground
  • Community Health Center Network*
  • Community Health Choice, Inc. (CHC) Community Health Group
  • Community Health Group
  • Community Health Network of Connecticut, Inc. (CHNCT)
  • Community Health Plan (Los Angeles)*
  • Community Health Plan of Washington (CHPW)
  • Community HealthFirst Medicare Advantage
  • CommunityCare Managed Healthcare Plans of Oklahoma
  • Comprehensive Care Management Corp.
  • Comprehensive Care Systems
  • ConnectiCare – Medicare
  • ConnectiCare, Inc.
  • Consolidated Associations of Railroad Employees (ECOM PPO)
  • Consolidated Health Plan*
  • Continental General Ins Co Medicare Supplement
  • Continental Life Insurance Company (TN)
  • Cook Children’s Health Plan (CCHP)
  • Cooperative Benefit Administrators (CBA)
  • Coordinated Care
  • CoreSource (Arizona)
  • CoreSource (Arkansas)
  • CoreSource (Illinois)
  • CoreSource (Indiana)
  • CoreSource (Maryland)
  • CoreSource (Minnesota)
  • CoreSource (New Jersey)
  • CoreSource (North Carolina)
  • CoreSource (Ohio)
  • CoreSource (Pennsylvania)
  • Country Life Insurance
  • CountyCare
  • Covenant Administrators (TPA)
  • Coventry Health and Life – Nevada
  • Coventry Health and Life (Oklahoma)
  • Coventry Health and Life (Tenn)
  • Coventry Health Care – Advantra
  • Coventry Health Care Advantra Savings
  • Coventry Health Care Carelink (Advantra)
  • Coventry Health Care Carelink Medicaid
  • Coventry Health Care Federal
  • Coventry Health Care of Delaware, Inc.
  • Coventry Health Care of Georgia, Inc.
  • Coventry Health Care of Illinois
  • Coventry Health Care of Iowa, Inc.
  • Coventry Health Care of Kansas, Inc.
  • Coventry Health Care of Louisiana, Inc.
  • Coventry Health Care of Missouri
  • Coventry Health Care of Nebraska, Inc.
  • Coventry Health Care of South Carolina
  • Coventry National Network
  • CoventryCares of Kentucky
  • CoventryCares of Pennsylvania
  • Cox HealthPlans, LLC
  • Crystal Run Health Plans*
  • Crum & Forster
  • Cypress Benefit Administrators*

D

  • DAKOTACARE
  • Dean Health Insurance, Inc.
  • DeCare Dental Health Insurance
  • Definity Health Plan
  • Delaware Physicians Care Inc.
  • Delta Dental of Alabama
  • Delta Dental of Arizona
  • Delta Dental of California
  • Delta Dental of Colorado
  • Delta Dental of Connecticut
  • Delta Dental of Delaware
  • Delta Dental of Florida
  • Delta Dental of Georgia
  • Delta Dental of Hawaii
  • Delta Dental of Louisiana
  • Delta Dental of Maryland
  • Delta Dental of Michigan
  • Delta Dental of Missouri
  • Delta Dental of Minnesota
  • Delta Dental of Mississippi
  • Delta Dental of Montana
  • Delta Dental of Nebraska
  • Delta Dental of Nevada
  • Delta Dental of New Jersey
  • Delta Dental of New York
  • Delta Dental of North Dakota
  • Delta Dental of Ohio
  • Delta Dental of Oklahoma
  • Delta Dental of Pennsylvania
  • Delta Dental of Rhode Island
  • Delta Dental of Tennessee
  • Delta Dental of Texas
  • Delta Dental of Utah
  • Delta Dental of Virginia
  • Delta Dental of Washington
  • Delta Dental of Washington DC
  • Delta Dental of West Virginia
  • Delta Health Systems
  • Dental Benefit Providers
  • Denver Health Medical Plan
  • Deseret Healthcare Trust
  • Devoted Health
  • Diamond Plan (Maryland Medicaid)
  • Director’s Guild

E

  • Elderplan, Inc.
  • Emblem Health
  • EMI Health
  • Empire Blue Cross Blue Shield
  • Employee Benefit Services – Dental
  • Employee Benefits Management Service
  • Erin Group Administrators
  • Essence, Inc.
  • Evercare (A United Healthcare Company)
  • Everence Financial
  • Everest Reinsurance Company
  • Evergreen Health Co-Op
  • Excellus BlueCross BlueShield
  • Exclusive Care*

F

  • Fallon Community Health Plan (FCHP)
  • Fidelis Care, Inc.
  • Fidelis SecureCare of Michigan
  • First Carolina Care
  • First Choice
  • First Choice Kids
  • First Community Health Plan
  • First Health
  • FIRSTCARE
  • Flex Compensation – Dental
  • Florida Health Care Plan, Inc. (FHCP)
  • Florida True Health
  • FMH Benefit Services
  • Freedom Blue*
  • Freedom Health, Inc.

G

  • Gateway Health Plan
  • Geisinger Health Plan
  • Geisinger Health Plan Gold
  • GEMCare Health Plan, Inc.
  • Genworth Life and Annuity Insurance Company (Medicare Supplement)
  • Genworth Life Insurance Company (Medicare Supplement)
  • Gilsbar
  • Global Health*
  • Gold Coast Health Plan*
  • Golden Rule (A United HealthCare Insurance Company)
  • Golden State*
  • Government Employees Health Association (GEHA)
  • Granite State Health Plan
  • Great American Life Assurance Co Medicare Supplement
  • Great American Life Insurance Co Medicare Supplement
  • Great Lakes Health Plan, Inc. (GLHP)*
  • Great Southern Life Insurance
  • Great-West Healthcare
  • Group & Pension Administrators
  • Group Health Cooperative
  • Group Health Incorporated (GHI)
  • Group Health Plan, Inc.
  • Group Practice Affiliates
  • Guardian Life Insurance Co. of America – Dental

H

  • Harmony Health Plan
  • Harvard Pilgrim Health Care, Inc.
  • Hawaii Medical Service Association
  • Health Alliance Medical Plans, Inc.
  • Health Alliance Plan of Michigan
  • Health America (Coventry)
  • Health Choice (Oklahoma)
  • Health Choice Arizona
  • Health Choice Insurance Company
  • Health First Health Plans, Inc. (HFHP)
  • Health First Insurance
  • Health Net Health Plan of Oregon, Inc.
  • Health Net Medi-Cal
  • Health Net National
  • Health Net of Arizona, Inc.
  • Health Net of California, Inc.
  • Health Net of the Northeast, Inc.
  • Health New England, Inc. (HNE)
  • Health Partners of Philadelphia
  • Health Plan of Nevada, Inc.
  • Health Plan of San Joaquin
  • Health Plan of San Joaquin Medi-Cal
  • Health Plan of San Mateo
  • Health Plan of the Upper Ohio Valley, Inc.
  • Health Plan, The
  • HEALTH SERVICES CHILDREN SPECIAL NEEDS
  • Health Share of Oregon
  • HealthAmerica / HealthAssurance
  • HealthAmerica of Pennsylvania / HealthAssurance Pennsylvania
  • Healthcare Highways
  • HealthCare Inc. (Promina)
  • Healthcare Management Administrator
  • HealthComp Administrators
  • HEALTHe Exchange
  • HealthEase
  • HealthEase Kids
  • Healthfirst New Jersey
  • Healthfirst New York
  • Healthgram (Formerly Primary PhysicianCare)
  • HealthNow
  • HealthPartners*
  • HealthPlan of Nevada
  • HealthPlans Inc
  • HealthPlus of Michigan, Inc.
  • HealthSCOPE
  • HealthSmart
  • HealthSmart Benefit Solutions
  • HealthSpring, Inc.
  • HealthTeam Advantage
  • Healthy Indiana Plan (HIP)
  • Healthy Kids
  • Highmark Blue Cross Blue Shield*
  • Highmark Blue Cross Blue Shield Delaware*
  • Highmark Blue Cross Blue Shield of West Virginia*
  • Highmark Blue Shield
  • HIP Health Plan of New York, Inc.
  • HIPNY
  • HMAA (Hawaii Medical Assurance Association)
  • Home State Health Plan
  • Hometown Health Plan, Inc.
  • Hooray Health
  • Horizon Blue Cross Blue Shield
  • Horizon NJ Health
  • HSBS Memphis (formerly Pittman and Associates)
  • Hudson Health Plan
  • Humana
  • Humana CareSource (KY)

I

  • IBM Insurance Outsourcing Services
  • iCare (Independent Care Health Plan)
  • IlliniCare Health Plan
  • IMHS (Integrated Mental Health Services)
  • Independence Administrators*
  • Independence Blue Cross*
  • Independent Care Health Plan (iCare)
  • Independent Health Association, Inc.
  • Indiana University Health
  • Indiana University Health Plans (Commercial)
  • Inland Empire Health Plan (IEHP)
  • Integra Administrative Group
  • InterValley Health Plan
  • Iowa Total Care
  • Island Home Insurance

J

  • Jackson Memorial Hospital Health Plan
  • JAI Medical Systems, Inc.
  • Johns Hopkins Health Plan

K

  • Kaiser Foundation Health Plan of Colorado, Inc.*
  • Kaiser Foundation Health Plan of Georgia, Inc.*
  • Kaiser Foundation Health Plan of Hawaii*
  • Kaiser Foundation Health Plan of Hawaii (DHMO)*
  • Kaiser Foundation Health Plan of Northern California*
  • Kaiser Foundation Health Plan of Ohio, Inc.*
  • Kaiser Foundation Health Plan of Southern California*
  • Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.*
  • Kaiser Foundation Health Plan of the Northwest, Inc.*
  • Kentucky Passport (formerly Passport Health Plan)
  • Kentucky Spirit Health Plan
  • Kern Health*
  • Key Benefit Administrators
  • Keystone Community Health Plan
  • Keystone Health Plan East
  • Keystone Mercy Health Plan
  • Keystone VIP Choice
  • KSKJ Life

L

  • LA Care Health Plan*
  • Leggett and Platt
  • Leon Medical Centers Health Plans, Inc.
  • LifePrint
  • Lifesynch
  • Lifetime Benefit Solutions (RMSCO)
  • LifeWise Health Plan of Arizona
  • LifeWise Health Plan of Oregon
  • Lifewise Health Plan of Washington
  • Lighthouse Health Plan
  • Lincoln Financial
  • Lincoln Heritage
  • Loomis Company
  • Louisiana Health Exchange
  • Louisiana Healthcare Connections
  • Loyal American Life Insurance Co Medicare Supplement
  • Lumenos
  • Lumico Life Insurance

M

  • M.D.IPA
  • Magellan Complete Care of Virginia
  • Magellan Health Services
  • MagnaCare
  • MaineCare
  • MaineCare (Children)
  • Maine Community Health Options
  • Managed Care Systems*
  • Managed Health Services Insurance Corp. (MHS)
  • Managed Health Services of Indiana, Inc.
  • MAPFRE Life Puerto Rico
  • Maricopa Care Advantage (Arizona)
  • Maricopa Health Plan
  • Martin’s Point Health Care*
  • Maryland Physicians Care (MPC)
  • MassHealth
  • MCHP (Maryland Children’s Health Program)
  • McLaren Health Plan*
  • MedBen – Newark OH
  • MedCost Benefit Services
  • Medica – Medicare Supplement
  • Medica Health Plans
  • Medica Health Portal Plans*
  • Medica2
  • Medicaid (Alabama)
  • Medicaid (Alaska)
  • Medicaid (Arizona)
  • Medicaid (Arkansas)
  • Medicaid (Colorado)
  • Medicaid (Connecticut)
  • Medicaid (Delaware)*
  • Medicaid (District of Columbia)
  • Medicaid (Florida)
  • Medicaid (Georgia)
  • Medicaid (Hawaii)
  • Medicaid (Idaho)
  • Medicaid (Illinois)
  • Medicaid (Indiana)
  • Medicaid (Iowa)
  • Medicaid (Kansas)
  • Medicaid (Kentucky)
  • Medicaid (Louisiana)
  • Medicaid (Maine)
  • Medicaid (Maryland)*
  • Medicaid (Massachusetts)
  • Medicaid (Michigan)*
  • Medicaid (Minnesota)
  • Medicaid (Mississippi)
  • Medicaid (Missouri)*
  • Medicaid (Montana)
  • Medicaid (Nebraska)*
  • Medicaid (Nevada)
  • Medicaid (New Hampshire)
  • Medicaid (New Jersey)
  • Medicaid (New Mexico)
  • Medicaid (New York)
  • Medicaid (North Carolina)
  • Medicaid (North Dakota)
  • Medicaid (Ohio)
  • Medicaid (Oklahoma)
  • Medicaid (Oregon)
  • Medicaid (Pennsylvania)
  • Medicaid (Puerto Rico)
  • Medicaid (South Carolina)
  • Medicaid (South Dakota)
  • Medicaid (Tennessee)
  • Medicaid (Texas)
  • Medicaid (Utah)*
  • Medicaid (Vermont)
  • Medicaid (Virginia)
  • Medicaid (Washington)
  • Medicaid (West Virginia)
  • Medicaid (Wisconsin)
  • Medicaid (Wyoming)
  • Medi -Cal*
  • Medical Associates Health Plan, Inc.
  • Medical Mutual of Ohio
  • Medicare*
  • Medicare Advantage
  • Medicare Railroad*
  • MediGold Health Plans
  • Med -Pay, Inc
  • MedStar Family Choice
  • Medstar Health Plan
  • Mercy Care Plan
  • Meridian Health Plan of Illinois
  • Meritain Health
  • MetLife Dental
  • Metropolitan Health Plan (MHP)
  • MHN
  • MHNet Behavioral Health
  • MIChild
  • Mid Atlantic Medical Services, LLC (MAMSI)
  • Midwest Security
  • Mississippi Childrens Health Insurance Program
  • Mississippi Children’s Health Insurance Program (CHIP)
  • Mississippi State Employees and Teachers
  • Missouri (MO) Health Plan (Community & State)
  • Missouri Care Health Plan
  • MMM of Florida
  • MMSI (Mayo Health)
  • MO HealthNet*
  • Moda Health
  • Molina Healthcare of California
  • Molina Healthcare of Florida
  • Molina Healthcare of Idaho
  • Molina Healthcare of Illinois
  • Molina Healthcare of Michigan
  • Molina Healthcare of New Mexico
  • Molina Healthcare of Ohio, Inc.
  • Molina Healthcare of South Carolina
  • Molina Healthcare of Texas
  • Molina Healthcare of Utah
  • Molina Healthcare of Washington
  • Molina Healthcare of Wisconsin
  • MORECARE
  • Municipal Health Benefit Fund
  • Mutual Health Services
  • Mutual of Omaha
  • Mutual of Omaha Medicare Advantage
  • MVP Health Care

N

  • National Association of Letter Carriers (NALC)
  • National Telecommunications Cooperative Association
  • Nebraska Total Care
  • Neighborhood Health Partnership, Inc.
  • Neighborhood Health Plan of Rhode Island, Inc.
  • Neighborhood Health Plan, Inc. (NHP)
  • Network Health Plan of MA
  • New Era Life Insurance Co
  • Nippon Life (Principal Financial Group)
  • North American Administrators
  • NOVA Healthcare Administrators
  • NovaSys Health

O

  • ‘Ohana Health Plan
  • OmniCare Health Plan, Inc.
  • Operating Engineers
  • Optima Health
  • Optimum Choice (A United Healthcare Company)
  • Optum Health Care Solutions
  • Optum PA Medicare
  • Oregon Health Management Services (OHMS)
  • Oregon Health Plan
  • Oscar
  • Ovations
  • Oxford Health Plans (A United Healthcare Company)
  • Oxford Health Plans of Connecticut
  • Oxford Health Plans of New Jersey

P

  • PacifiCare of Arizona, Inc.
  • PacifiCare of California, Inc.
  • PacifiCare of Colorado, Inc.
  • PacifiCare of Nevada, Inc.
  • PacifiCare of Oklahoma, Inc.
  • PacifiCare of Oregon, Inc.
  • PacifiCare of Texas, Inc.
  • PacifiCare of Washington, Inc.
  • PacificSource Administrators
  • PacificSource Community Solutions (Medicaid)
  • PacificSource Health Plans
  • PacificSource Medicare
  • Pan-American Life Insurance
  • Panamerican Life Puerto Rico
  • Paramount Health Care
  • Parkland Community Health Plan
  • PARTNERS National Health Plans of North Carolina, Inc.
  • Partnership Health Plan of California
  • Patriot Dental
  • PCCM
  • Peach State Health Plan (Peach State)
  • PeachCare
  • PEHP (Public Employees Health Program)
  • Pekin Life Insurance
  • Penn Treaty Network America Ins Medicare Supplement
  • Pennsylvania Health and Wellness
  • Peoples Health
  • Personal Choice PPO*
  • PersonalCare
  • Physicians Health Plan of Mid-Michigan
  • Physicians Health Plan of Northern Indiana, Inc. (PHPNI)
  • Physicians Mutual Insurance Company
  • Physicians Plus Insurance Corporation
  • Piedmont Health (Georgia)
  • Piedmont Wellstar HealthPlans
  • Pinnacle Claims Management, Inc
  • Planned Administrators (PAi)
  • POMCO Group*
  • Preferred Care Partners, Inc.
  • PreferredOne Community Health Plan
  • Premera Blue Cross
  • Premier Health
  • Presbyterian Health Plan, Inc.*
  • Prestige Health Choice
  • PrimeWest Health
  • Principal
  • Priority Health
  • Priority Partners
  • Priority Partners (New Practices)
  • Professional Benefits Administrators
  • Prominence Health Plan (PPO & HMO)
  • Prominence Health Plan of Nevada
  • Prominence Health Plan of Texas (Medicare Advantage)
  • Providence Health Plan
  • Provident American Life & Health Ins Co Medicare Supplement
  • Publicaid (Illinois)
  • Puritan Life Insurance

R

  • Regence BlueCross BlueShield of Oregon
  • Regence BlueCross BlueShield of Utah
  • Regence BlueShield
  • Regence BlueShield of Idaho
  • Reserve National Insurance Company
  • RiverLink Health*
  • Rocky Mountain Health Plans
  • Royal Neighbors of America

S

  • S and S Healthcare Strategies
  • Samaritan Health Plans
  • SAMBA (Special Agents Mutual Benefit Association)
  • San Francisco Health Plan (SFHP)
  • Sanford Health Plan
  • Santa Clara Family Health Plan
  • SCAN Health Plan
  • Schaller Anderson Aetna Better Health of New York
  • Schaller Anderson Delaware Physicians Care
  • Schaller Anderson Mercy Care
  • Schaller Anderson Mercy Maricopa
  • Schaller Anderson Parkland Community Health Plan
  • Scott and White Health Plan
  • Scott and White Senior Care
  • Secure Horizons (A United Healthcare Company)
  • Securian Dental
  • Security Health Plan of Wisconsin, Inc.
  • Select Health of South Carolina, Inc.
  • SelectHealth
  • Selman & Company
  • Senior Dimensions
  • Senior Health Services Center – Universal American Family of Companies
  • Sentara Health Plans, Inc.
  • Sharp Health Plan
  • Shenandoah
  • Sierra Health and Life (A United Healthcare Company)
  • Significa Benefit Services
  • SilverSummit Health Plan
  • Simply Healthcare
  • Simply Healthcare (Long Term Care)
  • SisCo Benefits
  • SoonerCare (Oklahoma Medicaid)
  • SoonerCareChild (Oklahoma Medicaid)
  • Soundpath Health
  • Southern Health Services, Inc.
  • SPJST Medicare Supplement
  • Standard Insurance
  • Standard Life and Accident Insurance Company
  • Starmark
  • State Farm
  • State Mutual (Lincoln Novation)
  • State Mutual Med Supp
  • State of Maryland Medical Care Program
  • Staywell
  • Staywell Kids
  • SummaCare Health Plan, Inc.
  • Summit Community Care
  • Summit Health Plan
  • Sunflower State Health
  • Sunshine State Health Plan
  • Superior Healthplan, Inc.
  • SuperMed
  • Sutter Select Plus
  • Sutter Select

T

  • TennCare Select
  • TexanPlus (North Texas)
  • TexanPlus (Southeast Texas)
  • Texas Children’s Health Plan (CHIP)
  • Texas HealthSpring, LLC
  • Texas Medicaid – Long Term Care
  • The Empire Plan (NYSHIP)
  • Thrivent
  • TMG Health Insurance
  • Today’s Options
  • Total Healthcare
  • Transamerica Life Insurance Company
  • Transamerica Premier Life Insurance Co.
  • TriCare East
  • TRICARE for Life
  • TriCare West
  • Triple-S Salud (BCBS Puerto Rico)
  • Triple S Advantage
  • True Health New Mexico
  • Trustmark Life Insurance Company
  • Tufts Associated Health Plans, Inc.

U

  • UCare Minnesota
  • UHIS (UnitedHealthcare Integrated Services)
  • UMR
  • UMWA Health and Retirements Funds
  • UNICARE
  • UNICARE – Dental
  • UniCare Texas STAR and CHIP
  • Union Fidelity Life Insurance Company
  • Union Pacific Railroad Employees Health System
  • Unison Health Plan*
  • Unison Health Plan of New Jersey*
  • Unison Health Plan of Ohio, Inc.*
  • Unison Health Plan of Pennsylvania, Inc.*
  • Unison Health Plan of Tennessee, Inc.*
  • Unison Health Plans of South Carolina, Inc.*
  • United American Insurance
  • United Behavioral Health (UBH)
  • United Concordia – Dental
  • United Healthcare
  • United Healthcare (AmeriChoice Maryland)
  • United Healthcare (Maryland Medicaid)
  • United Healthcare (Maryland Medicaid) (New Practices)
  • United Healthcare (Medicare Advantage)
  • United Healthcare Community Plan – Michigan
  • United Healthcare Community Plan – New Jersey
  • United Healthcare Community Plan – Pennsylvania*
  • United Healthcare Community Plan – Tennessee
  • United Healthcare Dental
  • United Healthcare of Texas, Inc.
  • United Healthcare Student Resources
  • United Healthcare, Inc. (New Jersey/New York)
  • United Insurance Company of America (Kemper)
  • United Teacher Assoc Insurance Co Medicare Supplement
  • UnitedHealthcare Community Plan
  • UnitedHealthcare Community Plan – Kansas
  • UnitedHealthcare Facets Detroit
  • UnitedHealthcare Facets Pittsburgh Community and State
  • UnitedHealthcare Nevada Market
  • UnitedHealthcare Plan of the River Valley, Inc.
  • UnitedHealthcare West
  • Univera Community Health, Inc.
  • Universal American
  • University Care Advantage Arizona
  • Universal Care, Inc.
  • University Family Care
  • University Health Alliance*
  • University of Missouri (Coventry Health Care)
  • University Physicians Care Advantage
  • UPMC Health Plan, Inc.
  • US Family Health Plan
  • USAA Life Insurance Company

V

  • VA Fee Basis Program
  • VA Healthcare
  • ValueOptions*
  • Vantage Health Plan, Inc.
  • Veteran Affairs Health Administration Center
  • Virginia Surety Company, Inc.
  • Vista Healthplans
  • Viva Health, Inc.
  • VNS CHOICE Select
  • VNSNY Choice Health Plan
  • Vytra Health Plans

W

  • Washington National (Medicare Supplemental)
  • WEA Trust
  • WEB-TPA, Inc
  • Well Sense
  • WellCare
  • WellCare of Connecticut, Inc.
  • WellCare of Florida
  • WellCare of Georgia
  • WellCare of Louisiana
  • WellCare of New Jersey
  • WellCare of New York, Inc.
  • WellCare of Ohio, Inc.
  • WellCare of Texas
  • Wellmark Blue Cross and Blue Shield of Iowa
  • Wellmark Blue Cross and Blue Shield of South Dakota
  • WellPath Community Health Plans
  • West Virginia Family Health Plan
  • Western Growers*
  • Western Health Advantage (WHA)
  • Windsor Health Plan, Inc.
  • Windsor Medicare Extra
  • WINhealth Partners*
  • World Insurance (ARIC)
  • WPS Health Insurance

X

  • XLHealth Corporation/Care Improvement Plus

Y

  • YourCare Health Plan

Past Updates

Added June 2020

  • Caresource of Georgia
  • Caresource West Virginia
  • Clover Health (re-activated)
  • Healthcare Highways
  • Lighthouse Health Plan
  • Maine Community Health Options
  • Pekin Life Insurance
  • Penn Treaty Network America Ins Medicare Supplement

Added May 2020

  • Allegiance Benefit Plan Management (re-activated)
  • Children’s Community Health Plan
  • Martin’s Point Health Care (re-activated)
  • Nebraska Total Care

Deactivated May 2020

  • Heartland National Life Insurance Company (temporarily)
  • Southeastern Indiana Health Organization (temporarily)

Added April 2020

  • Oscar (reactivated)
  • True Health New Mexico
  • University Health Alliance*