Eligibility List

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PayerIDPayerLOBEnrollment_Required
SX145Banner Health Az270N
131621199 National Benefit Fund270N
AARPAARP270N
CTOTLABSOLUTE TOTAL CARE270N
ASINCAdministrative Services, Inc.270N
CBRIAADVANTAGE BY BRIDGEWAY HEALTH SOLUTIONS270N
CBUCAADVANTAGE BY BUCKEYE COMMUNITY HEALTH PLAN270N
CSHPAADVANTAGE BY SUPERIOR HEALTH PLAN270N
35209Advantage Health Solutions270N
60054AETNA270N
128MIAetna Better Health Michigan270N
128MOAetna Better Health Missouri270N
128FLAetna Better Health of Florida270N
128KYAETNA BETTER HEALTH OF KY270N
50023Aetna Better Health of OH270N
23228Aetna Better Health PA270N
00225Aetna Long Term Care270N
AESSIAetna Senior Supplemental Insurance (Aetna SSI)270N
AFNTYAFFINITY HEALTH PLAN270N
AFLACAFLAC270N
00266Alabama Blue Cross270N
BCSALALABAMA BLUE SHIELD270N
ALCAIDALABAMA MEDICAID270N
MCDAKALASKA MEDICAID270N
81040ALLEGIANCE BENEFIT PLAN MANAGEMENT INC270N
ABSYSALLIED BENEFIT SYSTEMS270N
ALOHAALOHACARE270N
ALTIUSALTIUS270N
AMBSUAMBETTER FROM SUPERIOR HEALTH270N
75137Ameriben Solutions270N
AMFAMAmerican Family Insurance Group270N
00237AMERICAN GENERAL LIFE270N
ANICOAmerican National Insurance Company270N
ANTEXAmerican National Life Insurance Company of T270N
48055American Progressive/Marquette270N
00091AmeriChoice of New Jersey270N
AMGRPAmerigroup Corporation270N
77075Amerihealth Caritas Iowa270N
LACAREAmerihealth Caritas Louisiana270N
22248Amerihealth Caritas Pennsylvania270N
23037Amerihealth Hmo Nj And De270Y
00425Ameritas Life Insurance Company270N
ANTARANTARES270N
BCSCAANTHEM BLUE CROSS CALIFORNIA270N
BCSINANTHEM OF INDIANA270N
BCSKYANTHEM OF KENTUCKY270N
BCSOHANTHEM OF OHIO270N
44444APWU HEALTH PLAN270N
ASURNHAsuris Northwest270N
AULTCAULTCARE270N
46045Avera Health Plans270N
59274AVMED270N
BNKLIFBankers Life and Casualty270N
BCDCCBC/BS District of Columbia270N
BC3NYBCBS EMPIRE NEW YORK270N
BCSMTBCBS MONTANA270N
BCSILBCBS OF ILLINOIS270N
BCSMABCBS OF MASSACHUSETTS270N
BCSMIIBCBS of Michigan Institutional270Y
BCSDCBCBS of National Capital Area (Carefirst)270N
BCSVIBCBS Virgin Islands270Y
BC1NYBCBS Western NY270N
95604Best Life and Health270N
BCSFLBLUE CROSS BLUE SHIELD FLORIDA270N
BCSTXBLUE CROSS / BLUE SHIELD OF TEXAS270N
BC2PABLUE CROSS / BLUE SHIELD PA (HIGHMARK)270Y
BCSARBLUE CROSS ARKANSAS270Y
BCSAZBlue Cross Blue Shield Arizona270N
BCSIABlue Cross Blue Shield Iowa270Y
BCSKSBlue Cross Blue Shield Kansas270N
BCSKCBlue Cross Blue Shield Kansas City270N
BCSLABLUE CROSS BLUE SHIELD LOUISIANA270N
BCSMDBlue Cross Blue Shield Maryland (Carefirst)270N
BCSMNBLUE CROSS BLUE SHIELD MINNESOTA270N
BCSMSBLUE CROSS BLUE SHIELD MISSISSIPPI270N
BCSNEBlue Cross Blue Shield Nebraska270N
BCSNMBlue Cross Blue Shield New Mexico270N
BCSNCBlue Cross Blue Shield North Carolina270N
BCSMIBlue Cross Blue Shield of Michigan Professional270Y
BCSSDBLUE CROSS BLUE SHIELD OF SOUTH DAKOTA270N
BCSTNBLUE CROSS BLUE SHIELD OF TENNESSEE270N
BCSOKBlue Cross Blue Shield Oklahoma270N
BCSORBlue Cross Blue Shield Oregon (Regence)270N
BCSSCBlue Cross Blue Shield South Carolina270N
BCSVTBlue Cross Blue Shield Vermont270N
BCSIDBlue Cross Idaho270N
BCSCOBLUE CROSS OF COLORADO270N
BCSCTBLUE CROSS OF CONNECTICUT270N
BCSGABLUE CROSS OF GEORGIA270N
BCSMEBLUE CROSS OF MAINE270N
BCSMOBLUE CROSS OF MISSOURI270N
BCSNVBLUE CROSS OF NEVADA270N
BCSNHBLUE CROSS OF NEW HAMPSHIRE270N
BCSVABLUE CROSS OF VIRGINIA270N
BCSWIBLUE CROSS OF WISCONSIN270N
BC1WABlue Cross Washington (Premera)270N
BC1CABlue Shield California270N
BSSUTBlue Shield of Utah270N
BSFUTBlue Shield Utah Federal270N
BC2WABlue Shield Washington (Regence)270N
BCHSCBluechoice HealthPlan of SC Medicaid270N
66006BlueCross Medicare Advantage270N
61124Bluegrass Family Health270N
74238Boon Administrative Services270N
CBRIDBRIDGEWAY ARIZONA270N
CBUCKBUCKEYE COMMUNITY HEALTH270N
CALOPCAL OPTIMA DIRECT270N
BCSPACapital Blue Cross of PA270Y
CDPHPCAPITAL DISTRICT PHYSICIANS HEALTH PLAN270N
57115Care 1st of California270Y
77082Care Improvement Plus270N
25139CARELINK ADVANTRA270N
25140CARELINK MEDICAID270N
CRMRE1CAREMORE270Y
93975CAREOREGON270Y
00324CarePlus Health Plan270Y
CARE4CARESOURCE JUST4ME270N
31114CARESOURCE OHIO270N
WVCS1Caresource West Virginia270N
88022CDS Group Health270N
CELTICELTICARE270N
CBHAZCENPATICO - ARIZONA270N
CBHFLCENPATICO - FLORIDA270N
CBHINCENPATICO - INDIANA270N
CBHKSCENPATICO - KANSAS270N
CBHKYCenpatico - Kentucky270N
CBHMACenpatico - Massachusetts270N
CBHOHCENPATICO - OHIO270N
CBHSCCENPATICO - SOUTH CAROLINA270N
SX169Central California Alliance for Health270Y
CHCPICentral Health Medicare Plan270Y
34097CENTRAL RESERVE LIFE270N
CSFNDCentral States Funds270N
84146CHAMPVA / SPINA BIFIDA / CHILDREN OR WOMEN VIETNAM VETERANS270N
25136CHC - NEBRASKA270N
00172CHC KANSAS/CHC OKLAHOMA270N
COVWV1CHC West Virginia270N
61271CHRISTIAN BROTHERS SERVICES270N
ELDRHLCIGNA - BRAVO Healthspring MD/PA270N
62308CIGNA NATIONAL270N
77023CLOVER HEALTH270N
CPLICColonial Penn Life Insurance Company270N
COMMFCommunity First270Y
48145Community Health Choice270N
CHPWACOMMUNITY HEALTH PLAN OF WA270N
06105CONNECTICARE270N
CTLGNContinental General Insurance Medicare Suppl270N
CCHP1COOK CHILDRENS HEALTH PLAN270N
52132COOPERATIVE BENEFIT ADMINISTRATORS270N
75136Coresource Little Rock270N
35182CORESOURCE MD PA IL270N
35183CORESOURCE OH270N
56116CORPORATE BENEFITS SERVICES270N
25142COVENTRY - CARENET VIRGINIA (Aetna Better Health VA)270N
25131COVENTRY - DIAMOND PLAN (MD Medicaid)270N
25127COVENTRY - GEORGIA270N
25141COVENTRY - GHP270N
25132COVENTRY - IOWA270N
25135COVENTRY - LOUISIANA270N
00504Coventry Advantra (Texas New Mexico Arizona)270N
00441COVENTRY HEALTH AND LIFE (OKLAHOMA)270N
00512Coventry Health Care Florida/VISTA/Summit270N
25130COVENTRY HEALTH CARE OF DELAWARE, INC270N
25133Coventry Healthcare270N
00179Coventry Illinois (CHC)270N
00515CoventryCares of Kentucky270N
25150COVENTRYCARES OF MICHIGAN270N
COVONCoventryOne270N
DAK01Dakotacare270N
MCDDCDC MEDICAID270N
94235Delta Health Systems270Y
74284DRISCOLL HEALTH PLAN270N
13350EASTERN OREGON CCO (MODA/ODS)270N
SX182EBMS270N
EMBLEMEmblem Health270N
EBMSIEmployee Benefit Management Services Inc270N
WPSCREPIC LIFE INSURANCE270N
23250ERIN GROUP ADMINISTRATORS270N
35605Everence270N
45319Evergreen Health Plan270N
ECLLSExcellus BlueCross BlueShield270N
EYMEDEyeMed Vision Care270Y
22254FALLON COMMUNITY HEALTH270N
45559FALLON TOTAL CARE270N
41041FEDERATED INS COMPANY270N
11315Fidelis Care New York270N
00426First Ameritas of New York270N
6453First Choice Health Network270N
FUNAIFirst United American Insurance Company270N
59322FLORIDA HEALTH CARE PLAN270N
15459FREEDOM BLUE OF WV270Y
GATEHPGATEWAY HEALTH PLAN270N
44054GEHA270N
75273GEISINGER HEALTH PLAN270N
13551GHI New York Group Health270N
07205Gilsbar Inc.270N
37602Golden Rule270N
80705GREAT WEST HEALTHCARE270N
48143GROUP AND PENSION ADMINISTRATORS270N
GRPNWGROUP HEALTH COOPERATIVE OF THE NORTHWEST270N
CGRPRGROUP PRACTICE AFFILIATES270N
WCHHPHARMONY HEALTH PLAN (WELLCARE OF FLORIDA)270N
04271HARVARD PILGRIM270N
HMA1Hawaii Mainland Administrators270Y
HMAAHawaii Medical Assurance Assoc. HMAA270Y
77950HEALTH ALLIANCE MEDICAL PLANS OF ILLINOIS270N
38224HEALTH ALLIANCE OF MI (HAP)270N
00148Health America of PA (Coventry PA)270N
25126HEALTH AMERICAN INC/HEALTH ASSURANCE/ADVANTRA270N
HCOAZHealth Choice of Arizona270N
34158Health Design Plus270N
15064Health First270N
HLTHNTHealth Net CA, OR, AZ270N
HNNCHEALTH NET NATIONAL270N
06108HEALTH NET OF THE NORTHEAST, INC270N
HLTNEHEALTH NEW ENGLAND270N
80142HEALTH PARTNERS (PA)270N
HMA01HEALTHCARE MANAGEMENT ADMINISTRATORS (HMA)270N
HCP01Healthcare Partners of CA270Y
25143HEALTHCARE USA270N
THEXIHEALTHE EXCHANGE270N
WCHEAHEALTHEASE (WELLCARE OF FLORIDA)270N
WCHEKHealthEase Kids (Wellcare of Florida)270N
HFNJHealthfirst of New Jersey270N
80141Healthfirst of New York270N
PRMPCHEALTHGRAM270N
SX009hEALTHPARTNERS MN270Y
HLPMNHealthPartners of Minnesota270Y
71063Healthscope Benefits270N
87815HealthSmart Benefit Solutions270N
37256Healthsmart Bs Oklahoma City Elan270Y
52192HealthSpring270N
METROPHennepin Health - METROPOLITAN HEALTH PLAN270N
BCSHIHMSA (BCBS HI)270Y
BCSNJHORIZON BLUE CROSS BLUE SHIELD OF NJ270N
22326HORIZON NEW JERSEY HEALTH270N
61101Humana270N
BCSIDBIdaho Blue Cross Boise270N
CLINIIlliniCare Health Plan270N
BC1PAINDEPENDENCE BLUE CROSS270Y
95308INDEPENDENT HEALTH270N
IEHPInland Empire270N
CBHTXIntegrated Mental Health Services270N
IVHPInter Valley Health Plan270N
85502Island Home Insurance270N
JHHCJohns Hopkins Healthcare270N
00278Kaiser Foundation Health Plan Inc. - Hawaii Region270Y
91617Kaiser Foundation Health Plan of Colorado270Y
21313Kaiser Foundation Health Plan of Georgia270Y
94135Kaiser Foundation Health Plan of Northern CA Region270Y
94134Kaiser Foundation Health Plan of Southern CA Region270Y
52095Kaiser Foundation Health Plan of the Mid-Atlantic States Inc.270Y
93079Kaiser Foundation Health Plan of the Northwest270Y
34092KAISER OF OHIO270N
CKYHPKentucky Spirit Health Plan270N
KEYINKey Benefit Administrators270N
23284Keystone Mercy Health Plan270N
LACARLA Care Health Plan270N
EBSRMLifetime Benefit Solutions270N
CENLALouisiana Healthcare Ctns270N
13193Loyal American Life Ins Co- Medicare Supplement270N
01260MAGELLAN HEALTH SERVICES270N
11303Magnacare270N
CMGHPMagnolia Health Plan270N
62413MAIL HANDLERS270N
CMHINMANAGED HEALTH SERVICES INDIANA270N
CMHWIManaged Health Services Wisconsin270N
L0160Mapfre (Comm & HMO)270N
22348Maryland Physicians Care270N
38338McLaren Health Plan270Y
KIDXX1Med3000 Kids Title XXI270Y
74323MEDBEN270N
56162Medcost Benefit Services270N
00404MEDICA270N
12422Medica2270N
MCDMOMedicaid Missouri270N
MCDAZMEDICAID OF ARIZONA270N
MCDARRMedicaid of Arkansas270N
MCDARMEDICAID OF ARKANSAS270N
MCDCAMEDICAID OF CALIFORNIA270Y
MCDCOMEDICAID OF COLORADO270N
MCDCTMEDICAID OF CONNECTICUT270N
MCDFLMedicaid of Florida270N
MCDGAMEDICAID OF GEORGIA270N
MCDHIMEDICAID OF HAWAII270N
MCDIDMEDICAID OF IDAHO270Y
MCDILMEDICAID OF ILLINOIS270N
MCDINMEDICAID OF INDIANA270N
MCDIAMEDICAID OF IOWA270N
MCDKSMEDICAID OF KANSAS270N
MCDKYMEDICAID OF KENTUCKY270N
MCDLAMEDICAID OF LOUISIANA270N
MCDMEMEDICAID OF MAINE270N
MCDMDMEDICAID OF MARYLAND270Y
MCDMAMEDICAID OF MASSACHUSETTS270N
MCDMIMEDICAID OF MICHIGAN270Y
MCDMNMEDICAID OF MINNESOTA270N
MCDMSMEDICAID OF MISSISSIPPI270N
MCDMTMEDICAID OF MONTANA270N
MCDNEMEDICAID OF NEBRASKA270Y
MCDNVMEDICAID OF NEVADA270Y
MCDNJMEDICAID OF NEW JERSEY270N
MCDNMMEDICAID OF NEW MEXICO270N
MCDNYMEDICAID OF NEW YORK270Y
MCDNCMEDICAID OF NORTH CAROLINA270N
MCDNDMEDICAID OF NORTH DAKOTA270N
MCDOHMEDICAID OF OHIO270N
MCDOKMEDICAID OF OKLAHOMA270N
MCDORMEDICAID OF OREGON270N
MCDPAMEDICAID OF PENNSYLVANIA270N
MCDSCMEDICAID OF SOUTH CAROLINA270N
MCDSDMEDICAID OF SOUTH DAKOTA270N
MCDTXMedicaid of Texas270N
MCDUTMedicaid of Utah270Y
MCDVTMEDICAID OF VERMONT270N
MCDWAMEDICAID OF WASHINGTON270N
MCDWVMEDICAID OF WEST VIRGINIA270N
MCDWIMEDICAID OF WISCONSIN270N
MCDWYMEDICAID OF WYOMING270N
29076MEDICAL MUTUAL OF OHIO270N
MCRUSMEDICARE270Y
MCROHMEDICARE270Y
MCRFLMEDICARE Florida270Y
MCRPAMEDICARE PENNSYLVANIA270Y
BCMIIMEDICARE PLUS BLUE270N
95655MEDIGOLD270N
AZMCPMercy Care Plan of Arizona270N
33628Mercy Maricopa Integrated Care270N
13189Meridian Health Plan270N
MTAINMeritain Health270N
41124MERITAIN HEALTH270N
74289MHNET270N
TH074MIDWEST HEALTH PLANS270Y
00085MMSI (Mayo Health)270N
41154MMSI Mayo Management Services, Inc.270N
38333Molina Healthcare of California270N
51062Molina Healthcare of Florida270N
38334Molina Healthcare Of Michigan270N
04423Molina Healthcare of New Mexico270N
20149MOLINA HEALTHCARE OF OHIO270N
20554Molina Healthcare of Texas270N
00227Molina Healthcare of Utah270N
91128Molina Healthcare of Washington270N
IP095Monarch Health Care of CA270Y
71412MUTUAL OF OMAHA270N
14165MVP Health Plan of NY270N
53011NATIONAL ASSOCIATION OF LETTER CARRIERS270N
04332NETWORK HEALTH PLAN270N
75281New ERA Life Insurance Company270N
81264NIPPON LIFE INSURANCE COMPANY OF AMERICA270N
16644Nova Healthcare Administrators Inc270N
WCOHPOHANA HEALTH PLAN(WELLCARE OF HAWAII)270N
OKSTEOklahoma Employees Group Insurance Division270N
54154Optima Health Plan270N
OPTHC1Optimum Healthcare270Y
00773Optum Health270N
06111OXFORD HEALTH PLANS270N
00010PacifiCare of California270N
93031Pacificsource Administrators270N
93029Pacificsource Health Plans270N
04218PAN AMERICAN LIFE INSURANCE270N
PRMNTPARAMOUNT270N
PPHPCPassport Health Plan270N
CPSHPPEACH STATE HEALTH PLAN270N
95397Personal Insurance Administrators (PIA)270N
25146PERSONALCARE270N
PHCSSPHCS Savility Payers270N
PHPM1PHYSICIANS HEALTH PLAN OF MI270N
47027PHYSICIANS MUTUAL270N
37224Pittman and Associates270N
37287Planned Administrators Inc. PAI270N
65088PREFERRED CARE PARTNERS270N
41147PREFERRED ONE270N
BCSAKPREMERA BLUE CROSS SHIELD AK WA270N
05003PRESBYTERIAN270Y
45056PRESTIGE HEALTH CHOICE270N
61604Prime West270N
38217Priority Health270N
PROSPProspect Medical Group270Y
PROVHPPROVIDENCE HEALTH PLAN270N
SX133Providence of Oregon Health Plan270N
23342QUALCARE, INC270N
QUCHOQualchoice of Arkansas270N
73067QuikTrip Corporation270N
95449Regal Medical Group270Y
73066Reserve National Insurance270N
SAWHPRightCare from Scott and White Health Plan270N
RKYMPRocky Mountain Health Plan270N
72261SCAN HMO270N
TMDSASchaller Anderson Aetna TX Medicaid & CHIP270N
MOSCASchaller Anderson Missouri Care270N
88030Scott And White Healthplan270N
SHSCSelect Health of South Carolina270N
SX107SELECTHEALTH UTAH270N
20415Senior Select Clinic270N
76056SETON CHIPS270Y
SETEMSETON HEALTHCARE EMPLOYEE PLAN270Y
76342SIERRA HEALTH SERVICES270Y
00191Significa Benefit Services270N
27094Simply Health270N
SIHOSoutheastern Indiana Health (SIHO)270Y
25128SOUTHERN HEALTH SERVICES, INC270N
SAMBASPECIAL AGENTS MUTUAL BENEFIT ASSOCIATION270N
73099Standard Life and Accident Insurance Company270N
STFARMState Farm Insurance Co.270N
WCSWAStayWell270N
WCSWKSTAYWELL KIDS (WELLCARE OF FLORIDA)270N
SUMCHPSUMMACARE270N
95202SUMMACARE HEALTH PLAN270N
CSHPTSUPERIOR HEALTHPLAN TEXAS270N
SUPVS1Superior Vision270Y
MCDTNTENNCARE270N
TXNNTTexan Plus (North Texas Area)270N
TXNSETEXANPLUS SOUTHEAST TEXAS AREA270N
TXCHIPTexas Childrens Health Plan (CHIP)270N
MCDTX1Texas Medicaid270N
20356The Health Exchange (Cerner Corporation)270N
TDOPTTodays Options270N
38201TOTAL HEALTHCARE270Y
59222TransAmerica Life Insurance (HealthMarkets)270N
TRCRU1Tricare 4 U and 4 Life270Y
TRCRUTRICARE FOR LIFE270N
57106TRICARE North270N
SX163TRICARE OVERSEAS270N
BCSPRTriple S - BCBS Puerto Rico270Y
61425TRUSTMARK INSURANCE270N
00114Tuft/Network Health270N
MNUCARUcare of Minnesota270N
UHAHLUHA Health270N
UMRUMR Wausau270N
UMWAHUMWA Health and Retirement Funds270N
UNICRUnicare270N
UPREHUnion Pacific Railroad Employees Health System270N
62183UNISON HEALTH PLAN / BETTER HEALTH PLANS270N
25175UNISON HEALTH PLAN / THREE RIVERS HEALTH PLAN270N
UNAMNUnited American Insurance Company270N
87726UNITED HEALTHCARE270N
74227United Healthcare Student Resources270N
81400UnitedHealthCare / All Savers / PacifiCare270N
95378UnitedHealthcare Plan of the River Valley270N
66705UNITY HEALTH INSURANCE270N
16107UNIVERA270N
COVUMUniversity of Missouri270N
UPMCUPMC Health Plan270N
UOVPUPPER OHIO VALLEY PLAN ( The Health Plan)270N
USAAUSAA Life Insurance Company270N
12115VA FEE BASIS PROGRAMS270N
VALOP1Value Options270Y
72128Vantage Health Plan Inc.270N
VAHACVeterans Affairs Health Admin Center270N
MCDVA1Virginia Medicaid270N
00508VISTA (Medicaid Florida Health Kids Long Term Care products only)270N
VSPVSVSP Vision270Y
WANATLWASHINGTON NATIONAL270N
WBTPAWEB-TPA Inc270N
WCHPWELLCARE HEALTH PLANS270N
WELM2WELLMED270Y
00164Wellpath (Coventry of Carolinas)270N
45276West Virginia Family Health Plan270N
31048Western Southern Financial Group270N