Payer ID Payer Name Eligibility 270/271 Dental 270/271
10431 AARP X
10619 Administrative Services Inc X
10561 Advantage by Bridgeway Health Solutions X
10562 Advantage by Buckeye Community Health Plan X X
10563 Advantage by Managed Health Services X X
10564 Advantage by Superior HealthPlan X X
10004 Aetna X X
10397 Aetna Long Term Care X X
10594 Affinity Health Plan X X
10661 Affinity Health Plan Medicare X
10398 AFLAC - Dental X
10663 AFLAC - Medicare Supplemental X X
10006 Aftra Health Fund X X
10007 Alabama Medicaid X X
10798 Alan Sturm and Associates - Dental X
10654 Allegiance Benefit Plan Management X X
10786 Altus Dental X
10487 American Family Insurance Group-Medicare Supp & PPO X X
10664 American Health Medicare X
10829 American Medical Security (AMS) X X
10595 American National Insurance X
10596 American National Life Ins Texas X
10016 American Postal Workers Union (APWU) X X
10017 American Republic Insurance Company (ARIC) X X
10538 American Retirement Life Ins Co. Medicare Supp X X
10018 AmeriChoice of New Jersey (Commercial) X X
10019 AMERIGROUP X
10416 AmeriHealth Administrators X X
10640 AmeriHealth Caritas Louisiana (LaCare) X X
10340 AmeriHealth Caritas Pennsylvania X X
10020 Ameritas Group - Ameritas Life Insurance Co. X X
10232 Ameritas Group - First Ameritas of New York X
10233 Ameritas Group - First Reliance Standard Life X
10234 Ameritas Group - Reliance Standard Life X
10236 Ameritas Group - Standard Insurance X
Exchange EDI Eligibility Payer List
As of June 26, 2014
Payer ID Payer Name Eligibility 270/271 Dental 270/271
Exchange EDI Eligibility Payer List
As of June 26, 2014
10237 Ameritas Group - Standard Insurance of New York X
10559 Antares X X
10641 Arbor Health Plan X
10868 Arise Health Plan Medicare Select Policy X
10021 Arizona Medicaid (AHCCCS) X
10022 Arizona Physicians IPA (APIPA) X
10023 Arkansas Medicaid X X
10230 Assurant Health - John Alden Insurance Company (JALIC) X X
10087 Assurant Health - Time Insurance Company (FIC) X X
10227 Assurant Health - Union Security Insurance Company (FBIC) X X
10529 Asuris Northwest Health X X
10472 AultCare X X
10869 Avera Health Plans X
10024 AvMed Health Plans X X
10813 Bankers Life & Casualty X
10707 Banner Health Plans X
10831 BCBS Delaware X
10025 BCBS of Alabama X X
10027 BCBS of Arizona X X
10028 BCBS of Arkansas X X
10461 BCBS of Central New York X X
10029 BCBS of Colorado (Wellpoint) X X
10030 BCBS of Connecticut (Wellpoint) X X
10031 BCBS of Florida X X
10032 BCBS of Georgia (Wellpoint) X X
10530 BCBS of Hawaii X X
10033 BCBS of Illinois X X
10258 BCBS of Indiana (Wellpoint) X X
10396 BCBS of Iowa X X
10034 BCBS of Kansas X X
10473 BCBS of Kansas City X X
10259 BCBS of Kentucky (Wellpoint) X X
10035 BCBS of Louisiana X X
10036 BCBS of Maine (Wellpoint) X X
10037 BCBS of Massachusetts X X
Payer ID Payer Name Eligibility 270/271 Dental 270/271
Exchange EDI Eligibility Payer List
As of June 26, 2014
10519 BCBS of Michigan (Institutional) X X
10038 BCBS of Michigan (Professional) X X
10039 BCBS of Minnesota X X
10040 BCBS of Mississippi X X
10322 BCBS of Missouri (Wellpoint) X X
10516 BCBS of Montana X
10384 BCBS of Nebraska X X
10260 BCBS of Nevada (Wellpoint) X X
10261 BCBS of New Hampshire (Wellpoint) X X
10041 BCBS of New Jersey (Horizon) X X
10042 BCBS of New Mexico X X
10043 BCBS of New York (Empire) X X
10323 BCBS of New York (Excellus) X X
10383 BCBS of North Carolina X X
10478 BCBS of North Dakota X X
10044 BCBS of Ohio (Wellpoint) X X
10582 BCBS of Oklahoma X X
10045 BCBS of Oregon (Regence) X X
10524 BCBS of Pennsylvania (Highmark) [Institutional] X X
10046 BCBS of Pennsylvania (Highmark) [Professional] X X
10304 BCBS of Rhode Island X X
10047 BCBS of South Carolina X X
10395 BCBS of South Dakota (Wellmark) X X
10430 BCBS of Tennessee X X
10048 BCBS of Texas X X
10469 BCBS of the Rochester Area (NY) X X
10470 BCBS of Utica-Watertown (NY) X X
10624 BCBS of Vermont X X
10049 BCBS of Virginia (Wellpoint) X X
10462 BCBS of West Virginia X X
10498 BCBS of Western New York X X
10299 BCBS of Wisconsin (Wellpoint) X X
10480 BCBS of Wyoming X X
10665 Benefit Management Inc X
10256 Best Choice Health Plan X
Payer ID Payer Name Eligibility 270/271 Dental 270/271
Exchange EDI Eligibility Payer List
As of June 26, 2014
10050 Best Life and Health X
10187 Better Health Plans (Unison Health Plans) X
10803 Blue Benefit Administrators of Mass X
10262 Blue Cross Independence (Pennsylvania) X X
10264 Blue Cross Northeastern Pennsylvania X X
10051 Blue Cross of California (Wellpoint) X X
10638 Blue Cross of Idaho X X
10326 Blue Cross of Washington and Alaska (Premera) X X
10325 Blue Cross Pennsylvania (Capital) X X
10053 Blue Shield of California X X
10052 Blue Shield of Idaho (Regence) X X
10499 Blue Shield of North Eastern New York X X
10054 Blue Shield of Washington (Regence) X X
10504 BlueChoice HealthPlan South Carolina Medicaid X X
10429 Bluegrass Family Health X
10556 BMC HealthNet Plan X X
10821 Boon Group X
10399 Bravo Health, Inc. X X
10827 Bridgespan X
10783 Brokers National - Dental X
10055 California Medicaid (Medi-Cal) X
10458 Capital District Physicians Health Plan (CDPHP) X X
10660 CAPROCK X X
10806 Care Improvement Plus X
10270 Carefirst Blue Cross Blue Shield X X
10056 CarePlus Health Plan X X
10822 CarePoint Medicare Advantage X
10057 CareSource Health X
10058 Cariten Healthcare X
10059 Cariten Senior Health X
10762 Carolina Care Plan, Inc. (CCP) X X
10667 CDS Group Health X X
10668 Celtic Insurance X
10567 Cenpatico - Arizona X X
10568 Cenpatico - Florida X X
Payer ID Payer Name Eligibility 270/271 Dental 270/271
Exchange EDI Eligibility Payer List
As of June 26, 2014
10569 Cenpatico - Georgia X X
10631 Cenpatico - Illinois X
10570 Cenpatico - Indiana X X
10571 Cenpatico - Kansas X X
10632 Cenpatico - Kentucky X
10588 Cenpatico - Massachusetts X X
10769 Cenpatico - Mississippi X
10768 Cenpatico - Missouri X
10770 Cenpatico - New Hampshire X
10572 Cenpatico - Ohio X X
10573 Cenpatico - South Carolina X
10633 Cenpatico - Texas X
10634 Cenpatico - Wisconsin X
10766 Cenpatico Behavioral Health X X
10767 Cenpatico Behavioral Health Texas X
10560 Centene - Absolute Total Care X
10763 Centene - Advantage by Peach State X X
10764 Centene - Advantage by Sunshine State X
10565 Centene - Bridgeway Arizona X
10566 Centene - Buckeye Community Health X X
10759 Centene - California Health & Wellness X
10589 Centene - Celticare X X
10761 Centene - Coordinated Care X X
10765 Centene - Granite State Health Plan X
10760 Centene - Home State Health Plan X X
10620 Centene - Kentucky Spirit Health Plan X
10704 Centene - Magnolia Health Plan X X
10586 Centene - Managed Health Services Indiana X
10587 Centene - Managed Health Services Wisconsin X X
10865 Centene - New Hampshire Healthy Families X
10590 Centene - Peach State Health Plan X X
10451 Centene - Sunshine State Health Plan X X
10592 Centene - Superior Health Plan TX X X
10866 Centene - Total Care Carolina X
10771 Centene Advantage Plans X
Payer ID Payer Name Eligibility 270/271 Dental 270/271
Exchange EDI Eligibility Payer List
As of June 26, 2014
10666 CenterLight Healthcare X X
10884 Central California Alliance for Health X
10450 Central Reserve Insurance Company X X
10539 Central Reserve Life Ins Co. Medicare Supp X X
10486 Central States Fund X X
10744 Central States Indemnity X
10061 CHAMPVA/Spina Bifida/Children of Women Vietnam Vets X X
10447 CHC - Advantra (TX, NM, AZ Only) X X
10307 CHC - Advantra Freedom X X
10419 CHC - Advantra Savings X X
10216 CHC - Altius Health Plans X X
10212 CHC - Coventry Health and Life (Oklahoma) X
10405 CHC - Coventry Health and Life (Tenn) X X
10448 CHC - Coventry Health and Life - Nevada X X
10481 CHC - Coventry Health Care Federal X X
10449 CHC - Coventry Missouri X X
10642 CHC - COVENTRYCARES OF KENTUCKY X X
10440 CHC - CoventryOne X X
10076 CHC - Delaware X X
10206 CHC - Georgia X X
10219 CHC - Group Health Plan (GHP) X
10221 CHC - HealthCare Inc. (Promina) X X
10207 CHC - Iowa X X
10208 CHC - Kansas X X
10210 CHC - Louisiana X
10085 CHC - Mail Handlers Benefit Plan X X
10211 CHC - Nebraska X
10428 CHC - University of Missouri X
10551 CHC Florida X X
10222 CHC HealthCare USA X X
10224 CHC Illinois X X
10226 CHC of Carolinas X X
10225 CHC Virginia X
10214 CHC West Virginia X X
10062 CIGNA-GreatWest X X
Payer ID Payer Name Eligibility 270/271 Dental 270/271
Exchange EDI Eligibility Payer List
As of June 26, 2014
10852 Colonial Penn Life X
10064 Colorado Access X
10065 Colorado Medicaid X X
10066
