This page is best viewed on a desktop size browser window.

Our Trading Partners

Trading Partners

S Setup required
R Registration of NPIs and/or Tax IDs required

Name Trading Partner ID Transactions
8th District Electrical Benefit Fund 8th_district_electrical professional claims R
AARP Medicare Complete aarp_medicare_complete eligibility
professional claims R
AARP Medicare Supplement Plan (Fixed or Hospital Indemnity) aarp_medicare_supplement eligibility
professional claims R
claims status
ASR Health Benefits asr_health_benefits eligibility
Absolute Total Care absolute_total_care eligibility
professional claims R
claims status
Aetna aetna authorizations R
eligibility
professional claims R
claims status
referrals R
Aetna Affordable Health Choices SM SRC aetna_affordable_health_src professional claims R
Aetna Better Health aetna_better_health eligibility
professional claims R
claims status
Aetna Better Health of Illinois aetna_better_health_il eligibility
professional claims R
claims status
Aetna Better Health of Louisiana aetna_better_health_la eligibility
professional claims R
claims status
Aetna Better Health of Michigan aetna_better_health_mi eligibility
Aetna Better Health of Nebraska aetna_better_health_ne eligibility
professional claims R
claims status
Aetna Better Health of New Jersey aetna_better_health_nj eligibility
professional claims R
claims status
Aetna Better Health of New York aetna_better_health_ny eligibility
professional claims R
claims status
Aetna Better Health of Ohio aetna_better_health_oh eligibility
professional claims R
claims status
Aetna Better Health of Pennsylvania aetna_better_health_pa eligibility
professional claims R
claims status
Aetna Better Health of Texas aetna_better_health_tx eligibility
professional claims R
claims status
Affinity Health Plan affinity_health_plan eligibility
professional claims R
Aftra Health Fund aftra_health_fund eligibility
professional claims S R
claims status
Alabama Medicaid medicaid_al eligibility
Alaska Medicaid medicaid_ak eligibility
All Savers Insurance all_savers_insurance eligibility
professional claims R
Allegeant (LBA Health Plan) allegeant professional claims R
Altius Health Plans altius_health_plans eligibility
professional claims R
claims status
Ambetter (all states) ambetter eligibility
AmeriHealth Administrators amerihealth_administrators eligibility
professional claims R
AmeriHealth Caritas Louisiana amerihealth_caritas_la eligibility
professional claims R
AmeriHealth Caritas Pennsylvania amerihealth_caritas_pa eligibility
professional claims R
AmeriHealth Delaware amerihealth_de professional claims R
AmeriHealth HMO of Delaware amerihealth_de_hmo professional claims R
AmeriHealth HMO of New Jersey amerihealth_nj_hmo professional claims R
AmeriHealth New Jersey amerihealth_nj professional claims R
Ameriben ameriben eligibility
American Medical Security (AMS - UnitedHealthcare Life) american_medical_security eligibility
professional claims R
claims status
American Postal Workers Union (APWU) Health Plan american_postal_union_health eligibility
professional claims R
claims status
American Republic Insurance Company (ARIC) american_republic eligibility
professional claims R
claims status
Amerigroup amerigroup eligibility
professional claims R
institutional claims S R
claims status
Amerigroup Community Care amerigroup_community_care eligibility
professional claims R
institutional claims S R
Ameritas of New York ameritas_ny eligibility
Anthem Blue Cross California anthem_blue_cross_ca eligibility
professional claims R
claims status
Anthem Blue Cross and Blue Shield of Colorado anthem_blue_cross_blue_shield_co eligibility
professional claims R
claims status
Anthem Blue Cross and Blue Shield of Connecticut anthem_blue_cross_blue_shield_ct eligibility
professional claims R
claims status
Anthem Blue Cross and Blue Shield of Indiana anthem_blue_cross_blue_shield_in eligibility
professional claims R
claims status
Anthem Blue Cross and Blue Shield of Kentucky anthem_blue_cross_blue_shield_ky eligibility
professional claims R
claims status
Anthem Blue Cross and Blue Shield of Maine anthem_blue_cross_blue_shield_me eligibility
professional claims R
claims status
Anthem Blue Cross and Blue Shield of Missouri anthem_blue_cross_blue_shield_mo eligibility
professional claims R
claims status
Anthem Blue Cross and Blue Shield of Nevada anthem_blue_cross_blue_shield_nv eligibility
professional claims R
claims status
Anthem Blue Cross and Blue Shield of New Hampshire anthem_blue_cross_blue_shield_nh eligibility
professional claims R
claims status
Anthem Blue Cross and Blue Shield of Ohio anthem_blue_cross_blue_shield_oh eligibility
professional claims R
claims status
Anthem Blue Cross and Blue Shield of Virginia anthem_blue_cross_blue_shield_va eligibility
professional claims R
claims status
Anthem Blue Cross and Blue Shield of Wisconsin anthem_blue_cross_blue_shield_wi eligibility
professional claims R
claims status
Arbor Health Plan arbor_health_plan eligibility
Arise Health Plan arise_health_plan eligibility
claims status
Arizona Medicaid (AHCCCS) medicaid_az eligibility
Arizona Physicians IPA (United Healthcare Community Plan AZ) az_physicians_ipa eligibility
professional claims R
claims status
Arkansas Medicaid medicaid_ar eligibility
Arnett Health Plan arnett_health_plan eligibility
professional claims R
Assurant Health assurant_health eligibility
professional claims R
claims status
Asuris Northwest Health asuris_northwest_health eligibility
professional claims R
Atrio Health Plans atrio_health_plans professional claims R
Aultcare aultcare eligibility
Automated Benefit Services automated_benefit_services eligibility
Avera Health Plans avera_health_plan professional claims R
Avmed Health Plan avmed_health_plan eligibility
professional claims R
Banner Health Plans banner_health_plans eligibility
Beech Street beech_street professional claims R
Best Life and Health best_life_health eligibility
professional claims R
Better Health Plan (Unison) better_health_plan eligibility
professional claims R
claims status
Blue Cross Blue Shield Federal Employee Program blue_cross_blue_shield_federal_employee_program eligibility
Blue Cross Blue Shield North Carolina blue_cross_blue_shield_nc eligibility
professional claims S R
claims status
Blue Cross Blue Shield of Alabama blue_cross_blue_shield_al professional claims R
Blue Cross Blue Shield of Alabama (Institutional) blue_cross_blue_shield_al_institutional eligibility
Blue Cross Blue Shield of Alabama (Professional) blue_cross_blue_shield_al_professional eligibility
Blue Cross Blue Shield of Arkansas blue_cross_blue_shield_ar eligibility R
Blue Cross Blue Shield of Hawaii blue_cross_blue_shield_hi eligibility
Blue Cross Blue Shield of Minnesota blue_cross_blue_shield_mn eligibility
professional claims R
claims status
Blue Cross Blue Shield of North Dakota blue_cross_blue_shield_nd eligibility
Blue Cross Blue Shield of Texas blue_cross_blue_shield_tx eligibility
professional claims R
claims status
Blue Cross Blue Shield of Wyoming blue_cross_blue_shield_wy eligibility
Blue Cross and Blue Shield Federal Employee Plan of South Carolina fep_plan_sc professional claims R
Blue Cross and Blue Shield of Arizona blue_cross_blue_shield_az eligibility
professional claims R
Blue Cross and Blue Shield of Florida blue_cross_blue_shield_fl eligibility
professional claims R
claims status
Blue Cross and Blue Shield of Georgia blue_cross_blue_shield_ga eligibility
professional claims R
claims status
Blue Cross and Blue Shield of Illinois blue_cross_blue_shield_il eligibility
professional claims R
claims status
Blue Cross and Blue Shield of Kansas blue_cross_blue_shield_ks eligibility R
claims status R
Blue Cross and Blue Shield of Kansas City blue_cross_blue_shield_kc eligibility
claims status
Blue Cross and Blue Shield of Louisiana blue_cross_blue_shield_la eligibility
claims status
Blue Cross and Blue Shield of Massachusetts blue_cross_blue_shield_ma eligibility
professional claims R
claims status
Blue Cross and Blue Shield of Michigan blue_cross_blue_shield_mi eligibility
professional claims R
Blue Cross and Blue Shield of Mississippi blue_cross_blue_shield_ms eligibility
professional claims R
Blue Cross and Blue Shield of Montana blue_cross_blue_shield_mt eligibility
professional claims R
Blue Cross and Blue Shield of Nebraska blue_cross_blue_shield_ne eligibility
professional claims R
claims status
Blue Cross and Blue Shield of New Mexico blue_cross_blue_shield_nm eligibility
professional claims R
claims status
Blue Cross and Blue Shield of Oklahoma blue_cross_blue_shield_ok eligibility
professional claims R
Blue Cross and Blue Shield of Rhode Island blue_cross_blue_shield_ri eligibility
Blue Cross and Blue Shield of South Carolina blue_cross_blue_shield_sc eligibility
professional claims R
claims status
Blue Cross and Blue Shield of Tennessee blue_cross_blue_shield_tn eligibility
professional claims R
Blue Cross and Blue Shield of Vermont blue_cross_blue_shield_vt eligibility
professional claims R
Blue Cross and Blue Shield of Western New York blue_cross_blue_shield_wny eligibility
Blue Cross of Idaho blue_cross_idaho eligibility
Blue Shield of California blue_shield_ca eligibility
professional claims R
claims status
Boon Chapman boon_chapman professional claims R
Boston Medical Center Health Plan boston_medical_center eligibility
professional claims R
Bravo Health bravo_health eligibility
BridgeSpan bridgespan eligibility
professional claims R
Bridgeway Health Solutions bridgeway_health_solutions eligibility
professional claims R
claims status
Buckeye Community Health Plan buckeye_community_health_plan eligibility
professional claims R
claims status
CBHNP HealthChoices cbhnp professional claims R
CHC - Coventry Health and Life Tennessee coventry_health_and_life_tennessee eligibility
Cal-Optima (Medi-Cal) cal_optima_medi_cal eligibility
professional claims R
California Health and Wellness california_health_wellness eligibility
California Medicaid (Medi-Cal) medicaid_ca eligibility
Capital Blue Cross capital_blue_cross eligibility
Capital District Physicians' Health Plan (CDPHP) cdphp eligibility
professional claims R
Capital Health Plan capital_health_plan eligibility
Care Improvement Plus (Medicare Advantage) care_improvement_plus professional claims R
Care1st Health Plan Arizona care1st_health_az eligibility
professional claims S R
Care1st Health Plan California care1st_health_ca professional claims R
CareCentrix carecentrix professional claims R
CareFirst Administrators (NCAS) carefirst_admin_ncas professional claims R
CareFirst Blue Cross Blue Shield of DC blue_cross_blue_shield_dc eligibility
professional claims R
CareFirst Blue Cross Blue Shield of Maryland blue_cross_blue_shield_md eligibility
professional claims R
CareMore Health Plan caremore_health_plan professional claims R
CareOregon care_or professional claims R
CareSource of Indiana caresource_in eligibility
CareSource of Kentucky caresource_ky professional claims R
CareSource of Ohio caresource_oh eligibility
professional claims R
Carelink (Coventry) carelink_coventry eligibility
professional claims R
claims status
Carelink Medicaid (Coventry) carelink_medicaid_coventry eligibility
professional claims R
claims status
Careplus Health Plan careplus_health_plan eligibility
professional claims R
claims status
Cariten Healthcare cariten_healthcare eligibility
professional claims R
Carolina Care Plan (Medical Mutual of Ohio) carolina_care_plan professional claims R
Carolina Summit Healthcare, Inc carolina_summit_healthcare professional claims R
Cedar Valley Community Healthcare (CVCH) cedar_valley_community_health professional claims R
CeltiCare Health Plan celticare_health_plan eligibility
professional claims R
claims status
Celtic Insurance Company celtic_insurance_co professional claims R
CenCal Health cencal_health professional claims R
Cenpatico Behavioral Health Arizona cenpatico_az eligibility
professional claims R
claims status
Cenpatico Behavioral Health Florida cenpatico_fl eligibility
professional claims R
claims status
Cenpatico Behavioral Health Georgia cenpatico_ga eligibility
professional claims R
claims status
Cenpatico Behavioral Health Illinois cenpatico_il eligibility
professional claims R
claims status
Cenpatico Behavioral Health Indiana cenpatico_in eligibility
professional claims R
claims status
Cenpatico Behavioral Health Kansas cenpatico_ks eligibility
professional claims R
claims status
Cenpatico Behavioral Health Kentucky cenpatico_ky eligibility
professional claims R
claims status
Cenpatico Behavioral Health Massachusetts cenpatico_ma eligibility
professional claims R
claims status
Cenpatico Behavioral Health Montana cenpatico_mo eligibility
professional claims R
claims status
Cenpatico Behavioral Health Ohio cenpatico_oh eligibility
professional claims R
claims status
Cenpatico Behavioral Health South Carolina cenpatico_sc eligibility
professional claims R
claims status
Cenpatico Behavioral Health Texas cenpatico_tx eligibility
professional claims R
claims status
Cenpatico Behavioral Health Wisconsin cenpatico_wi eligibility
professional claims R
claims status
Central Health central_health professional claims R
Century Healthcare century_healthcare professional claims R
institutional claims S R
ChampVA - Health Administration Center (HAC) champva eligibility
professional claims R
Chesapeake Life Insurance chesapeake_life eligibility
professional claims R
Chinese Community Health Plan cchp professional claims R
Christus Health Plan christus_health_plan professional claims R
Christus Spohn Health Network christus_spohn_health_network professional claims R
Cigna (including Dental) cigna authorizations R
eligibility
professional claims R
claims status
referrals R
Cigna Behavioral Health cigna_behavioral_health professional claims R
claims status
Cigna Flex Care cigna_flex_care institutional claims S R
Cigna Medicare Advantage cigna_medicare_adv professional claims R
Cigna-HealthSpring cigna_health_spring eligibility
professional claims R
claims status
Citrus Health Plan citrus_health_plan professional claims R
City of Amarillo Group Health Plan amarillo_group_health professional claims R
Colorado Medicaid medicaid_co eligibility
Columbia United Providers columbia_united_providers professional claims R
Community Health Plan of Washington community_health_plan_wa professional claims R
Community Hospital Corporation (CHC) community_hospital_corp eligibility
claims status
Complementary Healthcare Plan (The CHP Group) complementary_healthcare_plan eligibility
professional claims R
claims status
ConnectiCare connecticare eligibility
professional claims R
claims status
Connecticut Carpenters Benefit Fund - Health connecticut_carpenters_benefit_health professional claims R
Connecticut Medicaid medicaid_ct eligibility
Continental General Insurance Company continental_general_insurance professional claims R
Cook Childrens Health Plan cook_childrens_health professional claims R
Cook Group Health Plan cook_group_health professional claims R
Cooperative Benefit Administrators cooperative_benefit eligibility
claims status
Coordinated Care coordinated_care eligibility
professional claims R
claims status
Coordinated Medical Specialists coordinated_medical_specialists professional claims R
CoreSource (AZ, MN) coresource_az_mn professional claims R
CoreSource (IL, IN, MD, NC, PA) coresource_il_in_md_nc_pa eligibility
professional claims R
claims status
CoreSource Little Rock coresource_little_rock eligibility
professional claims R
claims status
CoreSource Ohio coresource_oh eligibility
professional claims R
claims status
Coventry Advantra coventry_advantra eligibility
Coventry Diamond Plan (Maryland Medicaid) coventry_diamond_plan eligibility
professional claims R
claims status
Coventry Health And Life coventry professional claims R
Coventry Health Care of Delaware coventry_health_care_de eligibility
professional claims R
claims status
Coventry Health Care of Georgia coventry_health_care_ga eligibility
professional claims R
claims status
Coventry Health Care of Illinois coventry_health_care_il eligibility
professional claims R
claims status
Coventry Health Care of Iowa coventry_health_care_ia eligibility
professional claims R
claims status
Coventry Health Care of Kansas coventry_health_care_ks eligibility
professional claims R
claims status
Coventry Health Care of Louisiana coventry_health_care_la eligibility
professional claims R
claims status
Coventry Health Care of Missouri coventry_health_care_mo eligibility
professional claims R
claims status
Coventry Health Care of Nebraska coventry_health_care_ne eligibility
professional claims R
claims status
Coventry Health Care of Nevada coventry_health_care_nv eligibility
professional claims R
Coventry Health Care of Texas coventry_health_care_tx eligibility
professional claims R
Coventry Health Care of Virginia (Southern Health Services) coventry_health_care_va eligibility
professional claims R
claims status
Coventry Health Care of the Carolinas (WellPath) coventry_health_care_carolinas eligibility
professional claims R
claims status
Coventry Health Kids coventry_health_kids professional claims R
Coventry Healthcare National Network coventry_healthcare_national_network eligibility
Coventry One coventry_one eligibility
CoventryCares of Michigan (OmniCare) coventry_cares_mi eligibility
CoventryCares of Virginia coventry_cares_va eligibility
professional claims R
claims status
Culinary Health Fund culinary_health_fund eligibility
Cypress Benefit Administrators cypress_benefits eligibility
professional claims R
Dakotacare dakotacare professional claims R
Dean Health Plan dean_health_plan eligibility
professional claims R
Definity Health (United) definity_health eligibility
professional claims R
claims status
Delaware Medicaid medicaid_de eligibility
Deseret Mutual deseret_mutual eligibility
professional claims R
Directors Guild of America Health Fund dga_health eligibility
professional claims R
claims status
Driscoll Children's Health Plan driscoll_childrens_health professional claims R
Easy Choice Health Plan of New York easy_choice_health_ny professional claims R
Educators Mutual educators_mutual professional claims R
Emblem Health emblem_health eligibility
Empire Blue Cross and Blue Shield empire_blue_cross_blue_shield eligibility
professional claims R
claims status
Employee Benefit Management Services (EBMS) ebms eligibility
Excellus Blue Cross and Blue Shield excellus_blue_cross_blue_shield eligibility
claims status
Fallon Community Health Plan fallon_community_health eligibility
professional claims R
claims status
Federated Mutual Insurance Company federated_mutual eligibility
professional claims R
Fidelis Care of New York fidelis_care_ny eligibility
professional claims R
claims status
First Choice Health Network first_choice_health_network professional claims R
First Health (Coventry) first_health_coventry eligibility
professional claims R
claims status
Firstcare firstcare professional claims R
Firstcare Star Medicaid firstcare_star_medicaid professional claims R
Florida Health Care Plan florida_health_care_plan eligibility
professional claims R
claims status
Florida Medicaid medicaid_fl eligibility
Florida True Health florida_true_health eligibility
professional claims R
claims status
Freedom Health Plan freedom_health professional claims R
Galveston County Indigent Health Care galveston_indigent_health professional claims R
Gateway Health Medicare Assured gateway_health_medicare_assured eligibility
professional claims R
Gateway Health Pennsylvania gateway_health_pa eligibility
professional claims R
Geisinger Health Plan geisinger_health eligibility
professional claims R
Georgia Medicaid medicaid_ga eligibility
professional claims S R
institutional claims R
Golden Rule golden_rule_united eligibility
professional claims R
claims status
Government Employees Health Association (GEHA) geha eligibility
claims status
Great West Healthcare great_west_health_care eligibility
professional claims R
claims status
Group Health Cooperative group_health_cooperative eligibility
professional claims R
Group Health Cooperative of Eau Claire group_health_cooperative_eau_claire professional claims R
Group Health Cooperative of South Central Wisconsin group_health_cooperative_south_central_wi professional claims R
Group Health Plan - CMR group_health_plan_care_management_resource professional claims R
HHIC Freedom Blue hhic_freedom_blue eligibility
claims status
Harken Health harken_health eligibility
professional claims R
claims status
Harmony Health Plan of Illinois harmony_health_plan_illinois eligibility
professional claims R
Harmony Health Plan of Indiana harmony_health_plan_indiana eligibility
professional claims R
Harvard Pilgrim Health Care harvard_pilgrim_health_care eligibility
professional claims R
claims status
Harvard Pilgrim Passport Connect (United) harvard_pilgrim_passport_connect eligibility
professional claims R
Hawaii Medicaid medicaid_hi eligibility
Health Alliance Medical Plan of Illinois health_alliance_il eligibility
professional claims R
Health Alliance Plan of Michigan health_alliance_mi eligibility
professional claims R
Health America (Coventry) health_america_coventry eligibility
professional claims R
claims status
Health Choice of Arizona health_choice_az eligibility
claims status
Health Net (AZ, CT, NJ, NY, PA) health_net_az_ct_nj_ny_pa eligibility
Health Net of Arizona health_net_az professional claims R
Health Net of California health_net_ca eligibility
professional claims R
Health Net of the Northeast health_net_northeast professional claims R
Health New England health_new_england professional claims R
Health Partners health_partners professional claims R
Health Partners of Pennsylvania health_partners_pa eligibility
Health Plan of Nevada (United Healthcare Nevada) health_plan_nv eligibility
professional claims R
claims status
Health Plan of San Joaquin (HPSJ) health_plan_san_joaquin eligibility
professional claims R
Health Plan of San Mateo (HPSM) health_plan_san_mateo eligibility
professional claims R
Health Tradition Health Plan health_tradition_health_plan eligibility
HealthChoice of Oklahoma health_choice_ok eligibility
HealthEase of Florida (WellCare) healthease eligibility
professional claims R
HealthFirst TPA healthfirst_tpa professional claims R
HealthPartners Minnesota health_partners_mn eligibility R
professional claims R
HealthScope Benefits healthscope_benefits eligibility
professional claims R
HealthSmart Benefit Solutions healthsmart_benefit eligibility
professional claims R
Healthcare USA (Coventry) healthcare_usa_coventry eligibility
professional claims R
claims status
Healthcomp Administrators healthcomp_administrators eligibility
professional claims R
Healthfirst of New York healthfirst_ny eligibility
professional claims R
Healthsource (Cigna) healthsource professional claims R
Healthsource Maine (Cigna) health_source_me institutional claims S R
Healthsource North Texas (Cigna) health_source_north_texas institutional claims S R
Healthsource Provident (Cigna) healthsource_provident institutional claims S R
Healthsource South Carolina (Cigna) health_source_sc institutional claims S R
Highmark Blue Cross Blue Shield Delaware highmark_blue_cross_blue_shield_de authorizations R
eligibility R
professional claims R
claims status R
Highmark Blue Cross Blue Shield Pennsylvania highmark_blue_cross_blue_shield_pa authorizations R
eligibility R
professional claims R
claims status R
Highmark Blue Cross Blue Shield West Virginia highmark_blue_cross_blue_shield_wv authorizations R
eligibility R
professional claims R
claims status R
Highmark Blue Shield Pennsylvania highmark_blue_shield_pa authorizations R
eligibility R
professional claims R
Highmark Blue Shield Vision Pennsylvania highmark_bs_vision_pa professional claims R
Highmark Senior Health Company highmark_senior_health_company professional claims R
Highmark Senior Solutions Company highmark_senior_solutions_company professional claims R
Home State Health Plan home_state_health_plan eligibility
professional claims R
claims status
Horizon Blue Cross Blue Shield of New Jersey blue_cross_blue_shield_nj eligibility
professional claims R
claims status
Horizon NJ Health horizon_nj_health eligibility
claims status
Hudson Health Plan hudson_health_plan eligibility
Humana humana eligibility
professional claims R
claims status
Idaho Medicaid medicaid_id eligibility
Illinicare health Plan illinicare_health_plan eligibility
professional claims R
claims status
Illinois Medicaid medicaid_il eligibility
Independence Administrators independence_admin professional claims R
Independence Blue Cross independence_blue_cross eligibility R
professional claims R
Independent Health independent_health eligibility
Indiana Medicaid medicaid_in eligibility
Inland Empire Health Plan inland_empire_health eligibility
professional claims R
Iowa Medicaid medicaid_ia eligibility
John Hopkins HealthCare LLC john_hopkins_health_care eligibility
professional claims R
Kaiser Permanente of Colorado kaiser_permanente_co eligibility
professional claims R
claims status
Kaiser Permanente of Georgia kaiser_permanente_ga eligibility
professional claims R
Kaiser Permanente of Northern CA kaiser_permanente_northern_ca eligibility
professional claims R
Kaiser Permanente of Southern CA kaiser_permanente_southern_ca eligibility
professional claims R
Kaiser Permanente of the Mid Atlantic kaiser_permanente_mid_atlantic eligibility
professional claims R
Kaiser Permanente of the Northwest kaiser_permanente_northwest eligibility
professional claims R
Kansas Medicaid medicaid_ks eligibility
professional claims R
institutional claims S R
Kentucky Medicaid medicaid_ky eligibility
Kentucky Spirit kentucky_spirit eligibility
professional claims R
claims status
Keystone First keystone_first eligibility
professional claims R
Keystone Health Plan East keystone_health_plan_east eligibility
professional claims R
LifeWise Health Plan of Oregon lifewise_or eligibility
professional claims R
claims status
LifeWise Health Plan of Washington lifewise_wa eligibility
professional claims R
claims status
Loma Linda University Medical Center Health Plan loma_linda_medical_center professional claims R
Louisiana Healthcare Connections la_healthcare_connections eligibility
professional claims R
claims status
Louisiana Medicaid medicaid_la eligibility
Louisiana Medicare medicare_la_part_b professional claims R
MAHP MAMSI (United) mahp eligibility
professional claims R
claims status
MDwise Hoosier Alliance mdwise eligibility
MVP Health Care mvp_health_care eligibility
professional claims R
claims status
Magellan Health magellan_health eligibility
professional claims R
Magellan Health (Aetna Members Only) magellan_health_aetna professional claims R
Magnolia Health Plan magnolia_health_plan eligibility
professional claims R
claims status
Mail Handlers Benefit Plan (MHBP) mail_handlers eligibility
claims status
Maine Medicaid medicaid_me eligibility
Managed Health Services Indiana managed_health_services_in eligibility
professional claims R
claims status
Managed Health Services Wisconsin managed_health_services_wi eligibility
professional claims R
claims status
Maricopa Health Plan (Arizona) maricopa_health_plan_az eligibility
Maryland Medicaid medicaid_md eligibility
Massachusetts Medicaid medicaid_ma eligibility
Medcost Benefit Services medcost eligibility
Medica Health Plans medica_health_plans eligibility
professional claims R
claims status
Medica Health Plans (IFB Groups) medica_health_plans_ifb_groups professional claims R
Medica Healthcare (FL) medica_healthcare_fl professional claims R
Medicaid Oregon medicaid_or eligibility
Medical Mutual of Ohio medical_mutual_oh eligibility
professional claims R
claims status
Medicare (all states) medicare_national eligibility R
Medico Insurance Company medico_insurance_company eligibility
Mega Life and Health Insurance mega_life_health eligibility
Mercy Care Plan mercy_care_plan eligibility
Meritain Health meritain_health eligibility
professional claims R
Meritus Health Partners meritus_health_partners eligibility
Michigan Medicaid medicaid_mi eligibility
Mid-West National Life Insurance Company of Tennessee mid_west_life eligibility
claims status
Minnesota Medicaid medicaid_mn eligibility
Mississippi Medicaid medicaid_ms eligibility
Missouri Medicaid medicaid_mo eligibility
professional claims R
Moda Health moda_health eligibility
professional claims R
Molina Healthcare of California molina_health_care_ca eligibility
professional claims R
claims status
Molina Healthcare of Florida molina_health_care_fl eligibility
professional claims R
Molina Healthcare of Illinois molina_health_care_il eligibility
Molina Healthcare of Michigan molina_health_care_mi eligibility
professional claims R
Molina Healthcare of Nevada molina_health_care_nv professional claims R
Molina Healthcare of New Mexico molina_health_care_nm eligibility
professional claims R
claims status
Molina Healthcare of Ohio molina_health_care_oh eligibility
professional claims R
claims status
Molina Healthcare of Puerto Rico molina_health_care_pr eligibility
Molina Healthcare of South Carolina molina_health_care_sc eligibility
professional claims R
Molina Healthcare of Texas molina_health_care_tx eligibility
professional claims R
claims status
Molina Healthcare of Utah molina_health_care_ut eligibility
claims status
Molina Healthcare of Washington molina_health_care_wa eligibility
professional claims R
Molina Healthcare of Wisconsin molina_health_care_wi eligibility
professional claims R
Molina Medicaid Solutions - Idaho molina_health_care_id professional claims R
Montana Medicaid medicaid_mt eligibility
Mutual Health Services mutual_health_services eligibility
Mutual of Omaha mutual_omaha eligibility
claims status
National Association of Letter Carriers (NALC) nalc eligibility
professional claims R
claims status
Nationwide Health Plan nationwide_health eligibility
professional claims R
claims status
Nebraska Medicaid medicaid_ne eligibility
Neighborhood Health Partnership neighborhood_health_partnership professional claims R
claims status
Neighborhood Health Plan neighborhood_health_plan eligibility
professional claims R
Network Health network_health eligibility
Nevada Medicaid medicaid_nv eligibility
New Hampshire Medicaid medicaid_nh eligibility
New Jersey Medicaid medicaid_nj eligibility
claims status
New Mexico Medicaid medicaid_nm eligibility
New York Medicaid medicaid_ny eligibility
Nippon Life nippon_life_principal eligibility
professional claims R
claims status
North Carolina Medicaid medicaid_nc eligibility
North Dakota Medicaid medicaid_nd eligibility
Ohana Health Plan ohana_health_plan eligibility
professional claims R
Ohio Medicaid medicaid_oh eligibility
professional claims R
Oklahoma Medicaid medicaid_ok eligibility
Optima Health Plan optima_health_plan eligibility
OptumHealth Behavioral Solutions optum_health_behavioral eligibility
professional claims R
claims status
OptumHealth Complex Medical Conditions (CMC) optum_complex_medical_conditions professional claims R
claims status
Oscar Health Plan oscar_health_plan eligibility
Oxford Health Plan oxford_health_plan_united eligibility
claims status
PEHP Utah pehp_ut eligibility
professional claims R
PHCS Savility Payers phcs_savility_payers eligibility
PacificSource Health Plans pacific_source_health_plans eligibility
professional claims R
Paramount paramount eligibility
Parkland Community Health Plan parkland_community eligibility
professional claims R
institutional claims S R
Passport Health Plan passport_health_plan eligibility
Peach State Health Plan peach_state_health eligibility
professional claims R
claims status
Pennsylvania Medicaid medicaid_pa eligibility
professional claims R
institutional claims S R
Phoenix Health Plan (formerly ABRAZO Advantage Health Plan) phoenix_health_plan professional claims R
Physicians Health Plan of Northern Indiana physicians_health_plan_northern_in eligibility
Physicians Mutual Insurance Company physicians_mutual eligibility
professional claims R
Physicians Plus Health Insurance physicians_plus_health_insurance eligibility
Piedmont WellStar Healthplans piedmont_wellstar eligibility
Preferred Care Partners preferred_care_partners professional claims R
PreferredOne Health Insurance preferredone_health_insurance eligibility
professional claims R
Premera Blue Cross premera_blue_cross eligibility
professional claims R
claims status
referrals S
Premera Blue Cross Blue Shield Of Alaska premera_blue_cross_blue_shield_ak eligibility
professional claims R
claims status
Prestige Health Choice prestige_health_choice eligibility
Prevea360 Health Plan prevea360_health_plan eligibility
Principal Financial Group principal_financial eligibility
Priority Health priority_health eligibility
Promina ASO Formerly Healthcare, Inc promina_aso eligibility
Providence Health Plan providence_health_plan eligibility
QualCare qualcare eligibility
QualChoice of Arkansas qual_choice_ar eligibility
professional claims R
Regence Blue Shield Federal Employees Plan of Washington federal_employees_plan_wa professional claims R
Regence BlueCross BlueShield of Oregon regence_bluecross_blueshield_or eligibility
professional claims R
claims status
Regence BlueCross BlueShield of Utah bluecross_blueshield_utah eligibility
professional claims R
claims status
Regence BlueShield of Idaho regence_blueshield_id eligibility
professional claims R
Regence BlueShield of Washington regence_blue_shield_wa eligibility
professional claims R
claims status
RightCare Health Plan rightcare_health_plan professional claims R
Rocky Mountain Health Plan rocky_mountain_health_plan eligibility
professional claims R
SCAN Health Plan scan_health eligibility
claims status
Sanford Health Plan sanford_health_plan eligibility
Scott and White Health Plan scott_and_white_health_plan eligibility
professional claims R
SecureHorizons Medicare Complete (United) secure_horizons eligibility
Security Health Plan security_health_plan eligibility
Selecthealth selecthealth eligibility
professional claims R
Sharp Health Plan sharp_health_plan eligibility
Sierra Health Plan sierra_health_plan eligibility
professional claims R
Simply Healthcare simply_healthcare eligibility
South Carolina Medicaid (Healthy Connections) medicaid_sc eligibility
claims status
South Dakota Medicaid medicaid_sd eligibility
State Farm state_farm eligibility
StayWell staywell eligibility
professional claims R
Summacare Health Plan summacare eligibility
Sunflower State Health Plan sunflower_state_health_plan eligibility
professional claims R
claims status
Sunshine State Health Plan sunshine_state_health_plan eligibility
professional claims R
claims status
Superior Health Plan superior_health_plan eligibility
professional claims R
claims status
TRICARE (North, South, West) tricare eligibility
claims status
TRICARE For Life tricare_for_life eligibility
claims status
TRICARE Overseas tricare_overseas eligibility
claims status
Tennessee Medicaid (TennCare) medicaid_tn eligibility
Texas Medicaid (Acute Care) medicaid_tx_acute_care eligibility
professional claims R
Texas Medicaid (Long Term Care) medicaid_tx_long_term_care eligibility R
professional claims R
The Empire Plan (United) empire_plan eligibility
professional claims R
The Health Plan the_health_plan eligibility
Today's Options (Pyramid) todays_options eligibility
Transamerica Life transamerica eligibility
Trustmark trustmark eligibility
professional claims R
claims status
Tufts Health Plan tufts eligibility
professional claims R
UCare of Minnesota ucare eligibility
UHC West (PacifiCare) uhc_west eligibility
claims status
UMR umr eligibility
professional claims R
claims status
UPMC Health Plan upmc_health_plan eligibility
US Managed Care Services LLC managed_care_services professional claims R
USAA Life Insurance usaa_life eligibility
claims status
UniCare unicare eligibility
claims status
United American Insurance Company united_american_insurance _company eligibility
United Healthcare united_health_care authorizations R
eligibility
professional claims R
institutional claims S R
claims status
referrals R
United Healthcare Community Plan (AmeriChoice) united_health_care_community_plan eligibility
professional claims R
claims status
United Healthcare Community Plan PA (AmeriChoice) united_health_care_community_plan_pa eligibility
professional claims R
claims status
United Healthcare Community Plan of Iowa united_health_care_community_plan_ia professional claims R
United Healthcare Community Plan of Kansas (KanCare) united_health_care_community_plan_ks eligibility
professional claims R
claims status
United Healthcare Community Plan of Michigan united_health_care_community_plan_mi eligibility
professional claims R
claims status
United Healthcare Community Plan of Mississippi (CHIP) united_health_care_community_plan_ms professional claims R
United Healthcare Community Plan of New Jersey (AmeriChoice) united_health_care_community_plan_nj eligibility
professional claims R
claims status
United Healthcare Community Plan of Tennessee (TennCare) united_health_care_community_plan_tn eligibility
professional claims R
claims status
United Healthcare Dental uhc_dental eligibility
claims status
United Healthcare Facets Detroit united_health_care_facets_detroit eligibility
claims status
United Healthcare Facets Pittsburgh united_health_care_facets_pittsburgh eligibility
claims status
United Healthcare Medicare Solutions (Evercare) united_health_care_medicare_solutions eligibility
professional claims R
United Healthcare Student Resources (Student Insurance) united_health_care_student_resources eligibility
professional claims R
claims status
United Healthcare of the River Valley united_health_care_river_valley eligibility
professional claims R
Unity Health Plans Insurance Corporation unity_health eligibility
Univera Healthcare univera eligibility
University Physicians Care Advantage (AZ) university_physicians_care_advantage_az eligibility
University of Arizona Health Plans (University Healthcare Marketplace) university_healthcare_marketplace eligibility
University of Missouri Health (Coventry) university_mo_coventry eligibility
University of Utah Health Plans university_of_utah eligibility
Utah Medicaid medicaid_ut eligibility
Valley Health Plan valley_health_plan eligibility
Vermont Medicaid medicaid_vt eligibility
Veterans Affairs Fee Basis Program va_fee_basis eligibility
Veterans Affairs Health Administration Center va_health_administration eligibility
Veterans Affairs Patient Centered Community Care Region 3 veterans_affairs_3 claims status
Veterans Affairs Patient Centered Community Care Region 5a veterans_affairs_5a claims status
Veterans Affairs Patient Centered Community Care Region 5b veterans_affairs_5b claims status
Veterans Affairs Patient Centered Community Care Region 6 veterans_affairs_6 claims status
Virginia Medicaid medicaid_va eligibility
Vista Health Plan vista_health_plan eligibility
Viva Health viva_health eligibility
WEA Trust wea_trust eligibility
WPS Insurance wps_insurance eligibility
claims status
Washington Medicaid (Washington Apple Health) medicaid_wa eligibility
Wellcare wellcare eligibility
professional claims R
Wellmark Blue Cross and Blue Shield of Iowa wellmark_blue_cross_blue_shield_ia eligibility
professional claims S R
claims status
Wellmark Blue Cross and Blue Shield of South Dakota wellmark_blue_cross_blue_shield_sd eligibility
claims status
West Virginia Medicaid medicaid_wv eligibility
Western Health Advantage western_health_advantage eligibility
Wisconsin Medicaid medicaid_wi eligibility
Writers Guild Health Fund writers_guild_health_fund eligibility
Wyoming Medicaid medicaid_wy eligibility

Mock Payers

Name Trading Partner ID APIs supported
Mock Payer for Testing MOCKPAYER authorizations
eligibility
professional claims
institutional claims
claims status
referrals
Mock Payer for Testing with inquiry rejection MOCKPAYER_REJECTION eligibility