Conduent EDI Direct Eligibility (270/271) And Claim Status .

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Conduent EDI DirectEligibility (270/271) and Claim Status (276/277) Payer ListPayer Name - 270/271 TransactionsPayer IDAARPAbsolute Total CareAcclaim, IncACS Benefit ServicesAdministrative Services, Inc.Advantage by BridgewayHealthSolutionsAdvantage by Buckeye Community Health PlanAdvantage by Managed Health ServicesAdvantage by Superior Health PlanAdvantage HealthAdvantra (TX, NM, AZ Only)Advantra FreedomAdvantra SavingsAetnaAetna Retiree Medical Plan - AdministratorAetna Better HealthAetna Better Health (CA)Aetna Better Health (FL)Aetna Better Health (IL)Aetna Better Health (LA)Aetna Better Health (KS)Aetna Better Health (KY)Aetna Better Health (MI)Aetna Better Health (MD)Aetna Better Health (NV)Aetna Better Health (TX)Aetna Better Health (TX) CHIPAetna Better Health (VA)Aetna Better Health (WV)Aetna Long Term CareAetna Senior SupplementalAetna Signature AdministratorsAffinity EssentialsAffinity Health PlanAFLACAFLAC – DentalAFLAC – Medicare SupplementalAGIA,Inc.Alabama MedicaidAlan Sturm and Associates – DentalAlaska 154Conduent EDI Direct Payer List270/271 51039810663111490000000081710798110161

Conduent EDI DirectEligibility (270/271) and Claim Status (276/277) Payer ListPayer Name - 270/271 TransactionsPayer IDAll Savers Life InsuranceAllegiance Benefit Plan ManagementAlliant Health PlansAllied Benefit SystemsAllways Health PartnersAlohaCareAlternative Insurance Resources, Inc.Altius Health PlansAltus DentalAmbetter New Hampshire Healthy FamiliesAmbetter Superior Health Plan (TX)AmeriBenAmerican Family Insurance GroupAmerican General Life and AccidentAmerican Income Life Insurance CompanyAmerican Insurance AdministratorsAmerican Medical Security (AMS)American National Insurance CompanyAmerican National Life Insurance Company of TexasAmerican Network Ins. Medicare SupplementAmerican Postal Workers UnionAmerican Republic Insurance Company (ARIC)American Retirement Life Ins Co Medicare SuppAmeriChoice of New Jersey (Commercial)Americo Financial Life & AnnuityAmerigroup CorporationAmeriHealth (DE, NJ, PA)AmeriHealth AdministratorsAmeriHealth Caritas DCAmeriHealth Caritas DelawareAmeriHealth Caritas Louisiana (LaCare)AmeriHealth Caritas New HampshireAmeriHealth Caritas Northwestern PAAmeriHealth Caritas VIP Care PlusAmeriHealth Northeast PennsylvaniaAmeriHealth PennsylvaniaAmeriHealth VIP CareAmeritas Life Insurance Co.Anthem VivityArise Health Plan Medicare Select PolicyArise Health 086811181Conduent EDI Direct Payer List270/271 Transactions9/22/20212

Conduent EDI DirectEligibility (270/271) and Claim Status (276/277) Payer ListPayer Name - 270/271 TransactionsPayer IDArizona Medicaid (AHCCCS)Arizona Physicians IPA (APIPA)Arkansas MedicaidAssociacion De Maestros Puerto RicoAsuris Northwest HealthAultcareAutomated Benefit ServicesAuxiantAvera Health PlansAvMed Health PlansBankers Fidelity Life Insurance CompanyBankers Life and CasualtyBanner University Family CareBaycare Select Health Plans, Inc.BCBS of AlabamaBCBS of ArizonaBCBS of ArkansasBCBS of Central New YorkBCBS of ColoradoBCBS of ConnecticutBCBS of FloridaBCBS of GeorgiaBCBS of HawaiiBCBS of IllinoisBCBS of IndianaBCBS of IowaBCBS of KansasBCBS of Kansas CityBCBS of KentuckyBCBS of LouisianaBCBS of MaineBCBS of MassachusettsBCBS of Michigan InstitutionalBCBS of Michigan ProfessionalBCBS of MinnesotaBCBS of MississippiBCBS of MissouriBCBS of NebraskaBCBS of NevadaBCBS of New HampshireBCBS of New Jersey 100390000000058149211038410260481700087Conduent EDI Direct Payer List270/271 Transactions9/22/20213

Conduent EDI DirectEligibility (270/271) and Claim Status (276/277) Payer ListPayer Name - 270/271 TransactionsPayer IDBCBS of New MexicoBCBS of New York (Empire)BCBS of North CarolinaBCBS of North DakotaBCBS of OhioBCBS of OklahomaBCBS of Oregon (Regence)BCBS of Pennsylvania (Highmark Institutional)BCBS of Pennsylvania (Highmark Professional)BCBS of Rhode IslandBCBS of South CarolinaBCBS of South Dakota (Wellmark)BCBS of TennesseeBCBS of TexasBCBS Texas Medicaid STAR CHIPBCBS of Western New York (HealthNow)BCBS of the Rochester Area (NY)BCBS of UtahBCBS of Utica Watertown (NY)BCBS of VermontBCBS of Virginia (Wellpoint)BCBS of West VirginiaBCBS of Wisconsin (Wellpoint Anthem)BCBS of WyomingBehavioral Health Systems, Inc.Benefit Management Inc.Best Life and HealthBetter Health Plans (Unison Health Plan)Better Health Plans of FloridaBlue Benefit Administrators of MassBlue Cross Community OptionsBlue Cross Independence (Pennsylvania)Blue Cross Northeastern PennsylvaniaBlue Cross of CaliforniaBlue Cross of IdahoBlue Cross of Washington and Alaska (Premera)BlueCross Medicare AdvantageBlue Cross Pennsylvania (Capital)Blue Shield of CaliforniaBlue Shield of Idaho (Regence)Blue Shield of Northeastern New 6501117458210441005210499Conduent EDI Direct Payer List270/271 Transactions9/22/20214

Conduent EDI DirectEligibility (270/271) and Claim Status (276/277) Payer ListPayer Name - 270/271 TransactionsPayer IDBlue Shield of Washington (Regence)BlueChoice Health Plan South Carolina MedicaidBMC HealthNetBoon Chapman Benefit AdminBoon GroupBraven HealthBravo HealthBridgespanBridgeway ArizonaBright HealthBright Health Medicare AdvantageBrokers National – DentalBuckeye Community HealthCalifornia Medicaid (Medi-Cal)CalOptimaCal-VivaCapital District Physicians Health PlanCapital Health PlanCapitol AdministratorsCAPROCKCare1st Health Plan ArizonaCareFirst AdministratorsCarefirst Blue Cross Blue Shield (DC)Carefirst Blue Cross Blue Shiled (MD)CaremoreCare Improvement PlusCarePartners of ConnecticutCarePlus Health PlanCareSource Health (OH)Carpenters Health and Welfare Trust Fund of St LouisCarolina Care Plan, Inc. (CCP)CDS Group HealthCeltic InsuranceCelticareCencalCentene – Arkansas Total CareCenpatico - ArizonaCenpatico - FloridaCenpatico - GeorgiaCenpatico - IllinoisCenpatico - 063110570Conduent EDI Direct Payer List270/271 Transactions9/22/20215

Conduent EDI DirectEligibility (270/271) and Claim Status (276/277) Payer ListPayer Name - 270/271 TransactionsPayer IDCenpatico - KansasCenpatico - KentuckyCenpatico - MassachusettsCenpatico - MississippiCenpatico - MissouriCenpatico - New HampshireCenpatico - OhioCenpatico - South CarolinaCenpatico - TexasCenpatico - WisconsinCenpatico Behavioral HealthCenpatico Behavioral Health TexasCentene - Advantage by Peach StateCentene - Advantage by Sunshine StateCentene - Ambetter Sunshine HealthCentene - California Health & WellnessCentene - Coordinated CareCentene - Granite State Health PlanCentene - Home State Health PlanCentene - IlliniCare Health PlanCentene - Kentucky Spirit Health PlanCentene - Louisiana Healthcare ConnectionsCentene - Magnolia Health PlanCentene - Michigan Fidelis Secure CareCentene - Peach State Health PlanCentene - Sunflower State Health (Kansas)Centene - Sunshine State Health PlanCentene - Total Care CarolinaCentene Advantage PlansCenterLight HealthcareCentral California Alliance for HealthCentral Reserve Life Ins Co. Medicare SupplementCentral States FundCentral States Health & Life Co. of OmahaCentral States IndemnityCerner Health PlanCHAMPVA/Spina Bifida/Children of Women Vietnam VetsChesapeake National LifeChildren’s Mercy PCNCHP DirectChristian Brothers 9061090710908Conduent EDI Direct Payer List270/271 Transactions9/22/20216

Conduent EDI DirectEligibility (270/271) and Claim Status (276/277) Payer ListPayer Name - 270/271 TransactionsPayer IDChristie Student Health PlansCHRISTUS Health Plan MedicaidCHRISTUS Health Plan New MexicoCHRISTUS Health Plan NM Medicare AdvantageChristus Health Plan TX HIXCigna-GWHClaims Management Service Inc.Clear Health AllianceClover Health fka CarePoint Medicare AdvantageCMFG Life InsuranceColonial Penn LifeColorado AccessColorado MedicaidCommon GroundCommunity Care Alliance of ILCommunity Care of OklahomaCommunity Health First Medicare AdvantageCommunity Health GroupCommunity Health Plan of Washington (CHPW)ConnectiCareConnectiCare-MedicareConnecticut MedicaidConsolidated Associates RailroadConstellation Health (INMEDIATA HEALTH GROUP)Consumers LifeConsumers Mutual Insurance of MichiganContinental General Ins Co Medicare SuppCook Children’s Health PlanCooperative Benefits AdministratorsCoreSource MD/PA/IL/NC/IN/AZ/MNNGS CoreSourceCorporate Benefit ServiceCountry Life Insurance CompanyCountyCareCovenant Administrators (TPA)Coventry Health &Life – NevadaCoventry Health and Life (Oklahoma)Coventry Health and Life (Tenn)Coventry Health Care Carelink MedicaidCoventry Health Care FederalCoventry Healthcare - 8221090910852Conduent EDI Direct Payer List270/271 01044800441104050018210481001667

Conduent EDI DirectEligibility (270/271) and Claim Status (276/277) Payer ListPayer Name - 270/271 TransactionsPayer IDCoventry Healthcare - GeorgiaCoventry Healthcare - KansasCoventry Healthcare - LouisianaCoventry Healthcare - MissouriCoventry Healthcare - NebraskaCoventry HealthCare Carelink (Advantra)Coventry Healthcare National NetworkCoventry IowaCoventryCares of KentuckyCoventryOneCox Health PlanCSI Life Insurance CompanyCulinary Health Fund UNITE HERE HealthDakotaCareDeCare Dental Health InsuranceDefinity HealthDelaware MedicaidDelta Dental Ins. Co. - AlabamaDelta Dental Ins. Co. - FloridaDelta Dental Ins. Co. - GeorgiaDelta Dental Ins. Co. - LouisianaDelta Dental Ins. Co. - MississippiDelta Dental Ins. Co. - MontanaDelta Dental Ins. Co. - NevadaDelta Dental Ins. Co. - TexasDelta Dental Ins. Co. - UtahDelta Dental of ArizonaDelta Dental of CaliforniaDelta Dental of ColoradoDelta Dental of DelawareDelta Dental of HawaiiDelta Dental of IllinoisDelta Dental of IowaDelta Dental of MarylandDelta Dental of MichiganDelta Dental of MinnesotaDelta Dental of MissouriDelta Dental of NebraskaDelta Dental of New JerseyDelta Dental of New YorkDelta Dental of North 1072910731Conduent EDI Direct Payer List270/271 Transactions9/22/20218

Conduent EDI DirectEligibility (270/271) and Claim Status (276/277) Payer ListPayer Name - 270/271 TransactionsPayer IDDelta Dental of OklahomaDelta Dental of PennsylvaniaDelta Dental of Rhode IslandDelta Dental of TennesseeDelta Dental of VirginiaDelta Dental of Washington DCDelta Dental of Washington StateDelta Dental of West VirginiaDelta Dental of WisconsinDeltaCare USA - ClaimsDeltaCare USA - EncountersDental Benefit ProvidersDenver Health Medical PlanDeseret Mutual (DMBA)Devoted HealthDirector’s GuildDistrict No. 9, I. A. of M. & A W. Welfare TrustDistrict of Columbia MedicaidDiversified Administration CorpDriscoll Health PlanEBMSEducators Mutual Insurance (EMI)ElderplanEmblem HealthEmployee Benefit Services – DentalEmpower ArkansasEPSI, Inc.Equitable Life Casualty Insurance CompanyEssence HealthcareEvercareEverence FinancialEverest Reinsurance CompanyEvergreen HealthEvergreen Health Co-OpFallon Community Health PlanFarm Bureau Health PlansFCE Benefit AdministratorsFidelis Care New YorkFirst Ameritas of New YorkFirst Carolina CareFirst Community Health 116611090Conduent EDI Direct Payer List270/271 711003104590042611221112229

Conduent EDI DirectEligibility (270/271) and Claim Status (276/277) Payer ListPayer Name - 270/271 TransactionsPayer IDFirst Medical NetworkFirst Reliance Standard LifeFirst United American Insurance CompanyFirstCareFirst Health Network (Coventry National)FISERV WAUSAUFlex Compensation – DentalFlorida Combined Life – DentalFlorida Health Care PlansFlorida MedicaidFlorida True HealthFlorida/Vista/SummitFood Employers & Bakery Confectionary Workers BenefitFreedom Health Medicare AdvantageFringe BenefitsFSL Admin by KBAGateway Health PlanGeisinger Health PlanGeisinger Health Plan GoldGEMCareGeorgia MedicaidGHI – Group Health IncorporatedGlobal Health Inc.Globe Life & Accident Insurance CompanyGovernment Employees Health Association (GEHA)G.M.P. Employers Retiree TrustGreat American Life Insurance Co Medicare SupplementGreat Southern Life Insurance CompanyGroup and Pension AdministratorsGroup Dental ServiceKaiser Foundation Health Plan of WashingtonGroup Health NorthwestGroup Health Plan (GHP)Guardian Life Insurance Co. of America – DentalHarmony Health PlanHarvard Pilgrim Health CareHMA (Hawaii Mainland Admin)Hawaii MedicaidHawaii Medical Assurance AssociationHealth Alliance Medical Plan (IL)Heartland National Life Insurance 1577027108391055110776132861106911052Conduent EDI Direct Payer List270/271 711115510

Conduent EDI DirectEligibility (270/271) and Claim Status (276/277) Payer ListPayer Name - 270/271 TransactionsPayer IDHealth Alliance Medical Plans (HAP)Health Choice ArizonaHealth Cost SolutionsHealth First InsuranceHealth First Health PlanHealth First New JerseyHealth First New YorkHealth Choice OklahomaHealth Net NationalHealth New EnglandHealth Partners (Minnesota)Health Partners PhiladelphiaHealth Plan of San MateoHealth Services for Children with Special NeedsHealth Share/Care OregonHealthAmerica&HealthAssuranceHealthcare HighwaysHealthCare Inc. (Promina)Healthcare Management AdministratorsHealthcare USA(HCUSA)HealthComp AdministratorsHEALTHe ExchangeHealthEaseHealthEase KidsHealthEdge AdministratorsHealthgram (formerly Primary PhysicianCare)Health Plan of NevadaHealth Plan Upper Ohio ValleyHealthPlans Inc.HealthPlus of MichiganHealthScope (Morris Assoc, Central Benefits, Employer’s Health, Plan Handlers)HealthSmart Benefit SolutionsHealthsource Provident – DentalHealthSpringHealthTeam AdvantageHealthy TexasHeritage Physician Network (Houston)Hershey Healthsmile – DentalHIPNYHM Care Advantage Admin by KBAHometown 51040611053Conduent EDI Direct Payer List270/271 Transactions9/22/2021359711

Conduent EDI DirectEligibility (270/271) and Claim Status (276/277) Payer ListPayer Name - 270/271 TransactionsPayer IDHooray HealthHorizon NJ HealthHSBS Oklahoma CityHudson Health PlanHumanaHumana CareSource (KY)Humana DentaliCare (Independent Care Health Plan)Concentrix Insurance SolutionsIdaho MedicaidIllinois MedicaidIndependence AdministratorsIndiana MedicaidIndiana University Health Plans (Commercial)Inland Empire HealthInsurers Administrative Corporation (IAC)INTEGRA Administrative Group IncIntegrated Mental Health ServicesInter Valley Health PlanIowa MedicaidIowa Total CareIsland Home InsuranceJai Medical SystemJohn Alden Insurance Company (JALIC)John Hopkins Health PlanJohn Hopkins HealthCare LLCJohn Hopkins US Family Health PlanKaiser Foundation Health Plan of ColoradoKaiser Foundation Health Plan of HawaiiKaiser Foundation Health Plan of Hawaii (DHMO Choice)Kaiser Foundation Health Plan of the Mid AtlanticKaiser Foundation Health Plan of the NorthwestKaiser Permanente of GeorgiaKaiser Permanente of Northern CAKaiser Permanente of Southern CAKansas MedicaidKentucky MedicaidKentucky PassportKey Benefit Administrators – 37216Key Benefits Administrators uent EDI Direct Payer List270/271 41105512

Conduent EDI DirectEligibility (270/271) and Claim Status (276/277) Payer ListPayer Name - 270/271 TransactionsPayer IDKeystone First Community Health PlanKeystone Mercy HealthKeystone VIP CareKitsap Physician ServicesKSKJ LifeL.A. Care Health PlanLeggett & PlattLeon Medical Centers Health PlanLiberty National Life Insurance CompanyLifetime Benefit Solutions (RMSCO)Lifewise ArizonaLifeCare Assurance CompanyLincoln FinancialLincoln HeritageLocal 1199LoneStar TPALoomis CompanyLouisiana Health ExchangeLouisiana MedicaidLoyal American Life Insurance Co Medicare SuppLoyal Christian Benefit AssociationLumico Life InsuranceMagellan Behavioral HealthMagellan Complete Care of VirginiaMagnacareMainte Community Health OptionsMaine MedicaidManaged Care of AmericaManaged Care of North AmericaManaged Health Network (MHN)Managed Health Services IndianaManaged Health Services WisconsinManhattan Insurance GroupMAPFRE Life Puerto RicoMaricopa Health Plan ArizonaMartins Point Health CareMaryland MedicaidMassachusetts MedicaidMcLarenMedBen – Newark OHMedCost Benefit Services12271Conduent EDI Direct Payer List270/271 5733414308106811027213

Conduent EDI DirectEligibility (270/271) and Claim Status (276/277) Payer ListPayer Name - 270/271 TransactionsPayer IDMedicaMedica – Medicare Supplement EligibilityMedica2Medica Health PlansMedical Associates Health Plan/Health ChoicesMedical Card SystemMedical Mutual of OhioMedicareMedicare Advantage - PennsylvaniaMedicare y Mucho Mas (INMEDIATA HEALTH GROUP)Medigold Health PlansMed-Pay, Inc.MedStar Family ChoiceMedStar Health PlanMercy Care Plan (Arizona)Meridian Health Plan of IllinoisMeritain HealthMetLife Dental 068500226101460044511031MetroPlus Health PlanMetropolitan Health Plan (MHP)MHNet Behavioral HealthMichigan MedicaidMichigan Medicaid Pending EligibilityMichigan MI ChildMid Atlantic Medical Services, LLC (MAMSI)Minnesota MedicaidMississippi MedicaidMississippi State Employees and TeachersMissouri (MO) Health Plan (Community & State)Missouri CareMissouri MedicaidMMM of FloridaModa HealthMolina Healthcare of CaliforniaMolina Healthcare of FloridaMolina Healthcare of IdahoMolina Healthcare of IllinoisMolina Healthcare of MichiganMolina Healthcare of New MexicoMolina Healthcare of OhioMolina Healthcare of Puerto RicoConduent EDI Direct Payer List270/271 Transactions9/22/202114

Conduent EDI DirectEligibility (270/271) and Claim Status (276/277) Payer ListPayer Name - 270/271 TransactionsPayer IDMolina Healthcare of South CarolinaMolina Healthcare of TexasMolina Healthcare of UtahMolina HealthCare of WashingtonMolina Healthcare of WisconsinMontana MedicaidMontifiore CMOMORECAREMunicipal Health Benefit FundMutual Assurance AdministratorsMutual Health Services (formerly Antares 10559)Mutual of OmahaMutual of Omaha Medicare AdvantageMVP HealthcareNational Association of Letter Carriers (NALC)National Telecommunications Cooperative Association (NTCA)Nebraska MedicaidNebraska Total CareNeighborhood Health Plan (RI)Network Health Plan of WINevada MedicaidNew Era Life Insurance CompanyNew Hampshire MedicaidNew Hampshire Healthy FamiliesNew Jersey MedicaidNew Mexico Health ConnectionsNew Mexico MedicaidNew York MedicaidNGS AmericanNorth Carolina MedicaidNorth Dakota MedicaidNorthwest AdministratorsNova Healthcare AdministratorsNovaSys HealthOhanaOhio MedicaidOklahoma Employees Group Insurance DivisionOklahoma MedicaidOmniCare (Michigan)Operating Engineers Local 428 Health and WelfareOptima/SentaraOrange County Fire 50000000059410995341100284107771047710951Conduent EDI Direct Payer List270/271 Transactions9/22/202115

Conduent EDI DirectEligibility (270/271) and Claim Status (276/277) Payer ListPayer Name - 270/271 TransactionsPayer IDOregon MedicaidOregon's Health CO-OPOscarOxford Health PlansPacific Source Health PlanPacificSource AdministratorsPacificSource MedicarePacificSource Community Solutions (Medicaid)Panamerican Life Puerto RicoPan-American Life Insurance CompanyParamount HealthPartners National Health Plans of NCPartnership Health Plan of CaliforniaPatriot DentalPennsylvania Health and WellnessPenn Treaty Network America Ins Medicare SuppPennsylvania MedicaidPeople FirstPeoples HealthPekin Life InsurancePersonal Insurance Administrators (PIA)PersonalCare/Coventry Health of IllinoisPhysicians Health Plan Northern IN (PHPNI)Physicians Health Plan of MichiganPhysicians Mutual Insurance CompanyPhysicians Plus Insurance CorpPiedmont (GA)Pinnacle Claims ManagementPittman and AssociatesPlan de Salud Hospital MenonitaPlanned Administrators Inc.Preferred Care PartnersPreferred Medicare Choice (PMC) (INMEDIATA HEALTH GROUP)Preferred OnePremier HealthPrestige Health ChoicePrimeWest HealthPrincipal Financial Group (Nippon Life)Principal Financial Group (Principal Life) - Dental & VisionPriority HealthProfessional Benefits 91Conduent EDI Direct Payer List270/271 1084810965104940014410171104901024216

Conduent EDI DirectEligibility (270/271) and Claim Status (276/277) Payer ListPayer Name - 270/271 TransactionsPayer IDProminence Health Plan (PPO & HMO)Prominence Health Plan of TexasProminence Health Plan of NevadaProvidence Health PlanProvident American Life & Health Ins Co Medicare SuppProvident Preferred Network – DentalPublic Employee Benefit AuthorityPublic Employees Health Plan (PEHP)Puritan Life InsuranceQualcareQuikTrip CorporationRegence Group AdministrationReliance Standard LifeReserve National Insurance CompanyRightCare from Scott and White Health PlanRocky Mountain Health PlanRoyal Neighbors of AmericaS and S Healthcare StrategiesSamaritan Health PlansSan Joaquin Health PlanSanford Health PlanSanta Clara Family Health PlanSBLI USA Life Insurance Com A36pany, Inc.Schaller Anderson Aetna Better Health of New YorkSchaller Anderson Aetna Better Health of OHSchaller Anderson Delaware Physicians, Inc.Schaller Anderson Maryland Physicians CareSchaller Anderson Mercy CareSchaller Anderson Missouri CareSchaller Anderson Parkland Community Health PlanScott & White Health PlanSecurity Health PlanSecurian – DentalSecurian/Patriot – DentalSelect Health SCSelect Health UtahSelman & CompanySelman TricareSenior Care Action Network (SCAN) HMOSenior DimensionsSenior Health Services Center – Universal American Family of 274003501102310697Conduent EDI Direct Payer List270/271 Transactions9/22/202117

Conduent EDI DirectEligibility (270/271) and Claim Status (276/277) Payer ListPayer Name - 270/271 TransactionsPayer IDSenior Whole HealthSharp Health PlanShenandoah Life InsuranceSierra Health ServicesSignificaSilverSummit Health PlanSimply Healthcare - Long Term CareSisCo BenefitsSouth Carolina MedicaidSouth Country Health Alliance MedicaidSouth Country Health Alliance MedicareSouth Dakota MedicaidSoutheastern Indiana Health OrganizationSouthern Health Services (SHS)Special Agents Mutual Benefit AssociationSpectrum HealthSPJST Medicare SupplementStandard InsuranceStandard Insurance of New YorkStandard Life and Accident Insurance CompanyState Mutual (Lincoln Novation)State Mutual Med Supp.StaywellStaywell KidsStewart C Miller and CoStonebridge Life Insurance CompanyStudent InsuranceStudentResourcesSummaCareSummit America Insurance ServiceSummit Community CareSun Orthopaedic Group, IncSuperior Health Plan TexasSutter Health PlusSutter SelectS. USA Life Insurance Company, Inc.TennDentTennessee MedicaidTexas First Health Plan (TOPA)TexanPlus (Integranet)TexanPlus ent EDI Direct Payer List270/271 09421094318

Conduent EDI DirectEligibility (270/271) and Claim Status (276/277) Payer ListPayer Name - 270/271 TransactionsPayer IDTexanPlus North Texas AreaTexanPlusSoutheast Texas AreaTexas MedicaidTexas Medicaid LTCThe Kempton CompanyThe ULLICO Family of CompaniesThree Rivers Health PlansThriventTMG Network Health InsuranceToday’s OptionTransactRX Part DTransAmerica Admin by KBATransamerica Life Insurance CompanyTransamerica Premier Life Insurance CompanyTribute/Select Care of OklahomaTricare WestTRICARE EastTRICARE for LifeTRICARE OverseasTrillium Community Health PlanTriple S AdvantageTriple-S Salud (BCBS Puerto Rico)True Health New MexicoTrustmarkTufts Health PlanUcare of MinnesotaUltimate Health PlansUMR (Wausau)UMWA Health and Retirement FundsUnderwriters Safety and ClaimsUnicareUNICARE – DentalUnion Pacific Railroad Employees Health SystemsUnion Security Insurance Company (FBIC)United American Insurance CompanyUnited Concordia Companies, Inc.United Concordia Federal Employees ProgramUnited HealthcareUnited Healthcare - Optum Behavioral SolutionsUnited Healthcare – WestUnited Healthcare Plan River 06881050511037109461109411100Conduent EDI Direct Payer List270/271 0033519

Conduent EDI DirectEligibility (270/271) and Claim Status (276/277) Payer ListPayer Name - 270/271 TransactionsPayer IDUnited Healthcare SecureHorizonsUnited Teacher Assoc Insurance Co Medicare SuppUnitedHealthcare Community Plan – KansasUnitedHealthcare Community Plan – TNUnitedHealthcare Facets Detroit Community and StateUnitedHealthcare Facets Pittsburgh Community and StateUnitedHealthcare Nevada MarketUnited Health Group - Community PlanUnited Insurance Company of America (Kemper)Unity Health PlanUniversal AmericanUniversal Benefit CorpUniversity Care Advantage ArizonaUniversity Family CareUniversity of Arizona Health Plan-UHMUniversity of MissouriUniversity of Utah Health PlansUniversity Physicians Care Advantage (AZ)UPMC Health Plan (Tristate)USAA Life Insurance CompanyUtah MedicaidVA Fee Basis ProgramVA Health Administration CenterVA HealthcareValley Care ProgramValley Health PlanVantage Health Plan, Inc.Vermont MedicaidVillage Family PracticeVirginia MedicaidVIVA HealthVNS ChoiceVYTRAWashington MedicaidWashington NationalWEA TrustWEB- TPAWell SenseWellcare Health PlansWellPath Select (Carolinas)Health Smart Benefit Solutions (Wells Fargo TPA) 1053210814104880016410003Conduent EDI Direct Payer List270/271 Transactions9/22/202120

Conduent EDI DirectEligibility (270/271) and Claim Status (276/277) Payer ListPayer Name - 270/271 TransactionsPayer IDWest Virginia MedicaidWestern Health AdvantageWestern & Southern Financial GroupWilson McShaneWisconsin MedicaidWPS Health InsuranceWyoming MedicaidYourCare Health 11089Conduent EDI Direct Payer List270/271 Transactions9/22/202121

Conduent EDI DirectEligibility (270/271) and Claim Status (276/277) Payer ListPayer Name - 276/277 TransactionsPayer IDAARPAccess MedicareACS Benefit ServicesAdvantage by Bridgeway Health SolutionsAdvantra- (Texas, New Mexico, Arizona only)Advantra FreedomAetnaAetna Better Health (CA)Aetna Better Health (FL)Aetna Better Health (IL)Aetna Better Health (KY)Aetna Better Health (LA)Aetna Better Health (MI)Aetna Better Health (MD)Aetna Better Health (NJ)Aetna Better Health (NV)Aetna Better Health of MOAetna Better Health of PAAetna Better Health of WVAetna Long Term CareAetna Signature AdministratorsAffinity Health PlanAffinity Health Plan MedicareAFLACAFLAC - Medicare SupplementalAlabama MedicaidAllegiance Benefit Plan ManagementAlternative Insurance Resourc

Coventry Healthcare - Louisiana 00158: Coventry Healthcare - Missouri 10449 Coventry Healthcare - Nebraska 00176: Coventry HealthCare Carelink (Advantra) 00160 Coventry Healthcare National Network 10084: Coventry Iowa 00170 CoventryCares of Kentucky 10642: CoventryOne 1044

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