Clearance EDI Eligibility Payer List

Clearance EDI Eligibility Payer ListTo request a connection to a payer not on the list below, please submit a New Payer ConnectionRequest.Reference the CAQH web site for CORE Certified payers.See Legend for explanation of Payer List.Payer NameChange HealthcarePayer IDPayer-assigned Payer Connectivity AuthorizationIDType AvailableRequired1199 National Benefit Fund1199NB13162BothPortalA & I Benef it PlanAIBPL193044PortalPortalAARP36273X12NoAbsolute Total ortalPortal72467BothPortalADMIN59141X12NoAdvantage by BridgewayAdvantage by Buckeye (Bridgeway ntage by Managed Health ServicesCNTENE68069X12NoAARPACS Benef it ServicesAdministrative Services

Advantage by Superior Health PlanCNTENE68069X12NoAdministrative ConceptsADMCONE2384/22384X12NoAdvantra Aetna Better Health of FloridaABHFL128FLBothPortalAetna Better Health of Illinois - oAetna Better Health of talAetna Better Health of MarylandABHMD128MDX12NoAetna Better Health of MichiganABHMI128MIX12NoAetna Better Health of New JerseyABHNJ46320X12NoAetna Better Health of New YorkABHNY34734X12NoAetna Better Health of OhioABHOH50023PortalPortalAetna Better Health of hPortalAetna Better Health of West AETNA Long Term CareAETLTC60054X12NoAetna SSIATNSSI62118BothPortalAetna Better Health of CaliforniaAetna Better Health of KansasAetna Better Health of KentuckyAetna Better Health of TexasAetna Better Health of Virginia

Af finity Health PlanAFFINAFLAC (Dental only)13334X12NoAFLACX12NoAFLAC CommercialAFLCOMX12NoAFLAC Medicare SupplementAFLCMSX12NoAgeWell New ma Blue Cross Blue ShieldALBCSP00510BothAlabama MedicaidALCAIDBothPortalBothPortalAlaska MedicaidAKMCD1752548221AKMEDICAIDFHSCAlameda Alliance for HealthAlbuquerque Public ment Health CareALHC1CCHPCPortalPortalAll Savers Health PlanALLSAX12NoAllegiance Benefit Plan Management, IncALLBE81040X12NoAlliant Health PlansALLNT158234BothPortalAllied BenefitALBENS37308BothPortalAllWays Health lAllwell f rom Absolute Total CareCNTENE68069X12NoAllwell f rom Arkansas Health & WellnessCNTENE68069X12NoAllwell f rom Buckeye Health PlanCNTENE68069X12NoAllwell f rom Health NetCNTENE68069X12NoAllwell f rom Home State HealthCNTENE68069X12NoAllwell f rom Louisiana Healthcare ConnectionsCNTENE68069X12NoAllwell f rom Managed Health ServicesCNTENE68069X12NoAlohacare

Allwell f rom Managed Health Services HealthWisconsinCNTENE68069X12NoAllwell f rom Magnolia HealthCNTENE68069X12NoAllwell f rom PA Health & WellnessCNTENE68069X12NoAllwell f rom Peach State Health PlanCNTENE68069X12NoAllwell f rom Sunflower Health PlanCNTENE68069X12NoAllwell f rom Sunshine HealthCNTENE68069X12NoAllwell f rom Superior HealthPlanCNTENE68069X12NoAllwell f rom Western Sky Community CareCNTENE68069X12NoX12NoAlternative Insurance Resources, Inc.ATIRSAltiusALTIUSSX113X12NoAMA InsuranceAMAIA1AMAIAX12PortalAmalgamated LifeAMGMT113550PortalPortalAmbetter from Buckeye Community Health PlanCNTENE68069X12NoAmbetter from Health NetCNTENE68069X12NoAmbetter from Homestate HealthCNTENE68069X12NoAmbetter from Magnolia HealthCNTENE68069X12NoAmbetter from Managed Health ServicesCNTENE68069X12NoAmbetter from MeridianCNTENE68069X12NoAmbetter from Peach State Health PlanAmbetter from Pennsylvania Health r from Sunflower Health PlanCNTENE68069X12NoAmbetter from Sunshine HealthCNTENE68069X12NoAmbetter from Superior HealthCNTENE68069X12NoAmbetter Illinicare HealthCNTENE68069X12No

Ambetter New Hampshire Healthy FamiliesCNTENE68069X12NoAmbetter of ArkansasCNTENE68069X12NoAmbetter of TennesseeCNTENE68069X12NoAmeriben SolutionsAMERBN75137X12NoAmerican Health MedicareAMHMEDX12NoAmerican Medical Security (AMS)AMMEDS81400X12No660650587American National Insurance CompanyAmerican National Life Insurance Company ofTexasAMNIC74048X12NoANLITX10596X12NoAmerican Postal Workers UnionAMPWU44444X12NoAmerican Republic Insurance (MAP)American Retirement Life Insurance CompanyMedicare NoAmeriHealth Administrators, Inc.AMHADM54763X12NoAmeriHealth Caritas BothX12PortalNoAmeriHealth Caritas LouisianaLACAR27357BothPortalAmeriHealth Caritas New HampshireAMNHP87716X12NoAmeriHealth Caritas North CarolinaAMNCN81671X12NoAmeriHealth Caritas PennsylvaniaAMHLTH22248BothPortalAmerica's Choice Health PlansAmeriHealth Caritas District of ColumbiaAmeriHealth Caritas Florida

th New Jersey 60061BothPortalAmerihealth PA Medical Assistance PlanPAMAP1PortalPortalAmeritas Life Insurance CompanyAMRTAS00425X12NoAmida Care MedicareAMICM179966PortalPortalAnchor Benefit Consulting Inc.ANCHO153085PortalPortalAngle HealthANGLE39856X12NoAntares Management SolutionsANTAR34192X12NoAnthem rtalPortalArchbold ED UninsuredARCHBAMC5001X12NoArchbold Medical Center Health PlanARCHB99999X12NoArgus Dental and VisionARGUS1ARGUSPortalPortalArise Health Plan Medicare Select PolicyAHPMSP39158X12NoArizona Blue Cross Blue ShieldAZBCBS53589BothPortalArizona Complete HealthCNTENE68069X12NoArizona FoundationAZFND1860629899PortalPortalArizona MedicaidAZCAID866004791BothPortalAmeriHealth Caritas VIP Care MichiganAmeriHealth Caritas NortheastAmeriHealth Caritas VIP Care PACommHealthChoicesAmerihealth Delaware PPOAmerihealth Mercy Health Plan - Medicaid HMOAmerihealth New Jersey/Delaware/PennsylvaniaHMO

Arizona Physicians IPAAZPIPA03432X12NoArizona Physicians IPA Healthcare GroupAZPIPA03432X12NoArkansas Blue Cross Blue ShieldARBCBS00520X12X12Arkansas MedicaidARCAID716007869BothPortalArkansas Total CareCNTENE68069X12NoAscension CompleteCNTENE68069X12NoAspire Health PlanASPHPL46156X12NoAspirus Medicare Advantage36483X12NoASR Health BenefitsASPRSASRHLTASRHL1BothPortalAsuris NorthwestASURNH93221BothPortalAtrio Health PlansATRIO2MP ADVANTAGEPortalPortalAultCare of OhioAULTCR341488123X12NoAultra Administrative GroupALTRA1PortalPortalABUIM61108X12NoAutomated Benefit ServicesABSERV383269272BothPortalAutomated Group Administration37280PortalPortalAuxia

Aetna Better Health of Ohio ABHOH 50023 Portal Portal Aetna Better Health of Pennsylvania ABHPA 23228 Both Portal Aetna Better Health of Texas ABHTX 00364 X12 No . Cenpatico Behavioral Health - Missouri CENPAT 68068 X12 No Cenpatico Behavioral Health - New Hampshire CENPAT 68068 X12 No Cenpatico Behavior