payer mnemonics - …€¦ · medicaid-al; alabama medicaid claims status; medicaid-al alameda...
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Last Updated 1/3/2018 1
Name of Payer TRANSACTION TYPE MNEMONIC
AARP Claims Status AARP
AARP Eligibility AARP
AARP Batch Claim Status AARP-BATCH
Absolute Total Care Claims Status ABSOLUTE-TOTAL-CARE
Absolute Total Care Eligibility ABSOLUTE-TOTAL-CARE
Accountable Care Management Group Claims Status ACCOUNTABLE-CARE-MANAGEMENT-GROUP
Accountable Care Management Group Eligibility ACCOUNTABLE-CARE-MANAGEMENT-GROUP
ACS Benefit Administrators Claims Status ACS-BENEFIT-SVCS
ACS Benefit Administrators Eligibility ACS-BENEFIT-SVCS
Administrative Services Inc. Eligibility ADMIN-SERVICES-INC
Advantage by Bridgeway Health Solutions Eligibility ADVANTAGE-BRIDGEWAY
Advantage by Buckeye Community Health Plan Eligibility ADVANTAGE-BUCKEYE
Advantage by Managed Health Services Eligibility ADVANTAGE-MANAGED-HLTH-SVCS
Advantage by Superior HealthPlan Eligibility ADVANTAGE-SUPERIOR
Advantage Health Eligibility ADVANTAGE
Advantek Benefit Administrators Eligibility ADVANTEK-BENEFIT-ADMINISTRATORSAdvantra (AR, NM, TX) Medicare Eligibility COVENTRY-ADVANTRA
Advantra (AR, NM, TX) Medicare Claims Status COVENTRY-ADVANTRA
Advantra Freedom Eligibility ADVANTRA
Advantra Freedom Claims Status ADVANTRA
Aetna Admission Notification AETNA-USH
Aetna Submit Referral AETNA-USH
Aetna Eligibility AETNA-USH
Aetna Claims Status AETNA-USH
Aetna View Referral AETNA-USH
Aetna New PreCert AETNA-USH
Aetna View PreCert AETNA-USH
Aetna Batch Claims Status AETNA-BATCH
Aetna Better Health (FL) Claims Status AETNA-BH-FL
Aetna Better Health (FL) Eligibility AETNA-BH-FL
Aetna Better Health (IL) Eligibility AETNA-BETTER-HEALTH-IL
Aetna Better Health (IL) Claims Status AETNA-BETTER-HEALTH-IL
Aetna Better Health (KY) Eligibility AETNA-BETTER-HEALTH-KY
Aetna Better Health (LA) Claims Status AETNA-BETTER-HEALTH-LA
Aetna Better Health (LA) Eligibility AETNA-BETTER-HEALTH-LA
Aetna Better Health (MI) Claims Status AETNA-BETTER-HEALTH-MI
Aetna Better Health (MI) Eligibility AETNA-BETTER-HEALTH-MI
PAYER MNEMONICS
Last Updated 1/3/2018 2
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Aetna Better Health (MO) Claims Status AETNA-BETTER-HEALTH-MO
Aetna Better Health (MO) Eligibility AETNA-BETTER-HEALTH-MO
Aetna Better Health (NE) Claims Status AETNA-BETTER-HEALTH-NE
Aetna Better Health (NE) Eligibility AETNA-BETTER-HEALTH-NE
Aetna Better Health (NJ) Claims Status AETNA-BETTERHEALTH-NJ
Aetna Better Health (NJ) Eligibility AETNA-BETTERHEALTH-NJ
Aetna Better Health (NV) Claims Status AETNA-BETTER-HEALTH-NV
Aetna Better Health (NV) Eligibility AETNA-BETTER-HEALTH-NV
Aetna Better Health (NY) Eligibility AETNA-BETTER-HEALTH-NY
Aetna Better Health (NY) Claims Status AETNA-BETTER-HEALTH-NY
Aetna Better Health (PA) Eligibility AETNA-BETTER-HEALTH-PA
Aetna Better Health (PA) Claims Status AETNA-BETTER-HEALTH-PA
Aetna Better Health (TX) Eligibility AETNA-BETTER-HEALTH-TX
Aetna Better Health (TX) Claims Status AETNA-BETTER-HEALTH-TX
Aetna Better Health (TX) CHIP Claims Status AETNA-BETTER-HEALTH-TX-CHIP
Aetna Better Health (TX) CHIP Eligibility AETNA-BETTER-HEALTH-TX-CHIP
Aetna Better Health (VA) Eligibility AETNA-BETTER-HEALTH-VA
Aetna Better Health (WV) Eligibility AETNA-BETTER-HEALTH-WV
Aetna Better Health(OH) Eligibility AETNA-BETTER-HEALTH-OH
Aetna Better Health(OH) Claims Status AETNA-BETTER-HEALTH-OH
Aetna Long Term Care Claims Status AETNA-LONG-TERM
Aetna Long Term Care Eligibility AETNA-LONG-TERM
Aetna Retiree Medical Plan Eligibility AETNA-ADMIN-MCRE-SUPP
Aetna Retiree Medical Plan Claims Status AETNA-ADMIN-MCRE-SUPP
Aetna Senior Supplemental Eligibility AETNA-SENIOR-SUPP
Aetna Senior Supplemental Claims Status AETNA-SENIOR-SUPP
Affinity Health Plan Claims Status AFFINITYHP
Affinity Health Plan Eligibility AFFINITYHP
Affinity Health Plan Essential Eligibility AFFINITY-HEALTH-PLAN-ESSENTIAL
Affinity Health Plan Exchange Eligibility AFFINITY-HEALTH-PLAN-EXC
Affinity Health Plan Medicare Claims Status AFFINITYHP-MCARE
Affinity Health Plan Medicare Eligibility AFFINITYHP-MCARE
AFLAC Claims Status AFLAC
AFLAC Eligibility AFLAC
AFLAC Medicare Supplement Eligibility AFLAC-MCARE-SUPP
AFLAC Medicare Supplement Claims Status AFLAC-MCARE-SUPP
Agewell New York Eligibility AGEWELL-NEWYORK
Last Updated 1/3/2018 3
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Alabama Medicaid Eligibility MEDICAID-AL
Alabama Medicaid Claims Status MEDICAID-AL
Alameda Alliance for Health Claims Status ALAMEDA-ALLIANCE-HEALTH
Alameda Alliance for Health Eligibility ALAMEDA-ALLIANCE-HEALTH
Alaska Medicaid Eligibility MCAID-AK
Alaska Medicaid Batch Eligibility ALASKA-MEDICAID
All Savers Claims Status ALL-SAVERS
All Savers Eligibility ALL-SAVERS
Allegiance Claims Status ALLEGIANCE
Allegiance Eligibility ALLEGIANCE
Alliant Health Plans Eligibility ALLIANT-HP
Allied Benefit Systems Eligibility ALLIED-BENEFIT
Allied Benefit Systems Claims Status ALLIED-BENEFIT
Aloha Care Eligibility ALOHACARE
AltaMed Eligibility ALTAMED
Alternative Insurance Resources, Inc. Claims Status ALT-INS-RESOURCES
Alternative Insurance Resources, Inc. Eligibility ALT-INS-RESOURCES
Altius Health Plans Eligibility ALTIUS
Altius Health Plans Claims Status ALTIUS
Ambetter of AR Eligibility AMBETTER-ARKANSAS
Ambetter of Illinois Claims Status AMBETTER-IL
Ambetter of Illinois Eligibility AMBETTER-IL
Ameraplan Claims Status AMERAPLAN
Ameraplan Eligibility AMERAPLAN
AmeriBen Eligibility AMERIBEN
AmeriBen Claims Status AMERIBEN
American Family Insurance Group Claims Status AMERICAN-FAMILY
American Family Insurance Group Eligibility AMERICAN-FAMILY
American Health Medicare Eligibility AMERICAN-HEALTH
American Income Life Insurance Company Eligibility AMER-INCOME-LIFE-INS
American National Insurance Company Claims Status AMERICAN-NATL-INS-CO
American National Insurance Company Eligibility AMERICAN-NATL-INS-CO
American National Insurance Company of Texas Eligibility AMERICAN-NATL-LIFE-TX
American National Insurance Company of Texas Claims Status AMERICAN-NATL-LIFE-TX
American Network Ins. Medicare Supplement Eligibility AMERICAN-NETWORK-INS-MCARE-SUPP
American Network Ins. Medicare Supplement Claims Status AMERICAN-NETWORK-INS-MCARE-SUPP
American Postal Workers Union Eligibility AM-POSTAL-WKRS-UNION
Last Updated 1/3/2018 4
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
American Postal Workers Union Claims Status AM-POSTAL-WKRS-UNION
American Retirement Life Ins Co Medicare Supplement Claims Status AMERICAN-RET-LIFE-MCARESUPP
American Retirement Life Ins Co Medicare Supplement Eligibility AMERICAN-RET-LIFE-MCARESUPP
American Republic Insurance Company Claims Status AMERICAN-REPUBLIC
American Republic Insurance Company Eligibility AMERICAN-REPUBLIC
AmeriChoice (NJ) Eligibility AMERICHOICE
Americhoice (TN) Medicaid Eligibility UHC-RV-MD
Amerigroup Batch Claim Status AMERIGROUP-BATCH
Amerigroup Claims Status AMERIGROUP
Amerigroup Eligibility AMERIGROUP
Amerigroup Medicare Eligibility Amerigroup-Medicare
AmeriHealth Batch Claim Status AMERIHEALTH-BTCH
AmeriHealth Claims Status AMERIHEALTH
AmeriHealth Eligibility AMERIHEALTH
AmeriHealth Administrators Eligibility AmeriHealth Administrators
AmeriHealth Caritas Iowa Claims Status AMERIHEALTH-CARITAS-IA
AmeriHealth Caritas Iowa Eligibility AMERIHEALTH-CARITAS-IA
AmeriHealth Caritas Louisiana Eligibility LACARE
AmeriHealth Caritas Pennsylvania Claims Status AMERIHEALTH-MEDICAID
AmeriHealth Caritas Pennsylvania Eligibility AMERIHEALTH-MEDICAID
AmeriHealth Caritas VIP Care Plus Medicaid Eligibility AH-CARITAS-VIP-CP-MCAID
AmeriHealth Caritas VIP Care Plus Medicare Eligibility AH-CARITAS-VIP-CP
AmeriHealth DC Eligibility AMERIHEALTH-DC
Amerihealth Northeast PA Eligibility AMERIHEALTH-NE-PA
Amerihealth PA New West Eligibility AMERIHEALTH-PA-NEW-WEST
Amerihealth VIP Care Eligibility AMERIHEALTH-VIP
Ameritas Life Insurance Company Eligibility AMERITAS-LIFE
Ameritas Life Insurance Company Claims Status AMERITAS-LIFE
Amida Care Eligibility AMIDA-CARE
Anthem (CO) Batch Claim Status ANTHEM-BATCH
Anthem (CO) Claims Status ANTHEM-COLORADO
Anthem (CT) Claims Status ANTHEM-CT
Anthem (IN) Claims Status ANTHEM-INDIANA
Anthem (KY) Claims Status ANTHEM-KENTUCKY
Anthem (ME) Claims Status ANTHEM-MAINE
Anthem (NH) Claims Status ANTHEM-NEWHAMPSHIRE
Anthem (NV) Claims Status ANTHEM-NEVADA
Last Updated 1/3/2018 5
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Anthem (OH) Claims Status ANTHEM-CLAIMS-OH
Anthem (VA) Claims Status ANTHEM-VIRGINIA
Anthem Midwest (IN, KY, OH) Eligibility ANTHEM-MIDWEST
Anthem Midwest (IN, KY, OH) Eligibility ANTHEM-MIDWEST
Anthem Northeast (CT, ME, NH) Eligibility ANTHEM-NORTHEAST
Anthem Northeast (CT, ME, NH) Eligibility ANTHEM-NORTHEAST
Anthem Southeast (VA) Eligibility ANTHEM-SOUTHEAST
Anthem West (CO, NV) Eligibility ANTHEM-WEST
Apex Benefit Services Claims Status APEX-BENEFIT-SERVICES
Arise Health Plan Batch Claims Status ARISE-HLTH-PLN-BATCHArise Health Plan Medicare Select Policy Eligibility ARISE-HEALTH-PLAN-MCARE-SELECT
Arise Health Plan Medicare Select Policy Claims Status ARISE-HEALTH-PLAN-MCARE-SELECT
Arizona Medicaid Eligibility MEDICAID-AZ
Arizona Physicians IPA Medicaid Eligibility ARIZONA-PHYS-MEDICAID
Arizona Physicians IPA Medicare Eligibility ARIZONA-PHYS-MEDICARE
Arkansas Medicaid Eligibility MEDICAID-AR
Arkansas Medicaid Claims Status MEDICAID-AR
Aspire (CHOMP) Eligibility ASPIRE-CHOMP
Aspire Health Advantage Eligibility ASPIRE-HEALTH-ADVANTAGE
ASR Health Benefits Eligibility ASR
Asuris Northwest Health Eligibility ASURIS-NORTHWEST
Asuris Northwest Health Claims Status ASURIS-NORTHWEST
Aultcare Eligibility AULTCARE
Automated Benefit Services Eligibility ABS
Automated Benefit Services Claims Status ABS
Auxiant Eligibility AUXIANT
Avera Health Plans Claims Status AVERA-HEALTH-PLANS
Avera Health Plans Eligibility AVERA-HEALTH-PLANS
Avera Health Plans Eligibility AVERA-HEALTH-PLANS
AvMed Health Plans Eligibility AVMED-HEALTH
AvMed Health Plans Eligibility AVMED-HEALTH
Bankers Life and Casualty Eligibility BANKERS-LIFE
Bankers Life and Casualty Claims Status BANKERS-LIFE
Banner Health Plans Eligibility BANNER-HP
Banner Health Plans Claims Status BANNER-HP
Baptist Health Plan Eligibility BAPTIST-HEALTH-PLANBaptist Health Plan Medicare Advantage Eligibility BAPTIST-HP-ADV
Last Updated 1/3/2018 6
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
BaylorScott and White Health Plan Eligibility SCOTTWHITEHPBCBS of Central New York Eligibility BCBS-CENTRAL-NY
BCBS of South Carolina BlueChoice HealthCare Eligibility BCBS-SC-COMP
BCBS of South Carolina SC State Health Plan Eligibility BCBS-SC-SHP
BCBS of the Rochester Area (NY) Eligibility BCBS-ROCHESTER
BCBS of Utica-Watertown (NY) Eligibility BCBS-UTICA
BCBS of Western New York Eligibility BCBS-WNYBeacon Health Options/Value Options Claims Status VALUE-OPTIONSBeacon Health Options/Value Options Eligibility VALUE-OPTIONS
Beacon Health Strategies Claims Status BEACON-HEALTH
Beacon Health Strategies Eligibility BEACON-HEALTH
Benefit Administrative Systems Eligibility BENEFIT-ADMIN-SYS
Benefit Management Inc Eligibility BENEFIT-MGMT-INC
Benefit Management Inc Claims Status BENEFIT-MGMT-INC
Benovation Claims Status S-AND-S-BENOVATION
Benovation Eligibility S-AND-S-BENOVATION
Best Choice Plus - Broward Health (FL) Eligibility BEST-CHOICE-HEALTH
Best Life and Health Eligibility BEST-LIFE-HEALTH
Best Life and Health Claims Status BEST-LIFE-HEALTH
Better Health Plans of Florida Eligibility BETTER-HP-FL
Blue Benefit Administrators Eligibility BLUE-BENE-ADMIN
Blue Cross Blue Shield of Alabama Eligibility BCBS-AL
Blue Cross Blue Shield of Alabama Claims Status BCBS-AL
Blue Cross Blue Shield of Alaska (Premera) Claims Status BCBS-AK-PREMERA
Blue Cross Blue Shield of Alaska (Premera) Eligibility BCBS-AK-PREMERA
Blue Cross Blue Shield of Arizona Eligibility BCBS-AZ
Blue Cross Blue Shield of Arizona Claims Status BCBS-AZ
Blue Cross Blue Shield of Arizona Advantage Claims Status BCBS-AZ-ADVANTAGE
Blue Cross Blue Shield of Arizona Advantage Eligibility BCBS-AZ-ADVANTAGE
Blue Cross Blue Shield of Arkansas Eligibility BCBSAR
Blue Cross Blue Shield of Arkansas Claims Status BCBSAR
Blue Cross Blue Shield of Florida New PreCert BCBS-FL
Blue Cross Blue Shield of Florida Submit Referral BCBS-FL
Blue Cross Blue Shield of Florida Claims Status BCBS-FL
Blue Cross Blue Shield of Florida Eligibility BCBS-FL
Blue Cross Blue Shield of Florida Admission Notification BCBS-FL
Blue Cross Blue Shield of Florida View Referral BCBS-FL
Last Updated 1/3/2018 7
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Blue Cross Blue Shield of Georgia Eligibility BCBS-GA
Blue Cross Blue Shield of Georgia Batch Claims Status BCBS-GA-BATCH
Blue Cross Blue Shield of Georgia Claims Status BCBS-GA
Blue Cross Blue Shield of Hawaii (HMSA) Eligibility BCBS-HI
Blue Cross Blue Shield of Illinois Eligibility BCBS-IL
Blue Cross Blue Shield of Illinois Claims Status BCBS-IL
Blue Cross Blue Shield of Kansas Eligibility BCBSKS
Blue Cross Blue Shield of Kansas Claims Status BCBSKS
Blue Cross Blue Shield of Kansas City Claims Status BCBSKSC
Blue Cross Blue Shield of Kansas City Eligibility BCBSKSC
Blue Cross BlueShield of Kentucky Batch Claims Status BCBS-KY-BATCH
Blue Cross Blue Shield of Louisiana Batch Claim Status BCBS-LA-BATCH
Blue Cross Blue Shield of Louisiana Eligibility BCBS-LA
Blue Cross Blue Shield of Louisiana Eligibility BCBS-LA
Blue Cross Blue Shield of Massachusetts Claims Status BCBS-MA
Blue Cross Blue Shield of Massachusetts Eligibility BCBS-MA
Blue Cross Blue Shield of Massachusetts Inpatient Authorization BCBS-MA
Blue Cross Blue Shield of Massachusetts Outpatient Authorization BCBS-MA
Blue Cross Blue Shield of Massachusetts Referral Authorization BCBS-MA
Blue Cross Blue Shield of Massachusetts View Referral BCBS-MA
Blue Cross Blue Shield of Michigan Eligibility BCBS-MI
Blue Cross Blue Shield of Minnesota Claims Status BCBS-MN
Blue Cross Blue Shield of Minnesota Eligibility BCBS-MN
Blue Cross Blue Shield of Mississippi Claims Status BCBS-MS
Blue Cross Blue Shield of Mississippi Eligibility BCBS-MS
Blue Cross Blue Shield of Missouri Eligibility BCBSMO
Blue Cross Blue Shield of Missouri Claims Status BCBSMO
Blue Cross Blue Shield of Montana Eligibility BCBS-MT
Blue Cross Blue Shield of Montana Claims Status BCBS-MT
Blue Cross Blue Shield of Nebraska Eligibility BCBSNE_ELIG
Blue Cross Blue Shield of Nebraska Claims Status BCBSNE_ELIG
Blue Cross Blue Shield of New Mexico Eligibility BCBS-NM
Blue Cross Blue Shield of New Mexico Claims Status BCBS-NM
Blue Cross Blue Shield of North Carolina Eligibility BCBS-NC
Blue Cross Blue Shield of North Carolina Claims Status BCBS-NC
Blue Cross Blue Shield of North Dakota Eligibility BCBS-ND
Blue Cross Blue Shield of Oklahoma Eligibility BCBS-OK
Last Updated 1/3/2018 8
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Blue Cross Blue Shield of Oklahoma Claims Status BCBS-OK
Blue Cross Blue Shield of Rhode Island Eligibility BCBS-RI
Blue Cross Blue Shield of South Carolina Eligibility BCBS-SC
Blue Cross Blue Shield of South Carolina Claims Status BCBS-SC
Blue Cross Blue Shield of Tennessee Claims Status BCBS-TN
Blue Cross Blue Shield of Tennessee BlueCare Eligibility BCBS-TN-BC
Blue Cross Blue Shield of Tennessee Commercial Eligibility BCBS-TN-COMM
Blue Cross Blue Shield of Tennessee TennCare Select Eligibility BCBS-TN-TS
Blue Cross Blue Shield of Texas Claims Status BCBS-TX
Blue Cross Blue Shield of Texas Eligibility BCBS-TX
Blue Cross Blue Shield of Texas Medicaid STAR/CHIP Claims Status BCBS-TX-MCAID
Blue Cross Blue Shield of Texas Medicaid STAR/CHIP Eligibility BCBS-TX-MCAID
Blue Cross Blue Shield of Vermont Eligibility BCBS-VT
Blue Cross Blue Shield of Wisconsin Eligibility BCBSWI
Blue Cross Blue Shield of Wisconsin Claims Status BCBSWI
Blue Cross Blue Shield of Wisconsin Batch Claim Status BCBS-OF-WISCONSIN-BATCH
Blue Cross Blue Shield of Wyoming Eligibility BCBS-WY
Blue Cross Community Options Claims Status BC-COMM-OPTIONS
Blue Cross Community Options Medicaid Eligibility BC-COMM-OPTIONS
Blue Cross Community Options Medicare Eligibility BC-COMM-OPT-MCARE
Blue Cross Medicare Advantage Claims Status BC-MCARE-ADV
Blue Cross Medicare Advantage Eligibility BC-MCARE-ADV
Blue Cross of California Batch Claim Status BC-CA-BATCH
Blue Cross of California Eligibility BC-CA
Blue Cross of California Claims Status BC-CA
Blue Cross of Idaho Claims Status BC-ID
Blue Cross of Idaho Eligibility BC-ID
Blue Cross of Northeast Pennsylvania Eligibility BC-NE-PA
Blue Shield of California Batch Claim Status BSCA-BATCH
Blue Shield of California Claims Status BSCA-DIRECT
Blue Shield of California Eligibility BSCA-DIRECT
Blue Shield of California Eligibility BSCA-DIRECT
Blue Shield of Northeastern New York Eligibility BS-NE-NY
Bluegrass Family Health Eligibility BLUEG
Boon Group Claims Status BOON-GROUP
Boon Group Eligibility BOON-GROUP
Boon-Chapman Eligibility RECALL-BOON-CHAPMAN
Last Updated 1/3/2018 9
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Boon-Chapman Claims Status RECALL-BOON-CHAPMAN
Boston Medical Center Healthnet Batch Claim Status BMCHN-BATCH
Boston Medical Center Healthnet Eligibility BMCHN
Bravo Health Eligibility BRAVO-HEALTH
Bravo Health Claims Status BRAVO-HEALTH
Bridgespan Health Eligibility BRIDGESPAN-HEALTH
Bridgespan Health Claims Status BRIDGESPAN-HEALTH
Bridgestone Americas Inc Eligibility BRIDGESTONE-AMERICAS
Bridgestone Americas Inc Claims Status BRIDGESTONE-AMERICAS
Bridgeway Arizona Claims Status BRIDGEWAY-AZ
Bridgeway Arizona Eligibility BRIDGEWAY-AZ
Buckeye Claims Status BUCKEYE
Buckeye Eligibility BUCKEYE
Butler Benefit Services, Inc. Eligibility BUTLER
C and O Employees Hospital Association Claims Status CO-EMP-HOSP-ASSOC
C and O Employees Hospital Association Eligibility CO-EMP-HOSP-ASSOC
California Childrens Services Eligibility CCS
California Health and Wellness Claims Status CA-HEALTH-WELLNESS
California Health and Wellness Eligibility CA-HEALTH-WELLNESS
CalOptima Eligibility CALOPTIMA
Capital BlueCross Eligibility CAPITAL-BC
Capital BlueCross Claims Status CAPITAL-BC
Capital District Physicians Health Eligibility CAPITAL-DISTRICT-COMM
Capital District Physicians Health Medicare Eligibility CAPITAL-DISTRICT-MEDICARE
Capitol Administrators Claims Status CAPITAL-ADMINISTRATORS
Capitol Administrators Eligibility CAPITOL-ADMINISTRATORS
Caprock HealthPlans Eligibility CAPROCK-HP
Care Improvement Plus Claims Status CARE-IMPROVEMENT-PLUS
Care Improvement Plus Eligibility CARE-IMPROVEMENT-PLUS
Care Management Company (CMO) Claims Status CARE-MANAGEMENT-CMO
Care Management Company (CMO) Eligibility CARE-MANAGEMENT-CMO
Care1st Health Plan Arizona Claims Status CARE1ST-HP-AZ
Care1st Health Plan Arizona Eligibility CARE1ST-HP-AZ
Care1st of California Eligibility CARE1ST-CA
CareFirst BCBS Claims Status CAREFIRST-BCBS
CareFirst BCBS Eligibility CAREFIRST-BCBS
CareMore Eligibility CAREMORE
Last Updated 1/3/2018 10
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
CareOregon Eligibility CAREOREGON
CarePlus Health Plan Eligibility CAREPLUS-HP
CarePlus Health Plan Claims Status CAREPLUS-HP
CarePoint Medicare Advantage Eligibility CAREPOINT-MEDICARE-ADVANTAGE
CareSource Health Eligibility CARESOURCE-HEALTH
CareSource Health Claims Status CARESOURCE-HEALTH
CareSource Indiana Eligibility CARESOURCE-IN
CareSource Kentucky Batch Claim Status CARESOURCE-KY-BATCH
CDS Group Health Eligibility CDS-GROUP-HEALTH
CDS Group Health Claims Status CDS-GROUP-HEALTH
Celticare Claims Status CELTICARE
Celticare Eligibility CELTICARE
Cencal Health Plan Eligibility CENCAL-HEALTHPLAN
Cenpatico Claims Status CENPATICO
Cenpatico Eligibility CENPATICO
Cenpatico (AZ) Claims Status CENPATICO-AZ
Cenpatico (AZ) Eligibility CENPATICO-AZ
Cenpatico (FL) Claims Status CENPATICO-FL
Cenpatico (FL) Eligibility CENPATICO-FL
Cenpatico (GA) Claims Status CENPATICO-GA
Cenpatico (GA) Eligibility CENPATICO-GA
Cenpatico (IL) Claims Status CENPATICO-IL
Cenpatico (IL) Eligibility CENPATICO-IL
Cenpatico (IN) Claims Status CENPATICO-IN
Cenpatico (IN) Eligibility CENPATICO-IN
Cenpatico (KS) Claims Status CENPATICO-KS
Cenpatico (KS) Eligibility CENPATICO-KS
Cenpatico (KY) Claims Status CENPATICO-KY
Cenpatico (KY) Eligibility CENPATICO-KY
Cenpatico (MA) Claims Status CENPATICO-MA
Cenpatico (MA) Eligibility CENPATICO-MA
Cenpatico (MO) Claims Status CENPATICO-MO
Cenpatico (MO) Eligibility CENPATICO-MO
Cenpatico (MS) Claims Status CENPATICO-MS
Cenpatico (MS) Eligibility CENPATICO-MS
Cenpatico (OH) Claims Status CENPATICO-OH
Cenpatico (OH) Eligibility CENPATICO-OH
Last Updated 1/3/2018 11
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Cenpatico (SC) Claims Status CENPATICO-SC
Cenpatico (TX) (IMHS) Claims Status CENPATICO-TX-IMHS
Cenpatico (TX) (IMHS) Eligibility CENPATICO-TX-IMHS
Cenpatico (WI) Claims Status CENPATICO-WI
Cenpatico (WI) Eligibility CENPATICO-WI
Cenpatico(SC) Eligibility CENPATICO-SC
Centerlight Healthcare Eligibility CENTERLIGHT-HEALTHCARECentral California Alliance Health Claims Status CENTRAL-CA-ALLIANCE
Central California Alliance Health Eligibility CENTRAL-CA-ALLIANCE
Central Health MC Eligibility CENTRAL-HEALTH-MC
Central Health MC Claims Status CENTRAL-HEALTH-MC
Central Reserve Life Insurance Co. Medicare Supplement Claims Status CENTRAL-RESERVE-LIFE-MCARECentral Reserve Life Insurance Co. Medicare Supplement Eligibility CENTRAL-RESERVE-LIFE-MCARECentral Senior Care Claims Status CENTRAL-SENIOR-CARE
Central Senior Care Eligibility CENTRAL-SENIOR-CARE
Central States Fund Eligibility CENTRAL-STATES
Central States Fund Claims Status CENTRAL-STATES
Cerner Health Plan Claims Status CERNER-HEALTH-PLAN
Cerner Health Plan Eligibility CERNER-HEALTH-PLAN
CHAMPVA Eligibility CHAMPVA
CHAMPVA Claims Status CHAMPVA
CHC Carelink Eligibility COVENTRY-CARELINK
CHC Carelink Claims Status COVENTRY-CARELINK
CHC Carelink Medicaid Eligibility COVENTRY-CARELINK-MEDICAID
CHC Carenet Eligibility COVENTRY-CARENET
CHC Carenet Claims Status COVENTRY-CARENET
CHC Direct Provider Eligibility CHC-DIRECT-PROVIDER
CHC Group Health Plan Eligibility COVENTRY-GHP
CHC Group Health Plan Claims Status COVENTRY-GHP
CHC of Delaware Eligibility COVENTRY-DELAWARE
CHC of Delaware Claims Status COVENTRY-DELAWARE
CHC of Georgia Eligibility COVENTRY-GA
CHC of Georgia Claims Status COVENTRY-GA
CHC of Iowa Eligibility COVENTRY-IOWA
CHC of Iowa Claims Status COVENTRY-IOWA
CHC of Kansas City Eligibility COVENTRY-KANSAS-CITY
CHC of Kansas City Claims Status COVENTRY-KANSAS-CITY
Last Updated 1/3/2018 12
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
CHC of Kansas, Wichita Claims Status COVENTRY-KANSAS-WICHITA
CHC of Louisiana Eligibility COVENTRY-LA
CHC of Louisiana Claims Status COVENTRY-LA
CHC of Nebraska Eligibility COVENTRY-NEBRASKA
CHC of Nebraska Claims Status COVENTRY-NEBRASKA
CHC Southern Health Services Claims Status COVENTRY-SHS
CHC Southern Health Services Eligibility COVENTRY-SHS
CHCCares of South Carolina Eligibility CHCCARES-SC
CHCCares of South Carolina Claims Status CHCCARES-SC
CHF Medicare Advantage Eligibility CHF-MEDICARE-AD
Children's Mercy PCN Eligibility FHP-CHILDRENS
CHP Direct Eligibility CHP-DIRECT
Christian Brothers Services Eligibility CHRISTIAN-BROTHERS
Christian Brothers Services Claims Status CHRISTIAN-BROTHERS
Christie Student Health Plans Claims Status CHRISTIE-STUDENT
Christie Student Health Plans Eligibility CHRISTIE-STUDENT
CHRISTUS Health Plan Eligibility CHRISTUS-HP
CHRISTUS Health Plan Claims Status CHRISTUS-HP
CHRISTUS Health Plan New Mexico Health Insurance Exchange Claims Status CHRISTUS-EXCHANGE-NM
CHRISTUS Health Plan New Mexico Health Insurance Exchange Eligibility CHRISTUS-EXCHANGE-NM
CHRISTUS Health Plan New Mexico Medicare Advantage Claims Status CHRISTUS-NM-MCARE
CHRISTUS Health Plan New Mexico Medicare Advantage Eligibility CHRISTUS-NM-MCARE
CIGNA Batch Claim Status CIGNA-BTCH
CIGNA New PreCert CIGNA-HCIN
CIGNA Submit Referral CIGNA-HCIN
CIGNA Claims Status CIGNA-HCIN
CIGNA Eligibility CIGNA-HCIN
Cigna Batch View Referral CIGNA-BTCH
CMFG Life Insurance Eligibility CMFG-LIFE-INSURANCE
CMFG Life Insurance Claims Status CMFG-LIFE-INSURANCE
Colonial Penn Eligibility COLONIAL-PENN
Colonial Penn Claims Status COLONIAL-PENN
Colorado Access Claims Status COLORADO-ACCESS
Colorado Access Eligibility COLORADO-ACCESS
Colorado Medicaid Eligibility MEDICAID-CO
Colorado Medicaid Claims Status MEDICAID-CO
Common Ground Claims Status COMMONGROUND
Last Updated 1/3/2018 13
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Common Ground Eligibility COMMONGROUND
Commonwealth Care Alliance Eligibility COMMONWEALTH-CARE-ALLIANCE
Community Care Alliance of Illinois Claims Status CMTY-CARE-ALLIANCE-IL
Community Care Alliance of Illinois Eligibility CMTY-CARE-ALLIANCE-IL
Community Care of Oklahoma Claims Status COMM-CARE-OK-COMMERCIAL
Community Care of Oklahoma Eligibility COMM-CARE-OK-COMMERCIAL
Community Care of Oklahoma Medicare Eligibility COMM-CARE-OK-MEDICARE
Community First Health Plans Eligibility COMMUNITY-FIRST-HP
Community First Health Plans Claims Status COMMUNITY-FIRST-HP
Community Health Alliance Eligibility COMM-HEALTH-ALLIANCE
Community Health Choice Eligibility COMMUNITY-HEALTH-CHOICE
Community Health Group Medicaid Claims Status COMMHEALTHGROUP-MEDICAID
Community Health Group Medicaid Eligibility COMMHEALTHGROUP-MEDICAID
Community Health Plan of Washington Claims Status Comm-HP-WA
Community Health Plan of Washington Eligibility Comm-HP-WA
Community Health Plan of Washington Batch Claim Status COMM-HP-WA-BATCH
Community Health Plan Services Eligibility COMM-HP-SERV
Concentrix Insurance Solutions Eligibility IBM-INS-OUTSOURCING
Concentrix Insurance Solutions Claims Status IBM-INS-OUTSOURCING
ConnectiCare Eligibility CONNECTICARE
ConnectiCare Medicare Eligibility CONNETICARE-MCARE
Connecticut Medicaid Eligibility MEDICAID-CT
Consolidated Associates Railroad Eligibility CONSOLIDATED-ASSOC-RR
Consolidated Health Plan Eligibility CONSOLIDATED-HP
Constellation Heatlh (Inmediata Health Group Corp) Eligibility CONSTELLATION-HEALTH
Consumer Mutual of Michigan Eligibility CONSUMER-MUTUAL-MI
Consumers Choice Eligibility CONSUMERS-CHOICE
Consumers Life Eligibility CONSUMERS-LIFE
Continental General Insurance Company Eligibility CONTINENTAL-GENERAL
Continental General Insurance Company Claims Status CONTINENTAL-GENERAL
Cooks Children's Health Plan Eligibility CCHP
Cooperative Benefit Administrators Eligibility COOP-BENEFIT-ADMIN
Cooperative Benefit Administrators Claims Status COOP-BENEFIT-ADMIN
Coordinated Care Claims Status COORDINATED-CARE
Coordinated Care Eligibility COORDINATED-CARE
CoreSource (AR, AZ IL, IN, MD, MN, NC, OH, PA) Claims Status CORESOURCE-MD-PA-IL
CoreSource (AR, AZ IL, IN, MD, MN, NC, OH, PA) Eligibility CORESOURCE-MD-PA-IL
Last Updated 1/3/2018 14
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
CoreSource (Little Rock) Eligibility CORESOURCE-LITTLEROCK
CoreSource (Little Rock) Claims Status CORESOURCE-LITTLEROCK
CoreSource (OH) Claims Status CORESOURCE-OH
CoreSource (OH) Eligibility CORESOURCE-OH
CoreSource Kansas (FMH) Claims Status CORESOURCE-FMH
CoreSource Kansas (FMH) Eligibility CORESOURCE-FMH
Corporate Benefit Service Claims Status CORPORATE-BENEFIT
Corporate Benefit Service Eligibility CORPORATE-BENEFIT
Country Life Insurance Company Eligibility country-life-insurance
County Medical Services Eligibility COUNTY-MEDICAL
CountyCare Claims Status COUNTYCARE
CountyCare Eligibility COUNTYCARE
CountyCare Behavioral Health Eligibility COUNTY-CARE-BEHAVIORAL
CountyCare Behavioral Health Claims Status COUNTY-CARE-BEHAVIORAL
Covenant Administrators Eligibility COVENANT-ADMINISTRATORS
Covenant Administrators Claims Status COVENANT-ADMINISTRATORS
Coventry Advantra Savings Eligibility COVENTRY-ADVANTRA-SAVINGS
Coventry Advantra Savings Claims Status COVENTRY-ADVANTRA-SAVINGS
Coventry Health and Life Nevada Eligibility COVENTRY-NV
Coventry Health and Life Nevada Claims Status COVENTRY-NV
Coventry Health and Life Oklahoma Eligibility COVENTRY-OK
Coventry Health and Life Oklahoma Claims Status COVENTRY-OK
Coventry Health and Life-TN Eligibility COVENTRY-TN
Coventry Health and Life-TN Claims Status COVENTRY-TN
Coventry Health Care Batch Claim Status COVENTRY-BATCH
Coventry Health Care Federal Eligibility COVENTRY-FEDERAL
Coventry Health Care Federal Claims Status COVENTRY-FEDERAL
Coventry Healthcare National Eligibility FIRST-HEALTH
Coventry Healthcare National Claims Status FIRST-HEALTH
CoventryCares Medicaid Eligibility COVENTRY-CARES
CoventryCares Medicaid Claims Status COVENTRY-CARES
CoventryCares of Kentucky Eligibility COVENTRYCARES-KY
CoventryCares of Kentucky Claims Status COVENTRYCARES-KY
CoventryOne Eligibility COVENTRY-ONE
CoventryOne Claims Status COVENTRY-ONE
Cox Health Plans Eligibility COX-HP
Crystal Run Health Plans Eligibility CRYSTALRUNHP
Last Updated 1/3/2018 15
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
CSA Fraternal Life Medicare Supplement Eligibility CSA-FRATERNAL-MCARESUPP
CSA Fraternal Life Medicare Supplement Claims Status CSA-FRATERNAL-MCARESUPP
Culinary Health Fund UNITE HERE Health Eligibility CULINARY-HEALTH-FUND
Custom Design Benefits Eligibility CUSTOM-DESIGN-BENEFITS
Cypress Eligibility CYPRESS
DakotaCare Eligibility DAKOTACARE
DakotaCare Eligibility DAKOTACARE
Dean Health Plan Eligibility DEAN-HEALTH
Dean Health Plan Claims Status DEAN-HEALTH
Dean Health Plan Medicaid Eligibility DEAN-HEALTH-MEDICAID
Delaware Medicaid Eligibility MEDICAID-DE
Delta Dental of California Eligibility DELTA-DENTAL-CA
Delta Health Systems Eligibility DELTA-HEALTH
Denver Health Medical Plan Eligibility DENVER-COMM
Denver Health Medical Plan Medicaid Eligibility DENVER-HLTH-MP-MCAID
Denver Health Medical Plan Medicare Eligibility DENVER-MEDICARE
Deseret Mutual Eligibility DESERET-MUTUAL
Diamond Plan Eligibility COVENTRY-DIAMOND
Diamond Plan Claims Status COVENTRY-DIAMOND
Directors Guild Eligibility DIRECTORS-GUILD
District 9 IAM and AW Welfare Trust Claims Status DISTRICT9
District 9 IAM and AW Welfare Trust Eligibility DISTRICT9
District of Columbia Medicaid Eligibility DCMED
Driscoll Health Plan Eligibility DRISCOLL-HP
ElderPlan Eligibility ELDERPLAN
Emblem Health Claims Status EMBLEM-HEALTH
Emblem Health Eligibility EMBLEM-HEALTH
EMI Health Eligibility EMI-HEALTH
Empire Blue Cross Blue Shield Eligibility BCBS-EMPIRE
Empire Blue Cross Blue Shield Claims Status BCBS-EMPIRE
Employee Benefit Management Services Claims Status EMPLOYEE-BENEFIT-MS
Employee Benefit Management Services Eligibility EMPLOYEE-BENEFIT-MS
Employee Benefit Systems Eligibility EMP-BEN-SYS
Employee Benefits Administration (EBA) Eligibility EMPLOYEE-BENEFITS-ADMINISTRATION
Employment Benefit Plan Administrators Eligibility EMPLOYEE-BENEFITS-PLAN-ADMIN
EPIC Life Insurance Eligibility EPIC-LIFE-INS
EPSI, inc. Eligibility EPSI-INC
Last Updated 1/3/2018 16
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Equifax Address Verification Equifax
Equifax Credit Report Equifax
Equifax I.D. Report Equifax
Equifax Address Verification - Secure SSN Equifax
Equitable Life and Casualty Eligibility EQUITABLE
Essence Healthcare Eligibility ESSENCE-HC
Essence Healthcare Claims Status ESSENCE-HC
Everence Financial Eligibility EVERENCE-FINANCIAL
Evergreen Health Eligibility EVERGREEN-HLTH
Excellus BCBS Eligibility EXCELLUS-BCBS
Excellus BCBS Batch Claim Status EXCELLUS-BCBS-BATCH
Experian Address Verification EXPERIAN
Experian Address Verification - Secure SSN EXPERIAN
Expert Benefit Solutions Claims Status EXPERT-BENEFIT-SOLUTIONS
Expert Benefit Solutions Eligibility EXPERT-BENEFIT-SOLUTIONS
Fallon Community Health Plan Eligibility FALLON
Family Health Network Claims Status FHNETWORK
FamilyCare Eligibility FAMILYCARE
FCE Benefit Administrators Eligibility FCE-BENEFIT-ADMIN
Federated Insurance Company Claims Status FEDERATED-INSURANCE
Federated Insurance Company Eligibility FEDERATED-INSURANCE
Fidelis Care Batch Claims Status FIDELIS-CARE-BATCHFidelis Care Eligibility FIDELIS-CARE
Fidelis Care Medicare Eligibility FIDELIS-CARE-MCAR
Fidelis SecureCare of Michigan Claims Status FIDELIS-SECURECARE-MI
Fidelis SecureCare of Michigan Eligibility FIDELIS-SECURECARE-MI
Fidelity Security Life Insurance Company Eligibility FIDELITY-SECURITY-LIFE
First Administrators Eligibility FIRST-ADMINISTRATORS
First Ameritas of New York Eligibility FIRST-AMERITAS-NY
First Ameritas of New York Claims Status FIRST-AMERITAS-NY
First Choice Health Eligibility FIRSTCHOICE_HEALTH
First Choice Health Batch Claims Status FIRSTCHOICE-HEALTH-BATCH
First Choice VIP Care Plus Medicaid Eligibility FIRST-CHOICE-VIP-MCAID
First Choice VIP Care Plus Medicare Eligibility FIRST-CHOICE-VIP-MCARE
First Medical Network Eligibility FIRST-MEDICAL-NETWORK
First Reliance Standard Life Eligibility FIRST-RELIANCE-STANDARD
First Reliance Standard Life Claims Status FIRST-RELIANCE-STANDARD
Last Updated 1/3/2018 17
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
First United American Insurance Company Claims Status FIRST-UNITED-AMER
First United American Insurance Company Eligibility FIRST-UNITED-AMER
FirstCare Claims Status FIRSTCARE
FirstCare Eligibility FIRSTCARE
FirstCare Eligibility FIRSTCARE
Florida Health Care Plans Eligibility FLORIDA-HEALTH-CARE-PLANS
Florida Medicaid Eligibility MEDICAID-FL
Florida Medicaid Claims Status MEDICAID-FL
Florida True Health Eligibility FLORIDA-TRUE-HEALTH
Food, Bakery, Confection Workers Fund of So Cal Claims Status FOOD-BAKERY-FUND-SOCAL
Food, Bakery, Confection Workers Fund of So Cal Eligibility FOOD-BAKERY-FUND-SOCAL
Fox/Everett Eligibility FOX-EVERETT
Freedom Health Eligibility FREEDOM-HEALTH
Fresenius Health Partners Eligibility FRESENIUS-HP
Gateway Health Plan Eligibility GATEWAY-HEALTH-PLAN
GEHA Eligibility GEHA
GEHA Claims Status GEHA
Geisinger Health Plan Eligibility GEISINGER
Geisinger Health Plan Gold Eligibility GEISINGER-GOLD
Georgia Medicaid Eligibility MEDICAID-GA
Georgia Medicaid Claims Status MEDICAID-GA
Georgia Medicaid Batch Eligibility MEDICAID-GA-BATCHGilsbar Eligibility GILSBAR
Gilsbar Claims Status GILSBAR
Global Health Eligibility GLOBAL-HEALTH
Globe Life and Accident Insurance Company Claims Status GLOBE-LIFE-ACCIDENT
Globe Life and Accident Insurance Company Eligibility GLOBE-LIFE-ACCIDENT
Gold Coast Eligibility GOLD-COAST
Golden Rule Claims Status GOLDEN-RULE
Golden Rule Eligibility GOLDEN-RULE
Granite State Health Plan Claims Status GRANITE-STATE
Granite State Health Plan Eligibility GRANITE-STATE
Great American Life Ins Co Medicare Supplement Eligibility GREAT-AMERICAN-INSURANCE-MCARESUPP
Great American Life Ins Co Medicare Supplement Claims Status GREAT-AMERICAN-INSURANCE-MCARESUPP
Greek Catholic Union Eligibility GREEK-CATHOLIC
Group Administrators Eligibility GROUP-ADMINISTRATORSGroup and Pension Eligibility RECALL-GROUP-PENSION
Last Updated 1/3/2018 18
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Group and Pension Claims Status RECALL-GROUP-PENSION
Group Health Cooperative (ID,WA) Batch Claim Status GRP-HLTH-COOP-BATCH
Group Health Cooperative Eau Claire Eligibility GRP-HLTH-COOP-EAU-CLAIRE
Group Practice Affiliates Eligibility GROUP-PRACTICE-AFFILIATES
GroupHealth Eligibility GROUP-HEALTH
GroupLink Eligibility GroupLink
Gundersen Health Plan Eligibility GUNDERSEN
Gundersen Health Plan Medicaid Eligibility GUNDERSEN-MEDICAID
Gundersen Health Plan Medicare Eligibility GUNDERSEN-MEDICARE
Harken Health Claims Status HARKEN
Harken Health Eligibility HARKEN
Harmony Health Plan - Medicaid Eligibility HARMONY-HEALTH-MEDICAID
Harmony Health Plan - Medicaid Claims Status HARMONY-HEALTH-MEDICAID
Harmony Health Plan - Medicare Eligibility HARMONY-HP-MCARE
Harmony Health Plan - Medicare Claims Status HARMONY-HP-MCARE
Harvard Pilgrim Eligibility HARVARD-PILGRIM
Harvard Pilgrim Claims Status HARVARD-PILGRIM
Harvard Pilgrim Stride Eligibility HARVARD-PILGRIM-STRIDE
Hawaii Mainland Eligibility HAWAII-MAINLAND-ADMIN
Hawaii Medicaid Eligibility MEDICAID-HI
Hawaii Medical Assurance Association Eligibility HAWAII-MEDICAL-ASSUR-ASSOC
Hawaii Medical Service Association (BCBS of Hawaii) Eligibility HAWAII-BCBS
Health Alliance Medical Plan (IL) Eligibility HAMP-IL
Health Alliance Medical Plan (IL) Claims Status HAMP-IL
Health Alliance Plan Eligibility HEALTH-ALLIANCE
Health America/Health Assurance Eligibility COVENTRY-HAHA
Health America/Health Assurance Claims Status COVENTRY-HAHA
Health Choice Arizona Claims Status HEALTH-CHOICE-AZ
Health Choice Arizona Eligibility HEALTH-CHOICE-AZ
Health Choice Insurance Company Eligibility HEALTH-CHOICE-INS-CO
Health Choice Oklahoma Eligibility HEALTH-CHOICE-OK
Health Cost Solutions Claims Status HEALTH-COST-SOLUTIONS
Health Cost Solutions Eligibility HEALTH-COST-SOLUTIONS
Health Design Plus Eligibility HEALTH-DESIGN-PLUS
Health First Health Plans Eligibility HEALTHFIRST-FL
Health First Health Plans Claims Status HEALTHFIRST-FL
Health First Insuance Inc. Eligibility HEALTH-FIRST-INS-INC
Last Updated 1/3/2018 19
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Health Net Medi-Cal Eligibility HEALTHNET-MEDICAL
Health Net National Batch Claim Status HNETNATLCOMM-BTCH
Health Net National Claims Status HNETNATLCOMM
Health Net National Eligibility HNETNATLCOMM
Health Net National Medicaid Eligibility HNETNATLMDCD
Health Net National Medicaid Claims Status HNETNATLMDCD
Health Net of Arizona Claims Status HEALTHNET-AZ
Health Net of Arizona Eligibility HEALTHNET-AZ
Health Net of the Northeast Eligibility HEALTH-NET-NORTH-EAST
Health New England Eligibility HEALTHNE
Health Partners Claims Status HLTH-PRTNR-BATCH
Health Partners of Minnesota Commercial Eligibility HEALTHPARTNERS-MN
Health Partners of Minnesota Medicaid Eligibility HEALTHPARTNERS-MN-MD
Health Partners of Minnesota Medicare Eligibility HEALTHPARTNERS-MN-MC
Health Partners of Philadelphia Claims Status HEALTH-PARTNERS-PHILADELPHIA
Health Partners of Philadelphia Eligibility HEALTH-PARTNERS-PHILADELPHIA
Health Plan of Nevada Eligibility HEALTH-PLAN-NV
Health Plan of San Joaquin Eligibility HEALTH-PLAN-SAN-JOAQUIN
Health Plan of San Mateo Eligibility HPSANMATEO
Health Plan of the Upper Ohio Valley Eligibility HEALTH-PLAN-UOV
Health Plan of the Upper Ohio Valley Medicaid Eligibility HEALTH-PLAN-UOV-CAID
Health Plan of the Upper Ohio Valley Medicare Eligibility HEALTH-PLAN-UOV-CARE
Health Services for Children with Special Needs Eligibility HEALTH-SVC-CHILDREN-SPEC-NEEDS
Health Services for Children with Special Needs Claims Status HEALTH-SVC-CHILDREN-SPEC-NEEDS
Health Share of Oregon Eligibility HEALTH-SHARE-OREGON
Healthcare Highways Claims Status HEALTHCARE-HIGHWAYS
Healthcare Highways Eligibility HEALTHCARE-HIGHWAYS
HealthCare Inc. Claims Status COVENTRY-HEALTHCARE-INC
HealthCare Inc. Eligibility COVENTRY-HEALTHCARE-INC
Healthcare Management Administrators Claims Status HC-MGMT
Healthcare Management Administrators Eligibility HC-MGMT
Healthcare USA (MO) Eligibility COVENTRY-HEALTH-CARE-USA
Healthcare USA (MO) Claims Status COVENTRY-HEALTH-CARE-USA
HealthComp Administrators Claims Status HEALTHCOMP
HealthEase Kids Medicaid Eligibility HEALTHEASE-KIDS-MEDICAID
HealthEase Kids Medicaid Claims Status HEALTHEASE-KIDS-MEDICAID
HealthEase Medicaid Claims Status HEALTHEASE-MEDICAID
Last Updated 1/3/2018 20
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
HealthEase Medicaid Eligibility HEALTHEASE-MEDICAID
HealthEdge Administrators Claims Status HEALTHEDGE-ADMINS
HealthEdge Administrators Eligibility HEALTHEDGE-ADMINS
HealthEZ Eligibility HEALTHEZ
Healthfirst of New Jersey Medicaid Eligibility HEALTHFIRST-NEW-JERSEY-MEDICAID
Healthfirst of New Jersey Medicaid Claims Status HEALTHFIRST-NEW-JERSEY-MEDICAID
Healthfirst of New Jersey Medicare Claims Status HEALTHFIRST-NEW-JERSEY-MEDICARE
Healthfirst of New Jersey Medicare Eligibility HEALTHFIRST-NEW-JERSEY-MEDICARE
Healthfirst of New York Eligibility HEALTHFIRST-NEW-YORK
Healthfirst of New York Claims Status HEALTHFIRST-NEW-YORK
Healthfirst of New York Medicaid Claims Status HEALTHFIRST-NEW-YORK-MD
Healthfirst of New York Medicaid Eligibility HEALTHFIRST-NEW-YORK-MD
Healthfirst of New York Medicare Eligibility HEALTHFIRST-NEW-YORK-MR
Healthfirst of New York Medicare Claims Status HEALTHFIRST-NEW-YORK-MR
Healthgram Eligibility HEALTHGRAM
HealthLink HMO Claims Status HEALTHLINK-HMO
HealthMarkets - TALIC Eligibility TRANS-AMERICAN-LIFE
HealthMarkets - TALIC Claims Status TRANS-AMERICAN-LIFE
HealthNow Eligibility HEALTH-NOW
HealthPlus of Michigan Eligibility HEALTHPLUS-MI
HealthPlus of Michigan Medicaid Eligibility HEALTHPLUS-MI-MD
HealthPlus of Michigan Medicare Eligibility HEALTHPLUS-MI-MCAR
HealthSCOPE Eligibility HEALTHSCOPE
HealthSmart Claims Status HEALTH_SMART
HealthSmart Eligibility HEALTH_SMART
HealthSmart Benefit Solutions Oklahoma City Claims Status HSBS-OKC
HealthSmart Benefit Solutions Oklahoma City Eligibility HSBS-OKC
HealthSmart Benefit Solutions West Virginia Claims Status HEALTHSMART-WV
HealthSmart Benefit Solutions West Virginia Eligibility HEALTHSMART-WV
Healthspring Claims Status HEALTHSPRING
HealthSpring Eligibility HEALTHSPRING
HealthSpring Tennessee Eligibility HEALTHSPRING-TN
Healthy Blue Claims Status HEALTHY-BLUEHealthy Blue Eligibility HEALTHY-BLUEHealthy Indiana Plan Eligibility HEALTHY-IN-PLAN
Healthy Texas Eligibility HEALTHY-TX
Heartland National Life Insurance Company Eligibility HEARTLAND-NATL-LIFE
Last Updated 1/3/2018 21
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Heritage Physician Network (Houston) Claims Status HERITAGE-PHY-NETWORK-HOUSTON
Heritage Physician Network (Houston) Eligibility HERITAGE-PHY-NETWORK-HOUSTON
Highmark BCBS Eligibility HIGHMARK BCBS
Highmark BCBS Claims Status HIGHMARK BCBS
Highmark Blue Cross Blue Shield of Delaware Eligibility BCBS-DELAWARE
Highmark Blue Shield NaviNet Batch Claim Status HGHMRK-BS-NAVI-BATCHHighmark Senior Solutions Eligibility FREEDOMBLUEWV
Highmark Senior Solutions Claims Status FREEDOMBLUEWV
HM Care Advantage Eligibility HM-CARE-ADV
Home State Claims Status HOME-STATE
Home State Eligibility HOME-STATE
Hometown Health Eligibility HOMETOWN-HEALTH
Hometown Health Medicare Eligibility HOMETOWN-HEALTH-MEDICARE
Horizon Blue Cross Blue Shield of New Jersey Admission Notification BC-HORIZON
Horizon Blue Cross Blue Shield of New Jersey Eligibility BC-HORIZON
Horizon Blue Cross Blue Shield of New Jersey Claims Status BC-HORIZON
Horizon NJ Health Claims Status HNJ
Horizon NJ Health Eligibility HNJ
Hudson Health Plan Eligibility HUDSON-HP
Humana Admission Notification HUMANA
Humana Eligibility HUMANA
Humana Claims Status HUMANA
Humana Batch Batch Claim Status HUMANA-BTCH
Humana CareSource (KY) Eligibility HUMANA-CARESOURCE-KY
Humana CareSource (KY) Claims Status HUMANA-CARESOURCE-KY
IBEW Local 508 Health Plan Eligibility IBEW-LOCAL508-HP
IBEW Local 508 Health Plan Claims Status IBEW-LOCAL508-HP
Idaho Medicaid Claims Status MEDICAID-ID
Idaho Medicaid Eligibility MEDICAID-ID
IHC Health Solutions Claims Status IHC-HEALTH-SOLUTION
IHC Health Solutions Eligibility IHC-HEALTH-SOLUTION
IlliniCare Health Plan Eligibility ILLINICARE-HP
IlliniCare Health Plan Claims Status ILLINICARE-HP
Illinois Medicaid Eligibility MEDICAID-IL
Illinois Medicaid Claims Status MEDICAID-IL
Independence Administrators Eligibility INDEPENDENCE-ADMIN
Independence Blue Cross FOC Eligibility IBC
Last Updated 1/3/2018 22
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Independent Health Eligibility INDEPENDENT-HEALTH
Indiana Medicaid Batch Claim Status MEDICAID-IN-BATCH
Indiana Medicaid Claims Status MEDICAID-IN
Indiana Medicaid Eligibility MEDICAID-IN
Inland Empire Health Plan Eligibility INLANDEMPIRE
Insurers Aministrative Corporation (IAC) Claims Status INS-ADMIN-CORP
Insurers Aministrative Corporation (IAC) Eligibility INS-ADMIN-CORP
INTEGRA Administrative Group Claims Status INTEGRA-ADMIN-GROUP
INTEGRA Administrative Group Eligibility INTEGRA-ADMIN-GROUP
Integral Quality Care Eligibility INTEGRAL-QUALITY-CARE
Integrated Mental Health Services Eligibility INTEGRATED-MENTAL-HLTH-SVC
IntelliAV Address Verification INTELLIAV
Inter Valley Health Plan Eligibility INTERVALLEY
International Medical Card Eligibility INTERNATIONAL-MED-CARD
INTotal Health Eligibility INTOTAL-HEALTH
Iowa Medicaid Claims Status MEDICAID-IA
Iowa Medicaid Eligibility MEDICAID-IA
Island Home Insurance Eligibility ISLAND-HOME-INS
Johns Hopkins Health Plan Eligibility JOHN-HOPKINS
Kaiser Foundation Health Plan of Colorado Eligibility KAISER-FHP-CO
Kaiser Foundation Health Plan of Colorado Medicare Eligibility KAISER-FHP-CO-MCARE
Kaiser Foundation Health Plan of Hawaii Eligibility KAISER-FHP-HI
Kaiser Foundation Health Plan of Hawaii Medicare Eligibility KAISER-FHP-HI-MCARE
Kaiser Foundation Health Plan of the Mid-Atlantic States Eligibility KMAT
Kaiser Foundation Health Plan of the Northwest Eligibility KAISER-FHP-NW
Kaiser Foundation Health Plan of the Northwest Medicare Eligibility KAISER-FHP-NW-MCAREKaiser Foundation Health Plan of Washington Claims Status GROUP-HEALTH-COOPKaiser Foundation Health Plan of Washington Eligibility GROUP-HEALTH-COOP
Kaiser Permanente Insurance Co KPIC Eligibility KAISER-PERM-KPIC
Kaiser Permanente of Georgia Eligibility KGA
Kaiser Permanente of Northern California Eligibility KNCA
Kaiser Permanente of Southern California Eligibility KSCA
Kansas Medicaid Eligibility MEDICAID-KS
Katy Medical Group Eligibility KATY-MEDICAL-GROUP
Katy Medical Group Claims Status KATY-MEDICAL-GROUP
Kemper Benefits Eligibility KEMPER-BENEFITS
Kempton Company Eligibility KEMPTON-COMPANY
Last Updated 1/3/2018 23
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Kempton Company Claims Status KEMPTON-COMPANY
Kentucky Medicaid Eligibility MEDICAID-KY
Kentucky Medicaid Claims Status MEDICAID-KY
Kern Family Healthcare Eligibility KERN-FAMILY-HEALTHCARE
Key Benefit Administrators Claims Status key-benefit-admin
Key Benefit Administrators Eligibility key-benefit-admin
Key Healthy Partners Eligibility KEY-HEALTHY-PARTNERS
KeySolutions Eligibility KEYSOLUTIONS
Keystone First Eligibility KEYSTONE-EAST-MEDICAID
Keystone First Claims Status KEYSTONE-EAST-MEDICAID
Keystone Health Plan East Claims Status KEYSTONE-EAST
Keystone Health Plan East Eligibility KEYSTONE-EAST
Keystone VIP Choice Eligibility KEYSTONE-VIP-CHOICE
Kitsap Physician Services Eligibility KITSAP-COMMERCIAL
Kitsap Physician Services Medicare Eligibility KITSAP-MEDICARE
KSKJ Life Eligibility KSKJ-LIFE
L.A. Care Health Plan Claims Status L.A. Care Health Plan
L.A. Care Health Plan Eligibility L.A. Care Health Plan
L.A. Care Health Plan Medicare Eligibility LACAREHP-CARE
Land of Lincoln Batch Claim Status LAND-LINCOLN
Land of Lincoln Eligibility LAND-LINCOLN
Legget and Platt Eligibility LEGGETT-PLATT
Leon Medical Centers Health Plans Eligibility LEON-MEDICAL-CENTERS-HP
Leon Medical Centers Health Plans Claims Status LEON-MEDICAL-CENTERS-HP
Liberty National Life Insurance Company Claims Status LIBERTY-NAT-LIFE
Liberty National Life Insurance Company Eligibility LIBERTY-NAT-LIFE
LifeMap Claims Status LIFEMAP
LifeMap Eligibility LIFEMAP
Lifeprint Eligibility LIFEPRINT
Lifewise Health Plan of Arizona Eligibility LIFEWISE-HP-AZ
Lifewise Health Plan of Oregon Eligibility LIFEWISE-HP-OR
Lifewise Health Plan of Washington Eligibility LIFEWISE-HP-WA
Lincoln Financial Group Claims Status LINCOLN-FINANCIAL-GROUP
Lincoln Financial Group Eligibility LINCOLN-FINANCIAL-GROUP
Lincoln Heritage Eligibility LINCOLN-HERITAGE
Local 1199 Eligibility LOCAL-1199
LoneStar TPA Eligibility LONESTAR
Last Updated 1/3/2018 24
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Loomis Claims Status LOOMIS
Loomis Eligibility LOOMIS
Louisiana Healthcare Connections Claims Status LOUISIANA-HEALTHCARE
Louisiana Healthcare Connections Eligibility LOUISIANA-HEALTHCARE
Louisiana Medicaid Claims Status MEDICAID-LA
Louisiana Medicaid Eligibility MEDICAID-LA
Lovelace Health Plan Eligibility LOVELACE
Lovelace Salud Health Plan Eligibility LOVELACE-MEDICAID
Loyal American Life Ins Co Medicare Supplement Eligibility LOYAL-AMERICAN-MCARESUPP
Loyal American Life Ins Co Medicare Supplement Claims Status LOYAL-AMERICAN-MCARESUPP
Loyal Christian Benefit Association Eligibility LOYAL-CHRISTIAN
Magellan Eligibility MAGELLAN
MagnaCare Claims Status MAGNACARE
MagnaCare Eligibility MAGNACARE
Magnolia Health Plan Claims Status MAGNOLIA-HP
Magnolia Health Plan Eligibility MAGNOLIA-HP
Mail Handlers Benefit Plan Eligibility MAIL-HANDLERS
Mail Handlers Benefit Plan Claims Status MAIL-HANDLERS
Maine Community Health Options Eligibility COMMUNITY-HEALTH-OPTIONS-WC
Maine Medicaid Eligibility MEDICAID-ME
MAMSI Claims Status MAMSI
Managed Care of America Eligibility MANAGEDCARE-AMERICA
Managed Care of America Claims Status MANAGEDCARE-AMERICA
Managed Care Systems Eligibility MAN-CARE-SYS
Managed Health Network Claims Status MANAGED-HEALTH-NETWORK
Managed Health Network Eligibility MANAGED-HEALTH-NETWORK
Managed Health Services Indiana Claims Status MANAGED-HEALTH-INDIANA
Managed Health Services Indiana Eligibility MANAGED-HEALTH-INDIANA
Managed Health Services Wisconsin Claims Status MANAGED-HEALTH-WISCONSIN
Managed Health Services Wisconsin Eligibility MANAGED-HEALTH-WISCONSIN
MAPFRE Life Pureto Rico Eligibility MAPFRE-LIFE-PR
MAPFRE Medicare Excel Eligibility MAPFRE-MCARE-EXCEL
Maricopa Care Advantage (AZ) Eligibility MARICOPA-CARE-AZ
Maricopa Health Plan Eligibility MARICOPA-HEALTH
Maricopa Health Plan Claims Status MARICOPA-HEALTH
Martins Point Eligibility MARTINS-POINT
Martins Point Medicare Eligibility MARTINS-POINT-CARE
Last Updated 1/3/2018 25
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Maryland Medicaid Eligibility MEDICAID-MD
Maryland Physicians Care Eligibility MARYLAND-PHYSICIANS-CARE
Maryland Physicians Care Claims Status MARYLAND-PHYSICIANS-CARE
Massachusetts Medicaid Eligibility MEDICAID-MA
Massachusetts Medicaid Claims Status MEDICAID-MA
MDWise Health Indiana Plan Eligibility MDWISE-HIP
MDWise Hoosier Alliance Medicaid Claims Status MDWISE-HOOSIER-ALLIANCE
MDWise Hoosier Alliance Medicaid Eligibility MDWISE-HOOSIER-ALLIANCE
MDWise Methodist Eligibility MDWISE-METHODIST
MDWise ProHealth Eligibility MDWISE-PROHEALTH
MDWise Select Health Network Eligibility MDWISE-SHN
MDWise St. Catherine Eligibility MDWISE-ST-CATHERINE
MDWise St. Francis Eligibility MDWISE-ST-FRANCIS
MDWise St. Margaret Mercy Eligibility MDWISE-ST-MARGARET
MDWise St. Vincent Eligibility MDWISE-ST-VINCENT
MDWise St. Vincent Eligibility MDWISE-ST-VINCENT
MDWise Total Health Eligibility MDWISE-TOTALHEALTH
MDWise Wishard Eligibility MDWISE-WISHARD
MedBen (Newark OH) Eligibility MEDBEN
MedCost Benefit Services Employers Eligibility MEDCOST
Medica Claims Status MEDICA
Medica Eligibility MEDICA
Medica HealthCare Plans of Florida Eligibility MEDICA-HC-FL
Medica Marketplace (IFB) Eligibility MEDICA-MARKET-IFB
Medi-Cal Eligibility MEDICAID-CA
Medi-Cal Share of Cost MEDICAID-CA
Medical Associates Health Plan/Health Choices Claims Status medical-associates-health
Medical Associates Health Plan/Health Choices Eligibility medical-associates-health
Medical Benefits Administrators / MedBen Eligibility MEDBEN
Medical Benefits Administrators Inc. (Newark OH) Eligibility MEDBEN
Medical Benefits Companies (Newark OH) Eligibility MEDBEN
Medical Benefits Mutual (Newark OH) Eligibility MEDBEN
Medical Benefits Mutual / MedBen Eligibility MEDBEN
Medical Benefits Mutual Life Insurance Co. Eligibility MEDBEN
Medical Benefits Mutual Life Insurance Co. Eligibility MED-MUT-OH
Medical Mutual of Ohio Claims Status MED-MUT-OH
Medical Services Initiative Eligibility MEDICAL-SERVICES-INITIATIVE
Last Updated 1/3/2018 26
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Medicare A and B Eligibility MEDICARE-ELIG
Medico Insurance Company Claims Status MEDICO-INSURANCE
Medico Insurance Company Eligibility MEDICO-INSURANCE
MedPartners Eligibility MEDPARTNERS
Med-Pay Claims Status MEDPAY
Med-Pay Eligibility MEDPAY
MedSolutions View PreCert MEDSOLUTIONS
MedStar Select Eligibility MEDSTAR-SELECT
Mercy Care Plan Medicaid Eligibility MERCY-CARE-PLAN-CAID
Mercy Care Plan Medicaid Claims Status MERCY-CARE-PLAN-CAID
Mercy Care Plan Medicare Eligibility MERCY-CARE-PLAN-MCARE
MercyCare Health Plan (WI) Eligibility MERCYCARE-HP-WI
Meridian Health Plan of Illinois Claims Status MERIDIAN-HP-IL
Meritain Health Eligibility MERITAIN-HEALTH
Meritain Health Claims Status MERITAIN-HEALTH
Meritus Health Partners Eligibility MERITUS-HP
Meritus Health Partners Claims Status MERITUS-HP
MetroPlus Claims Status METROPLUS
MetroPlus Eligibility METROPLUS
Metropolitan Health Plan (MHP) Eligibility METRO-HEALTH
Metropolitan Health Plan (MHP) Medicare Eligibility METROPOLITAN-HEALTH-PLAN
MHNet Behavorial Health Claims Status MHNET-BEHAVORIAL-HEALTH
MHNet Behavorial Health Eligibility MHNET-BEHAVORIAL-HEALTH
Michigan Medicaid Eligibility MEDICAID-MI
Michigan Medicaid Pending Eligibility MI-MEDICAID-PENDING
MIChild Eligibility MICHILD
Minnesota Medicaid Eligibility MEDICAID-MN
Minuteman Health Eligibility MINUTEMAN-HEALTH
Mississippi CHIP Claims Status MSCHIP
Mississippi CHIP (UHC) Eligibility MS-CHIP-UHC
Mississippi Medicaid Eligibility MEDICAID-MS
Mississippi Medicaid Claims Status MEDICAID-MS
Mississippi State Employees and Teachers Claims Status MSEMPTEACH
Mississippi State Employees and Teachers Eligibility MSEMPTEACH
Missouri Care Health Plan Claims Status MISSOURI-CARE-HP
Missouri Care Health Plan Eligibility MISSOURI-CARE-HP
Missouri Medicaid Claims Status MEDICAID-MO
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Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Missouri Medicaid Eligibility MEDICAID-MO
MMSI (Mayo Health) Eligibility MMSI-MAYO
MMSI (Mayo Health) Claims Status MMSI-MAYO
Moda Health Claims Status ODS
Moda Health Eligibility ODS
Moda Health Batch Claim Status ODS-BTCH
Molina Batch Claim Status MOLINA-BATCH
Molina Eligibility MOLINA
Molina (CA) Eligibility MOLINA_CA
Molina (CA) Claims Status MOLINA_CA
Molina (FL) Eligibility Molina_FL
Molina (FL) Claims Status Molina_FL
Molina (IL) Eligibility MOLINA_IL
Molina (MI) Eligibility MOLINA_MI
Molina (MI) Claims Status MOLINA_MI
Molina (MO) Eligibility MOLINA_MO
Molina (MO) Claims Status MOLINA_MO
Molina (OH) Eligibility MOLINA_OH
Molina (OH) Claims Status MOLINA_OH
Molina (PR) Claims Status MOLINA-PR
Molina (PR) Eligibility MOLINA-PR
Molina (SC) Claims Status MOLINA-SC
Molina (SC) Eligibility MOLINA-SC
Molina (TX) Eligibility Molina_TX
Molina (TX) Claims Status Molina_TX
Molina (UT) Eligibility MOLINA_UT
Molina (UT) Claims Status MOLINA_UT
Molina (WA) Eligibility MOLINA_WA
Molina (WA) Claims Status MOLINA_WA
Molina (WI) Claims Status MOLINA_WI
Molina (WI) Eligibility MOLINA_WI
Molina Healthcare of New Mexico Eligibility MOLINA-NM
Molina Healthcare of New Mexico Claims Status MOLINA-NM
Montana Medicaid Eligibility MEDICAID-MT
Mountain State Blue Cross Blue Shield Eligibility MOUNTAIN-STATE-BCBS
Mountain State Blue Cross Blue Shield Claims Status MOUNTAIN-STATE-BCBS
Municipal Health Benefit Fund Claims Status municipal-health-benefit
Last Updated 1/3/2018 28
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Municipal Health Benefit Fund Eligibility municipal-health-benefit
Mutual Assurance Administrators Eligibility MUTUAL_ASSURANCE_ADMIN
Mutual Health Services Claims Status ANTARES
Mutual Health Services Eligibility ANTARES
Mutual Medical Plans Claims Status MUTUAL-MED-PLANS
Mutual Medical Plans Eligibility MUTUAL-MED-PLANS
Mutual of Omaha Eligibility COM-MUTUALOFOMAHA
MVP Health Care Eligibility MVP Health Care
MVP Health Care Claims Status MVP Health Care
NaphCare Claims Status NAPHCARE
National Association of Letter Carriers Eligibility NALC
National Association of Letter Carriers Claims Status NALC
Nationwide Claims Status NATIONWIDE
Nationwide Eligibility NATIONWIDE
Nebraska Medicaid Eligibility MEDICAID-NEBRASKA
Nebraska Medicaid Batch Eligibility MEDICAID-NE
Nebraska Total Care Claims Status NE-TOTAL-CARE
Nebraska Total Care Eligibility NE-TOTAL-CARE
Neighborhood Health Plan (MA) Eligibility NHP (MA)
Neighborhood Health Plan of RI Eligibility NHP-RI
Network Health (WI) Claims Status NETWORK-HEALTH-WI
Network Health (WI) Eligibility NETWORK-HEALTH-WI
Network Health Insurance Corp. Eligibility HEALTH-NETWORK-CORP
Nevada Medicaid Eligibility NV-MEDICAID
New Era Life Insurance Claims Status NEW-ERA-LIFE-INS
New Era Life Insurance Eligibility NEW-ERA-LIFE-INS
New Hampshire Healthy Families Eligibility NH-HEALTHY-FAMILIES
New Hampshire Medicaid Eligibility MEDICAID-NH
New Jersey Medicaid Eligibility MEDICAID-NJ
New Mexico Health Connections Eligibility NM-HEALTH-CONN
New Mexico Medicaid Claims Status MEDICAID-NM
New Mexico Medicaid Eligibility MEDICAID-NM
New West Health Eligibility NEW-WEST-HEALTH
New York Medicaid Eligibility MEDICAID-NY
New York Medicaid Submit Referral MEDICAID-NY
New York Medicaid Name Search Eligibility MEDICAID-NY-NAME
NGS Medicare Part B New York Upstate Batch Batch Claim Status NGS-MEDICARE-PART-B-NYUPST-BATCH
Last Updated 1/3/2018 29
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Nippon Life Insurance Company Eligibility NIPPON-LIFE
Nippon Life Insurance Company Claims Status NIPPON-LIFE
Noridian Medicare Part B Northern California Batch Claim Status NORIDIAN-MEDICARE-PART-B-NCA-BATCH
North America Administrators Eligibility NORTH-AMERICA-ADMIN
North Carolina Medicaid Claims Status MEDICAID-NC
North Carolina Medicaid Eligibility MEDICAID-NC
North Dakota Medicaid Eligibility MEDICAID-ND
North Dakota Medicaid Batch Claim Status MEDICAID-ND-BATCH
Northeast Georgia Health Systems Eligibility NE-GA-HEALTH-SYSTEM
Northwest Administrators Claims Status NORTHWEST-ADMIN
Northwest Administrators Eligibility NORTHWEST-ADMIN
Nova Healthcare Administrators Eligibility NOVA-HEALTHCARE-ADMIN
NovaSys Health Claims Status NOVASYS-HEALTH
NovaSys Health Eligibility NOVASYS-HEALTH
Novitas Medicare Part B Louisiana Batch Claim Status NOVITAS-MEDICARE-B-LA-BATCH
NTCA Eligibility NTCA
Ohana Health Plan Medicaid Eligibility OHANA-HEALTH-MEDICAID
Ohana Health Plan Medicaid Claims Status OHANA-HEALTH-MEDICAID
Ohana Health Plan Medicare Eligibility OHANA-HEALTH-MEDICARE
Ohana Health Plan Medicare Claims Status OHANA-HEALTH-MEDICARE
Ohio Medicaid Eligibility MEDICAID-OH
Ohio Medicaid Eligibility MEDICAID-OH
Oklahoma Employees Group Insurance Division Claims Status OK-EMPLOYEES-GROUP
Oklahoma Employees Group Insurance Division Eligibility OK-EMPLOYEES-GROUP
Oklahoma Medicaid Eligibility MEDICAID-OK
OmniCare Eligibility COVENTRY-OMNICARE
OmniCare Claims Status COVENTRY-OMNICARE
Operating Eng Local 428 Health and Welfare Eligibility Operating Engineers HWF
Operating Eng Local 428 Health and Welfare Claims Status Operating Engineers HWF
Optima Eligibility OPTIMA
Optimum Healthcare Eligibility OPTIMUM-HEALTHCARE
OptumCare Eligibility OPTUMCARE
Orange County Fire Authority Eligibility ORANGE-COUNTY-FIRE-AUTHORITY
Orange County Fire Authority Claims Status ORANGE-COUNTY-FIRE-AUTHORITY
Oregon Medicaid Eligibility MEDICAID-OR
Oscar Eligibility OSCAR
Oxford Health Plan New PreCert OXFORD
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Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Oxford Health Plan Submit Referral OXFORD
Oxford Health Plan Eligibility OXFORD
Oxford Health Plan Claims Status OXFORD
Pacific Source Batch Claim Status PACIFICSOURCE-BTCH
Pacific Source Health Plan Claims Status PACIFIC-SOURCE
Pacific Source Health Plan Eligibility PACIFIC-SOURCE
PacifiCare - Ingenix Eligibility IGX-PACIFICARE
PacificSource Administrators Claims Status PACIFICSOURCE_ADMIN
PacificSource Community Solutions Claims Status PACIFICSOURCE-COMMUNITY-SOLUTIONS
PacificSource Community Solutions Eligibility PACIFICSOURCE-COMMUNITY-SOLUTIONS
PacificSource Medicare Claims Status PACIFICSOURCE-MCARE
Panamerican Life Puerto Rico Eligibility PANAM-LIFE-PR
Paradigm Health Plans Claims Status S-AND-S-PARADIGM-HEALTH-PLANS
Paradigm Health Plans Eligibility S-AND-S-PARADIGM-HEALTH-PLANS
Paramount Eligibility PARAMOUNT
Paramount Health Medicaid Eligibility PARAMOUNT
Paramount Health Medicare Eligibility PARAMOUNT-MEDICARE
Parkland Community Health Plan Eligibility PARKLAND-COMMUNITY-HP
Parkland Community Health Plan Claims Status PARKLAND-COMMUNITY-HP
PARTNERS Healthplan Eligibility PARTNERS
Partnership HealthPlan of California Eligibility PARTNERSHIP-HEALTHPLAN-CA
Passport Health Plan Claims Status PASSPORT-HP
Passport Health Plan Eligibility PASSPORT-HP
Passport Health Plan Medicare Claims Status PASSPORT-HP-MR
Passport Health Plan Medicare Eligibility PASSPORT-HP-MR
Patient Address Verification Address Verification - Secure SSN PATIENT-LOCATOR
Patient Address Verification Address Verification PATIENT-LOCATOR
Patient Address Verification ddress Verification with Last Name Filt PATIENT-LOCATOR
Peach State Health Plan Claims Status PEACH-STATE
Peach State Health Plan Eligibility PEACH-STATE
PEHP CHIP Eligibility PEHP-CHIP
PEHP Commercial Eligibility PEHP-COMM
PEHP Medicare Eligibility PEHP-MEDICARE
Penn Treaty Network America Ins Medicare Supp Eligibility PENN-TREATY-MCARE-SUPP
Penn Treaty Network America Ins Medicare Supp Claims Status PENN-TREATY-MCARE-SUPP
Pennsylvania Health and Wellness Claims Status PA-HLTH-WELL
Pennsylvania Health and Wellness Eligibility PA-HLTH-WELL
Last Updated 1/3/2018 31
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Pennsylvania Medicaid Eligibility MEDICAID-PA
People First Claims Status PEOPLE-FIRST
People First Eligibility PEOPLE-FIRST
Peoples Health Eligibility PEOPLES-HEALTH
Peoples Health Claims Status PEOPLES-HEALTH
Personal Insurance Administrators (PIA) Claims Status PERSONAL-ADMIN
Personal Insurance Administrators (PIA) Eligibility PERSONAL-ADMIN
PersonalCare/Coventry Health of Illinois Eligibility PERSONALCARE
PersonalCare/Coventry Health of Illinois Claims Status PERSONALCARE
PHCS Savility Payers Claims Status PHCS-SAVILITY
PHCS Savility Payers Eligibility PHCS-SAVILITY
PHP of Mid-Michigan Eligibility PHP-MID-MICHIGAN
Physicians Health Plan of Northern Indiana Eligibility PHYSICIANS-HP-INPhysicians Mutual Insurance Company Eligibility PHYS-MUTUAL
Physicians Mutual Insurance Company Claims Status PHYS-MUTUAL
Physicians Plus Insurance Corporation Eligibility PHYS-PLUS
Piedmont Eligibility PIEDMONT
Piedmont Claims Status PIEDMONT
Piedmont WellStar Health Plan Eligibility PIEDMONT-WELLSTAR
Pinnacle Claims Management Eligibility PINNACLE-CLAIMS-MGMT
Pinnacle Physician Management Org Eligibility PINNACLE-PHYSICIAN-MGMT-ORG
Pittman and Associates Eligibility PITTMAN-ASSOC
Pittman and Associates Claims Status PITTMAN-ASSOC
Planned Administrators Inc. Eligibility PLANNED-ADMINISTRATORS
Planned Administrators Inc. Claims Status PLANNED-ADMINISTRATORS
Plumbers Pipefitters Local 525 Health and Welfare Trust Claims Status PLUMBERS-PIPEFITTERS-HWT
Plumbers Pipefitters Local 525 Health and Welfare Trust Eligibility PLUMBERS-PIPEFITTERS-HWT
POMCO Eligibility POMCO
Prairie States Eligibility PRAIRIE-STATES
Preferred Care Partners Eligibility PREFERRED-CARE-PARTNERS
Preferred Care Partners Claims Status PREFERRED-CARE-PARTNERS
PreferredOne Batch Claim Status PREFERREDONE-BATCH
PreferredOne Eligibility PREFERREDONE
Premera Blue Cross Batch Claim Status PREMERA-BC-BATCH
Premera Blue Cross Claims Status PREMERA-BCWA
Premera Blue Cross Eligibility PREMERA-BCWA
Premier Health Plan Eligibility PREMIER-HEALTH-PLAN
Last Updated 1/3/2018 32
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Presbyterian Health Plan Eligibility PRESBYTERIAN-HEALTH-PLAN
Prestige Health Choice Eligibility PRESTIGE-HEALTH-CHOICE
PrimeWest Health Eligibility PRIMEWEST
Principal Financial Group Eligibility PRINCIPAL-FINANCIAL-GROUP
Principal Financial Group Claims Status PRINCIPAL-FINANCIAL-GROUP
Priority Health Eligibility PRIORITYHEALTH
Pro Health Eligibility PRO-HEALTH
Professional Benefits Administrators Eligibility PRO-BENEFIT-ADMIN
Professional Claims Management Eligibility PROFESSIONAL-CLAIMS-MGMTProminence Health Plan Eligibility PROMINENCE-HEALTH-PLANProvidence Health Plan Claims Status PROVIDENCE-HPProvidence Health Plan Eligibility PROVIDENCE-HP
Providence Health Plan Batch Claim Status PROVIDENCE-HP-BTCHProvidence Health Plan Medicare Eligibility PROVIDENCE-HP-MCARE
Provident American Life And Health Ins Co Medicare Supplement Eligibility PROVIDENT-AMERICAN-MCARESUPP
Provident American Life And Health Ins Co Medicare Supplement Claims Status PROVIDENT-AMERICAN-MCARESUPP
Psychcare Eligibility PSYCHCARE
Puerto Rico Medicaid Eligibility MEDICAID-PR
Puritan Life Insurance Eligibility PURITAN-LIFE-INS
Pyramid Eligibility PYRAMID
Pyramid Eligibility PYRAMID
QualCare Eligibility QUALCARE
QualChoice Arkansas Eligibility QUALCHOICE-ARK
QualChoice Arkansas Eligibility QUALCHOICE-ARK
QualChoice Arkansas Eligibility QUALCHOICE-ARK
QuickTrip Claims Status QUICKTRIP
QuickTrip Eligibility QUICKTRIP
Regence Blue Cross Blue Shield of Oregon Eligibility REGENCE-BCBSOR
Regence Blue Cross Blue Shield of Oregon Claims Status REGENCE-BCBSOR
Regence Blue Cross Blue Shield of Utah Claims Status REGENCE-BCBSUT
Regence Blue Cross Blue Shield of Utah Eligibility REGENCE-BCBSUT
Regence Blue Shield of Idaho Eligibility REGENCE-BS-ID
Regence Blue Shield of Idaho Claims Status REGENCE-BS-ID
Regence Blue Shield of Washington Claims Status REGENCE-BS-WA
Regence Blue Shield of Washington Eligibility REGENCE-BS-WA
Regence Group Administrators Eligibility REGENCE-GRP-ADMIN
Regence Group Administrators Claims Status REGENCE-GRP-ADMIN
Last Updated 1/3/2018 33
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Reliance Standard Life Eligibility RELIANCE-STANDARD
Reliance Standard Life Claims Status RELIANCE-STANDARD
Rhode Island Medicaid Eligibility MEDICAID-RI
Rhode Island Medicaid Eligibility MEDICAID-RI
Rhode Island Medicaid Batch Eligibility MEDICAID-RI-BATCH
RightCare Eligibility RIGHTCARE
RiverLink Health Eligibility RIVERLINK-HEALTH
Rocky Mountain Health Plan Eligibility RCKY-MTN-ELIG
Rocky Mountain Medicaid Health Plan Eligibility RCKY-MTN-MD-ELIG
Royal Neighbors of America Eligibility ROYAL-NEIGHBORS
S and S Healthcare Strategies Eligibility S-AND-S-HEALTHCARE-STRATEGIES
S and S Healthcare Strategies Claims Status S-AND-S-HEALTHCARE-STRATEGIES
Sanford Health Plan Eligibility SANFORD-HP
Sanford Health Plan Medicare Eligibility SANFORD-HP-MCARE
Santa Clara Family Health Plan Claims Status SANTA-CLARA
SCAN HMO Eligibility SCAN-HMO
SCFHP (Santa Clara Family Health Plan) Eligibility SCFHP
Scott and White Health Plan Eligibility SCOTTWHITEHP
Secure Health Plans Of Georgia Eligibility SECURE-HP-GA
Secure Health Plans Of Georgia Claims Status SECURE-HP-GA
Security Health Plan Eligibility SECURITY-HEALTH-PLAN
Select Administrative Services Claims Status SELECT-ADMIN-SVCS
Select Health Medicaid (SC) Claims Status SELECT-HEALTH-SC
Select Health Medicaid (SC) Eligibility SELECT-HEALTH-SC
Select Senior Clinic Claims Status SELECT-SENIOR-CLINIC
Select Senior Clinic Eligibility SELECT-SENIOR-CLINIC
SelectCare of Oklahoma Claims Status SELECTCARE-OKLAHOMA
SelectCare of Oklahoma Eligibility SELECTCARE-OKLAHOMA
SelectCare of Texas (Beaumont) Eligibility SELECTCARE-TEXAS-BEAUMONT
SelectCare of Texas (Beaumont) Claims Status SELECTCARE-TEXAS-BEAUMONT
SelectCare of Texas (Golden Triangle) Claims Status SELECTCARE-TEXAS-GOLDENTRIANGLE
SelectCare of Texas (Golden Triangle) Eligibility SELECTCARE-TEXAS-GOLDENTRIANGLE
SelectCare of Texas (Houston) Eligibility SELECTCARE-TEXAS-HOUSTON
SelectCare of Texas (Houston) Claims Status SELECTCARE-TEXAS-HOUSTON
SelectCare of Texas (Integranet) Claims Status SELECTCARE-TEXAS-INTEGRANET
SelectCare of Texas (Integranet) Eligibility SELECTCARE-TEXAS-INTEGRANET
SelectCare of Texas (Kelsey-Seybold) Eligibility SELECTCARE-TEXAS-KELSEY-SEYBOLD
Last Updated 1/3/2018 34
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
SelectCare of Texas (Kelsey-Seybold) Claims Status SELECTCARE-TEXAS-KELSEY-SEYBOLD
SelectCare of Texas (Memorial Clinical Assoc) Claims Status SELECTCARE-TEXAS-MEMORIALCLINIC
SelectCare of Texas (Memorial Clinical Assoc) Eligibility SELECTCARE-TEXAS-MEMORIALCLINIC
SelectCare of Texas (Northwest Diagnostic) Eligibility SELECTCARE-TEXAS-NW-DIAG
SelectHealth Eligibility SELECTHEALTH
Sendero Health Plans Eligibility SENDERO-HP
Senior Dimensions Eligibility SENIOR-DIMENSIONS
Senior Health Services Center Eligibility SENIOR-HEALTH-SVCS-UNVSRL-AMER-FAM
Senior Health Services Center Claims Status SENIOR-HEALTH-SVCS-UNVSRL-AMER-FAM
Senior Whole Health Medicaid Eligibility SENIOR-WHOLE-MCAID
Senior Whole Health Medicare Eligibility SENIOR-WHOLE-MCARE
Sharp Health Plan Claims Status SHARP-HP
Sharp Health Plan Eligibility SHARP-HP
Sierra Health and Life Eligibility SIERRA-HEALTH
Significa Benefit Services TPA Eligibility SIGNIFICA
Significa Benefit Services TPA Claims Status SIGNIFICA
SIHO Insurance Services Eligibility SIHO
Silverback TPA Eligibility SILVERBACK
Simply Healhcare Plans Claims Status SIMPLY-HP
Simply Healthcare Plans Eligibility Eligibility SIMPLY-HP
Simply Healthcare Plans Medicaid Eligibility Eligibility SIMPLY-HCP-MEDICAID
Simply Healthcare Plans Medicare Eligibility Eligibility SIMPLY-HCP-MEDICARE
SisCo Benefits Claims Status SISCO-BENEFITS
SisCo Benefits Eligibility SISCO-BENEFITS
Soundpath Health Eligibility SOUNDPATH-HEALTH
South Carolina Medicaid Eligibility MEDICAID-SC
South Central Preferred Eligibility SOUTH-CENTRAL-PREFERRED
South Dakota Medicaid Eligibility MEDICAID-SD
Special Agents Mutual Benefit Association Eligibility SPECIAL-AGENTS-MUTUAL
Special Agents Mutual Benefit Association Claims Status SPECIAL-AGENTS-MUTUAL
Specialties & Paper Products Claims Status SPECIALTIES-PAPER-PRODUCTS
Spectrum Health Eligibility SPECTRUM-HEALTH
Spectrum Health Claims Status SPECTRUM-HEALTH
SPJST Medicare Supplement Claims Status SPJST-MCARESUPP
SPJST Medicare Supplement Eligibility SPJST-MCARESUPP
Standard Insurance Eligibility STANDARD-INSURANCE
Standard Insurance Claims Status STANDARD-INSURANCE
Last Updated 1/3/2018 35
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Standard Insurance of New York Eligibility STANDARD-INSURANCE-NY
Standard Insurance of New York Claims Status STANDARD-INSURANCE-NY
Standard Life and Accident Insurance Company Eligibility STANDARD-LIFE
Standard Life and Accident Insurance Company Claims Status STANDARD-LIFE
State Farm Eligibility STATE-FARM
State Mutual Medicare Supplement Eligibility STATE-MUTUAL-MCAREStayWell Kids Medicaid Eligibility STAYWELL-KIDS-MEDICAID
StayWell Kids Medicaid Claims Status STAYWELL-KIDS-MEDICAID
Staywell Medicaid Eligibility STAYWELL-MEDICAID
Staywell Medicaid Claims Status STAYWELL-MEDICAID
Stewart C Miller and Co Eligibility STEWART-C-MILLER
Stewart C Miller and Co Claims Status STEWART-C-MILLER
Stonebridge Life Insurance Claims Status STONEBRIDGE-LIFE-INS
Stonebridge Life Insurance Eligibility STONEBRIDGE-LIFE-INS
StudentResources Eligibility STUDENT
SummaCare Health Plan Eligibility SUMMACARE-COMMERCIAL
SummaCare Health Plan Medicare Eligibility SUMMARECARE-MEDICARE
Summit America Insurance Services Claims Status SUMMIT-AMERICA
Summit America Insurance Services Eligibility SUMMIT-AMERICA
Sunflower State Health Plan Claims Status SUNFLOWER-STATE-HP
Sunflower State Health Plan Eligibility SUNFLOWER-STATE-HP
Sunshine State Health Plan Claims Status SUNSHINE-STATE
Sunshine State Health Plan Eligibility SUNSHINE-STATE
Superior HealthPlan of Texas Batch Claim Status SUPERIOR-HP-TX-BATCH
Superior HealthPlan of Texas Claims Status SUPERIOR-HP-TX
Superior HealthPlan of Texas Eligibility SUPERIOR-HP-TX
Sutter Health Plus Eligibility SUTTER-HEALTH-PLUS
Sutter Select Eligibility SUTTER-SELECT
Teachers Health Trust Eligibility TCHRS-HLTH-TRUST
TennCare Eligibility MEDICAID-TN
TexanPlus (Integranet) Claims Status TEXANPLUS-INTEGRANET
TexanPlus (Integranet) Eligibility TEXANPLUS-INTEGRANET
TexanPlus (Kelsey-Seybold) Eligibility TEXANPLUS-KELSEY-SEYBOLD
TexanPlus (Kelsey-Seybold) Claims Status TEXANPLUS-KELSEY-SEYBOLD
TexanPlus North Texas Area Eligibility TEXANPLUS-NORTH-TX
TexanPlus North Texas Area Claims Status TEXANPLUS-NORTH-TX
TexanPlus Southeast Texas Area Eligibility TEXANPLUS-SOUTHEAST-TX
Last Updated 1/3/2018 36
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
TexanPlus Southeast Texas Area Claims Status TEXANPLUS-SOUTHEAST-TX
Texas First Health Plan (TOPA) Claims Status TEXAS-FIRST-HP-TOPA
Texas First Health Plan (TOPA) Eligibility TEXAS-FIRST-HP-TOPA
Texas Medicaid Eligibility MEDICAID-TX
Texas Medicaid Claims Status MEDICAID-TX
The ULLICO Family of Companies Eligibility THE-ULLICO-COMPANIES
The ULLICO Family of Companies Claims Status THE-ULLICO-COMPANIES
Three Rivers Health Plans Eligibility Three Rivers Health Plans
Three Rivers Health Plans Claims Status Three Rivers Health Plans
TLC Benefit Solutions Claims Status TLC-BENEFIT-SOLUTIONS
TML Intergovernmental Employee Benefits Pool Eligibility TML-EMPPOOL
Todays Health Eligibility TODAYS-HEALTH
Todays Options Eligibility TODAYS-OPTIONS
Todays Options Claims Status TODAYS-OPTIONS
Together with Childrens Community Health Plan Eligibility CHILD-COMM-HP
Total Health Care Eligibility TOTAL-HEALTH
Total Health Care Eligibility TOTAL-HEALTH
TransactRX Part D Eligibility TRANSACTRX
Transamerica Financial Life Insurance Claims Status TRANSAMERICA-FIN-LIFE
Transamerica Financial Life Insurance Eligibility TRANSAMERICA-FIN-LIFE
Transamerica Premier Life Insurance Claims Status TRANSAMERICA-PREMIER
Transamerica Premier Life Insurance Eligibility TRANSAMERICA-PREMIER
TransUnion Address Verification TRANSUNION
TransUnion Credit Report TRANSUNION
TransUnion Score Report TRANSUNION
Tribute/SelectCare of Oklahoma Eligibility TRIBUTE-SELECTCARE-OK
Tribute/SelectCare of Oklahoma Claims Status TRIBUTE-SELECTCARE-OK
TRICARE Claims Status TRICARE
TRICARE Eligibility TRICARE
TRICARE Batch Batch Claim Status TRICARE-BATCH
TRICARE For Life Claims Status TRICARE-FOR-LIFE
TRICARE For Life Eligibility TRICARE-FOR-LIFE
TRICARE Overseas Claims Status TRICARE-OVERSEAS
TRICARE Overseas Eligibility TRICARE-OVERSEAS
Triple-S Salud (BCBS Puerto Rico) Eligibility TRIPLE-SALUD-BCBSPR
TRISTAR Eligibility TRISTAR
Trustmark Eligibility TRUSTMARK
Last Updated 1/3/2018 37
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Trustmark Claims Status TRUSTMARK
Tufts Health Plan Claims Status TUFTS
Tufts Health Plan Eligibility TUFTS
UCare of Minnesota Eligibility UCARE-MINNESOTA-COMM
UCare of Minnesota Medicaid Eligibility UCARE-MINNESOTA-MEDICAID
UCare of Minnesota Medicare Eligibility UCARE-MINNESOTA-MEDICARE
UHC Batch Claims Status UHC-BTCH
UHC Batch Submit Referral UHC-BTCH
UHC Batch View Referral UHC-BTCH
UHC Plan of the River Valley Eligibility UHC-RV
UHC Secure Horizons AARP Medicare Supp Eligibility UHC-SECUREHORIZONS-MCAR-SUPP
UHC Secure Horizons AARP Medicare Supp Claims Status UHC-SECUREHORIZONS-MCAR-SUPP
Ultimate Health Plans Claims Status ULTIMATE-HEALTH-PLANS
Ultimate Health Plans Eligibility ULTIMATE-HEALTH-PLANS
UMR Wausau Eligibility UMR-WAUSAU
UMR Wausau Claims Status UMR-WAUSAU
Underwriters Safety and Claims Eligibility UNDERWRITERS
UNICARE Eligibility UNICARE
UNICARE Claims Status UNICARE
Unified Group Services Eligibility UNIFIED-GROUP-SERVICES
Union Pacific Railroad Employees Eligibility UNION-PACIFIC
Union Pacific Railroad Employees Claims Status UNION-PACIFIC
Unison Health Plan Eligibility BETTER-HEALTH
Unison Health Plan Claims Status BETTER-HEALTH
United Agriculture Benefit Trust Eligibility UNITEDAGRITRUST
United American Insurance Company Claims Status UNITED-AMER-INS-CO
United American Insurance Company Eligibility UNITED-AMER-INS-CO
United Commercial Travelers Eligibility UNITED-COMMERCIAL-TRAVELERS
United Mine Workers Association Eligibility UNITED-MINE-WORKERS-ASSOCIATION
United States Postal Service Address Verification USPS
United Teacher Associates Ins Co Medicare Supplement Eligibility UNITED-TEACHER-MCARESUPP
United Teacher Associates Ins Co Medicare Supplement Claims Status UNITED-TEACHER-MCARESUPP
UnitedHealth Community Plan Eligibility UNITEDHEALTH-COMMUNITYPLAN
UnitedHealthcare Admission Notification UHC
UnitedHealthcare Claims Status UHC
UnitedHealthcare Eligibility UHC
UnitedHealthcare Referral Authorization UHC
Last Updated 1/3/2018 38
Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
UnitedHealthcare View Referral UHC
UnitedHealthcare Life Insurance Company Eligibility UHC-LIFE-INS
UnitedHealthcare Shared Services Eligibility UHC-SHARED-SERVICES
UnitedHealthcare West Eligibility UHC-WEST
Unity Health Plans Eligibility UNITY-HEALTH
Univera Eligibility UNIVERA
Universal Benefit Corp Claims Status UNIVERSAL-BENEFIT-CORP
Universal Benefit Corp Eligibility UNIVERSAL-BENEFIT-CORP
Universal Care Eligibility UNIVERSALCARE
Universal Health Care Group Eligibility UNIVERSAL-HCG
University Care Advantage Arizona Eligibility UNIVERSITY-CARE-ADVANTAGE-AZ
University Care Advantage Arizona Claims Status UNIVERSITY-CARE-ADVANTAGE-AZ
University Family Care Eligibility UNIVERSITY-FAMILY
University Family Care Claims Status UNIVERSITY-FAMILY
University Health Alliance Eligibility UNIV-HEALTH-ALLIANCE
University of Arizona Health Plans - UHM Eligibility UNIVERSITY-AZ-HP-UHM
University of Arizona Health Plans - UHM Claims Status UNIVERSITY-AZ-HP-UHM
University of Missouri Eligibility COVENTRY-UNIV-MISSOURI
University of Missouri Claims Status COVENTRY-UNIV-MISSOURI
University Physicians Care Advantage Eligibility UNIVERSITY-PHYS-ADVANTAGE
University Physicians Care Advantage Claims Status UNIVERSITY-PHYS-ADVANTAGE
UPMC Health Plan Claims Status UPMC-COMM
UPMC Health Plan Eligibility UPMC-COMM
UPMC Medicaid Health Plan Eligibility UPMC-MEDICAID
USAA Life Insurance Company Eligibility USAA-LIFE
USAA Life Insurance Company Claims Status USAA-LIFE
USAA Medicare Supplement Eligibility USAA-MCARE-SUPP
Utah Medicaid Eligibility MEDICAID-UT
Utah Medicaid Batch Eligibility UTAH-MEDICAID
VA Fee Basis Program Eligibility VA-FEE-BASIS
VA Fee Basis Program Claims Status VA-FEE-BASIS
Valley Care Program Eligibility VALLEY_CARE_PROG
Valley Health Plan Eligibility VALLEY_HEALTH_PLAN
Vantage Health Eligibility VANTAGE-HEALTH-COMMERCIAL
Vantage Health Claims Status VANTAGE-HEALTH-COMMERCIAL
Vantage Health Medicare Eligibility VANTAGE-HEALTH-MEDICARE
Vermont Medicaid Claims Status MEDICAID-VT
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Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Vermont Medicaid Eligibility MEDICAID-VT
Village Family Practice Eligibility VILLAGE-FAMILY-PRACTICE
Village Family Practice Claims Status VILLAGE-FAMILY-PRACTICE
Virginia Medicaid Eligibility MEDICAID-VA
Virginia Premier Health Plan Eligibility VA-PREMIER-HP
Vista Health Plan of Florida Eligibility VISTA_HP_FL
Vista Health Plan of Florida Claims Status VISTA_HP_FL
Vista/Summit Eligibility CONVENTRY-VISTA-SUMMIT-COMM
Vista/Summit Claims Status CONVENTRY-VISTA-SUMMIT-COMM
Vista/Summit Medicare Eligibility CONVENTRY-VISTA-SUMMIT-CARE
Vista/Summit Medicare Claims Status CONVENTRY-VISTA-SUMMIT-CARE
VIVA Health Eligibility VIVA-HEALTH
VIVA Health Medicare Eligibility VIVA-HEALTH-MEDICARE
VNS Choice Eligibility VISITING-NURSE-SERVICE
VNS Choice Claims Status VISITING-NURSE-SERVICE
Washington Medicaid Eligibility MEDICAID-WA
WEA Trust Eligibility WEA-TRUST
WEA Trust Claims Status WEA-TRUST
WEB-TPA Claims Status WEB-TPA
WEB-TPA Eligibility WEB-TPA
Well Sense Health Plan Eligibility WELL-SENSE-HP
WellCare Medicaid Claims Status WELLCARE-MEDICAID
WellCare Medicaid Eligibility WELLCARE-MEDICAID
WellCare Medicare Eligibility WELLCARE-MEDICARE
WellCare Medicare Claims Status WELLCARE-MEDICARE
Wellmark BCBS Eligibility Wellmark_BCBS
WellMed Eligibility WELLMED
Wellpath Select Eligibility COVENTRY-CAROLINAS
Wellpath Select Claims Status COVENTRY-CAROLINAS
West Virginia CHIP Eligibility WV-CHIP
West Virginia Medicaid Eligibility MEDICAID-WV
West Virginia Medicaid DSH Eligibility WVMD_DSH
West Virginia PEIA Eligibility WV-PEIA
Western and Southern Financial Group Claims Status WS-FINANCIAL-GRP
Western and Southern Financial Group Eligibility WS-FINANCIAL-GRP
Western Health Advantage Eligibility WESTERN-HEALTH-ADVANTAGE
Western Health Advantage Eligibility Embellishment WESTERN-HEALTH-ADVANTAGE
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Name of Payer TRANSACTION TYPE MNEMONIC
PAYER MNEMONICS
Western Health Advantage Claims Status WESTERN-HEALTH-ADVANTAGE
Windsor Medicare Extra Eligibility WINDSOR
Windsor Medicare Extra Claims Status WINDSOR
Wisconsin Chronic Disease Program Claims Status WI-CDP
Wisconsin Chronic Disease Program Eligibility WI-CDP
Wisconsin Medicaid Eligibility MEDICAID-WI
Wisconsin Medicaid Claims Status MEDICAID-WI
Wisconsin Well Women Program Claims Status WI-WWP
Wisconsin Well Women Program Eligibility WI-WWP
WPS C-SNAP Batch Batch Claim Status WPS-C-SNAP-BATCH
WPS Health Insurance Eligibility WPS-HEALTH-INS
WPS Health Insurance Claims Status WPS-HEALTH-INS
WPS Health Insurance Batch Claims Status WPS-HEALTH-BATCH
WV CHIP Molina Medicaid Solutions Eligibility WV-CHIP-MOLINA-MEDICAID-SOLUTIONS
Wyoming Medicaid Eligibility MEDICAID-WY
Wyoming Medicaid Claims Status MEDICAID-WY
YourCare Eligibility YOURCARE