Eligibility Payer ID Payer Name 270/271 276/277 - Exchange …

1 Payer IDPayer NameEligibility 270/271 Claim Status 276/27710431 AARPYesYes11009 ACS Benefit ServicesYesYes10619 Administrative Services IncYesN/A10561 Advantage by Bridgeway Health SolutionsYesYes10562 Advantage by Buckeye Community Health PlanYesYes10563 Advantage by Managed Health ServicesYesYes10564 Advantage by Superior HealthPlanYesYes10004 AetnaYesYes11099 Aetna Better Health (FL)YesYes10892 Aetna Better Health (IL)YesYes11119 Aetna Better Health (KY)YesN/A11008 Aetna Better Health (LA)YesYes11026 Aetna Better Health (MI)YesYes11064 Aetna Better Health (MO)YesYes10976 Aetna Better Health (NE)YesYes10994 Aetna Better Health (NJ)YesYes10894 Aetna Better Health (PA)YesYes10895 Aetna Better Health (TX)YesN/A10896 Aetna Better Health (TX) CHIPYesN/A10217 Aetna Better Health (VA)YesYesHelpful Information:PayerID: Unique Payer mnemonic assigned by Req:The Payer requires an additional enrollment : transactions may be submitted.

2 Content is currently under IDPayer NameEligibility 270/271 Claim Status 276/277 Helpful Information:PayerID: Unique Payer mnemonic assigned by Req:The Payer requires an additional enrollment : transactions may be submitted. Content is currently under Better Health (WV)YesYes10397 Aetna Long Term CareYesYes10891 Aetna Retiree Medical Plan - AdministratorYesN/A10897 Aetna Senior SupplementalYesN/A11115 Affinity EssentialsYesYes10594 Affinity Health PlanYesN/A10661 Affinity Health Plan MedicareYesYes10955 AflacYesYes10398 AFLAC - DentalYesN/A10663 AFLAC - Medicare SupplementalYesYes11149 AGIA. Inc. YesYes10007 Alabama MedicaidYesYes10639 Alameda Alliance Health Plan *YesN/A10798 Alan Sturm and Associates - DentalYesN/A11016 Alaska MedicaidYesN/A11027 All Savers Life InsuranceYesN/A10654 Allegiance Benefit Plan ManagementYesYes11109 Alliant Health PlansYesN/A10898 Allied Benefit SystemsYesN/A11017 AlohaCareYesN/APayer IDPayer NameEligibility 270/271 Claim Status 276/277 Helpful Information:PayerID: Unique Payer mnemonic assigned by Req:The Payer requires an additional enrollment : transactions may be submitted.

3 Content is currently under Insurance Resources, IncYesYes10786 Altus DentalYesN/A11057 Ambetter of Arkansas *YesN/A11082 Ambetter Superior Health Plan (TX)YesN/A10985 AmeribenYesYes10664 American Health MedicareYesN/A10986 American Income Life Medical Security (AMS)YesN/A10595 American National InsuranceYesYes10596 American National Life Ins TexasYesYes10899 American Network Ins. Medicare SupplementYesYes10016 American Postal Workers Union (APWU)YesYes10017 American Republic Insurance Company (ARIC)YesN/A10538 American Retirement Life Ins Co. Medicare SuppYesYes10018 AmeriChoice of New Jersey (Commercial)YesN/A11085 Americo Financial Life & AnnuityYesN/A10019 AMERIGROUPYesYes10974 AmeriHealthYesYes10416 AmeriHealth AdministratorsYesN/A11193 AmeriHealth Caritas DCYesN/APayer IDPayer NameEligibility 270/271 Claim Status 276/277 Helpful Information:PayerID: Unique Payer mnemonic assigned by Req:The Payer requires an additional enrollment : transactions may be submitted.

4 Content is currently under Caritas IowaYesN/A10640 AmeriHealth Caritas Louisiana (LaCare)YesYes10340 AmeriHealth Caritas PennsylvaniaYesYes11151 AmeriHealth Caritas VIP Care PlusYesN/A11189 AmeriHealth Northeast PennsylvaniaYesN/A11152 AmeriHealth VIP CareYesN/A10020 Ameritas Group - Ameritas Life Insurance Group - First Ameritas of New YorkYesYes10233 Ameritas Group - First Reliance Standard LifeYesYes10234 Ameritas Group - Reliance Standard LifeYesYes10236 Ameritas Group - Standard InsuranceYesYes10237 Ameritas Group - Standard Insurance of New YorkYesYes10993 Anthem VivityYesN/A10708 Apex Benefits ServicesN/AYes10641 Arbor Health PlanYesYes11181 Arise Health CareYesN/A10868 Arise Health Plan Medicare Select PolicyYesYes10021 Arizona Medicaid (AHCCCS)YesN/A10022 Arizona Physicians IPA (APIPA)YesYes10023 Arkansas MedicaidYesYesPayer IDPayer NameEligibility 270/271 Claim Status 276/277 Helpful Information:PayerID: Unique Payer mnemonic assigned by Req:The Payer requires an additional enrollment : transactions may be submitted.

5 Content is currently under De Maestros Puerto RicoYesN/A10529 Asuris Northwest HealthYesYes10472 AultCareYesYes10890 Automated Benefit ServicesYesYes10900 AuxiantYesN/A11145 Avalon Administrative ServicesN/AYes10869 Avera Health PlansYesN/A10024 AvMed Health PlansYesN/A10813 Bankers Life & CasualtyYesYes10707 Banner Health PlansYesYes11209 Banner University Family CareYesYes10025 BCBS of AlabamaYesYes10609 BCBS of Alabama [Institutional]YesYes10027 BCBS of ArizonaYesYes10028 BCBS of ArkansasYesYes10461 BCBS of Central New YorkYesN/A10029 BCBS of Colorado (Anthem)YesYes10030 BCBS of Connecticut (Anthem)YesYes10831 BCBS of DelawareYesN/A10031 BCBS of FloridaYesYesPayer IDPayer NameEligibility 270/271 Claim Status 276/277 Helpful Information:PayerID: Unique Payer mnemonic assigned by Req:The Payer requires an additional enrollment : transactions may be submitted. Content is currently under of Georgia (Anthem)YesYes10530 BCBS of HawaiiYesN/A10033 BCBS of IllinoisYesYes10258 BCBS of Indiana (Anthem)YesYes10396 BCBS of IowaYesYes10034 BCBS of KansasYesYes10473 BCBS of Kansas CityYesYes10259 BCBS of Kentucky (Anthem)YesYes10035 BCBS of LouisianaYesYes10036 BCBS of Maine (Anthem)YesYes10037 BCBS of MassachusettsYesYes10519 BCBS of Michigan (Institutional)YesN/A10038 BCBS of Michigan (Professional)YesN/A10039 BCBS of MinnesotaYesYes10040 BCBS of MississippiYesYes10322 BCBS of Missouri (Anthem)YesYes10516 BCBS of MontanaYesN/A10384 BCBS of NebraskaYesYes10260 BCBS of Nevada (Anthem)YesYes10261 BCBS of New Hampshire (Anthem)YesYesPayer IDPayer NameEligibility 270/271 Claim Status 276/277 Helpful Information:PayerID: Unique Payer mnemonic assigned by Req:The Payer requires an additional enrollment : transactions may be submitted.

6 Content is currently under of New Jersey (Horizon)YesYes10042 BCBS of New MexicoYesYes10043 BCBS of New York (Empire)YesYes10323 BCBS of New York (Excellus)YesYes10383 BCBS of North CarolinaYesYes10478 BCBS of North DakotaYesN/A10044 BCBS of Ohio (Anthem)YesYes10582 BCBS of OklahomaYesYes10045 BCBS of Oregon (Regence)YesYes10524 BCBS of Pennsylvania (Highmark) [Institutional]YesN/A10046 BCBS of Pennsylvania (Highmark) [Professional]YesN/A10304 BCBS of Rhode IslandYesN/A10047 BCBS of South CarolinaYesYes10395 BCBS of South Dakota (Wellmark)YesYes10430 BCBS of TennesseeYesYes10048 BCBS of TexasYesYes10469 BCBS of the Rochester Area (NY)YesN/A10470 BCBS of Utica-Watertown (NY)YesN/A10624 BCBS of VermontYesYes10049 BCBS of Virginia (Anthem)YesYesPayer IDPayer NameEligibility 270/271 Claim Status 276/277 Helpful Information:PayerID: Unique Payer mnemonic assigned by Req:The Payer requires an additional enrollment : transactions may be submitted.

7 Content is currently under of West VirginiaYesN/A10498 BCBS of Western New YorkYesN/A10299 BCBS of Wisconsin (Anthem)YesYes10480 BCBS of WyomingYesN/A11196 BCBS Texas Medicaid STAR CHIPYesYes11058 Beacon Health Strategies *YesN/A10665 Benefit Management IncYesYes10256 Best Choice Health PlanYesN/A10050 Best Life and HealthYesYes10187 Better Health Plans (Unison Health Plans)YesYes10999 Better Health Plans of FloridaYesN/A10803 Blue Benefit Administrators of MassYesN/A11183 Blue Cross Community OptionsYesN/A10262 Blue Cross Independence (Pennsylvania)YesN/A10264 Blue Cross Northeastern PennsylvaniaYesN/A10051 Blue Cross of California (Anthem)YesYes10638 Blue Cross of IdahoYesN/A10618 Blue Cross of Utah (Regence)YesYes10326 Blue Cross of Washington and Alaska (Premera)YesYes10325 Blue Cross Pennsylvania (Capital)YesYesPayer IDPayer NameEligibility 270/271 Claim Status 276/277 Helpful Information:PayerID: Unique Payer mnemonic assigned by Req:The Payer requires an additional enrollment : transactions may be submitted.

8 Content is currently under Shield of CaliforniaYesYes10052 Blue Shield of Idaho (Regence)YesYes10499 Blue Shield of North Eastern New YorkYesN/A10054 Blue Shield of Washington (Regence)YesYes10504 BlueChoice HealthPlan South Carolina MedicaidYesN/A11174 BlueCross Medicare AdvantageYesYes10429 Bluegrass Family HealthYesN/A10556 BMC HealthNet PlanYesN/A10821 Boon GroupYesYes10414 Boon-Chapman Benefit AdminYesN/A10399 Bravo Health, National - DentalYesN/A10997C and O Employees Hospital Association PlanN/AYes11070 Cal-VivaYesN/A11059 California Children Services *YesN/A10055 California Medicaid (Medi-Cal)YesN/A10458 Capital District Physicians Health Plan (CDPHP)YesN/A10903 Capitol AdministratorsYesN/A10660 CAPROCKYesN/APayer IDPayer NameEligibility 270/271 Claim Status 276/277 Helpful Information:PayerID: Unique Payer mnemonic assigned by Req:The Payer requires an additional enrollment : transactions may be submitted.

9 Content is currently under Improvement PlusYesYes10981 Care1st Health Plan ArizonaYesYes10973 Care1st of California *YesN/A11102 Carefirst BCBS - DCYesN/A10270 Carefirst Blue Cross Blue Shield - MDYesYes11080 CareMoreYesN/A10056 CarePlus Health PlanYesYes10822 CarePoint Medicare AdvantageYesYes10057 CareSource HealthYesYes10762 Carolina Care Plan, Inc. (CCP)YesYes11161 Carpenters Health and Welfare Trust Fund of St LouisYesN/A10667 CDS Group HealthYesYes10668 Celtic InsuranceYesN/A11106 CenCalYesN/A10567 Cenpatico - ArizonaYesYes10568 Cenpatico - FloridaYesYes10569 Cenpatico - GeorgiaYesYes10631 Cenpatico - IllinoisYesYes10570 Cenpatico - IndianaYesYes10571 Cenpatico - KansasYesYesPayer IDPayer NameEligibility 270/271 Claim Status 276/277 Helpful Information:PayerID: Unique Payer mnemonic assigned by Req:The Payer requires an additional enrollment : transactions may be submitted. Content is currently under - KentuckyYesYes10588 Cenpatico - MassachusettsYesYes10769 Cenpatico - MississippiYesYes10768 Cenpatico - MissouriYesYes10770 Cenpatico - New HampshireYesYes10572 Cenpatico - OhioYesYes10573 Cenpatico - South CarolinaYesYes10633 Cenpatico - TexasYesYes10634 Cenpatico - WisconsinYesYes10766 Cenpatico Behavioral HealthYesYes10767 Cenpatico Behavioral Health TexasYesYes10560 Centene - Absolute Total CareYesYes10763 Centene - Advantage by Peach StateYesYes10764 Centene - Advantage by Sunshine StateYesYes11126 Centene - Ambetter Sunshine HealthYesN/A10565 Centene - Bridgeway ArizonaYesYes10566 Centene - Buckeye Community HealthYesYes10759 Centene - California Health & WellnessYesYes10589 Centene - CelticareYesYes10761 Centene - Coordinated CareYesYesPayer IDPayer NameEligibility 270/271 Claim Status 276/277 Helpful Information:PayerID: Unique Payer mnemonic assigned by Req.

10 The Payer requires an additional enrollment : transactions may be submitted. Content is currently under - Granite State Health PlanYesYes10760 Centene - Home State Health PlanYesYes10620 Centene - Kentucky Spirit Health PlanYesYes10704 Centene - Magnolia Health PlanYesYes10586 Centene - Managed Health Services IndianaYesYes10587 Centene - Managed Health Services WisconsinYesYes11034 Centene - Michigan Fidelis Secure Care YesYes10865 Centene - New Hampshire Healthy FamiliesYesYes10590 Centene - Peach State Health PlanYesYes10451 Centene - Sunshine State Health PlanYesYes10592 Centene - Superior Health Plan TXYesYes10866 Centene - Total Care CarolinaYesYes10771 Centene Advantage PlansYesYes10884 Central California Alliance for HealthYesYes10539 Central Reserve Life Ins Co. Medicare SuppYesYes10904 Central Senior CareYesN/A10486 Central States FundYesYes10744 Central States IndemnityYesN/A11018 Cerner Health PlanYesYes10061 CHAMPVA/Spina Bifida/Children of Women Vietnam VetsYesYesPayer IDPayer NameEligibility 270/271 Claim Status 276/277 Helpful Information:PayerID: Unique Payer mnemonic assigned by Req:The Payer requires an additional enrollment : transactions may be submitted.