Instructions

Welcome to the Online Enrollment Process for Experian Health...

Thank you for choosing Experian Health as your revenue cycle management partner. Please take 5 to 10 minutes to complete this online application so we can enroll you as quickly as possible. If your organization has multiple facilities, an enrollment application must be completed for each facility separately.

 

In order to complete enrollment you will need to provide the group NPIs that was registered with the payers you would like to access. Individual NPIs may also be included.

 

If you have questions about the enrollment process, please contact us at csenrollment@experianhealth.com or 888-661-5657. One of our enrollment specialists will be happy to assist you.

Enter your facility and contact information below.
 

Client ID: (optional)

Facility Name:

Contact Name:

Contact Telephone:

Email:

Street Address:

City:

State:

 

Zip Code:

   
TaxID:    
Facility/Group NPI:    

 

 

Demographic, payer selections, and NPI information are not saved until the application is completed and submitted using the Submit Enrollment button.

Next Step

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Step3: Enter the Provider's NPI

Step 1:  Enter Additional NPI Information (Optional)

Please enter the NPI numbers and corresponding names below. Only enter the NPIs that your organization has registered with the payers you would like to access.

 

NPI Name:

NPI Number:

 

1.

2.

3.

4.

5.

 

Demographic, payer selections, and NPI information are not saved until the application is completed and submitted using the Submit Enrollment button.

Next Step

 

Step 3: Extra Data Payers

Step 2:  Extra Data Payers (Alphabetical)

The following payers require you to provide paperwork and/or extra data prior to enrollment.
For each payer, enter the requested information.  For those payers that require additional paperwork, please
complete and return the required form.

       

Affinity Health Plan (Claims Status)

Affinity Provider Web
User Name:
    Password:
 
AmeriChoice NE (Elig.) AmeriChoice Provider Web
User Name:

  
Password:
 

Arkansas Medicaid (Elig.)

     
 Provider Taxonomy Code:
     
             

BCBS of Alabama (Elig.)

Provider Type:
 

 

 

 

BCBS of Arkansas (Elig.)

Required Form       
BCBS of Michigan (Elig.) Required Form       

BCBS of North Carolina (Elig.)

Required Form

       
BCBS of North Dakota (Elig.)         

BCBS of South Carolina (Elig.)

        
 

Provider Taxonomy Code:

     
BCBS of Wyoming (Elig.)     

Boston Medical Center HealthNet (Elig.)

        
             

CarePlus Health Plan Medicare (Elig.)

 

    
Celticare (Elig.) Celticare Provider Web
User Name:

  
Password:
 
CHC Direct Provider (Elig.) CHC Direct Provider
Web User Name:

   
Password:
 

Connecticut Medicaid (Elig.)

        
 

Provider Taxonomy Code:

     
       

Delaware Medicaid (Elig.)

 

    
 

Provider Taxonomy Code:

Provider Type:

    
Employee Benefit Admin, EBA (Elig.) Employee Benefit Admin Provider Web User Name:
  
Password:
 
             

Florida Medicaid (Elig.)

Required Form       
 

Provider Taxonomy Code:

     

Freedom Blue West Virginia (Elig.)

        
             

Health Partners Minnesota Commercial (Elig.)

        

Health Partners Minnesota Medicaid (Elig.)

     

Health Partners Minnesota Medicare (Elig.)

     

Highmark BCBS (Elig.)

        
             

Illinois Medicaid (Elig.)

        

Illinois Medicaid (Claims Status)

 

       

Indiana Medicaid (Elig.)

        
 

Provider Taxonomy Code:

     
       

Louisiana Medicaid (Elig.)

     
 

Provider Taxonomy Code:

     
       
Magellan (Elig.) Magellan Provider Web
User Name:

   
Password:
 

Medicare A and B (Elig.)

Medicare Access Agreement

       

Medi-Cal (Elig.)

Medi-Cal Provider ID

   

PIN#

 

MIChild CHIP (Elig.)Provider Type:
    

Missouri Medicaid (Elig.)

        
 

Provider Taxonomy Code:

     

Mountain State BCBS (Elig.)

        
       

Nebraska Medicaid (Elig.)

Required Form

 

 

 

 

Nevada Medicaid

Required Form

       
       
Paramount (Elig.) Paramount Provider Web
User Name:

  
Password:
 
Pyramid (Elig.) Pyramid Web
Provider Username

   
Password:
 
             

Regence BCBS of Utah

     

 

 

Rocky Mountain Health Plan (Elig.)

        

Rocky Mountain Health Plan Medicaid  (Elig.)

        
Rhode Island Medicaid (Elig.) RI Medicaid Web User ID:
    DHS Password:
 
             

San Francisco Health Plan (Elig.)

     

South Dakota Medicaid (Elig.)

        
Total Health Care (Elig.) Total Health Care
Provider Web User Name:

  
Password:
 
       
Utah Medicaid Batch (Elig.)     

Vermont Medicaid (Elig.)

Required Form       

Wellmark BCBS (Elig.)

Required Form

       
       
       

Demographic, payer selections, and NPI information are not saved until the application is completed and submitted using the Submit Enrollment button.

 

Next Step
 

    

 

 

 

 

 

 

 

 

 

 

 

Step 4: National Payer Selection

Step 3:  Available Payers - Eligibility (Alphabetical)

Demographic, payer selections, and NPI information are not saved until the application is completed and submitted using the Submit Enrollment button.


Eligibility Payers

A B C D-E-F-G H I-J-K-L M N-O P-Q R-S-T U-V-W-X-Y-Z

Claim Status, Referrals, and PreCert Payers
A-B C-D-E-F-G H-I-J-K-L-M-N-O-P-Q-R-S-T-U-V-W-X-Y-Z

 
 A   

 

Payer Name

 

 

 Payer Name

AARP Medicare (Elig.)

 

Absolute Total Care (Elig.)

Advantra Freedom (Elig.)

 

Advantra (AZ, NM, TX) Medicare (Elig.)

Advantage by Bridgeway Health Solutions (Elig.)

 

Advantage by Buckeye Community Health (Elig.)

Aetna (Elig.)

 

Aetna Long Term Care (Elig.)

Affinity Health Plan (Elig.)

 

AFTRA Health Fund (Elig.)

Alabama Medicaid (Elig.)

 

Alaska Electrical Health Welfare Fund (Elig.)

Altius Health Plan (Elig.)

  AMC Health Future TPA (Elig.)
AMC Poly America (Elig.)  

American Community Mutual** (Elig.)

American Family Insurance Group (Elig.)

  American General Life & Accident (Elig.)

American Postal Workers Union APWU (Elig.)

  American Republic Insurance (Elig.)
  AmeriChoice NE** (Elig.)     

Americhoice New Jersey (Elig.)

 

Americhoice Tennessee (Elig.)
UHC Plan River Valley Medicaid

Amerigroup Medicaid (Elig.)

 

Amerigroup Medicare (Elig.)

Amerihealth Admin. (Elig.)

 

Amerihealth Commercial (Elig.)

Amerihealth Medicaid (Elig.)

 

Antares  (Elig.)

Anthem Midwest IN, KY, OH (Elig.)

     

Anthem Northeast CT, ME, NH (Elig.)

 

Anthem Southeast VA (Elig.)

Anthem West CO, NV (Elig.)

  Arizona Physicians IPA Medicaid (Elig.)

Arizona Medicaid (Elig.)

  Arizona Physicians IPA Medicare (Elig.)

 

Arkansas Medicaid** (Elig.)

 

Assurant Health-John Alden (Elig.)

Assurant Health-Time Ins. (Elig.)

 

Assurant Health-Union Security (Elig.)

AultCare (Elig.)

 

AvMed Health Plans (Elig.)

       

*Payer requires Passport to submit enrollment paperwork on your behalf.
**Payer requires extra data for the enrollment process.
 

Next Step
 

    

Eligibility Payers
A B C D-E-F-G H I-J-K-L M N-O P-Q R-S-T U-V-W-X-Y-Z

Claim Status, Referrals, and PreCert Payers
A-B C-D-E-F-G H-I-J-K-L-M-N-O-P-Q-R-S-T-U-V-W-X-Y-Z

 

 B   

 

Payer Name

 

 

 Payer Name

 BCBS of Alabama* (Elig.) 

BCBS of Arizona (Elig.)

  BCBS of Arkansas** (Elig.) 

BCBS of Florida (Elig.)

BCBS of Georgia (Elig.)

 

BCBS of Illinois (Elig.)

BCBS of Kansas (Elig.)

 

BCBS of Kansas City (Elig.)

BCBS of Louisiana (Elig.)

 

BCBS of Massachusetts (Elig.)

 

BCBS of Michigan* (Elig.)

 BCBS of Minnesota (Elig.)

BCBS of Mississippi (Elig.)

 

BCBS of Missouri (Elig.)

BCBS of Nebraska (Elig.)

 

BCBS of New Mexico (Elig.)

 

BCBS of North Carolina** (Elig.)

 

 

BCBS of North Dakota* (Elig.)

BCBS of Oklahoma (Elig.)

   

BCBS of Rhode Island (Elig.)

 

BCBS of Rochester Area (NY)  (Elig.)

 

BCBS of South Carolina** (Elig.)

 

BCBS of Tennessee BlueCare (Elig.)

BCBS of Tennessee (Elig.)

 

BCBS TennCare Select (Elig.)

BCBS of Texas (Elig.)

 

BCBS of Utica-Watertown (NY) (Elig.)

BCBS of Wisconsin (Elig.)

 

 

BCBS of Wyoming* (Elig.)

Best Choice Health Plan (Elig.)

  Best Life and Health (Elig.)

Blue Cross of California (Elig.)

 

Blue Cross of Idaho (Elig.)

BlueCross Northeast Pennsylvania (Elig.)

 

Blue Shield California (Elig.)

Blue Shield California HMO/PPO (Elig.)

 

Bluegrass Family (Elig.)

Boone Chapman (Elig.)

 

 

Boston Medical Center HealthNet* (Elig.)

Bravo Health Medicare (Elig.)

 

Bridgeway Arizona Medicaid (Elig.)

Buckeye Medicaid (Elig.)

   
     

*Payer requires Passport to submit enrollment paperwork on your behalf.
**Payer requires extra data for the enrollment process.
 

Next Step

Eligibility Payers
A B C D-E-F-G H I-J-K-L M N-O P-Q R-S-T U-V-W-X-Y-Z

Claim Status, Referrals, and PreCert Payers
A-B C-D-E-F-G H-I-J-K-L-M-N-O-P-Q-R-S-T-U-V-W-X-Y-Z

 

 C   

 

Payer Name

 

 

 Payer Name

Capital District Physicians (Elig.)  Capital District Physicians Medicare (Elig.)

Capital BlueCross (Elig.)

 

CareFirst BCBS (Elig.)

  

 

 

CarePlus Health Plan Medicare* (Elig.)

CareSource Ohio Medicaid (Elig.)

 

Cariten Healthcare (Elig.)

Carpenters Health & Welfare Trust Fund of St. Louis
(Elig.)

   
  Celticare** (Elig.)  Cenpatico Medicaid (Elig.)

Central Reserve Insurance Company (Elig.)

 

Central States Fund (Elig.)

CHAMPVA Military (Elig.)

 

CHC-Carelink Commercial (Elig.)

CHC-Carelink Medicaid (Elig.)

 

CHC-Carenet (Elig.)

 

CHC-Direct Provider** (Elig.)

   

CHC-Group Health Plan (Elig.)

 

CHC-Health America/Health Assurance (Elig.)

CHC-Southern Health (Elig.)

 

CHC Cares of South Carolina (Elig.)

CHC of Delaware (Elig.)

 

CHC of Georgia (Elig.)

CHC of Iowa (Elig.)

 

CHC of Kansas, Kansas City (Elig.)

CHC of Kansas, Wichita (Elig.)

 

CHC of Louisiana (Elig.)

CHC of Nebraska (Elig.)

 

Chesapeake Life Ins. (Elig.)

Cigna (Elig.)

 

Colorado Access (Elig.)

Colorado Medicaid (Elig.)

 

Columbia United Providers Medicaid (Elig.)

Columbia United Providers CHIP (Elig.)

 

Community Care of Oklahoma Commercial (Elig.)

Community Care of Oklahoma Medicare (Elig.)

 

Community Health First (CHF) Medicare Advantage (Elig.)

   

ConnectiCare (Elig.)

 

Connecticut Medicaid** (Elig.)

 

Continental General Insurance Company (Elig.)

Cook Children’s Health Plan Medicaid (Elig.)    

CoreSource FMH Kansas TPA (Elig.)

 

CoreSource Little Rock TPA (Elig.)

CoreSource IL. MD, PA TPA (Elig.)

 

CoreSource IN, NC, TPA (Elig.)

CoreSource Ohio TPA (Elig.)

 

Cooperative Benefit Administrators TPA (Elig.)

Corporate Benefit Service TPA (Elig.) 

Coventry Advantra Savings (Elig.)

Coventry Cares Medicaid (Elig.)

 

Coventry Healthcare National (Elig.)

Coventry Health Care Federal (Elig.)

   

Coventry Health and Life Nevada (Elig.)

 

Coventry Health and Life Oklahoma (Elig.)

   

Coventry Health and Life Tennessee (Elig.)

CoventryOne (Elig.)

   
     

*Payer requires Passport to submit enrollment paperwork on your behalf.
**Payer requires extra data for the enrollment process.
 

Next Step

Eligibility Payers
A B C D-E-F-G H I-J-K-L M N-O P-Q R-S-T U-V-W-X-Y-Z

Claim Status, Referrals, and PreCert Payers
A-B C-D-E-F-G H-I-J-K-L-M-N-O-P-Q-R-S-T-U-V-W-X-Y-Z

 

 D-E-F-G   

 

Payer Name

 

 

 Payer Name

 

Delaware Medicaid** (Elig.)

 

Denver Health Medical Plan (Elig.)

Denver Health Medical Plan Medicare (Elig.)

 

Deseret Mutual (Elig.)

Diamond Plan Medicaid (Elig.)

  Directors Guild Commercial (Elig.)

District of Columbia Medicaid (Elig.)

 

Educators Mutual Batch (Elig.)

Empire BCBS of New York (Elig.)

   Employee Benefit Admin, EBA** (Elig.)

Excellus BCBS (Elig.)

 

Fallon Health Plan (Elig.)

FamilyCare Medicaid and Medicare (Elig.)

 

Federated Insurance Company** (Elig.)

Fidelis Care Medicaid (Elig.)

 

Fidelis Care Medicare (Elig.)

 

Florida Medicaid** (Elig.)

 

 

Freedom Blue West Virginia* (Elig.)

GEHA (Elig.)

 

Geisinger Health Plan (Elig.)

Geisinger Health Plan Gold Medicare (Elig.)

 

Georgia Medicaid (Elig.)

Gilsbar TPA (Elig.)

 

Great-West Healthcare One Health HMO (Elig.)

Group and Pension (Elig.)

 

Group Practice Affiliates (Elig.)

     

*Payer requires Passport to submit enrollment paperwork on your behalf.
**Payer requires extra data for the enrollment process.
 

Next Step

Eligibility Payers
A B C D-E-F-G H I-J-K-L M N-O P-Q R-S-T U-V-W-X-Y-Z

Claim Status, Referrals, and PreCert Payers
A-B C-D-E-F-G H-I-J-K-L-M-N-O-P-Q-R-S-T-U-V-W-X-Y-Z

 
 H   

 

Payer Name

 

 

 Payer Name

Harmony Health Plan (Elig.)   
Harvard Pilgrim (Elig.)

 

Hawaii Medicaid (Elig.)

Health Alliance Medical Plan (IL) (Elig.)

   

Health Alliance Plan (Elig.)

 

Health Choice of Arizona Medicaid (Elig.)

Health First Health Plan Florida (Elig.)

 

Health Net National (Elig.)

Health First of New Jersey Medicaid (Elig.)

 

Health First of New Jersey Medicare (Elig.)

Health First of New York (Elig.)

   

Health First of New York Medicaid (Elig.)

 

Health First of New York Medicare (Elig.)

Health Net National Medicaid (Elig.)

 

Health Net Northeast (Elig.)

Health New England (Elig.)

  Health Partners Minnesota Commercial* (Elig.)
 Health Partners Minnesota Medicaid* (Elig.)   Health Partners Minnesota Medicare* (Elig.)

Health Partners Philadelphia (Elig.)

 

Health Plan San Joaquin Medicaid (Elig.)

Health Plan San Joaquin Commercial (Elig.)

 

Health Plan San Mateo (Elig.)

HealthCare Inc. (Elig.)

 

Healthcare Solutions Group TPA (Elig.)

Healthcare USA Missouri (Elig.)

   

HealthEase Medicaid (Elig.)

 

HealthEase Kids Medicaid (Elig.)

HealthPlus Michigan (Elig.)

 

HealthPlus Michigan Medicaid (Elig.)

HealthPlus Michigan Medicare (Elig.)

 

HealthSpring of Tennessee (Elig.)

 Highmark BCBS* (Elig.)

 

HIP Health Plan on New York (Elig.)

Hometown Health Commercial (Elig.)

 

Hometown Health Medicare (Elig.)

Horizon BCBS of New Jersey (Elig.)

 

Horizon New Jersey Health (Elig)

Humana Employee Health (Elig.)

   

*Payer requires Passport to submit enrollment paperwork on your behalf.
**Payer requires extra data for the enrollment process.
 

Next Step
 

    

     
Eligibility Payers
A B C D-E-F-G H I-J-K-L M N-O P-Q R-S-T U-V-W-X-Y-Z

Claim Status, Referrals, and PreCert Payers
A-B C-D-E-F-G H-I-J-K-L-M-N-O-P-Q-R-S-T-U-V-W-X-Y-Z

 

 I-J-K-L   

 

Payer Name

 

 

 Payer Name

Idaho Medicaid (Elig.)

 

 Illinois Medicaid* (Elig.)

Independence Administrators TPA (Elig.)

 

Independence Blue Cross FOC (Elig.)

 

Indiana Medicaid** (Elig.)

   

Inland Empire (Elig.)

 

Inland Empire Medicaid (Elig.)

Inter Valley Health (Elig.)

 

Iowa Medicaid (Elig.)

J.P. Farley (Elig.) 

Jackson Memorial Hospital Health Plan (Elig.)

Jackson Memorial Hospital Health Plan Medicaid (Elig.)

 

John Hopkins Health Plan Military (Elig.)

Kaiser Foundation Health Plan of Colorado (Elig.)

 

Kaiser Foundation Health Plan Colorado Medicare (Elig.)

Kaiser Foundation Health Plan of Hawaii (Elig.)

 

Kaiser Foundation Health Plan of Hawaii Medicare (Elig.)

Kaiser Foundation Ohio (Elig.)

 

Kaiser Foundation Mid-Atlantic (Elig.)

Kaiser Foundation Health Plan of the Northwest (Elig.)

 

Kaiser Foundation Health Plan Northwest Medicare (Elig.)

Kaiser Permanente of Georgia (Elig.)

 

Kaiser Permanente of Northern California (Elig.)

Kaiser Permanente of Southern California (Elig.)

 

Kansas Medicaid (Elig.)

Kentucky Medicaid (Elig.)

 

Keystone Health Plan East (Elig.)

Keystone Health Plan East Medicaid (Elig.)

 

Kitsap Physician Services Commercial (Elig.)

Kitsap Physician Services Medicare (Elig.)

 

 

Louisiana Medicaid** (Elig.)

Lovelace Health (Elig.)

 

Lovelace Salud (Elig.)

     

*Payer requires Passport to submit enrollment paperwork on your behalf.
**Payer requires extra data for the enrollment process.
 

Next Step
 

    

     
Eligibility Payers
A B C D-E-F-G H I-J-K-L M N-O P-Q R-S-T U-V-W-X-Y-Z

Claim Status, Referrals, and PreCert Payers
A-B C-D-E-F-G H-I-J-K-L-M-N-O-P-Q-R-S-T-U-V-W-X-Y-Z

 

 M   

 

Payer Name

 

 

 Payer Name

  Magellan** (Elig.)   

Mail Handlers Benefit Plan (Elig.)

 

Maine Medicaid (Elig.)

MAMSI (Elig.)

   
Managed Health Services Indiana Medicaid (Elig.)  Managed Health Services Wisconsin Medicaid (Elig.)
Maricopa Health Plan Medicaid (Elig.) 

Maricopa Care Advantage Medicare (Elig.)

Maricopa Integrated Health System Medicaid (Elig.)   

Maryland Medicaid (Elig.)

 

Massachusetts Medicaid (Elig.)

MDWise Hoosier Alliance Medicaid (Elig.)

   

MedCost Benefit Svcs. (Elig.)

 

Medica (Elig.)

 

Medicare A and B** (Elig.)

 

 

Medi-Cal** (Elig.)

Medi-Cal Share of Cost (Elig.)

 

Medical Mutual Ohio (Elig.)

Mega Life & Health Insurance (Elig.)

 

Mega Life and Health Insurance Oklahoma City (Elig.)

Mercy Care Plan Medicaid (Elig.)

 

Mercy Care Plan Medicare (Elig.)

Mercy Health Care Plan (Elig.)

  Mercy Health Care Plan Medicaid (Elig.)
Mercy Health Care Plan Medicare (Elig.)  Metropolitan Health Plan - MHP (Elig.)

Michigan Medicaid (Elig.)

 

 

MIChild CHIP** (Elig.)

Midwest National Life Insurance of Tennessee (Elig.)

 

Minnesota Medicaid (Elig.)

Mississippi Administrative Services TPA (Elig.)

 

Mississippi CHIP UHC (Elig.)

Mississippi Medicaid (Elig.)

 

Mississippi State Employees and Teachers (Elig.)

 

Missouri Medicaid** (Elig.)

 

MMSI (Mayo Health) (Elig.)

Molina California (Elig.)

 

Molina Florida (Elig.)

Molina Indiana (Elig.)

 

Molina Michigan (Elig.)

Molina Missouri (Elig.)

   

Molina Ohio (Elig.)

 

Molina Texas (Elig.)

Molina Utah (Elig.)

 

Molina Washington (Elig.)

Molina Healthplan New Mexico (Elig.)

 

Montana Medicaid (Elig.)

 

Mountain State BCBS* (Elig.)

 

Mutual of Omaha Commercial (Elig.)

MVP Health Care (Elig.)

 

 

 

*Payer requires Passport to submit enrollment paperwork on your behalf.
**Payer requires extra data for the enrollment process.
 

Next Step
 

    

     
Eligibility Payers
A B C D-E-F-G H I-J-K-L M N-O P-Q R-S-T U-V-W-X-Y-Z

Claim Status, Referrals, and PreCert Payers
A-B C-D-E-F-G H-I-J-K-L-M-N-O-P-Q-R-S-T-U-V-W-X-Y-Z

 

 N-O   

 

Payer Name

 

 

 Payer Name

National Assoc. of Letter Carriers (Elig.)

 

Nationwide Health (Elig.)

 

Nebraska Medicaid** (Elig.)

 

 

 

Neighborhood Health Plan of Massachusetts (Elig.)

 

Neighborhood Health Plan of Rhode Island (Elig.)

 

Nevada Medicaid** (Elig.)

 

New Hampshire Medicaid (Elig.)

New Jersey Medicaid (Elig.)

 

New Mexico Medicaid (Elig.)

New York Medicaid (Elig.)

  Nippon Life Insurance Company (Elig.)

North Carolina Medicaid (Elig.)

 

North Dakota Medicaid (Elig.)

Novasys Health (Elig.)

   

Ohana Health Plan Medicaid (Elig.)

 

Ohana Health Plan Medicare (Elig.)

Ohio Medicaid (Elig.)

 

OmniCare Medicaid (Elig.)

Oklahoma Medicaid (Elig.)

 

Optima (Elig.)

Oregon Medicaid (Elig.)

   

Oxford Health Plan (Elig.)

   

*Payer requires Passport to submit enrollment paperwork on your behalf.
**Payer requires extra data for the enrollment process.
 

Next Step
 

    

     
Eligibility Payers
A B C D-E-F-G H I-J-K-L M N-O P-Q R-S-T U-V-W-X-Y-Z

Claim Status, Referrals, and PreCert Payers
A-B C-D-E-F-G H-I-J-K-L-M-N-O-P-Q-R-S-T-U-V-W-X-Y-Z

 

 P-Q   

 

Payer Name

 

 

 Payer Name

PacifiCare Arizona (Elig.)

 

PacifiCare California (Elig.)

PacifiCare Colorado (Elig.)

 

PacifiCare Nevada (Elig.)

PacifiCare Oklahoma (Elig.)

 

PacifiCare Oregon (Elig.)

PacifiCare Texas (Elig.)

 

PacifiCare Washington (Elig.)

PacifiCare PPO (Elig.)

 

Pacific Source Health Plan (Elig.)

  Paramount** (Elig.)    

Partners Health North Carolina (Elig.)

 

Partnership HP of California (Elig.)

Partnership HP of California Medicaid (Elig.)

 

Passport Advantage Medicare (Elig.)

Experian HealthPlan Medicaid (Elig.)

 

Peach State Health Plan (Elig.)

PEHP (Elig.)

 

PEHP CHIP (Elig.)

PEHP Medicare (Elig.)

 

Pennsylvania Medicaid (Elig.)

PersonalCare (Elig.)

 

Personal Insurance Administrators (Elig.)

PHCS Savility (Elig.)

   
Phoenix Health Plan Medicaid (Elig.) 

Physicians Mutual Ins. (Elig.)

Physicians Plus Insurance Corporation. (Elig.)

 

Pittman & Associates TPA (Elig.)

PreferredOne (Elig.)

   

Preferred Health Systems (Elig.)

 

Premera Blue Cross of Washington (Elig.)

Presbyterian Health Plan (Elig.)

 

PrimeWest Health (Elig.)

Principal Financial (Elig.)

   

Priority Health (Elig.)

  Professional Benefit Administrators (Elig.)

Providence Health Plan (Elig.)

 

Providence Health Plan Medicare (Elig.)

Puerto Rico Medicaid (Elig.)

   Pyramid** (Elig.)

QuikTrip (Elig.)

   

*Payer requires Passport to submit enrollment paperwork on your behalf.
**Payer requires extra data for the enrollment process.
 

Next Step
 

    

     
Eligibility Payers
A B C D-E-F-G H I-J-K-L M N-O P-Q R-S-T U-V-W-X-Y-Z

Claim Status, Referrals, and PreCert Payers
A-B C-D-E-F-G H-I-J-K-L-M-N-O-P-Q-R-S-T-U-V-W-X-Y-Z

 
 R-S-T   

 

Payer Name

 

 

 Payer Name

Regence BCBS of Oregon (Elig.)

 

 

Regence BCBS of Utah* (Elig.)

 Rocky Mountain Health Plan* (Elig.)

 

  Rocky Mountain Health Plan Medicaid* (Elig.)
  Rhode Island Medicaid** (Elig.)    

 

San Francisco Health Plan* (Elig.)

   

Santa Clara Valley Health (Elig.)

 

SCAN Medicare Sup. (Elig.)

Scott and White Health (Elig.)

 

Select Health (Elig.)

Significa Benefit Services TPA (Elig.)   

South Carolina Medicaid (Elig.)

 

 

South Dakota Medicaid* (Elig.)

Special Agents Mutual Benefits Association (Elig.)

   
SRT Administrators TPA (Elig.)  Star HRG (Elig.)

StayWell Medicaid (Elig.)

 

StayWell Kids Medicaid (Elig.)

Student Insurance (Elig.) SummaCare Health Plan Commercial (Elig.)
SummaCare Health Plan Medicare (Elig.) Sunshine State Health Plan (Elig.)
Superior HealthPlan of Texas (Elig.)    
Sutter Select TPA (Elig.) 

TennCare State Db (Elig.)

Texas Medicaid (Elig.)

 

Three Rivers Health (Elig.)

  Total Health Care** (Elig.)   

Touchstone Health PSO (Elig.)

 

Touchstone Health/Health Net
SmartChoice Medicare**
(Elig.)

Trans American Life Ins (Elig.)

 

TriCare Military (Elig.)

Trustmark (Elig.) Tufts (Elig.)

*Payer requires Passport to submit enrollment paperwork on your behalf.
**Payer requires extra data for the enrollment process.
 

Next Step
 

    

     
Eligibility Payers
A B C D-E-F-G H I-J-K-L M N-O P-Q R-S-T U-V-W-X-Y-Z

Claim Status, Referrals, and PreCert Payers
A-B C-D-E-F-G H-I-J-K-L-M-N-O-P-Q-R-S-T-U-V-W-X-Y-Z

 

 U-V-W-X-Y-Z   

 

Payer Name

 

 

 Payer Name

UCare of Minnesota Commercial (Elig.)

 

UCare of Minnesota Medicaid (Elig.)

UCare of Minnesota Medicare (Elig.)

 

UHC Plan River Valley  (Elig.)

UHC Plan River Valley Medicaid (Elig.)

 

UMR Wausau (Elig.)

Underwriters Safety & Claims TPA (Elig.)   

Unicare (Elig.)

 

Unison Health Plan (Elig.)

United Teacher Associates Ins Co. Mcare Supp (Elig.)

   

Unity Health Plan (Elig.)

 

UnitedHealthcare (Elig.)

Universal Care (Elig.)

 

University Family Care Medicaid (Elig.)

University of Missouri (Elig.)

  University Physicians Care Advantage Medicare (Elig.)

University Physicians Healthgroup (Elig.)

 

UPMC Health Plan (Elig.)

UPMC Health Medicaid (Elig.)

 

USAA Life Insurance Company Medicare (Elig.)

 Utah Medicaid Batch* (Elig.) 

VA Fee Basis Program - Military (Elig.)

Vantage Health Commercial (Elig.)

 

Vantage Health Medicare (Elig.)

 

Vermont Medicaid* (Elig.)

   

Virginia Medicaid (Elig.)

 

Vista Health Plan of Florida Medicare (Elig.)

Vista/Summit Commercial (Elig.)

 

Vista/Summit Medicare (Elig.)

VIVA Health Commercial (Elig.)

 

VIVA Health Medicare (Elig.)

Vytra Healthplan (Elig.)

  Washington Medicaid (Elig.)

WEA Trust (Elig.)    

Wellcare Medicaid (Elig.) 

Wellcare Medicare (Elig.)

 Wellmark BCBS** (Elig.) 

Wellpath Select (Elig.)

West Virginia Medicaid (Elig.)

 

West Virginia CHIP/Wells Fargo. (Elig.)

West Virginia PEIA/Wells Fargo. (Elig.)

 

Western Health Advantage. (Elig.)

Windsor Medicare (Elig.)

 

Wisconsin Medicaid (Elig.)

World Insurance (Elig.)

  Writers Guild Commercial (Elig.)

Wyoming Medicaid (Elig.)

   

*Payer requires Passport to submit enrollment paperwork on your behalf.
**Payer requires extra data for the enrollment process.
 

Next Step
 

    

     

 

 

Step 4: National Payer Selection

Step 4:  Available Payers - Claim Status, Referrals, and PreCert (Alphabetical)

Demographic, payer selections, and NPI information are not saved until the application is completed and submitted using the Submit Enrollment button.

Eligibility Payers
A B C D-E-F-G H I-J-K-L M N-O P-Q R-S-T U-V-W-X-Y-Z

Claim Status, Referrals, and PreCert Payers
A
-B C-D-E-F-G H-I-J-K-L-M-N-O-P-Q-R-S-T-U-V-W-X-Y-Z

 

A-B

 

Payer Name

 

 

 Payer Name

AARP Medicare (Claims Status)   

Advantra (AZ, NM, TX) Medicare (Claims Status)

 

Advantra Freedom Medicare (Claims Status)

Aetna (Claims Status)

   

Aetna (Pre-Cert Submit)

 

Aetna (Pre-Cert View)

Aetna (Referral Submit)

 

Aetna (Referral View)

Aetna Long Term Care (Claims Status)  AFTRA Health Fund (Claims Status)

 

Affinity Health Plan** (Claims Status)

   

Alabama Medicaid (Claims Status)

 

Altius Health Plan (Claims Status)

AMC Health Future (Claims Status)

 AMC Poly America (Claims Status)
American Community Mutual (Claims Status) American Family Insurance Group (Claims Status)
American General Life & Accident (Claims Status)   
American Republic Insurance (Claims Status) 

Anthem Colorado (Claims Status)

Anthem Connecticut (Claims Status)

 

Anthem Indiana (Claims Status)

Anthem Kentucky (Claims Status)

 

Anthem Maine (Claims Status)

Anthem New Hampshire (Claims Status)

 

Anthem Nevada (Claims Status)

Anthem Ohio (Claims Status)

 

Anthem Virginia (Claims Status)

Assurant Health-John Alden (Claims Status)

   

Assurant Health-Time Ins. (Claims Status)

 

Assurant Health-Union Security (Claims Status)

BCBS of Arizona (Claims Status)

  BCBS of Arkansas (Claims Status)
Refer to BCBS AR Eligibility

BCBS of Georgia (Claims Status)

   

BCBS of Illinois (Claims Status)

 

BCBS of Kansas (Claims Status)

BCBS of Kansas City (Claims Status)

 

BCBS of Massachusetts (Claims Status)

BCBS of Massachusetts (View Referrals)

 

BCBS of Massachusetts (Submit Referrals)

BCBS of Minnesota (Claims Status)   

BCBS of Mississippi (Claims Status)

 

BCBS of Missouri (Claims Status)

BCBS of Nebraska (Claims Status)

 

BCBS of New Mexico (Claims Status)

BCBS of Oklahoma (Claims Status)

   

BCBS of Tennessee (Claims Status)

 

BCBS of Texas (Claims Status)

BCBS of Wisconsin (Claims Status)

  Best Life and Health (Claims Status)

Blue Cross California (Claims Status)

 

Bluegrass Family (Claims Status)

Boone Chapman (Claims Status)

   

Bravo Health Medicare (Claims Status)

   
     

*Payer requires Passport to submit enrollment paperwork on your behalf.
**Payer requires extra data for the enrollment process.
 

Next Step
 

    

     

Eligibility Payers
A B C D-E-F-G H I-J-K-L M N-O P-Q R-S-T U-V-W-X-Y-Z

Claim Status, Referrals, and PreCert Payers
A-B C-D-E-F-G H-I-J-K-L-M-N-O-P-Q-R-S-T-U-V-W-X-Y-Z

 

C-G

 

Payer Name

 

 

 Payer Name

Capital BlueCross (Claims Status)

 

Cariten Healthcare (Claims Status)

Carpenters Health & Welfare Trust Fund of St. Louis
(Claims Status)

   

Central Reserve Insurance Company (Claims Status)

 

Central States Fund (Claims Status)

CHAMPVA Military (Claims Status)

   

CHC-Carelink (Claims Status)

 

CHC-Carenet (Claims Status)

CHC-Group Health Plan (Claims Status)

   

CHC-Health America/Health Assurance (Claims Status)

 

CHC-Southern Health (Claims Status)

CHC of Delaware (Claims Status)

 

CHC of Georgia (Claims Status)

CHC of Iowa (Claims Status)

 

CHC of Kansas, Kansas City (Claims Status)

CHC of Kansas, Wichita (Claims Status)

 

CHC of Louisiana (Claims Status)

CHC of Nebraska (Claims Status)

 

CHCCares of South Carolina (Claims Status)

Chesapeake National Life Insurance (Claims Status)

 

Cigna (Claims Status)

Colorado Medicaid (Claims Status)

 

Continental General Insurance Company (Claims Status)

CoreSource Little Rock TPA (Claims Status)

 

CoreSource MD, PA, IL (Claims Status)

CoreSource Ohio (Claims Status)

 

Coventry Advantra Savings (Claims Status)

Coventry Cares Medicaid (Claims Status)

   

Coventry Health Care Federal (Claims Status)

 

Coventry Healthcare National (Claims Status)

Coventry Health and Life Nevada (Claims Status)

 

Coventry Health and Life Oklahoma (Claims Status)

   

Coventry Health and Life Tennessee (Claims Status)

CoventryOne (Claims Status)

 

Diamond Plan Medicaid (Claims Status)

Directors Guild Commercial (Claims Status) 

Federated Insurance Company** (Claims Status)

Fresenius Medical Care (Claims Status)

   

GEHA (Claims Status)

   

Georgia Medicaid (Claims Status)

 

Gilsbar TPA (Claims Status)

Group and Pension (Claims Status)

   

*Payer requires Passport to submit enrollment paperwork on your behalf.
**Payer requires extra data for the enrollment process.
 

Next Step
 

    

     

Eligibility Payers
A B C D-E-F-G H I-J-K-L M N-O P-Q R-S-T U-V-W-X-Y-Z

Claim Status, Referrals, and PreCert Payers
A-B C-D-E-F-G H-I-J-K-L-M-N-O-P-Q-R-S-T-U-V-W-X-Y-Z

 

H-Z

 

Payer Name

 

 

 Payer Name

Harmony Health Plan (Claims Status)   

Health Partners Philadelphia (Claims Status)

 

HealthCare Inc. (Claims Status)

Health First of New Jersey Medicaid (Claims Status)

 

Health First of New Jersey Medicare (Claims Status)

Health First of New York (Claims Status)

   

Health First of New York Medicaid (Claims Status)

 

Health First of New York Medicare (Claims Status)

Health Services for Children w/Special Needs 
(Claims Status)

 

Healthcare USA Missouri (Claims Status)

HealthEase Medicaid (Claims Status)

 

HealthEase Kids Medicaid (Claims Status)

Horizon BCBS of New Jersey (Claims Status)

   

Humana Employee Health (Claims Status)

 

 

Illinois Medicaid** (Claims Status)

Kentucky Medicaid (Claims Status)

 

Mail Handlers Benefit Plan (Claims Status)

MAMSI (Claims Status)

 

Massachusetts Medicaid (Claims Status)

MDWise Hoosier Alliance Medicaid (Claims Status)

   

Medica (Claims Status)

 

Medical Mutual Ohio (Claims Status)

Mega Life and Health Insurance Oklahoma City
(Claims Status)

  Mid-West National Life Insurance of TN (Claims Status)

Mississippi Administrative Services TPA (Claims Status)

 

Mississippi Medicaid (Claims Status)

Mississippi State Employees and Teachers (Claims Status)

 

Missouri Medicaid (Claims Status)

MMSI (Mayo Health) (Claims Status)

   

Molina California (Claims Status)

 

Molina Florida (Claims Status)

Molina Indiana (Claims Status)

 

Molina Michigan (Claims Status)

Molina Missouri (Claims Status)

   

Molina Ohio (Claims Status)

 

Molina Texas (Claims Status)

Molina Utah (Claims Status)

 

Molina Washington (Claims Status)

National Assoc. of Letter Carriers (Claims Status)

 

Nationwide Health (Claims Status)

North Carolina Medicaid (Claims Status)

 

Novasys Health (Claims Status)

Ohana Health Plan Medicaid (Claims Status)

 

Ohana Health Plan Medicare (Claims Status)

OmniCare Medicaid (Claims Status)

   

Oxford Health Plan (Claims Status)

 

Oxford Health Plan (View Referrals)

Experian HealthPlan Medicaid (Claims Status)

 

Experian HealthPlan Medicare (Claims Status)

Personal Insurance Administrators (Claims Status)

 

PersonalCare (Claims Status)

PHCS Savility (Claims Status)

 

Physicians Mutual Ins. (Claims Status)

Pittman & Associates TPA (Claims Status)

 

Preferred Health Systems (Claims Status)

Principal Financial (Claims Status)

 

QuikTrip (Claims Status)

Significa Benefit Services TPA (Claims Status) 

Special Agents Mutual Benefits Association (Elig.)

Star HRG (Claims Status)

   

StayWell Medicaid (Claims Status)

 

StayWell Kids Medicaid (Claims Status)

Three Rivers Health (Claims Status) 

Touchstone Health PSO** (Claims Status)

Touchstone Health/Health Net
SmartChoice Medicare**
(Claims Status)

   

TriCare Military (Claims Status)

  Trustmark (Claims Status)

Unicare (Claims Status)

 

UnitedHealthcare (Claims Status)

United Teacher Associates Ins Co. Mcare Supp
(Claims Status)

   

University of Missouri (Claims Status)

 

USAA Life Insurance Company Medicare (Claims Status)

VA Fee Basis Program - Military (Claims Status)

 

Vermont Medicaid (Claims Status)

Vista Health Plan of Florida Medicare (Claims Status)

 

 

 

Vista/Summit Commercial (Claims Status)

 

Vista/Summit Medicare (Claims Status)

Wisconsin Medicaid (Claims Status)

 

Wellpath (Claims Status)

World Insurance (Claims Status)

  Writers Guild Commercial (Claims Status)

Wyoming Medicaid (Claims Status)

   

*Payer requires Passport to submit enrollment paperwork on your behalf.
**Payer requires extra data for the enrollment process.
 

Next Step
 

    

     

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Step6_AcceptTerms

Step 5: Submit Your Payer Selections

Demographic, payer selections, and NPI information are not saved until the application is completed and submitted using the Submit Enrollment button.

 

 

 

We give your enrollment priority!