Medcom Logo
Home
About Us Services Strategic Partners News Savings Calculator Payer List Terminal Help Contact Us
About Us  
Eligibility List as of May 2010
Medical X-12 Real Time Insurance Payer List

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

 
Carrier States Affiliated Carrier Eligibility Referral
Add		 Referral
View		 Claim
Status
AARP National   X     X
Aetna LTC National   X X X X
Aetna /US Healthcare National   X     X
AFTRA Health Fund (Directors Guild, Writers Guild) National   X      
AMC -- Alaska Electrical Health & Welfare Fund AK   X      
AMC – American General Life and Accident National   X     X
AMC – Mesa Mental Health National   X     X
AMC – Poly America National   X     X
AMC Health Future National   X     X
AMC –Touchstone National   X      
American Community Mutual National   X     X
American Family Insurance Group and PPO Policies National   X      
APWU (American Postal Workers Union) National   X      
ARIC (American Republic Insurance Company) National   X     X
ARIC World Insurance National   X     X
Americhoice of NJ (Commercial) NJ   X      
Amerigroup National   X      
Ameritas First Ameritas of NY NY   X     X
Ameritas First Reliance Standard National   X     X
Ameritas Life Insurance Co National   X     X
Ameritas Reliance Standard Life National   X     X
Ameritas Standard Ins Co National   X     X
Ameritas Standard Ins Co of NY NY   X     X
Anthem Blue Cross California  CA   X      
Assurant Benefits Ins. Co. National Fortis X      
Assurant John Alden Life Ins. Co. National Fortis X      
Assurant Time Insurance Company National Fortis X      
AVMED (Aviation Medical) FL   X      
Best Life and Health National Glassman X     X 
Better Health Plan PA,TN Three Rivers Admin  X  X X   X
BCBS Alabama AL   X      
BCBS Alaska AK   X      
BCBS Arizona AZ   X      
BCBS Arkansas AR   X      
BCBS Colorado CO   X      
BCBS Connecticut CT   X      
BCBS District of Columbia (Carefirst) DC   X      
BCBS Delaware (Carefirst) DE   X      
BCBS Florida FL   X      
BCBS Georgia GA   X      
BCBS Illinois IL   X      
BCBS Indiana IN   X      
BCBS Iowa IA   X     X
BCBS Kansas KS   X      
BCBS Kansas City KS   X      
BCBS Kentucky KY   X      
BCBS Louisiana LA   X      
BCBS Maine ME   X      
BCBS Maryland MD   X      
BCBS Massachusetts MA   X X X X
BCBS Michigan MI   X      
BCBS Minnesota MN   X      
BCBS Mississippi MS   X     X
BCBS Missouri MO   X      
BCBS Nebraska NE   X      
BCBS Nevada NV   X      
BCBS New Hampshire NH   X      
BCBS New Jersey- Horizon NJ   X X   X
BCBS New Mexico NM   X      
BCBS New York- Empire  NY   X    X  
BCBS North Carolina NC   X      
BCBS North Dakota ND   X      
BCBS Ohio OH   X      
BCBS Oregon (Regence) OR   X      
BCBS Pennsylvania - Highmark PA   X      
BCBS Rhode Island RI   X      
BCBS South Carolina SC   X      
BCBS South Dakota (Wellmark) SD   X      
BCBS Tennessee TN   X      
BCBS Texas TX   X      
BCBS Virginia VA   X      
BCBS Washington (Premera) WA   X      
BCBS Wisconsin WI   X      
BCBS Wyoming WY   X      
Blue Cross Idaho ID   X      
Blue Cross Northeastern PA PA   X      
Blue Cross of Pennsylvania-Capital PA   X      
Blue Cross, Independence Penn. PA   X      
Blue Shield of California CA   X      
Blue Shield Of Washington (Regence) WA   X      
BlueChoice HealthPlan South Carolina Medicaid SC   X      
Bluegrass Family Health National   X      
Bravo Health, Inc National Elder Health X     X
CarePlus Health Plan National   X      
CareSource Health National   X      
Cariten Healthcare TN Convenant Commercial X     X
Cariten Senior Healthcare TN Covenant Cariten  X     X
CBA Cooperative Benefits Administrators National   X      
Central Reserve Insurance Company National   X     X
CHAMPVA/ Spina Bifida/ Children of Women Vietnam Vets National   X      
Cigna National Equicor X X   X
Community Care of Oklahoma OK   X      
Community Care of Washington WA   X     X
Colorado Access CO   X      
Continental General Insurance Company National   X     X
CoreSource MD, PA, IL MD,PA,IL   X      
CoreSource NC & IN NC & IN   X      
Coresource FMH National   X      
CoreSource Ohio OH   X      
CoreSource Little Rock AK   X      
Coventry Advantra (TX, NM, AZ Only) TX,NM,AZ   X X X X
Coventry Advantra Freedom National   X     X
Coventry Advantra Savings  National   X     X
Coventry Altius Health Plans National   X X X X
Coventry Health Care CareLink Medicaid National   X X X X
Coventry Health Care CareNet National   X X X X
Coventry CHC CareLink (Advantra) National   X X X X
Coventry Health Care Cares-South Carolina SC   X X X X
Coventry Delaware DE   X X X X
Coventry Diamond Plan National   X X X X
Coventry Health Care Of Georgia GA   X X X X
Coventry CoventryOne National   X X X X
Coventry CoventryCares National   X X X X
Coventry Group Health Plan National   X X X X
Coventry HCUSA (Health Care USA) National   X X X X
Coventry Health and Life-Nevada NE   X X X X
Coventry Health and Life-Ok Only OK   X X X X
Coventry Health and Life-Tn Only TN   X X X X
Coventry Health America and Health Assurance National Coventry HAPA  X X X X
Coventry Health Care Federal National   X X X X
Coventry Healthcare Inc. (Promina) National   X X X X
Coventry Health Care National Network National First Health X X X X
Coventry Health Care Of Iowa IA   X X X X
Coventry Health Care Of Louisiana LA   X X X X
Coventry Mail Handlers National MailHandlers X X X X
Coventry Missouri MO     X X X
Coventry Health Care Of Nebraska NE   X X X X
Coventry Health Care Of Kansas KS   X X X X
Coventry Omnicare MI   X X X X
Coventry, Personal Care National   X X X X
Coventry SHS (Southern Health Services) National   X X X X
Coventry University of Missouri National   X X X X
Coventry Wellpath Select (Carolinas) National   X X X X
Coventry Vista (MCD, FHK, LTC) National   X X X X
Coventry Vista/Summit Commercial and Medicare National   X X X X
COVENRYONE National   X     X
Directors Guild of America –Producers National Glassman X     X
EComPPO (consolidated Railroad) National ECOMPPO_CON  X     X
Erin Group National   X     X
Fallon Health Plans National   X     X
Fedinsco (Federated Ins. Company) National   X     X
Freedom Blue National   X      
Government Employees Hospital Assoc. National   X      
Great Western HealthCare National   X      
Group Benefits Administrators National   X      
Group Health Plan IL, MO Coventry GHP X X  X  X
HAP/AHL/Curanet MI,OH Health Alliance Plan of Michigan  X      
Harvard Pilgrim Health Care National   X      
Health Alliance Plan MI   X      
Health Choice of AZ AZ   X      
Health First of New Jersey NJ   X      
Health First of New York NY   X X   X
Health Net National National   X      
Health Partners National   X X   X
Health Plus of MI MI   X      
HIP NY NY   X      
Horizon New Jersey Health NJ   X X    
Humana National   X X  X  X
Inland – Empire Health National   X      
Inter Valley Health Plan National   X      
Intracorp National   X X X X
Jackson Memorial Hospital (JMH) National   X      
Jefferson Pilot National   X      
Kaiser – Colorado, Georgia, Northwest, Ohio CO, GA, OH   X      
Kaiser – TMS (Mid-Atlantic) VA, MD   X      
Kaiser Hawaii  HI   X      
Kaiser Permanente of Southern and Northern California CA   X      
Lovelace Health Plan National   X      
MAMSI (Mid Atlantic Medical Services, LLC) Mid Atlantic   X     X
Maricopa County Integrated Medical National   X      
Maricopa Care Advantage AZ   X      
Maricopa Health Plan AZ   X      
Mayo Management Services (MMSI) National   X     X
Medica MN   X      
Medicaid Alabama AL   X      
Medicaid Arizona  AZ   X      
Medicaid Arkansas AR   X      
Medicaid California (Medi-Cal) CA   X      
Medicaid Colorado CO   X      
Medicaid Connecticut CT   X      
Medicaid District of Columbia DC   X      
Medicaid Florida FL   X     X
Medicaid Georgia GA   X      
Medicaid Hawaii HI   X      
Medicaid Idaho ID   X      
Medicaid Illinois IL   X      
Medicaid Indiana IN   X      
Medicaid Iowa IA   X      
Medicaid Kansas KS,MO   X      
Medicaid Kentucky KY   X     X
Medicaid Louisiana LA   X      
Medicaid Maine ME   X      
Medicaid Maryland MD   X      
Medicaid Massachusetts MA   X      
Medicaid Michigan MI   X      
Medicaid Michigan MI   X      
Medicaid Minnesota MN   X      
Medicaid Mississippi MS   X     X
Medicaid Missouri MO   X     X
Medicaid Montana MT   X      
Medicaid Nevada NV   X      
Medicaid New Hampshire NH   X      
Medicaid New Jersey NJ   X      
Medicaid New Mexico NM   X      
Medicaid New York NY   X X X  
Medicaid North Carolina NC   X      
Medicaid North Dakota  ND   X      
Medicaid Ohio OH   X      
Medicaid Oklahoma OK   X      
Medicaid Oregon OR   X      
Medicaid Pennsylvania PA   X      
Medicaid Puerto Rico PR   X      
Medicaid South Carolina SC   X      
Medicaid South Dakota SD   X      
Medicaid Tennessee (TennCare) TN   X      
Medicaid Texas TX   X      
Medicaid Vermont VT   X      X
Medicaid Virginia VA   X      
Medicaid Washington WA   X      
Medicaid West Virginia WV   X      
Medicaid Wisconsin WI   X      
Medicaid Wisconsin Chronic Disease Program WI   X      
Medicaid Wisconsin Well Women Program WI   X      
Medicaid Wyoming WY   X      X
Medical Mutual of Ohio OH   X     X
Medicare A & B National   X      
Megalife –(Mid-west National Life Ins) National   X     X
Megalife Chesapeake National Life  National   X     X
Megalife Oklahoma City  OK   X     X
Megalife TransAmerica  Life Ins.  National   X     X
Memorial Care TPA National   X      
Mercy Care Health Plan National   X      
Metlife Dental Family National   X      
Metroplitan Health Plan (MHP) National   X      
Michigan Child MI   X      
Mississippi Children’s Health Insurance Program (CHIP) MS   X      X
Mississippi Blue Cross State Employee Health Plan MS   X      
Molina (CA, FL,IN, MI, NM, OH, UT, TX, WA)     X     X
Molina Healthcare Of California CA   X     X
Molina Healthcare Of Florida FL   X     X
Molina Healthcare Of Indiana IN   X     X
Molina Healthcare Of Michigan MI   X     X
Molina Healthcare Of New Mexico NM         X
Molina Healthcare Of Ohio OH   X     X
Molina Healthcare Of Utah UT   X     X
Molina Healthcare Of Texas TX   X     X
Molina Healthcare Of Washington WA   X     X
Molina Healthcare Of Missouri MO   X     X
Mountain State National   X      
Mutual of Omaha National   X      
MVP Healthplan ( Mohawk Valley Physicians,NY) NY   X      
NALC (National Association of Letter Carriers) National   X      
Nationwide Health Plans National   X X   X
Neighborhood Health Partnership National   X      
Oxford Northeast    X X X  
PacifiCare-Arizona (HMO) only AZ   X      
PacifiCare-California  CA   X     X
PacifiCare-Colorado (HMO) only CO   X      
PacifiCare-Florida FL   X     X
PacifiCare-Oklahoma OK   X     X
PacifiCare-Oregon OR   X     X
PacifiCare-Texas TX   X     X
PacifiCare-Washington WA   X     X
Partnership – Health Plan CA CA   X      
Passport Health Plan National   X     X
Personal Insurance Administrators (PIA)     X      
Phoenix HP AZ   X      
Physicians Mutual Insurance Company National   X     X
PHCS Savility Payers National   X     X
PHP TennCare TN Covenant X     X
Pittman and Associates National   X     X
Preferred Health Systems PA   X     X
Preferred One National   X      
PrimeWest Health National   X      
Principle Financial Group  National Services, J.F.Molley & Assoc. X X   X
Principle Financial Group – Nippon Life Insurance Company of America  National   X X   X
Priority Health  National   X      
QuikTrip Corporation National   X     X
Recall Group and Pension Administrators National   X      
Recall Group SRT Administrators Inc National   X      
Recall JP Farly Corporation National   X      
Recall Mississippi Adminstative Services Inc. MS   X      
Recall Professional Benefit Administrators Inc.  National   X      
Recall Underwriters Safety and Claims National   X      
Rocky Mountain National   X      
San Francisco – HP CA   X      
San Joaquin CA   X      
Senior Care Action Network (SCAN) HMO National   X      
Stanislaus County MIA Program National   X      
Star – HRG National   X     X
Student INS  National   X      
Sunshine State Health Plan  National   X      
Texas CHIP TX   X      
Three Rivers Health Plan TRAS3R National Unison Health Plans X      
TLC Health Plans (Memphis) TN   X      
TRICARE Champus National   X      
Trustmark National   X     X
Tufts MA   X X X  
UniCare National   X      
United Health Care  National Evercare X  X   X
United Healthcare of River Valley National John Deer HP X      
Universal Care of California CA   X      
University Family Care National   X      
University Physicians Care Advantage National   X      
University Physicians Healthcare Group National   X      
Union Pacific Railroad Employees Health National   X     X
USAA Life Insurance Company National   X      
VA – FEE VA   X X   X
Vantage Health VA   X      
VNC CHOICE VA   X      
Vytra NY   X      
WEB-TPA, Inc. National   X     X
Wells Fargo Third Party Admin National Acorida X      
Western – Health Advantage National   X      
Writers Guild-Industry Health Plan CA Glassman  X     X

 
 
Payer Updates
 
Eligibility List
 
Dental Payer List
 MedComusa.com © 2005 MedCom USA, Inc. All rights reserved. All content and materials are property of MedCom USA Privacy Statement | Terms of Use