Eligibility Code List
Payer Name Code Enrollment Required
AARP Supplimental/Secondary 36273 N
Advantra Freedom 25133 N
Advantra Savings 00456 N
Aetna Health Plans 60054 N
Aetna Long Term Care 00225 N
Affinity Health Plan 13334 N
AFTRA Health Fund 13346 N
Alabama Blue Cross Blue Shield 00266 Y
Alabama Blue Shield BS000 Y
Alabama Medicaid ALMCD N
Alabama Medicare ALMCR Y
Alaska Blue Cross Blue Shield (Premera) BCAKC Y
Alaska Medicare AKMCR Y
American Family Insurance AMF11 N
American Family Life Assurance Co. (AFLAC) AFLAC N
American General (Nashville, TN) 62030 N
American National Insurance (ANICO) - (Galveston, TX) 74048 N
American National Life Insurance Company of Texas ANTEX N
American Republic Insurance Co, ( Des Moines, IA) 42011 N
Americhoice of New Jersey Medicaid 86047 N
Americhoice-New Jersey Medicare 86001 N
AmeriGroup (TN) 27514 N
Amerigroup Corp (Ft. Worth/Dallas) 27514 N
Amerigroup Corp (Houston) 27515 N
Amerigroup of Georgia 27514 N
AmeriHealth Mercy Health Plan 22248 N
Ameritas Life Insurance Company 00425 N
Antares Management Solutions 34192 N
Anthem Indiana BS130 N
Anthem Kentucky BS160 N
Anthem Ohio BS332 N
Arizona Blue Shield 53589 Y
Arizona Medicaid AID37 N
Arizona Medicare AZMCR Y
Arkansas Blue Cross and Blue Shield SB520 Y
Arkansas Medicaid ARMCD N
Assurant Health 39065 N
Assurant Health (Fort Mill, SC only) 37313 N
Best Life & Health Insurance Co. 95604 N
Blue Choice Medicaid Managed Care 00403 N
BlueChoice HealthPlan of South Carolina Medicaid (HMO) BCHSC N
Bluegrass Family Health 61124 N
Bravo Health Inc. 52192 N
BS WV Medicare - Freedom Blue Cross Blue Shield BS768 N
California Blue Cross 47198 N
California Medicaid CAMCD Y
California Medicare - Northern CA CAMCR Y
California Medicare - Southern CA CSMCR Y
Capital Blue Cross PA 23045 Y
Carelink Advantra 00160 N
Carelink Health Plan 25133 N
Carelink Medicaid 25140 N
Carenet 00190 N
CareSource (Ohio) DAYHP N
CeltiCare 68060 N
Cenpatico Massachusettes 68061 N
Central Reserve Life 34097 N
Central States Health & Welfare Funds 36215 N
CHAMPVA - HAC 84146 N
Chesapeake Life Insurance 59223 N
Children of Women Vietnam Veterans-VA HAC 00232 N
Christian Brothers Services 61271 N
CIGNA 62308 N
CIGNA Health Plan-HMO 62308 N
CIGNA HealthCare 00001 N
CIGNA-PPO 62308 N
Colorado BCBS BS550 N
Colorado Medicaid COMCD N
Colorado Medicare COMCR Y
Connecticut BCBS BS060 N
Connecticut General (CIGNA) 62308 N
Connecticut Medicaid (EDS) SKCT0 N
Connecticut Medicare CTMCR Y
Continental General Insurance Company 71404 N
Cooperative Benefit Administrators-CBA 52132 N
CoreSource 35182 N
CoreSource Little Rock 75136 N
CoreSource OH 35183 N
Coventry Advantra (Texas New Mexico Arizona) 00504 N
Coventry Health and Life (Oklahoma) 00441 N
Coventry Health and Life (Tennessee Only) 00455 N
Coventry Health and Life-Nevada 00505 N
Coventry Health Care 25133 N
Coventry Health Care Federal 00509 N
Coventry Health Care of Delaware Inc. 00166 N
Coventry Health Care of Georgia Inc. 00154 N
Coventry Health Care of Iowa Inc. 00170 N
Coventry Health Care of Louisiana Inc. 00158 N
Coventry Health Care of Nebraska Inc. 00176 N
Coventry Healthcare National Network 00250 N
Coventry-Missouri 00507 N
CoventryOne COVON N
Delaware Blue Cross Blue Shield (CareFirst) BCDEC N
Delaware Medicare DEMCR Y
Diamond Plan 25131 N
Directors Guild of America-Producer Health Plan 23706 N
District of Columbia Blue Cross Blue Shield (CareFirst) BCDCC N
Empire Blue Cross Blue Shield (New York Only) BS803 N
EQUICOR 62308 N
EQUICOR-PPO 62308 N
Essence Healthcare 20818 N
EVERCARE (All States) 87726 N
Fallon Community Health 22254 N
Federated Mutual Insurance 41041 N
First Ameritas of New York 00426 N
Florida Blue Cross BlueShield BS590 N
Florida Medicaid FLMCD Y
Florida Medicare FLMCR Y
Fortis Benefits, Inc. 70408 N
Fortis Ins. Co. 39065 N
Fresenius Medical Care Health Plan FMCHP N
Generations Healthcare 46050 N
Georgia Blue Cross BS601 N
Georgia Medicaid GAMCD N
Georgia Medicare GAMCR Y
Government Employees Hospital Assn. (GEHA) 44054 N
Great-West 80705 N
Group Health Plan - CMR 00184 N
Harmony Health Plan (WellCare of Florida) WCHHP N
Hawaii Medicaid AID53 N
Hawaii Medicare HIMCR Y
Health 1,2,3, Inc. 23173 N
Health America Inc 25133 N
Health Future, LLC 30946 N
Health Net National HNNC N
Health Net-Arizona 38309 N
Health Net-Northeast, Inc 06108 N
Health Partners, PA 80142 N
HealthCare USA HCUSA N
HEALTHe Exchange THEXI Y
Healthease 14163 N
HealthEase Kids (WellCare of Florida) WCHEK N
Healthfirst of New Jersey HFNJ N
Healthfirst of New York 00240 N
HHIC Freedom Blue BS768 N
HIP - Health Insurance Plan of Greater New York 55247 N
Horizon Blue Cross Blue Shield of New Jersey 22099 N
Horizon Healthcare of NY 00087 N
Horizon Mercy (NJ) 22326 N
Humana Care Plan 61101 N
Humana Group Health Plan 61101 N
Humana Health Chicago 61101 N
Humana Health Chicago Insurance Company 61101 N
Humana Health Plan 61101 N
Humana Insurance Agency 61101 N
Humana Insurance Company 61101 N
Humana Medical Plan--CA 61101 N
Humana Medical Plan--KY 61101 N
Idaho Blue Cross Blue Shield BCIDC N
Idaho Medicaid AID35 N
Illinois BlueCross/Blue Shield BS121 N
Illinois Medicaid ILMCD N
Illinois Medicare ILMCR Y
Indiana BlueCross/Blue Shield BS130 N
Indiana Medicaid INMCD N
Indiana Medicare INMCR Y
Iowa Blue Cross/Blue Shield BS140 Y
Iowa Medicare IAMCR Y
J. F. Molloy and Associates, Inc. 61271 N
John Alden Life Insurance Co. 41099 N
Kaiser (Colorado except Colorado Springs) COKSR Y
Kaiser Foundation Health Plan ( Mid-Atlantic States ) 52095 Y
Kaiser Foundation Health Plan Inc. - Hawaii Region 00278 Y
Kaiser Foundation Health Plan of Georgia 21313 Y
Kaiser Foundation Health Plan of Northern CA Region 94135 Y
Kaiser Foundation Health Plan of Ohio 34092 Y
Kaiser Foundation Health Plan of Southern CA region 94134 Y
Kaiser Foundation Health Plan of the Northwest 93079 Y
Kansas Blue Shield BS650 N
Kansas City Blue Cross Blue Shield BS740 N
Kansas Medicaid KSMCD N
Kansas Medicare KSMCR Y
Kentucky Blue Shield (Anthem) BS160 N
Kentucky Medicaid KYMCD N
Kentucky Medicare KYMCR Y
Keystone Mercy Health Plan 23284 N
Louisiana Blue Shield BS738 N
Louisiana Medicaid LAMCD N
Louisiana Medicare LAMCR Y
Mail Handlers Benefit Plan 25133 N
Maine Blue Cross Blue Shield BS680 N
Maine Medicare MEMCR Y
Maricopa Care Advantage (Arizona) MCAA N
Maricopa Health Plan (Arizona) MHPA N
Maryland Blue Cross Blue Shield SB690 N
Maryland Medicare MDMCR Y
Massachusetts Blue Cross Blue Shield BS200 N
Massachusetts Medicaid MAMCD N
Massachusetts Medicare MAMCR Y
Medica 94265 N
Medical Mutual of Ohio 29076 N
MEGA Life and Health Insurance (Oklahoma City, OK) 59227 N
Mega Life and Health Insurance Company (HealthMarkets) 00248 N
Michigan Blue Cross/Blue Shield BS710 Y
Michigan Medicaid MIMCD Y
Michigan Medicare MIMCR Y
Mid West National Life Insurance (HealthMarkets) 00206 N
Minnesota Blue Cross Blue Shield BS720 Y
Minnesota Medicaid MNMCD N
Minnesota Medicare MNMCR Y
Mississippi Blue Cross/Blue Shield (incl State & Teachers) BS230 N
Mississippi Medicaid MSMCD N
Mississippi Medicare MSMCR Y
Missouri Blue Cross/Blue Shield BS999 N
Missouri Medicaid MOMCD N
Missouri Medicare MOMCR Y
MMSI 41154 N
Molina Healthcare of California 38333 N
Molina Healthcare of Florida 00506 N
Molina Healthcare of Michigan 00226 N
Molina Healthcare of Missouri 71079 N
Molina Healthcare of Ohio 20149 N
Molina Healthcare of Texas 20554 N
Molina Healthcare of Utah 00227 N
Molina Healthcare of Washington 38336 N
Montana Medicaid MTMCD N
Mountain States Administrative Services (Tucson, AZ) 86040 Y
Mutual of Omaha Insurance Co. 71412 N
MVP Health Plan of NY 14165 N
NALC (National Association of Letter Carriers) 53011 N
National Assoc. of Letter Carriers/NALC 53011 N
Nationwide Group 31417 N
Nationwide Health Plan 31417 N
Nationwide Insurance 31417 N
Nebraska Blue Shield BS260 N
Nebraska Medicare NEMCR Y
Nevada Blue Cross Blue Shield 265 N
Nevada Medicaid NVMCD N
Nevada Medicare NVMCR Y
New Hampshire Blue Cross Blue Shield BS770 N
New Hampshire Medicaid NHMCD N
New Hampshire Medicare NHMCR Y
New Jersey Medicaid NJMCD N
New Jersey Medicare NJMCR Y
New Mexico Blue Cross Blue Shield BS790 N
New Mexico Medicaid NMMCD N
New Mexico Medicare NMMCR Y
New York Medicaid SKNY0 N
New York Medicare (EMPIRE) NXMCR Y
New York Medicare (UPSTATE) NYMCR Y
Nippon Life Insurance Co. 81264 N
North Carolina Blue Shield BS310 Y
North Carolina Medicaid NCMCD N
North Carolina Medicare NCMCR Y
North Dakota Blue Cross Blue Shield BCNDC Y
North Dakota Medicaid AID59 N
Novasys Health Network ( Little Rock, AR ) 71080 N
Ohana Health Plan (WellCare of Hawaii) WCOHP N
Ohio Blue Shield: Anthem BS332 N
Ohio Medicaid OHMCD Y
Ohio Medicare OHMCR Y
Oklahoma Medicaid OKMCD N
Oklahoma Medicare OKMCR Y
Omnicare, A Coventry Health Plan 25150 N
Oregon BCBS Regence 00851 N
Oregon Medicaid SKOR0 N
Oregon Medicare ORMCR Y
Oxford Health Plan 06111 N
PacifiCare of California 95959 N
PacifiCare of Oklahoma 95959 N
PacifiCare of Oregon 95959 N
PacifiCare of Texas 00036 N
PacifiCare of Washington 00049 N
Passport Advantage 76569 N
Passport Health Plan 61129 N
Pennsylvania Blue Shield BS362 Y
Pennsylvania Medicaid PAMCD N
Pennsylvania Medicare PAMCR Y
Personal Insurance Administrators, Inc. (Agoura Hills, CA) 95397 N
PersonalCare 25133 N
PHCS 70408 N
PHP of Michigan 00112 N
PHP of Mid Michigan, Inc 87726 N
PHP of S. Michigan, Inc 87726 N
PHP of SW Michigan, Kalamazoo 87726 N
PHP of West Michigan, Inc. 87726 N
Physicians Mutual Insurance Company (Omaha, NE) 47027 N
Pittman & Associates 37224 N
Poly America Medical & Dental Benefits Plan 32680 N
Preferred Healthcare System 23266 N
Principal Financial Group 61271 N
Principal Life Insurance Co. 61271 N
Priority Health 38217 N
Promina ASO 00193 N
QuikTrip Corporation QKTRP N
Railroad Medicare TRRGA Y
Rhode Island Blue Cross Blue Shield BCRIC N
Rocky Mountain Health Plan Grand Junction SX141 Y
SAMBA Health Benefit Plan SAMBA N
Secure Horizons California 00010 N
Secure Horizons Oklahoma 00035 N
Secure Horizons Oregon 00034 N
Secure Horizons Texas 00036 N
Secure Horizons Washington 00049 N
Select Health of South Carolina 25176 N
Selectcare of Oklahoma - Tribute SCOK1 N
Significa Benefit Services Inc. 23250 N
South Carolina Blue Cross/Blue Shield BS401 Y
South Carolina Medicaid SCMCD N
South Carolina Medicare SCMCR Y
South Dakota Blue Cross Blue Shield BCSDC Y
South Dakota Medicaid AID28 N
Southern Health Service 25133 N
Spina Bifida - VA HAC 84146 N
Standard Life and Accident Insurance Company SLAIC N
Star HRG 59225 N
Staywell Health Plan 14163 N
StayWell Kids (WellCare of Florida) WCSWK N
Sunshine State Health Plan CSSHP N
Tennessee Blue Cross BS390 Y
Tennessee Medicaid (TennCare) AID13 N
Tennessee Medicare TNMCR Y
Texan Plus (North Texas Area) TXNNT N
Texan Plus (Southeast Texas Area) TXNSE N
Texas Blue Shield BS400 N
Texas Medicare TXMCR Y
Time Insurance, a Fortis company 39065 N
Todays Health TDHLT N
Todays Options TDOPT N
Touchstone Health PSO (NY,NY) 23856 N
Touchstone Health/Health Net Smart Choice (NY, NY) 13402 N
Transamerica Life Insurance 59222 N
Tricare and Tricare Prime TRI01 N
Tricare and Tricare Prime TRI02 N
Tricare and Tricare Prime TRI03 N
Tricare and Tricare Prime TRI04 N
Tricare and Tricare Prime TRI05 N
Tricare and Tricare Prime TRI06 N
Tricare and Tricare Prime TRI07 N
Tricare and Tricare Prime TRI08 N
Tricare and Tricare Prime TRI09 N
Tricare and Tricare Prime TRI10 N
TriCare Region 11 TRI11 N
TriCare Region 12 TRI12 N
Trustmark 61425 N
Tufts Health Plan 04298 N
UMR - Wausau/UHIS (formerly Fiserv Health - Wausau Benefits/ 39026 N
UniCARE 80314 N
Union Pacific RR Employees (Salt Lake City, UT) 87042 N
Union Security Insurance Company 00253 N
Unison / Better Health Plans ( Monroeville, PA) 62183 N
Unison/Three Rivers Health Plans 25175 N
United Healthcare 87726 N
University of Missouri 25133 N
University Physicians Care Advantage (Arizona) UPCAA N
University Physicians Healthcare Group (Arizona) UPHGA N
USAA (United States Automobile Assoc.) 74095 N
Utah Medicare UTMCR Y
VA Fee Basis Programs 12115 N
VA Health Admin Ctr (CHAMPVA/Spina Bifida/Children of Women 00232 N
Vanderbilt Health Plan 23173 N
Vantage Health Plan 72128 N
Vermont Medicaid AID30 Y
Virginia Blue Cross Blue Shield BS923 N
Virginia Medicaid VAMCD N
Virginia Medicare VAMCR Y
Visiting Nurse Service of New York, Inc. VNSNY N
Vista/Foundation/Coventry ( Sunrise, FL) 55248 N
VNS Choice VNSNY N
Vytra Healthcare 22264 N
Washington Medicaid WAMCD N
Washington Medicare WAMCR Y
Washington State Regence Blue Cross BS932 Y
Washington, D.C. Medicare DCMCR Y
webTPA/Community Health Electronic Claims/CHEC 75261 N
Wellcare of CT 14164 N
Wellcare of Florida 14163 N
Wellcare of Georgia 14163 N
Wellcare of Louisiana 14163 N
Wellcare of New York 14163 N
Wellcare of New York 14164 N
Wellcare of Ohio 14163 N
Wellchoice of NJ 00044 N
Wellpath 00164 N
West Virginia Blue Shield BS443 Y
West Virginia Medicaid WVMCD N
West Virginia Medicare WVMCR Y
Wisconsin Blue Cross Blue Shield BS950 N
Wisconsin Chronic Disease Program WICDP N
Wisconsin Medicaid WIMCD N
Wisconsin Medicare WIMCR Y
Wisconsin Well Woman Program WIWWP N
World Insurance Company ( Omaha, NE ) 75276 N
Writers Guild Industry Health ( Burbank, CA ) 23710 N
Wyoming BCBS BS960 Y
Wyoming Medicaid WYMCD Y
Wyoming Medicare WYMCR Y