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Payer Directory

One stop for AR teams — timely-filing limits, payer IDs, claims routing, appeal windows, clearinghouses, and provider portals for major payers and their subsidiaries.

Always verify before you file. Payer IDs, timely-filing limits, and claims addresses vary by plan, region, and contract. This directory is a starting reference, not a contract-binding source — confirm each value in the payer portal or your clearinghouse. Last updated 2026-06-30.

229 payers

90 Degree Benefits

Commercial
Varies Varies
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Aetna

Commercial

Incl. CVS Health, Aetna Better Health, Meritain Health, Aetna Signature Administrators

60054 120 days from the date of …
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Aetna Better Health

Medicaid

Incl. Aetna Medicaid, ABH

60054 180 days from date of serv…
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Aetna Better Health of Florida

Medicaid

Incl. ABHFL, Aetna Medicaid FL

128FL Participating 180 days fro…
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Aetna Medicare Advantage

Medicare Advantage

Incl. Aetna, Aetna Medicare, Aetna MA, CVS Health

60054 Per provider contract; com…
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Aetna Signature Administrators

Commercial

Incl. ASA

Varies Varies
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AHCCCS (Arizona Medicaid)

Medicaid

Incl. Arizona Health Care Cost Containment System, Arizona Medicaid, AHCCCS FFS

Varies FFS: first submission with…
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Alameda Alliance for Health

Medicaid

Incl. AAH

95327 Contracted: 180 days from …
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Alignment Health Plan Medicare Advantage

Medicare Advantage

Incl. Alignment Health Plan, Alignment Healthcare

Varies Per provider contract; ver…
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Allied Benefit Systems

Commercial

Incl. Allied, Allied Benefit

37308 Varies
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Allied National

Commercial
Varies Varies
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Ambetter Health

Commercial

Incl. Ambetter, Ambetter from Superior HealthPlan, Ambetter from Sunshine Health

68069 Commonly 180 days from dat…
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AmeriHealth

Commercial

Incl. AmeriHealth NJ, AHNJ, AmeriHealth Administrators

60061 365 days from date of serv…
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AmeriHealth Caritas

Medicaid

Incl. AmeriHealth Caritas Pennsylvania, ACFC

Varies AmeriHealth Caritas PA: in…
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AmeriHealth Caritas Florida (formerly Prestige Health Choice)

Medicaid

Incl. Prestige Health Choice, PHC, AmeriHealth Caritas FL

77003 Generally 180 days from da…
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Amida Care

Medicaid

Incl. Amida Care Health Plan, Amida Care SNP

79966 Varies
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Angle Health

Commercial

Incl. Angle Insurance Company of Utah

39856 Varies
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Anthem / Elevance Health

Commercial

Incl. Elevance Health, Anthem Blue Cross, Anthem BCBS, Wellpoint

Varies 90 to 365 days depending o…
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Anthem Blue Cross and Blue Shield

BCBS

Incl. Anthem, Anthem BCBS, Anthem Blue Cross

Varies Commonly 90 days from date…
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Anthem Blue Cross Medi-Cal (California)

Medicaid

Incl. Anthem Blue Cross, Blue Cross of California Partnership Plan

47198 180 days from DOS (partici…
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Anthem HealthKeepers

Commercial

Incl. HealthKeepers Inc

Varies Varies
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Anthem Medicare Advantage

Medicare Advantage

Incl. Anthem, Anthem Blue Cross, Elevance Health

Varies Per provider contract; ver…
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Apple Health (Washington State Medicaid)

Medicaid

Incl. Washington Apple Health, WA Medicaid, ProviderOne, Washington HCA

Varies Varies
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Arkansas Blue Cross and Blue Shield

BCBS

Incl. Arkansas BCBS, AR Blue Cross, ABCBS

00520 180 days from date of serv…
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AultCare

Commercial

Incl. AultCare Insurance Company, Aultra Administrative Group, PrimeTime Health Plan

Varies Varies
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Auxiant

Commercial
AUX01 Varies
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AvMed

Commercial

Incl. AvMed Inc., Sentara Health Plans

59274 180 days from date of serv…
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Banner|Aetna

Commercial

Incl. Banner Aetna

67895 90 days from date of servi…
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Baylor Scott & White Health Plan

Commercial

Incl. BSWHP, Scott and White Health Plan, SWHP

94999 95 days from date of servi…
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BenefitMall

Commercial

Incl. CRC Benefits

Varies Varies
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Blue Cross & Blue Shield of Mississippi

BCBS

Incl. BCBSMS, BCBS of Mississippi

Varies Varies
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Blue Cross & Blue Shield of Rhode Island

BCBS

Incl. BCBSRI, Blue Chip

00870 180 days from the date of …
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Blue Cross and Blue Shield of Alabama

BCBS

Incl. BCBSAL, BCBS Alabama

00510 Commonly cited as approxim…
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Blue Cross and Blue Shield of Illinois

BCBS

Incl. BCBSIL, BCBS of Illinois

00621 Varies
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Blue Cross and Blue Shield of Kansas City

BCBS

Incl. Blue KC, BCBS Kansas City, BCBSKC

47171 Rejected claims must be co…
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Blue Cross and Blue Shield of Louisiana

BCBS

Incl. BCBSLA, Louisiana Blue, LABlue

53120 Commercial: within 15 mont…
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Blue Cross and Blue Shield of Massachusetts

BCBS

Incl. BCBSMA, HMO Blue, Blue Cross MA

00200 HMO and PPO claims within …
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Blue Cross and Blue Shield of Minnesota

BCBS

Incl. BCBSMN, Blue Cross MN

00720 Varies
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Blue Cross and Blue Shield of Montana

BCBS

Incl. BCBSMT, BCBS of Montana

Varies Varies
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Blue Cross and Blue Shield of Nebraska

BCBS

Incl. BCBSNE, Nebraska Blue

Varies Standard 180 days from DOS…
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Blue Cross and Blue Shield of New Mexico

BCBS

Incl. BCBSNM, BCBS of New Mexico

00790 180 days from date of serv…
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Blue Cross and Blue Shield of North Carolina

BCBS

Incl. Blue Cross NC, BCBSNC

SB810 Commonly 18 months for med…
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Blue Cross and Blue Shield of Oklahoma

BCBS

Incl. BCBSOK, BCBS of Oklahoma

00840 180 days from date of serv…
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Blue Cross and Blue Shield of Texas

BCBS

Incl. BCBSTX, BCBS of Texas

84980 Commercial PPO: 365 days f…
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Blue Cross and Blue Shield of Vermont

BCBS

Incl. BCBSVT, Blue Cross VT

Varies Not confidently confirmed …
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Blue Cross Blue Shield (State Plans)

Commercial

Incl. BCBS, Blue Card, Highmark, Horizon

Varies Varies by plan — commonly …
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Blue Cross Blue Shield Medicare Advantage

Medicare Advantage

Incl. BCBS Medicare Advantage, Blue Cross Medicare, Blue MA

Varies Determined by the local Bl…
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Blue Cross Blue Shield of Arizona

BCBS

Incl. AZ Blue, BCBSAZ

53589 Health Choice (Medicaid): …
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Blue Cross Blue Shield of Michigan

BCBS

Incl. BCBSM, BCBS Michigan

MIBLS Medicare Plus Blue (MA): 2…
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Blue Cross Blue Shield of North Dakota

BCBS

Incl. BCBSND, BCBS of North Dakota

Varies 180 days from date of serv…
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Blue Cross Blue Shield of Wyoming

BCBS

Incl. BCBSWY, Your Wyo Blue

53767 1 year (365 days) from DOS…
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Blue Cross of Idaho

BCBS

Incl. BCI, Blue Cross Idaho

BLUEC 180 days from DOS when BCI…
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Blue Shield of California

Commercial

Incl. BSC, Blue Shield of CA

94036 Varies
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BlueCross BlueShield of South Carolina

BCBS

Incl. BCBSSC, BCBS South Carolina

Varies Commonly 365 days for orig…
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BlueCross BlueShield of Tennessee

BCBS

Incl. BCBST, BCBS Tennessee

00390 Varies
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Boon-Chapman

Commercial

Incl. Boon Chapman Administrators

74238 Varies
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Brand New Day Medicare Advantage

Medicare Advantage

Incl. Brand New Day, BND

Varies Per provider contract; ver…
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Bright HealthCare

Commercial

Incl. Bright Health, NeueHealth

Varies Varies
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Buckeye Health Plan

Medicaid

Incl. Buckeye Community Health Plan, Buckeye Ohio Medicaid, Centene

68069 365 days from DOS for init…
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CalOptima Health

Medicaid

Incl. CalOptima, Orange County Medi-Cal

CALOP Varies
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CalViva Health

Medicaid

Incl. CalViva

68069 Varies
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Capital Blue Cross

BCBS

Incl. Capital BlueCross, CapBlueCross

23045 Professional/ancillary: 18…
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Capital District Physicians' Health Plan

Commercial

Incl. CDPHP, CDPHP Universal Benefits

SX065 Varies
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Capital Health Plan

Commercial

Incl. CHP

95112 Varies
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CareFirst BlueCross BlueShield

BCBS

Incl. CareFirst, CFBCBS

00580 Commonly 365 days from dat…
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CarePlus Health Plans (Humana, Florida)

Medicare Advantage

Incl. CarePlus, Humana CarePlus

95092 Contracted 180 days; non-c…
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CareSource

Medicaid

Incl. CareSource Ohio Medicaid, CareSource Indiana, CareSource Georgia

Varies Varies by state: Ohio 365 …
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Centene / WellCare

Medicaid

Incl. WellCare, Ambetter, Fidelis Care, Health Net

Varies Varies by plan — commonly …
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Centivo

Commercial
45564 Varies
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CGS Administrators Medicare — Jurisdiction 15

Medicare

Incl. CGS, CGS Administrators, J15, Jurisdiction 15

Varies 1 calendar year from date …
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Children's Medical Services Health Plan

Medicaid

Incl. CMS Health Plan, CMS Managed Care Plan

68069 180 days from date of serv…
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Christian Brothers Employee Benefit Trust

Commercial

Incl. Christian Brothers Services, CBEBT

38308 Varies
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Cigna / Evernorth

Commercial

Incl. Evernorth, Cigna Healthcare, Allegiance, GWH-Cigna

62308 90 days from the date of s…
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Cigna + Oscar

Commercial

Incl. C+O, Cigna and Oscar

Varies Varies
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Cigna Medicare Advantage

Medicare Advantage

Incl. Cigna, Cigna Medicare, Cigna Healthcare MA

62308 Per provider contract; com…
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Cigna-HealthSpring

Medicare Advantage

Incl. HealthSpring, Cigna Medicare

52192 Varies
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Clear Health Alliance

Medicaid

Incl. CHA

Varies ~90 days from DOS for full…
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Clover Health Medicare Advantage

Medicare Advantage

Incl. Clover Health, Clover

Varies Per provider contract; ver…
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Cofinity

Commercial

Incl. PPOM, Cofinity/PPOM

Varies Varies
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Community Care Plan

Medicaid

Incl. CCP, South Florida Community Care Network, SFCCN

59065 180 days from date of serv…
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Community Health Choice

Commercial

Incl. Community Health Choice Texas

48145 95 days from date of service
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Contra Costa Health Plan

Medicaid

Incl. CCHP

CCHS 180 days from date of serv…
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Curative

Commercial

Incl. Curative Health Plan

CURTV Varies
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Dean Health Plan

Commercial

Incl. Dean Health Plan by Quartz, DeanCare

39113 Varies
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Devoted Health

Medicare Advantage

Incl. Devoted, DEVOT

DEVOT Varies
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Devoted Health (Florida)

Medicare Advantage

Incl. Devoted

DEVOT Non-contracted up to 12 mo…
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Driscoll Health Plan

Medicaid

Incl. Driscoll Health Plan, DHP, Driscoll STAR / STAR Kids

74284 95 days from date of service
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EmblemHealth

Commercial

Incl. HIP, GHI, Group Health Incorporated

55247 18 months commercial; 15 m…
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Employee Benefit Management Services (EBMS)

Commercial

Incl. EBMS

81039 Varies
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Evernorth Behavioral Health

Commercial

Incl. Cigna Behavioral Health, EBH

62308 Varies
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Excellus BlueCross BlueShield

BCBS

Incl. Excellus, Excellus Health Plan

Varies Not confidently confirmed;…
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Fidelis Care (New York)

Medicaid

Incl. Fidelis Care New York, NYS Catholic Health Plan, Centene

11315 90 days from DOS for Medic…
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First Coast Service Options Medicare

Medicare

Incl. FCSO, First Coast, Florida Medicare, Jurisdiction N

09102 1 calendar year from date …
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First Health Network

Commercial

Incl. First Health, First Health PPO, Cofinity

Varies Varies
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Florida Blue (Blue Cross and Blue Shield of Florida)

BCBS

Incl. Florida Blue, BCBS of Florida, BCBSFL, Health Options Inc.

00590 180 days from DOS (par); s…
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Florida Blue Medicare Advantage

Medicare Advantage

Incl. Florida Blue, BlueMedicare, Florida Blue Medicare

Varies Per provider contract; ver…
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Florida Community Care

Medicaid

Incl. FCC, Florida Community Care LLC

FLCCR Varies
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Florida Health Care Plans

Commercial

Incl. FHCP

59322 Varies
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Florida Medicaid (Fee-for-Service)

Medicaid

Incl. FL Medicaid FFS, AHCA Medicaid, FMMIS, Gainwell

Varies 12 months (1 year) from da…
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Geisinger Health Plan

Commercial

Incl. GHP, Geisinger

75273 Varies
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Gilsbar

Commercial

Incl. Gilsbar Inc

07205 Varies
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Gold Coast Health Plan

Medicaid

Incl. GCHP

77160 365 days from date of serv…
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Government Employees Health Association

Government

Incl. GEHA, G.E.H.A.

39026 Varies
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Great-West Healthcare (GWH-Cigna)

Commercial

Incl. GreatWest Healthcare, GWH-Cigna

62308 Varies
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Group & Pension Administrators (GPA)

Commercial

Incl. GPA, Group and Pension Administrators

48143 Varies
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Harvard Pilgrim Health Care

Commercial

Incl. HPHC, Harvard Pilgrim, Point32Health

04271 90 days from date of servi…
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Hawaii Medical Service Association

BCBS

Incl. HMSA, BCBS of Hawaii, Hawaii Blue Cross

12B62 Reimbursement requests wit…
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Health Alliance Medical Plans

Commercial

Incl. Health Alliance, HAMP

77950 Varies
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Health First Health Plans

Commercial

Incl. HFHP

95019 180 days from date of serv…
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Health Net

Commercial

Incl. Health Net of California, HN

95567 120 calendar days after da…
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Health Net Medi-Cal (California)

Medicaid

Incl. Health Net Community Solutions, Centene

Varies Varies
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HealthEZ

Commercial

Incl. Americas TPA

41178 Varies
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Healthfirst (New York)

Medicaid

Incl. Healthfirst Health Plan, Healthfirst PHSP

80141 Varies
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HealthPartners

Commercial

Incl. HealthPartners Inc., HealthPartners of Minnesota

94267 Varies
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HealthSmart

Commercial

Incl. HealthSmart Benefit Solutions, HealthSmart Holdings

Varies Varies
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Highmark Blue Cross Blue Shield

BCBS

Incl. Highmark BCBS, Highmark Blue Shield, Highmark Inc.

Varies 365 days from DOS/discharg…
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Highmark Wholecare (formerly Gateway Health)

Medicaid

Incl. Gateway Health Plan, Gateway Health, Highmark Wholecare

25169 365 days from the last DOS…
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Horizon Blue Cross Blue Shield of New Jersey

BCBS

Incl. Horizon BCBSNJ, Horizon Blue, Horizon BCBS NJ

22099 Commonly 180 days from dat…
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Horizon NJ Health (New Jersey Medicaid)

Medicaid

Incl. Horizon NJ Health, NJ FamilyCare (Horizon)

22326 180 calendar days from DOS…
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Humana

Commercial

Incl. Humana Military (TRICARE East), Humana Gold Plus, CarePlus

61101 90 days from the date of s…
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Humana Healthy Horizons in Florida

Medicaid

Incl. Humana Healthy Horizons, HHH, Humana Medicaid FL

61101 Varies
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Humana Medicare Advantage

Medicare Advantage

Incl. Humana, Humana Gold Plus, Humana MA

61101 Per provider contract; com…
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Imagine360

Commercial

Incl. Imagine360 Administrators, ELAP Services

48143 Varies
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Imperial Health Plan of California

Medicare Advantage

Incl. Imperial Health Plan, IHP

IHP01 90 days from date of servi…
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Independence Blue Cross

BCBS

Incl. IBX, IBC, Independence

54704 Varies
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Independent Health Association

Commercial

Incl. Independent Health, IH

Varies Varies
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Inland Empire Health Plan

Medicaid

Incl. IEHP

IEHP1 180 days from date of serv…
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Insurance Benefit Administrators

Commercial

Incl. IBA

07689 Varies
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Kaiser Permanente

Commercial

Incl. KP, Kaiser Foundation Health Plan

Varies Varies by region — commonl…
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Kaiser Permanente Medicare Advantage

Medicare Advantage

Incl. Kaiser Permanente, Kaiser, KP Senior Advantage

Varies Per provider contract / re…
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Key Benefit Administrators

Commercial

Incl. KBA

37217 Varies
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Keystone First

Medicaid

Incl. Keystone First Pennsylvania, Keystone First Community HealthChoices

23284 Initial claims within 180 …
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L.A. Care Health Plan

Medicaid

Incl. L.A. Care, LA Care

LACAR Minimum 180 days from DOS …
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MedBen

Commercial

Incl. Medical Benefits Administrators

74323 Varies
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Medi-Cal (California Medicaid Fee-for-Service)

Medicaid

Incl. DHCS, California Medicaid, Medi-Cal FFS

Varies 6 months (~180 days) from …
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Medica

Commercial

Incl. Medica Health Plans

94265 180 days from DOS (date of…
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Medicaid (State Programs)

Medicaid

Incl. State Medicaid, MCO

Varies Varies by state — commonly…
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Medical Associates Health Plans

Commercial

Incl. MAHP, Health Choices

MAHC1 90 days from date of servi…
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Medical Mutual of Ohio

Commercial

Incl. MedMutual, MMO

29076 Varies
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Medicare (Original / Part A & B)

Medicare

Incl. CMS, Medicare Fee-for-Service, MAC

Varies 1 calendar year from the d…
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Medicare DME MAC (Durable Medical Equipment)

Medicare

Incl. DME MAC, DMEPOS MAC, DME Medicare

Varies 1 calendar year from date …
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Mercy Care (Arizona Medicaid)

Medicaid

Incl. Mercy Care Plan, Mercy Care (Aetna)

86052 New claims: 150 days from …
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Meridian Health Plan

Medicaid

Incl. Meridian, MeridianHealth, Centene/WellCare

Varies 180 days from DOS for part…
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Meritain Health

Commercial

Incl. CBSA, Aetna TPA

41124 90 days from date of servi…
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MetroPlusHealth

Medicaid

Incl. MetroPlus Health Plan, MetroPlus

13265 90 days from date of servi…
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Moda Health

Commercial

Incl. ODS Health Plan

13350 120 days from date of serv…
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Molina Healthcare

Medicaid

Incl. Molina, Molina Marketplace, Molina Medicare

Varies Varies by state — commonly…
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Molina Healthcare of California (Medi-Cal)

Medicaid

Incl. Molina Medi-Cal

38333 Varies
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Molina Healthcare of Florida

Medicaid

Incl. Molina FL, MHFL

51062 Generally 180 days under F…
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Molina Healthcare of Texas

Medicaid

Incl. Molina Texas, Molina STAR+PLUS

20554 95 days from date of servi…
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Mountain Health CO-OP

Commercial

Incl. MHC, Montana Health CO-OP

MHC01 365 days from date of serv…
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MultiPlan / PHCS

Commercial

Incl. Claritev, PHCS, Private Healthcare Systems, Beech Street

Varies Varies
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MVP Health Care

Commercial

Incl. MVP, MVP Health Plan

14165 Varies
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National Government Services Medicare — Jurisdiction 6

Medicare

Incl. NGS, National Government Services, J6, Jurisdiction 6

Varies 1 calendar year from date …
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National Government Services Medicare — Jurisdiction K

Medicare

Incl. NGS, National Government Services, JK, Jurisdiction K

Varies 1 calendar year from date …
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Network Health (Wisconsin)

Commercial

Incl. Network Health Plan, Network Health Insurance Corporation

Varies 90 days from the date of s…
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New York State Medicaid (eMedNY)

Medicaid

Incl. eMedNY, NYS Medicaid, New York Medicaid FFS

Varies 90 days from date of servi…
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Nippon Life Benefits

Commercial

Incl. Nippon Life Insurance Company of America, NLB

81264 Varies
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Noridian Healthcare Solutions Medicare — Jurisdiction E

Medicare

Incl. Noridian, JE, Jurisdiction E, California Medicare

Varies 1 calendar year from date …
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Noridian Healthcare Solutions Medicare — Jurisdiction F

Medicare

Incl. Noridian, JF, Jurisdiction F

Varies 1 calendar year from date …
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Novitas Solutions Medicare — Jurisdiction H

Medicare

Incl. Novitas, JH, Jurisdiction H, Texas Medicare

Varies 1 calendar year from date …
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Novitas Solutions Medicare — Jurisdiction L

Medicare

Incl. Novitas, JL, Jurisdiction L

Varies 1 calendar year from date …
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Optum Behavioral Health

Commercial

Incl. United Behavioral Health, UBH, Provider Express

87726 Varies
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Oscar Health

Commercial

Incl. Oscar, Oscar Insurance

OSCAR Varies
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Oxford Health Plans

Commercial

Incl. Oxford, UnitedHealthcare Oxford, OHP

06111 Varies
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PacificSource Health Plans

Commercial

Incl. PacificSource

93029 Encouraged within 90 days;…
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Palmetto GBA Medicare — Jurisdiction J

Medicare

Incl. Palmetto GBA, JJ, Jurisdiction J

Varies 1 calendar year from date …
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Palmetto GBA Medicare — Jurisdiction M

Medicare

Incl. Palmetto GBA, JM, Jurisdiction M

Varies 1 calendar year from date …
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Paramount Health Care

Commercial

Incl. Paramount Insurance Company, Paramount Advantage

Varies Varies
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Partnership HealthPlan of California

Medicaid

Incl. Partnership HealthPlan, PHC, PHPCA

PHPCA Varies
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Peach State Health Plan

Medicaid

Incl. Peach State, PSHP, Centene

68069 180 days from date of serv…
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Peoples Health (UnitedHealthcare)

Medicare Advantage

Incl. Peoples Health Network, PHN

87726 Varies
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Physicians Health Plan (PHP) of Michigan

Commercial

Incl. PHP, Physicians Health Plan of Mid-Michigan, University of Michigan Health Plan

37330 Varies
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Premera Blue Cross

BCBS

Incl. Premera, Premera BCBS of Alaska

00430 Ideally within 60 calendar…
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Presbyterian Health Plan

Commercial

Incl. PHP, Presbyterian, myPRES

PREHP Varies
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Priority Health

Commercial

Incl. Priority Health Plan

38217 12 months from date of ser…
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Professional Benefit Administrators (PBA)

Commercial

Incl. PBA, PBA Claims

36331 Varies
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Prominence Health Plan

Commercial

Incl. Prominence Health Plan of Nevada

93082 Varies
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Providence Health Plan

Commercial

Incl. PHP, Providence

SX133 365 days from date of serv…
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Public Employees Health Program (Utah)

Commercial

Incl. PEHP, Utah Public Employees Health Plan

SX106 12 months from date of ser…
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Quartz Health Solutions

Commercial

Incl. Quartz, Unity Health Insurance

66705 90 days from the date of s…
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Railroad Medicare (Palmetto GBA)

Medicare

Incl. Railroad Medicare, RRB SMAC, Railroad Retirement Board Medicare

Varies 1 calendar year from date …
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Regence BlueCross BlueShield

BCBS

Incl. Regence, Regence BlueShield, Cambia

Varies Generally 1 year (365 days…
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Rocky Mountain Health Plans

Commercial

Incl. RMHP

87726 Varies
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S&S Healthcare Strategies

Commercial

Incl. S & S Healthcare Strategies, Reflect Health

31441 Varies
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Sana Benefits

Commercial

Incl. Sana

50114 Varies
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Sanford Health Plan

Commercial

Incl. Sanford Health Plan of the Dakotas, Align

91184 180 days from date of serv…
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Santa Clara Family Health Plan

Medicaid

Incl. SCFHP

24077 1 year from date of servic…
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SCAN Health Plan Medicare Advantage

Medicare Advantage

Incl. SCAN Health Plan, SCAN

Varies Per provider contract; ver…
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Security Health Plan of Wisconsin

Commercial

Incl. Security Health Plan

39045 365 days from DOS for orig…
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SelectHealth

Commercial

Incl. Select Health, Intermountain SelectHealth

SX107 Varies
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Sentara Health Plans

Commercial

Incl. Optima Health, Virginia Premier

54154 365 days from date of serv…
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Sharp Health Plan

Commercial

Incl. SHP

SHP01 180 days from date of serv…
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Sidecar Health

Commercial
SDCAR Varies
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Sierra Health and Life

Commercial

Incl. SHL

71420 Varies
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Simply Healthcare Plans

Medicaid

Incl. Simply, SMH, Simply Healthcare

SMPLY ~90 days from DOS for full…
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SummaCare

Commercial

Incl. SummaCare Inc.

95202 Varies
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Sunshine Health

Medicaid

Incl. Sunshine State Health Plan, Centene FL, Sunshine

68069 180 calendar days from dat…
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Superior HealthPlan (Texas Medicaid)

Medicaid

Incl. Superior HealthPlan, Centene, Superior STAR, Superior STAR+PLUS

68069 95 days from date of service
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Surest

Commercial

Incl. Bind, Bind Benefits

25463 365 days from date of serv…
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Sutter Health Plan

Commercial

Incl. Sutter Health Plus, SHP

Varies 180 calendar days from dat…
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Taro Health

Commercial

Incl. Mending, Taro Health Plan

Varies Varies
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Texas Medicaid (TMHP)

Medicaid

Incl. Texas Medicaid & Healthcare Partnership, TMHP, Texas Medicaid Fee-for-Service

Varies 95 days from each date of …
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The Loomis Company

Commercial

Incl. Loomis Company TPA

23223 Varies
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TRICARE

Government

Incl. TRICARE East (Humana Military), TRICARE West (TriWest / Health Net Federal Services), CHAMPUS

Varies 1 year from the date of se…
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Trustmark Health Benefits

Commercial

Incl. CoreSource, Luminare Health, Trustmark

35182 Varies
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Tufts Health Plan

Commercial

Incl. THP, Point32Health, Tufts Medicare Preferred

04298 90 calendar days for Tufts…
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UMR

Commercial

Incl. United Medical Resources, UnitedHealthcare TPA

39026 Varies
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UnitedHealthcare

Commercial

Incl. UHC, Optum, UnitedHealthcare Community Plan, UMR

87726 90 days from the date of s…
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UnitedHealthcare Community Plan

Medicaid

Incl. UHC Community Plan, UHCCP

87726 Varies
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UnitedHealthcare Community Plan of Florida

Medicaid

Incl. UHC Community Plan FL, UnitedHealthcare Medicaid FL

87726 Per manual: initial 180 da…
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UnitedHealthcare Community Plan of Texas

Medicaid

Incl. UHC Community Plan Texas, UnitedHealthcare STAR / STAR+PLUS

87726 95 days from DOS (Texas Me…
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UnitedHealthcare Medicare Advantage / AARP

Medicare Advantage

Incl. UnitedHealthcare, UHC, AARP Medicare Advantage, UHC MA

87726 Per provider contract; com…
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UnitedHealthcare Shared Services

Commercial

Incl. UHSS

39026 Varies
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UnitedHealthcare StudentResources

Commercial

Incl. UHCSR, StudentResources

74227 90 days from date of servi…
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Univera Healthcare

Commercial

Incl. Excellus Health Plan dba Univera Healthcare

UNINW Varies
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UPMC Health Plan

Commercial

Incl. UPMC, UPMC for You, UPMC for Life

23281 90 days (per secondary sou…
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Vantage Health Plan

Commercial

Incl. Vantage Health Plan, Inc., VHP

72128 Varies
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WebTPA Employer Services

Commercial

Incl. Web-TPA, WebTPA

75261 Varies
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WellCare (Centene) Medicaid

Medicaid

Incl. WellCare Health Plans, Centene, Wellcare Complete

14163 180 days from DOS (unless …
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Wellcare (Centene) Medicare

Medicare Advantage

Incl. Wellcare, Centene, WellCare Health Plans

14163 Per provider contract; com…
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WellCare of Florida

Medicare Advantage

Incl. WellCare, Wellcare By Allwell, Centene

14163 180 days from date of serv…
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Wellmark Blue Cross and Blue Shield

BCBS

Incl. Wellmark, BCBS Iowa, BCBS South Dakota

88848 No single uniform public l…
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Wellpoint (formerly Amerigroup)

Medicaid

Incl. Amerigroup, Wellpoint, Elevance Health

WLPNT Varies
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Wellpoint Texas (formerly Amerigroup Texas)

Medicaid

Incl. Amerigroup Texas, Wellpoint, Wellpoint Texas Medicaid

WLPNT 95 days from DOS (standard…
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Western Health Advantage

Commercial

Incl. WHA

68039 365 days from date of serv…
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WPS Government Health Administrators Medicare — Jurisdiction 5

Medicare

Incl. WPS GHA, WPS, J5, Jurisdiction 5

Varies 1 calendar year from date …
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WPS Government Health Administrators Medicare — Jurisdiction 8

Medicare

Incl. WPS GHA, WPS, J8, Jurisdiction 8

Varies 1 calendar year from date …
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Zing Health Medicare Advantage

Medicare Advantage

Incl. Zing Health, Zing

Varies Per provider contract; ver…
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