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Family Plan Form
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Insurance Number:
Insurance Provider:
Select Payer
1199 National Benefit Fund
AARP
Acclaim Inc.
Administrative Services Inc.
Advantage by Bridgeway Health Solutions
Advantage by Buckeye Community Health Plan
Advantage by Managed Health Services
Advantage by Superior HealthPlan
Aetna
Aetna Better Health (CA)
Aetna Better Health (FL)
Aetna Better Health (IL)
Aetna Better Health (KS)
Aetna Better Health (KY)
Aetna Better Health (LA)
Aetna Better Health (MD)
Aetna Better Health (MI)
Aetna Better Health (NJ)
Aetna Better Health (NV)
Aetna Better Health (PA)
Aetna Better Health (TX)
Aetna Better Health (TX) CHIP
Aetna Better Health (VA)
Aetna Better Health (WV)
Aetna Long Term Care
Aetna Retiree Medical Plan Administrator
Aetna Senior Supplemental
Affinity Health Plan
AFLAC
AFLAC - Dental
AFLAC - Medicare Supplemental
AgeWell New York (Web Credentials Required)
AGIA Inc.
Alameda Alliance for Health Plan (Web Credentials Required)
Alan Sturm and Associates - Dental
Aliera Health Care
All Savers Life Insurance
Allegiance Benefit Plan Management Inc.
Alliant Health Plans
Allianz Life Insurance Company of New York
Allied Benefit Systems Inc.
Allina Health Aetna
Allways Health Partners
Allwell
Alternative Insurance Resources Inc
Altus Dental
Ambetter New Hampshire Healthy Families
Ambetter of Arkansas
Ambetter Superior Health Plan (TX)
AmeriBen
American Family Insurance Group
American General Life and Accident
American General Life Insurance Company
American Health Medicare (Inmediata Health)
American Income Life Insurance Company
American Insurance Administrators
American Medical Security (AMS)
American National Insurance
American National Life Insurance Company of Texas
American Network Insurance Medicare Supplement
American Postal Workers Union (APWU)
American Republic Insurance Company (ARIC)
American Retirement Life Insurance Company - Medicare Supplement
Americhoice - Community and State
AmeriChoice of New Jersey (Commercial)
AmeriChoice of New Jersey (Medicaid)
Americo Financial Life & Annuity
Amerigroup
Amerihealth (DE NJ PA)
Amerihealth (DE NJ PA) - New Enrollments Only
AmeriHealth Administrators
Amerihealth Caritas DC
AmeriHealth Caritas Delaware
Amerihealth Caritas Florida
AmeriHealth Caritas Louisiana (formerly LaCare)
AmeriHealth Caritas New Hampshire
AmeriHealth Caritas North Carolina
Amerihealth Caritas Northwestern PA
AmeriHealth Caritas Pennsylvania
AmeriHealth Caritas VIP Care Plus
AmeriHealth New Jersey
AmeriHealth Northeast Pennsylvania
AmeriHealth Pennsylvania
AmeriHealth VIP Care
Ameritas Group - Ameritas Life Insurance Company
Ameritas Group - First Ameritas of New York
Ameritas Group - First Reliance Standard Life
Ameritas Group - Reliance Standard Life
Ameritas Group - Standard Insurance
Ameritas Group - Standard Insurance of New York
Anthem Health Keepers
Anthem Vivity
Arise Health Care
Arise Health Plan Medicare Select Policy
Arizona Physicians IPA - Community and State
Arkansas Total Care
Arnett Health Plan
Asuris Northwest Health
Atrio Health Plan
Aultcare
Author by Humana
Automated Benefit Services
Auxiant
Avera Health Plans
AvMed Health Plans
BadgerCare Plus
Bankers Fidelity Life Insurance Company
Bankers Life and Casualty
Banner University Family Care
Baycare Select Health Plans
BCBS HI - Hawaii Medical Service Association HMSA
BCBS LA Medicare Advantage
BCBS Texas Medicaid Star CHIP
BCBS Texas Medicaid Star Kids
BCBS West Virginia - Highmark (BCBS WV) INSTITUTIONAL
BCBS West Virginia - Highmark (BCBSWV) PROFESSIONAL
BCBS Western New York Medicaid
BCBSMN Blue Plus Medicaid
BCBSMN Blue Plus Medicaid Non - Emergency Transport
Beacon Health Strategies (Web Credentials Required)
Behavioral Health Systems Inc
Benefit Management Inc.
Better Health Plans (Unison Health Plan)
Better Health Plans of Florida
Blue Benefit Administrators of Mass
Blue Cross Blue Shield Alabama - Institutional (BCBS AL)
Blue Cross Blue Shield Alabama - Professional (BCBS AL)
Blue Cross Blue Shield Arizona (BCBS AZ)
Blue Cross Blue Shield Arkansas (BCBS AR)
Blue Cross Blue Shield Colorado - Anthem (BCBS CO)
Blue Cross Blue Shield Connecticut - Anthem (BCBS CT)
Blue Cross Blue Shield Delaware - Highmark (BCBS DE)
Blue Cross Blue Shield Dist. of Columbia - CareFirst (BCBS DC)
Blue Cross Blue Shield Florida (BCBS FL)
Blue Cross Blue Shield Georgia - Anthem (BCBS GA)
Blue Cross Blue Shield Illinois - HCSC (BCBS IL)
Blue Cross Blue Shield Indiana - Anthem (BCBS IN)
Blue Cross Blue Shield Iowa (BCBS IA)
Blue Cross Blue Shield Kansas (BCBS KS)
Blue Cross Blue Shield Kansas City (BCBS KS)
Blue Cross Blue Shield Kentucky - Anthem (BCBS KY)
Blue Cross Blue Shield Louisiana (BCBS LA)
Blue Cross Blue Shield Maine - Anthem (BCBS ME)
Blue Cross Blue Shield Maryland - CareFirst (BCBS MD)
Blue Cross Blue Shield Massachusetts (BCBS MA)
Blue Cross Blue Shield Michigan - (BCBSMI) new enrollments
Blue Cross Blue Shield Michigan - Institutional (BCBS MI)
Blue Cross Blue Shield Michigan - Professional (BCBS MI)
Blue Cross Blue Shield Minnesota (BCBS MN)
Blue Cross Blue Shield Mississippi (BCBS MS)
Blue Cross Blue Shield Missouri - Anthem (BCBS MO)
Blue Cross Blue Shield Montana - HCSC (BCBS MT)
Blue Cross Blue Shield Nebraska (BCBS NE)
Blue Cross Blue Shield Nevada - Anthem (BCBS NV)
Blue Cross Blue Shield New Hampshire - Anthem (BCBS NH)
Blue Cross Blue Shield New Jersey - Horizon (BCBS NJ)
Blue Cross Blue Shield New Mexico - HCSC (BCBS NM)
Blue Cross Blue Shield New York - Central (BCBS NY)
Blue Cross Blue Shield New York - Empire Anthem (BCBS NY)
Blue Cross Blue Shield New York - Excellus (BCBS NY)
Blue Cross Blue Shield New York - Rochester (BCBS NY)
Blue Cross Blue Shield New York - Utica (BCBS NY)
Blue Cross Blue Shield North Carolina (BCBS NC)
Blue Cross Blue Shield North Dakota (BCBS ND)
Blue Cross Blue Shield Ohio - Anthem (BCBS OH)
Blue Cross Blue Shield Oklahoma - HCSC (BCBS OK)
Blue Cross Blue Shield Oregon - Regence (BCBS OR)
Blue Cross Blue Shield Pennsylvania - Highmark INSTITUTIONAL
Blue Cross Blue Shield Pennsylvania - Highmark PROFESSIONAL
Blue Cross Blue Shield Pennsylvania - Northeastern (BCBS PA)
Blue Cross Blue Shield Puerto Rico - Triple-S Salud (BCBS PR)
Blue Cross Blue Shield Rhode Island (BCBS RI)
Blue Cross Blue Shield South Carolina (BCBS SC)
Blue Cross Blue Shield South Dakota (BCBS SD)
Blue Cross Blue Shield Tennessee (BCBS TN)
Blue Cross Blue Shield Texas - HCSC (BCBS TX)
Blue Cross Blue Shield Utah - Regence (BCBS UT)
Blue Cross Blue Shield Vermont (BCBS VT)
Blue Cross Blue Shield Virginia - Anthem (BCBS VA)
Blue Cross Blue Shield Western New York - (BCBSWNY)
Blue Cross Blue Shield Wisconsin - Anthem (BCBS WI)
Blue Cross Blue Shield Wyoming (BCBS WY)
Blue Cross California - Anthem (BC CA)
Blue Cross Community Centennial
Blue Cross Community Options
Blue Cross Idaho (BC ID)
Blue Cross Pennsylvania - Capital (BCBS PA)
Blue Cross Pennsylvania - Independence (BC IBX)
Blue Cross Pennsylvania - Independence - INST New Enrollments
Blue Cross Pennsylvania - Independence - New Enrollments
Blue Cross Washington and Alaska - Premera (BCWA BC AK)
Blue Shield California (BS CA)
Blue Shield Idaho - Regence (BS ID)
Blue Shield New York - Northeastern (BS NY)
Blue Shield Washington - Regence (BS WA)
BlueChoice HealthPlan South Carolina Medicaid
BlueCross Medicare Advantage
BMC HealthNet Plan
Boon Group
Boon-Chapman Benefit Admin
Braven Health
Bravo Health
Bridgespan
Bright Health
Bright Health Plan Medicare
Brokers National-Dental
Cal-Viva
CalOptima
Capital Administrators
Capital District Physicians Health Plan (CDPHP)
Capital Health Plan
Caprock
Care N’ Care
Care1st Health Plan Arizona
Care1st of California (Web Credentials Required)
CareFirst Administrators
Carefirst Medicare Advantage
CareMore
CarePartners of Connecticut
CarePlus Health Plan
Caresource Georgia
Caresource Health
Caresource Indiana
Caresource Ohio
Caresource West Virginia
Carolina Care Plan Inc. (CCP)
Carolina Complete Health
Carpenters Health and Welfare Trust Fund of St Louis
CCSTPA Comprehensive Care Services
Celtic Insurance
CenCal
Cenpatico - Arizona
Cenpatico - Florida
Cenpatico - Georgia
Cenpatico - Illinois
Cenpatico - Indiana
Cenpatico - Kansas
Cenpatico - Kentucky
Cenpatico - Massachusetts
Cenpatico - Mississippi
Cenpatico - Missouri
Cenpatico - New Hampshire
Cenpatico - Ohio
Cenpatico - South Carolina
Cenpatico - Texas
Cenpatico - Wisconsin
Cenpatico Behavioral Health
Cenpatico Behavioral Health Texas
Centene - Absolute Total Care
Centene - Advantage by Peach State
Centene - Advantage by Sunshine State
Centene - Ambetter Sunshine Health
Centene - Ascension Complete
Centene - Bridgeway Arizona
Centene - Buckeye Community Health
Centene - California Health and Wellness
Centene - Celticare
Centene - Granite State Health Plan
Centene - Home State Health Plan
Centene - Kentucky Spirit Health Plan
Centene - Louisiana Healthcare Connections
Centene - Managed Health Services Indiana
Centene - Managed Health Services Wisconsin
Centene - Michigan Fidelis Secure Care
Centene - New Hampshire Healthy Families
Centene - Peach State Health Plan
Centene - Sunflower State Health (Kansas)
Centene - Sunshine State Health Plan
Centene - Superior HealthPlan Texas
Centene - Total Care Carolina
Centene Advantage Plans
Central CA Alliance for Health
Central Health Medicare Plan (Web Credentials Required)
Central Reserve Life Ins Co. Medicare Supplement
Central States Fund
Central States Health & Life Co. of Omaha
Central States Indemnity
Cerner Health Plan
CHAMPVA/Spina Bifida/Children of Women Vietnam Vets
Children’s Mercy PCN
Christian Brothers Services
Christie Student Health Plans
CHRISTUS Health Plan Medicaid
CHRISTUS Health Plan NM Medicare Advantage
Christus Health Plan TX HIX
Cigna
Claims Management Service Inc.
Clear Health Alliance
Clover Health fka: CarePoint Medicare Advantage
CMFG Life Insurance
Colonial Penn Life
Colorado Access
Colorado Community Health Alliance
Common Ground
Community Care Alliance of IL
Community Care of Oklahoma
Community First Health Plans
Community Health Choice
Community Health Group (CHG)
Community Health Plan of Washington (CHPW)
Community Healthfirst Medicare Advantage
Concentrix Insurance Solutions
ConnectiCare
Connecticare - Medicare
Consolidated Associates Railroad
Consolidated Health Plan (Web Credentials Required)
Constellation Health
Consumers Life
Consumers Mutual Insurance of Michigan
Continental General Insurance Company - Medicare Supplement
Continental Life Insurance Company of Brentwood Tennessee
Cook Childrens Health Plan
Cooperative Benefit Administrators (CBA)
Coordinated Care
CoreSource (FMH)
CoreSource (Little Rock)
CoreSource (MD PA IL NC IN AZ MN)
CoreSource (Ohio)
Corporate Benefits Service
Country Life Insurance Company
CountyCare
Covenant Administrators (TPA)
Coventry Cares
Coventry Health Care Carenet
Coventry Health Care of Florida
Coventry Health Care of Georgia
Coventry Health Care of Iowa
Coventry Health Care Southern Health Services
Coventry Health Care USA (HCUSA)
Coventry Healthcare - Advantra (TX NM AZ only)
Coventry Healthcare - Advantra Freedom
Coventry Healthcare - Advantra Savings
Coventry Healthcare - Altius Health Plans
Coventry Healthcare - Carelink Medicaid
Coventry Healthcare - Coventry Health and Life (Nevada)
Coventry Healthcare - Coventry Health and Life (Oklahoma)
Coventry Healthcare - Coventry Health and Life (Tennessee)
Coventry Healthcare - CoventryCares of Kentucky
Coventry Healthcare - CoventryCares of Michigan
Coventry Healthcare - CoventryOne
Coventry Healthcare - Delaware
Coventry Healthcare - Federal
Coventry Healthcare - Florida Vista Summit
Coventry Healthcare - Group Health Plan (GHP)
Coventry Healthcare - HealthAmerica and HealthAssurance
Coventry Healthcare - HealthCare Inc. (Promina)
Coventry Healthcare - Louisiana
Coventry Healthcare - National Network
Coventry Healthcare - Nebraska
Coventry Healthcare - PersonalCare/Coventry Health of Illinois
Coventry Healthcare - University of Missouri
Coventry Healthcare - WellPath Select (Carolinas)
Coventry Healthcare Carelink (Advantra)
Coventry Healthcare Kansas
Coventry Healthcare Mail Handlers Benefit Plan
Coventry Missouri
Cox Health Plan
Crum & Forster
Crystal Run Health Plans (Web Credentials Required)
CSI Life Insurance Company
Culinary Health Fund UNITE HERE HEALTH
DakotaCare
Dean Health Plan
DeCare Dental Health Insurance
Dell Children’s Health Plan
Delta Dental Insurance Company - Alabama
Delta Dental Insurance Company - Florida
Delta Dental Insurance Company - Georgia
Delta Dental Insurance Company - Louisiana
Delta Dental Insurance Company - Mississippi
Delta Dental Insurance Company - Montana
Delta Dental Insurance Company - Nevada
Delta Dental Insurance Company - Oklahoma
Delta Dental Insurance Company - Texas
Delta Dental Insurance Company - Utah
Delta Dental of Arizona
Delta Dental of California
Delta Dental of Colorado
Delta Dental of Connecticut
Delta Dental of Delaware
Delta Dental of Hawaii
Delta Dental of Illinois
Delta Dental of Iowa
Delta Dental of Maryland
Delta Dental of Michigan
Delta Dental of Minnesota
Delta Dental of Missouri
Delta Dental of Nebraska
Delta Dental of New Jersey
Delta Dental of New York
Delta Dental of North Dakota
Delta Dental of Pennsylvania
Delta Dental of Rhode Island
Delta Dental of Virginia
Delta Dental of Washington DC
Delta Dental of Washington State
Delta Dental of West Virginia
DeltaCare USA - Claims
DeltaCare USA - Encounters
Denver Health Medical Plan
Deseret Mutual (DMBA)
Devoted Health
Director’s Guild
District No. 9 I. A. of M. & A. W. Welfare Trust
Diversified Administration Corp
Driscoll Health Plan
Easy Choice Health Plan California
EBMS (Employee Benefit Management Services Inc.)
Educators Mutual Insurance (EMI)
El Paso First Health Plans Chip
Elderplan
Emblem Health (GHI HMO GHI PPO HIP Vytra)
Empower Arkansas
EPSI Inc.
Erie Family Life Insurance Company
Essence Healthcare
Evercare
Everence Financial
Everest Reinsurance Company
Evergreen Health
Evergreen Health Co-Op
Fallon Community Health Plan
Farm Bureau Health Plans
FCE Benefit Administrators
Federated Insurance
Fidelis Care New York
First Carolina Care
First Community Health Plan
First Health Network (Coventry National)
First Medical Network
First United American Insurance Company
FirstCare
Fiserv Wausau
Flex Compensation - Dental
Florida Blue Medicare
Florida Combined Life - DENTAL
Florida Health Care Plans
Food Employers & Bakery
Freedom Health Medicare Advantage
Fringe Benefits
FSL Admin by KBA
G.M.P. Employers Retiree Trust
Gateway Health Plan
GEHA - Government Employees Hospital Association
Geisinger Health Plan
Geisinger Health Plan Gold
GEMCare
Genworth Life and Annuity Insurance
Genworth Life Insurance Company
Gilsbar
Global Health Inc
Globe Life & Accident Insurance Company
Gold Coast Health Plan (Web Credentials Required)
Golden Rule
Golden West Dental
Great American Life Insurance Company Medicare Supplement
Great Southern Life Insurance Company
Group and Pension Administrators
Group Dental Service
Group Health Northwest
Group Hospitalization and Medical Services
Group Practice Affiliates
Guardian Life Insurance Company of America - Dental
Harmony Health Plan
Harvard Pilgrim Health Care
Hawaii Mainland Admin (HMA)
Health Alliance Medical Plan (IL)
Health Alliance Medical Plans (HAP)
Health Choice Arizona
Health Choice Oklahoma
Health Cost Solutions
Health First Health Plan
Health First Insurance
Health Net National
Health New England
Health Partners Pennsylvania
Health Plan of San Mateo
Health Plan of Upper Ohio Valley
Health Services for Children with Special Needs
Health Share of Oregon (Care Oregon)
Health Tradition
Healthcare Highways
Healthcare Management Administrators
HealthChoice Select
HealthComp Administrators
HEALTHe Exchange
HealthEase
HealthEase Kids
Healthfirst New York
Healthfirst of New Jersey
Healthgram (Primary PhysiciansCare)
HealthNow
HealthPartners of MN
HealthPlan of Nevada
HealthPlans Inc.
HealthPlus of Michigan
HealthScope (Morris Assoc Central Benefits Employers
HealthScope Benefits Inc.
HealthScope HSB
HealthSmart Benefit Solutions
HealthSmart Benefit Solutions (Wells Fargo TPA)
Healthsource Provident - Dental
HealthSpring
Healthteam Advantage
Healthy Blue Dual Advantage Louisiana
Healthy Blue Louisiana
Healthy Blue Missouri
Healthy Blue Nebraska
Healthy Blue North Carolina
Healthy Blue South Carolina
Hershey Healthsmile - Dental
Highmark BCBS DE - Professional
Highmark PA - INST Claim Submitters Only
Highmark Senior Solutions Company
HIPNY
HM Care Advantage Admin by KBA
Hometown Health
Hooray Health
Horizon New Jersey Health
HSBS Oklahoma City
Hudson Health Plan
Humana
Humana CareSource (KY)
Humana Dental
Humana Long Term Care
iCare (Independent Care Health Plan)
IlliniCare Health Plan
Independence Administrators
Independent Health
Indiana University Health Plan (Medicare)
Indiana University Health Plans (Commercial)
Inland Empire Health
Innovation Health
Insurers Administrative Corporation (IAC)
Integra Administrative Group
Integrated Mental Health Services
Inter Valley Health Plan
Iowa Total Care
Island Home Insurance
Jai Medical Systems
Johns Hopkins Advantage MD
Johns Hopkins Health Plan
Johns Hopkins HealthCare LLC
Johns Hopkins US Family Health Plan
Kaiser Foundation Health Plan of Colorado
Kaiser Foundation Health Plan of Hawaii
Kaiser Foundation Health Plan of The Mid-Atlantic
Kaiser Foundation Health Plan of The Northwest
Kaiser Foundation Health Plan of Washington
Kaiser Foundation Ohio
Kaiser Permanente KPIC
Kaiser Permanente of Georgia
Kaiser Permanente of Northern CA
Kaiser Permanente of Southern CA
Kelsey-Seybold
Kemper Benefits
Kentucky Passport (formerly Passport Health Plan)
Key Benefit Administrators
Key Benefit Administrators (IN)
Key Healthy Partners
KeySolution
Keystone First Community Health Plan
Keystone Mercy Health
Keystone VIP Care
Kitsap Physician Services
KSKJ Life
L.A. Care Health Plan
Leon Medical Centers Health Plan
Liberty National Life Insurance Company
LifeCare Assurance Company
Lifemap
Lifewise Arizona
Lifewise Plan of Oregon
Lifewise Plan of Washington
Lighthouse Health Plan
Lincoln Financial
Lincoln Heritage
Local 1199
LoneStar TPA
Loomis Company
Louisiana Health Exchange
Loyal American Life Insurance Company - Medicare Supplement
Loyal Christian Benefit Association
Lumico Life Insurance
Magellan Behavioral Health
Magellan Complete Care of Virginia
Magellan Health Care
MagnaCare
Magnolia Health Plan
Maine Community Health Options
Managed Care of America
Managed Care of North America
Managed Care Systems - (Web Credentials Required)
Managed Health Network (MHN)
Manhattan Insurance Group
MAPFRE Life Puerto Rico
March Vision Care
Maricopa Care Advantage (Arizona)
Maricopa Health Plan (Arizona)
Martins Point Health Care
Mary Washington Medicare Advantage
Maryland Physicians Care
McLaren Health Care
Med-Pay Inc
MedBen
MedCost Benefit Services
Medica
Medica Government Programs
Medica Health Plans (Medicare Advantage LOB)
Medica2 - Group/Policy is: IFB Individual Family Benefits
Medicaid Alabama (AL)
Medicaid Alaska (AK)
Medicaid Arizona - AHCCCS (AZ)
Medicaid Arkansas (AR)
Medicaid California - Medi-Cal (CA)
Medicaid Colorado (CO)
Medicaid Connecticut (CT)
Medicaid Delaware (DE)
Medicaid District of Columbia (DC)
Medicaid Florida (FL)
Medicaid Georgia (GA)
Medicaid Hawaii (HI)
Medicaid Idaho (ID)
Medicaid Illinois (IL)
Medicaid Indiana (IN)
Medicaid Iowa (IA)
Medicaid Kansas (KS)
Medicaid Kentucky (KY)
Medicaid Louisiana (LA)
Medicaid Maine (ME)
Medicaid Maryland (MD)
Medicaid Massachusetts (MA)
Medicaid Michigan (MI)
Medicaid Michigan (MI) New Enrollment Only
Medicaid Michigan (MI) Pending Eligibility - New Enrollments Only
Medicaid Michigan - Michigan MIChild (MI)
Medicaid Michigan - Pending Eligibility (MI)
Medicaid Minnesota (MN)
Medicaid Mississippi (MS)
Medicaid Mississippi - CHIP (MS)
Medicaid Missouri (MO)
Medicaid Montana (MT)
Medicaid Nebraska (NE)
Medicaid Nevada (NV)
Medicaid New Hampshire (NH)
Medicaid New Jersey (NJ)
Medicaid New Mexico (NM)
Medicaid New York (NY)
Medicaid North Carolina (NC)
Medicaid North Dakota (ND)
Medicaid Ohio (OH)
Medicaid Oklahoma (OK)
Medicaid Oregon (OR)
Medicaid Pennsylvania (PA)
Medicaid Rhode Island (RI) (Web Credentials Required)
Medicaid South Carolina (SC)
Medicaid South Dakota (SD)
Medicaid Tennessee (TN)
Medicaid Texas Acute (TX)
Medicaid Texas LTC (TX)
Medicaid Utah (UT)
Medicaid Vermont (BCBS VT)
Medicaid Virginia (VA)
Medicaid Washington (WA)
Medicaid West Virginia (WV)
Medicaid Wisconsin (WI)
Medicaid Wisconsin - Chronic Disease Program (WI)
Medicaid Wisconsin - Well Woman Program (WI)
Medicaid Wyoming (WY)
Medical Associates Health Plan/Health Choices
Medical Card System
Medical Mutual of Ohio
Medicare - All states
Medicare - DSH submitters
Medicare Advantage - Pennsylvania
Medicare y Mucho Mas (INMEDIATA HEALTH GROUP)
Medico Insurance Company
Medigold Health Plans
MedStar Family Choice
MedStar Health Plan
Mercy Care Plan (Arizona)
Meridian Health Plan IL Medicaid
Meridian Health Plan Illinois Complete
Meridian Health Plan of IL
Meritain Health
MetLife Dental Family
MetroPlus Health Plan
Metropolitan Health Plan (MHP)
Metropolitan Property and Casualty Insurance Company
MHNET Behavioral Health
Michael Reese
Michigan Complete Health
Mississippi State Employees and Teachers Health Plan
Missouri (MO) Health Plan (Community & State)
Missouri Care
MMM of Florida
Moda Health
Molina Healthcare of California
Molina Healthcare of Florida
Molina Healthcare of Idaho
Molina Healthcare of Illinois
Molina Healthcare of Michigan
Molina Healthcare of Missouri
Molina Healthcare of New Mexico
Molina Healthcare of Ohio
Molina Healthcare of South Carolina
Molina Healthcare of Texas
Molina Healthcare of Utah
Molina Healthcare of Washington
Molina Healthcare of Wisconsin
Molina of Puerto Rico
Montefiore CMO
Morecare
Municipal Health Benefit Fund
Mutual Health Services
Mutual of Omaha
Mutual of Omaha Medicare Advantage
MVP Health Care (New York)
National Association of Letter Carriers (NALC)
National Telecommunications Cooperative Association (NTCA)
Nebraska Total Care
Neighborhood Health Partnership
Neighborhood Health Plan (RI)
Network Health Insurance Corp
Network Health Plan of WI
New Era Life Insurance Company
NextBlue
Northwest Administrators
Nova Healthcare Administrators
NovaSys Health
Ohana
Oklahoma Employees Group Insurance Division
Operation Engineers Local No. 428 Health and Welfare
Optima/Sentara
OptumCare - AZ UT
OptumHealth Behavioral Solutions
Orange County Fire Authority
Oregon’s Health CO-OP
Oscar
Oxford Health Plans
Pacific Source Health Plan
Pacificare Arizona
Pacificare Oklahoma
Pacificare Washington
PacificSource Administrators
PacificSource Community Solutions (Medicaid)
PacificSource Medicare
Pan-American Life Insurance Company
Pan-American Life Puerto Rico (PALIC)
Paramount Health
Parkland Community Health Plan
Partners National Health Plans of NC
Partnership Health Plan of California
Passport Advantage
Patriot Dental
Pekin Life Insurance
Penn Treaty Network America Insurance Medicare Supplement
Pennsylvania Health and Wellness
People First
Peoples Health Network
Personal Insurance Administrators (PIA)
Physicians Health Plan Northern IN (PHPNI)
Physicians Health Plan of Michigan
Physicians Mutual Insurance Company
Piedmont
Pinnacle Claims Management
Pittman and Associates
Plan de Salud Hospital Menonita
Planned Administrator Inc.
Prairie States
Preferred Care Partners Florida
Preferred Medicare Choice (Inmediata Health Group Corp)
PreferredOne
Premier Health
Presbyterian Health Plan (Web Credentials Required)
Prestige Health Choice
PrimeWest Health
Principal Financial Group (Nippon Life)
Principal Life (Principal Financial Group)
Priority Health
Professional Benefit Administrators Inc. (Oak Brook IL)
Prominence Health Plan (PPO and HMO)
Prominence Health Plan of Texas (Medicare Advantage)
Providence Health Plan
Provident American Life and Health Insurance Co -
Provident Preferred Network - Dental
Public Employee Benefit Authority
Public Employees Health Program
Puritan Life Insurance
QualCare
Quartz ASO
QuikTrip Corporation
Regence Group Administrators
Reserve National Insurance Company
RightCare from Scott White Health Plan
RiverLink Health (Web Credentials Required)
Rocky Mountain Health Plan
Royal Neighbors of America
S and S Healthcare Strategies
S. USA Life Insurance Company Inc.
Samaritan Health Plans
San Francisco Health Plan
San Joaquin Health Plan
Sanford Health Plan
Santa Clara Family Health Plan
SBLI USA Life Insurance Company Inc.
SCAN - Senior Care Action Network (HMO)
Schaller Anderson Aetna Better Health of New York
Schaller Anderson Aetna Better Health OH
Schaller Anderson Aetna Illinois Medicaid
Schaller Anderson Integral Quality Care Florida
Schaller Anderson Majestacare Virginia
Schaller Anderson Maryland Physicians Care
Schaller Anderson Mercy Care
Schaller Anderson Mercy Maricopa
Schaller Anderson Missouri Care
Schaller Anderson Texas Christus
Scion Dental
Scott and White Health Plan
Securian Dental
Securian/Patriot Dental
Security Health Plan
Select Health of South Carolina
Select Health Utah
Selman & Company
Selman Tricare
Senior Dimensions
Senior Health Services Center - Univ American Family
Senior Whole Health
SeniorCare - WI
Shared Health Mississippi
Sharp Health Plan
Shenandoah Life Insurance
Sierra Health Services
Significa Benefit Services
SilverSummit
Simply Healthcare - Long Term Care
Simply Healthcare Plans
SisCo Benefits
Soundpath Health
South Country Health Alliance Medicaid
South Country Health Alliance Medicare
Special Agents Mutual Benefit Association
Spectera United Healthcare Vision
Spectrum Health
SPJST - Medicare Supplement
Standard Life and Accident Insurance Company
Star HRG
State Farm
State Mutual (Lincoln Novation)
State Mutual Med Supplement
StayWell
StayWell Kids
Stewart C Miller and Company
Stonebridge Life Insurance Company
SummaCare Health Plan
Summit America Insurance Services Inc.
Summit Community Care
Sutter Health Plus
Sutter Select
TennDent
Texas Children’s Health Plan
Texas First Health Plan (TOPA)
The Ullico Family of Companies
Thrivent
Today’s Option (American Progressive and Pyramid Life)
TransactRx Infusion and Specialty
TransactRX Part D
Transamerica Life Insurance (KBA)
Transamerica Life Insurance Company
Tribute Health Plan
TRICARE EAST
TRICARE for Life
TRICARE Overseas
TRICARE West
Trillium Community Health Plan
Triple S Advantage
True Health New Mexico
Truli Health
Trustmark Insurance
Tufts Health Plan
UCare of Minnesota
UMR (Wausau)
UMR - Wausau/UHIS (TELADOC ONLY)
UMWA Health and Retirement Funds
Underwriters Safety and Claims
UniCare (Wellpoint)
Unified Group Services - (Web Credentials Required)
Union Pacific Railroad Employees Health Systems
United American Insurance Co
United Concordia Companies Inc. - DENTAL
United Concordia Federal Employees Program - DENTAL
United Healthcare - Care Improvement Plus
United Healthcare - Definity Health
United Healthcare - MAMSI Health Plan
United Healthcare - UHCWest (Pacificare)
United Teacher Assoc Insurance Company - Medicare Supplement
UnitedHealthcare
UnitedHealthcare - WEA
UnitedHealthcare Community Plan (OH PA SC) (Three
UnitedHealthcare Community Plan - Kansas
UnitedHealthcare Community Plan-Tennessee
UnitedHealthcare Dental
UnitedHealthcare Facets Detroit - Community and State
UnitedHealthcare Nevada Market
UnitedHealthcare of Oklahoma
UnitedHealthcare River Valley
UnitedHealthcare Secure Horizons
UnitedHealthcare Student Resources
Unity Health Plans
Univera
Universal American
Universal Benefit Corp
University Family Care
University Health Alliance (Web Credentials Required)
University of Arizona Health Plans
University of Utah
University Physicians Care Advantage (Arizona)
UPMC Health Plan (Tristate)
USAA Life Insurance Company
USAA Medicare Supplemental
VA Fee Basis Program
VA Health Administration Center
VA Healthcare
Valley Care Program
Valley Health Plan
Value Options (Web Credentials Required)
Vantage Health Plan Inc.
Village Family Practice
Virginia Premier Health Plan (MEDALLION 4)
Virginia Surety Company Inc
VIVA Health
VNS Choice
Washington National
WEA Trust
WEB-TPA Inc.
WellCare Health Plans
Wellsense
Western & Southern Financial Group
Western Health Advantage
Western Sky Community Care
Wilson McShane - Dental
Windsor Health Plan
Windsor Medicare Extra
WPS Health Insurance
YourCare Health Plan
Youthcare Healthcare Illinois
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