List of Payers

Get Access to over 1150 Payers using pVerify!

pVerify works with 1150 payers. Using the Eligibility Rest API you can easily view and manage the list of payers. For further ease of access, you can view the list of payers below as well as download the  pVerify Payer Codes list as an excel sheet.

pVerify is the only company that provides EDI Payers (standard practice with all Eligibility Solutions) plus non-EDI Payers (Such as Medical or Vision Payers that require manual website login.)

*Non-EDI Payers are not included in the following list.
*Be aware other companies claim to have thousands of payers by combining all of their services, giving an inaccurate impression of their Eligibility capabilities.

 

List of EDI pVerify payer codes

Payer IDPayer Name
00007Medicare Part A and B
00114Illinois Medicaid
00004Cigna
00003Blue Shield of California
00002Blue Cross of California
00008PacifiCare Of California
00005Health Net National
00009Tricare West
00010Aetna Long Term Care
00011AFLAC - Dental
00012Aftra Health Fund
00013Alabama Medicaid
00014CHC Nevada Altius Health Plans
00015AMC - Alaska Electrical Health & Welfare Fund
00016AMC - Health Future
00017AMC - Poly America
00018AMC - Touchstone
00019AMC - Touchstone PSO
00020American Community Mutual
00021American General Life and Accident
00022American Postal Workers Union (APWU)
00023American Republic Insurance Company (ARIC)
00024AmeriChoice of New Jersey (Commercial)
00025AMERIGROUP
00026Ameritas Life
00027Arizona Medicaid (AHCCCS)
00028Arkansas Medicaid
00029BCBS of Arizona
00030BCBS of Arkansas
00031BCBS of Connecticut
00032BCBS of Georgia
00033BCBS of Illinois
00034BCBS of Indiana
00036BCBS of Kentucky
00037BCBS of Louisiana
00038BCBS of Maine
00039BCBS of Michigan (Thru Blue Exchange)
00040BCBS of Minnesota
00041BCBS of Mississippi
00042BCBS of Missouri
00043BCBS of Nevada
00044BCBS of New Hampshire
00045BCBS of New Jersey (Horizon)
00046BCBS of New Mexico
00047BCBS of New York (Empire)
00048BCBS of Ohio
00049BCBS of Oregon (Regence)
00050BCBS of Pennsylvania (Highmark)
00051BCBS of Rhode Island
00052BCBS of Virginia
00053BCBS of Wisconsin
00054Best Life and Health
00055Better Health Plans (Unison Health Plan)
00056Blue Cross of Idaho
00057Blue Cross of Northeastern Pennsylvania
00058Blue Shield of Washington (Regence)
00059California Medicaid (Medi-Cal)
00060Capital Blue Cross (Pennsylvania)
00061Cariten Healthcare
00063CHAMPVA/Spina Bifida/Children of Women Vietnam Vets
00064CHC of Delaware
00065CHC of Georgia
00066CHC of Iowa
00067CHC of Kansas
00068CHC of Louisiana
00069CHC of Nebraska
00070Colorado Access
00071Colorado Medicaid
00072Community Care of Oklahoma
00073Connecticut Medicaid
00074Cooperative Benefit Administrators (CBA)
00076CoreSource (FMH)
00077CoreSource (Little Rock)
00078CoreSource (MD, PA, IL)
00080CoreSource (OH)
00082Coventry Advantra Freedom
00083Coventry Health and Life (Oklahoma)
00084Coventry Health Care Carelink (Advantra)
00085Coventry Health Care Carelink Medicaid
00086Coventry Health Care Carenet
00087Coventry Healthcare National Network
00088Diamond Plan (Maryland Medicaid)
00089Director's Guild
00091Significa Benefit Services
00092Fallon Community Health Plan
00093Federated Insurance Company
00094First Ameritas of New York
00095MAIL HANDLERS BENEFIT PLAN
00096First Reliance Standard Life
PL002Fiserv Health
00098Florida Medicaid
00100Georgia Medicaid
00101Government Employees Hospital Association (GEHA)
00102Great West Healthcare
00103Group Health Plan (GHP)
00104Harvard Pilgrim Health Care
00105Health Alliance Plan
00106Health Partners of Philadelphia
00107HealthAmerica And HealthAssurance
00108HealthCare Inc. (Promina)
00109HealthCare USA (HCUSA)
00110Healthfirst New York
00111HealthPlus of Michigan
00112Humana
00113Idaho Medicaid
00115Independence Blue Cross (Pennsylvania)
00116Indiana Medicaid
00117InterValley Health Plan
00118Iowa Medicaid
00120ASSURANT HEALTH-JOHN ALDEN LIFE
00121Kaiser Foundation Health Plan of Colorado
00122Kaiser Foundation Health Plan of Hawaii
00123Kaiser Foundation Health Plan of Ohio
00124Kaiser Foundation Health Plan of the Mid-Atlantic
00125Kaiser Foundation Health Plan of the Northwest
00126Kaiser Permanente of Georgia
00127Kaiser Permanente of Northern California
00128Kansas Medicaid
00129Kentucky Medicaid
00130Louisiana Medicaid
00132Maryland Medicaid
00133Massachusetts Medicaid
00134Medica
00135Medical Mutual of Ohio
00136HealthMarkets: Mega Life and Health
00137HealthMarkets: Chesapeake National Life Insurance
00138HealthMarkets: Mid West National Life Insurance
00139Mega Life (Oklahoma City)
00140HealthMarkets: Transamerica Life Insurance
00141Metropolitan Health Plan (MHP)
00142Minnesota Medicaid
00144Mississippi Medicaid
00145Mississippi State Employees and Teachers Health Plan
00146Missouri Medicaid
00147MMSI (Mayo Health)
00148Molina Healthcare of California
00150Molina Healthcare of Michigan
00151Molina Healthcare of Ohio
00152Molina Healthcare of Texas
00153Molina Healthcare of Utah
00154Molina Healthcare of Washington
00155Mutual of Omaha
00156MVP Health Care (New York)
00157National Association of Letter Carriers (NALC)
00158Nationwide Health Plan
00159Nevada Medicaid
00160New Hampshire Medicaid
00161New Jersey Medicaid
00162New Mexico Medicaid
00163New York Medicaid
00164North Carolina Medicaid
00165Ohio Medicaid
00166Oklahoma Medicaid
00167OmniCare (Michigan)
00168Oregon Medicaid
00169Oxford Health Plans
00170PacifiCare Of Oklahoma
00171Pennsylvania Medicaid
00172Physicians Mutual Insurance Company
00173Preferred Health Systems
00174Principal Financial Group (Nippon Life)
00175Principal Financial Group (Principal Life)
00176Reliance Standard Life
00177SCAN HMO
PL001Sierra Health Service Dont Use
00179South Dakota Medicaid
00180Southern Health Services (SHS)
00181Standard Insurance
00182Standard Insurance of New York
00183Star HRG
00184StudentResources
00185Tennessee Medicaid (TennCare)
00186Texas Medicaid
00187Three Rivers Health Plans (Unison Health Plan)
00188ASSURANT HEALTH-TIME INSURANCE
00189Trustmark Insurance
00190Tufts Health Plan
00191ASSURANT HEALTH-UNION SECURITY
00192United Healthcare
00193Universal Care of CA
00194USAA Life Insurance Company
00195VA Fee Basis Program
00196Vermont Medicaid
00197Virginia Medicaid
00198Washington Medicaid
00199Wellpath Select (Carolinas)
00200West Virginia Medicaid
00201Wisconsin Medicaid
00202World Insurance (ARIC)
00203Writers Guild
00204Wyoming Medicaid
00001Aetna
00205Arizona Physician's IPA
00206AvMed Health Plans
00207Blue Cross Blue Shield Alabama (Commercial)
00209Blue Cross Blue Shield Alaska (Premera)
00210Blue Cross Blue Shield Colorado
00211Blue Cross Blue Shield Florida
00212Blue Cross Blue Shield Iowa (Wellmark)
00213Blue Cross Blue Shield Kansas
00214Blue Cross Blue Shield Massachusetts
00215Blue Cross Blue Shield Nebraska
00216Blue Cross Blue Shield North Carolina
00217Blue Cross Blue Shield South Carolina
00218Blue Cross Blue Shield South Dakota (Wellmark)
00219Blue Cross Blue Shield Tennessee
00220Blue Cross Blue Shield Texas
00221Blue Cross Washington (Premera)
00222Bravo Health, Inc.
00223CarePlus Health Plan
00224CareSource Health
00225Central Reserve Insurance Company
00226Continental General Insurance Company
00227COVENTRY HEALTH LIFE-TN ONLY
00228CHCCARES-SOUTH CAROLINA
00229COVENTRY ADVANTRA SAVINGS
00230PERSONALCARE
00231District of Columbia Medicaid
00232Hawaii Medicaid
00233Health Choice Arizona
00234Healthfirst of New Jersey
00235HIPNY
00236Inland Empire Health
00237Jackson Memorial Hospital Health Plan
00238Lovelace Health Plan
00239Maine Medicaid
00240Mid Atlantic Medical Services, LLC (MAMSI)
00243Mercy Care Plan (Arizona)
00244MetLife Dental Family
00245Michigan Medicaid
00246Michigan MIChild
00247Molina Healthcare of New Mexico
00248Montana Medicaid
00249Neighborhood Health Partnership
00250North Dakota Medicaid
00251PACIFICARE OF OREGON
00252PACIFICARE OF TEXAS
00253PACIFICARE OF WASHINGTON
00254PacifiCare of Arizona (HMO)
00255PacifiCare of Colorado (HMO)
00256Partnership Health Plan of California
00257Passport Health Plan
00258Phoenix Health Plan
00260Pittman and Associates
00261PreferredOne
00262Providence Health Plan
00263Puerto Rico Medicaid (ODSI)
00264GROUP & PENSION ADMINISTRATORS
00265JP FARLEY CORPORATION
00267MISSISSIPPI ADMIN SERVICES, INC
00268PROFESSIONAL BENEFITS ADMIN (IL)
00269UNDERWRITERS SAFETY & CLAIMS
00270Rocky Mountain Health Plan
00271San Francisco Health Plan
00272San Joaquin Health Plan
00273South Carolina Medicaid
00275Texas CHIP
00277UnitedHealthcare Plan of the River Valley
00278University Family Care
00279Vytra
00280Wells Fargo Third Party Administrators, Inc. (CHIP and PEIA)
00281Western Health Advantage
00282Blue Cross Blue Shield Delaware (Carefirst)
00283AARP (A United HealthCare Insurance Company)
BO001Pacificare of Nevada -BO
00284BlueChoice HealthPlan South Carolina Medicaid
PL003Delware Medical Assistance Program
00286Wisconsin Medicaid Chronic Disease Program
00287Wisconsin Medicaid Well Woman Program
00288Blue Cross Blue Shield District of Columbia (Carefirst)
00289Blue Cross Blue Shield Maryland (Carefirst)
00290Bluegrass Family Health
00291Community Health Plan of Washington
00292ADVANTRA (TEXAS, NEW MEXICO, ARIZONA ONLY)
00293COVENTRY HEALTH AND LIFE-NEVADA
00294COVENTRY MISSOURI
00295COVENTRYONE
00296UNIVERSITY OF MISSOURI
00297Horizon New Jersey Health
00298Maricopa Care Advantage (Arizona)
00299Maricopa Health Plan (Arizona)
00300MOLINA HEALTHCARE OF FLORIDA
00301University Physicians Care Advantage (Arizona)
00302University Physicians Healthcare Group (Arizona)
00303Unicare
BO002Self Pay-BO
00304PacifiCare (PPO)
BO003Culinary Health Fund -BO
BO004Teachers Health Trust -BO
BO005Loomis-BO
PL004UNISON MEDICAID
00305Scott White Health Plan
00306Blue Cross Blue Shield Kansas City
00307PHCS Savility Payers
BO006First Health (various plans)-BO
BO007PHCS-BO
BO008Beechstreet-BO
BO009Motion Picture Industries-BO
BO010Dialysis Verification-BO
00308BCBS of the Rochester Area (NY)
00309BCBS of Utica-Watertown (NY)
00310Optima/Sentara
00311BCBS of North Dakota
00312BCBS of Wyoming
00313CHC - Coventry Health Care Federal
00314CHC - Vista (MCD, FHK, LTC)
00315Central States Fund
00316American Family Insurance Group - Medicare Supplemental and PPO Policies
00317Health Partners (Minnesota)
00318Aultcare
00319Freedom Blue
00320Mountain State
00321PrimeWest Health
00322Personal Insurance Administrators
S001Blue Exchange
00324Priority Health
00325BCBS of Western New York
00326Healthnow
00327Sunshine State Health Plan
00328Capital District Physicians Health Plan (CDPHP)
00329Fidelis Care New York
00330BCBS of Central New York
00331BCBS of West Virginia
00332Healthcare Solutions Group
00333HealthSpring
00334Mercy Health Care Plan
00335NovaSys Health
00336VIVA Health
00337Vista (MCD, FHK, LTC)
BO011STTEC-Secure Horizons-BO
BO012WellMed-BO
BO00013Adavanced Primary Care Net-BO
BO00014PAPER-BO
BO00015PA513-BO
BO00016MPM10-BO
BO0001747198-BO
BO00018ACCESS IPA-BO
BO00019PHYSICIANS CARE-BO
BO00020FCS01-BO
BO00021REGAL-BO
BO00022PREFERRED IPA OF CA-BO
BO00023CAPMN-BO
BO00024ALTAMED HEALTH SERVICES-BO
BO00025CARMO-BO
BO00026ASSOCIATED HISPANIC PHYS.-BO
BO00027BRIGHT HEALTH PHYSICIANS/-BO
BO00028APPLECARE MEDICAL GROUP-BO
BO00029SOUTH ATLANTIC MED. GRP.-BO
BO00030NMM01-BO
BONONEDInot supported yet-BO
BO00031LAMC IPA-BO
BO00032Preferred IPA-BO
BO00033Angeles IPA-BO
BO00034Affinity-BO
BO00035Allied Benefits-BO
BO00036CBCA Administrators-BO
BO00037CNIC-BO
BO00038ELDERPLAN-BO
BO00039First United American Life-BO
BO00040GHI/Emblem-BO
BO00041Group Resources-BO
BO00042Guardian-BO
BO00043Healthcare Partners-BO
BO00044HealthPlus-BO
BO00045International Services-BO
BO00046Local 272 welfare Fund-BO
BO00047Medsolutions-BO
BO00048Meritian-BO
BO00049Metroplus-BO
BO00050UMR-BO
BO00051US Family Health Plan-BO
BO00052Wellcare-BO
00338HealthSpring of Alabama
00339HealthSpring of Tennessee
00340HealthSpring of Illinois
00341HealthSpring of Florida
00342HealthSpring Life & Health Insurance Company
00344Absolute Total Care
00345Advantage by Bridgeway Health Solutions
00346Advantage by Buckeye Community Health Plan
00347Advantage by Managed Health Services
00348Advantage by Superior HealthPlan
00349Affinity Health Plan
00350American Retirement Life Insurance Company Medicare Supplement
00351AmeriHealth Mercy Health Plan
00352Antares
00353Bridgeway Arizona
00354Buckeye Community Health
00355Carpenters' Health and Welfare Trust Fund of St. Louis
00356Cenpatico - Arizona
00357Cenpatico - Florida
00358Cenpatico - Georgia
00359Cenpatico - Indiana
00360Cenpatico - Kansas
00361Cenpatico - Ohio
00362Cenpatico - South Carolina
00363Central Reserve Life Insurance Company Medicare Supplement
00364Continental General Insurance Company Medicare Supplement
00365Coventry Nebraska Medicaid
00366CHC FLORIDA/VISTA/SUMMIT
00367COVENTRYCARES
00368CSA Fraternal Live Medicare Supplement
00369Great American Life Assurance Company Medicare Supplement
00370Great American Life Insurance Company Medicare Supplement
00371Group Practice Affiliates
00372Harmony Health Plan (WellCare of Florida)
00373HEALTHe Exchange
00374HealthEase (WellCare of Florida)
00375HealthEase Kids (WellCare of Florida)
00376Integrated Mental Health Services
00377Keystone Mercy Health Plan
00378Loyal American Life Insurance Company Medicare Supplement
00379Managed Health Services Indiana
00380Managed Health Services Wisconsin
00381MDWise Hoosier Alliance
00382MOLINA HEALTHCARE OF MISSOURI
00383Ohana Health Plan (WellCare of Hawaii)
00384Passport Advantage
00385Peach State Health Plan
00386Provident American Life & Health Insurance Company Medicare Supplement
00387QuikTrip Corporation
00388Select Health of South Carolina
00389Special Agents Mutual Benefit Association
00390SPJST Medicare Supplement
00391StayWell (WellCare of Florida)
00392StayWell Kids (WellCare of Florida)
00393Superior HealthPlan Texas
00394Union Pacific Railroad Employes Health Systems
00395United Teacher Associates Insurance Company Medicare Supplement
00396Vantage Health
00397VNS CHOICE
00398WEB-TPA, Inc.
BO00053EMBLEM HEALTH-BO
BO00054HEALTHCARE PARTNERS/HERITAGE-BO
BO00055ZURICH-BO
BO00056MAGNACARE-BO
00399BMC HealthNet Plan
00400Sanford Health Plan
00401WEA Trust
00402Qualchoice
00403Essence Healthcare
00404Fresenius Medical Care
00405Generations Healthcare
00406TexanPlus - North Texas Area
00407TexanPlus - Southeast Texas Area
00408Today's Health
00409Today's Options
00410Tribute / SelectCare of Oklahoma
00411Asuris Northwest Health
00412American National Insurance Company
00413American National Life Insurance Company of Texas
00414CeltiCare
00415Cenpatico - Massachusetts
00416Standard Life and Accident Insurance Company
00417UMR Wausau
00418WellCare Health Plans
00419Best Choice Health Plan
00420Boon-Chapman Benefit Admin
00421Columbia United Providers
00422Community HealthFirst Medicare (CHF Medicare Advantage)
00423ConnectiCare
00424Corporate Benefit Service
00425DakotaCare
00426Denver Health Medical Plan
00427Deseret Mutual (DMBA)
00428FamilyCare
00429Florida Hospital Healthcare System
00430Gilsbar
00431Health Net Medi-Cal
00432Health Plan of San Mateo
00433Hometown Health
00435Independence Administrators
00436Independent Health
00437John Hopkins Health Plan
00438Kitsap Physician Services
00439MedCost Benefit Services
00440Michigan Medicaid Pending Eligibility
00441Nova Healthcare Administrators
00442Pacific Source Health Plan
00443PacifiCare of Nevada (HMO)
00444Partners National Health Plans of NC
00445Public Employees Health Plan (PEHP)
00446Santa Clara Valley Health and Hospital
00447Select Health Utah
00448SummaCare Health Plan
00449Ucare of Minnesota
00450Unity Health Plans
00451Univera
00452UPMC Health Plan (Tristate)
00453Washington Medicaid (ProviderOne)
00454BCBS of Oklahoma
BO00057Michigan Mutual-BO
BO00058Health America Of Pennsylvania-BO
BO00059First Priority Hlth-BO
BO00060HOP-BO
BO00061Amerisure-BO
BO00062Alicare Multiplan-BO
BO00063Bankers Life And Casualty-BO
BO00064Monumental Life Insurance Co-BO
BO00065Health America Advantra-BO
BO00066Valley Preferred-BO
BO00067Travelers Insurance Company-BO
BO00068Security Blue-BO
BO00069Unison Administrative Services-BO
BO00070State Farm Health Ins-BO
BO00071Zurich American Ins. Co.-BO
BO00072Sterling Life Insurance-BO
BO00073Nationwide Mutual Insurance-BO
BO00074New Era Insurance Company-BO
BO00075United Healthcare Community Plan-BO
BO00076Geisinger Health Plan-BO
BO00077Delaware MAP-BO
00455Delaware Medicaid
DC001All Savers Insurance
00463BCBS of Hawaii
09502TRICARE for Life
00473Sierra Health Service
00458Geisinger Health Plan
BO077Delaware MAP-BO
BO00095Physicians health choice-BO
BO00096Superior Vision-BO
BO00097Seton Health-BO
00459Alameda Alliance Health Plan
00460AmeriHealth Administrators
00461Arbor Health Plan (Only Nebraska Area)
00462BCBS Of Alabama (Institutional)
00464BCBS of Michigan (Institutional)
00465BCBS of New York (Excellus)
BO00082MASSHEALTH-BO
BO00083NETWORK HEALTH -BO-BO
BO00098Care Improvement plus (BO)-BO
BO013Innovante-BO
BO015operating engineers welfare fund-BO
BO016UAW retirees medical benefits-BO
BO017ATRIO HEALTH PLANS-BO
BO018Colonial Penn Insurance-BO
BO019Emblem Health Plan-BO
BO00084Health Plans Inc.-BO
BO00011Premier Eye Care-BO
00101EMBLEM HEALTH-EDI
BO00092IEHP Direct Health Plan-BO
BO00137Easy Choice Health Plan-BO
BO00134Central Health Plan-BO
00466Network Health Plan of WI
00467American Health Medicare
00501Continental Life-Aetna
00468Administrative Services Inc
00469Affinity Health Plan Medicare
00470AFLAC - Medicare Supplemental
00471Allegiance Benefit Plan Management
00472Banner Health Plans
00474Louisiana Health Exchange
00475BCBS of Montana
00476BCBS of Pennsylvania (Highmark) [Institutional]
00477BCBS of Vermont
00478Benefit Management Inc
00480Blue Shield of North Eastern New York
00482CAPROCK
00483Carolina Care Plan, Inc. (CCP)
BO00234LOCAL 1199-BO
00484Hawaii Medical Service Assoc (HMSA)
BO00123Advantica-BO
BO00124Eye Quest-BO
BO00125FHHS-BO
BO00126FMH-BO
UHC01United Healthcare Alternate
00601Health New England Eligibility Standard
BO00111Texas Medicaid BO-BO
BO001789Sanford Health BO-BO
BO001800Avera Health BO-BO
BO001801Dakotacare BO-BO
01908State Mutual (Lincoln Novation)
00701Desert Mutual
00879Magnacare
00891Care Improvement Plus
00893Meritain Health
00894Colonial Penn Life
00896Avera Health Plan
00897State Farm Ins
BO000991MODA Health Plan-BO
BO000992Group Health Plan-BO
BO000993Lifewise-BO
BO000994Community Health Plan-BO
BO000995First Choice Health-BO
BO000996Soundpath Health-BO
00777Sharp Health Plan
00901Health America Of Pennsylvania
00902New Era Insurance Company
00903Access Medicare
BO00001Stirling Benefits Inc-BO
BO000190Opticare-BO
00907CHC OmniCare (Michigan)
00904CoventryCares of Michigan
00485Molina Healthcare of Illinois
00909Harken Health
00910Colonial Penn Life
BO00093Health Alliance-BO
09001First Health Life
00902Meridian Health Plan of Illinois
MD001Country Life Insurance Company
MD002American Republic Insurance Company (ARIC)
MD003Standard Life and Accident Insurance
00486Group Health Co-Operative
09201Stonebridge Life Insurance Company
00502Neighborhood Health Plan RI
BO9001Eyefinity-BO
00632IEHP Direct
00919Gateway Health Plan
09012Network Health Insurance Corp
00488Kaiser Permanente of Southern California
09110CHC - Illinois
00916Indiana University Health Plan
00917First Community Health Plans
00918American Behavioral Benefit Managers
00920Dell Childrens Health Plan
00921Paramount Health Care
00922PerformCare
00923MDWISE Medicaid Health Plans
00924HEALTH FIRST HEALTH PLAN
00925HEALTH FIRST INSURANCE
00926Bankers Life And Casualty - EDI
BO001820Manhattan Life-BO
BO001830Bankers Fidelity-BO
00929AmeriHealth
00932First Health
00933COVENTRY HEALTH CARE CAROLINAS WELLPATH
00935AETNA BETTER HEALTH VIRGINIA
00936AETNA BETTER HEALTH (IL)
00937AETNA BETTER HEALTH (KY)
00938AETNA BETTER HEALTH (LA)
00939AETNA BETTER HEALTH (MI)
00940AETNA BETTER HEALTH (MO)
00941AETNA BETTER HEALTH (NE)
00942AETNA BETTER HEALTH (NJ)
00943AETNA BETTER HEALTH (PA)
00944AETNA BETTER HEALTH (TX)
00945AETNA BETTER HEALTH (TX) CHIP
00946AETNA BETTER HEALTH (WV)
00947ACS Benefit Services
00948Affinity Essentials
00949AFLAC
00950AGIA INC
00951Alaska Medicaid
00931BCBS ANTHEM VIVITY
00952BRIDGESPAN
00953TRANSAMERICA LIFE INSURANCE HEALTHMARKETS
00954EMPLOYEE BENEFIT MANAGEMENT SYSTEM (EBMS)
00955HEALTHCARE MANAGEMENT ADMIN
00956OPERATING ENGINEERS LOCAL 428
00957HEALTHPLANS INC
00958CHC of Carolinas
00959MEDIGOLD HEALTH PLANS
00960Rhode Island Medicaid
09650LA Care Health Plan
00634LOCAL 1199
00635All Savers Life Insurance
00636Allied Benefit Systems
00637Ameriben
00638Care1st Health Plan Arizona
00639Care1st of California
00640Cenpatico - Missouri
00641Community Health Group
00642Elderplan Inc
00643EBMS
00644FCE Benefit Administrators
00645Florida Health Care Plans
00646Gold Coast Health Plan
00647Golden Rule Insurance
00648Health Alliance Medical Plan (IL)
00649Health Choice Oklahoma
00651HealthPlan of Nevada
00652HealthScope
00653Christian Brothers Service
00654Key Benefit Administrators (KBA)
00655Lifewise Health Plan of Oregon
00656Maine Community Health Options
00657MedBen
00658MedStar Health Plan
00659MetroPlus Health Plan
00660Pan-American Life Insurance
00661Premier Health
00662Prestige Health Choice
00663QualCare
00664Secure Health Plans of GA
00665Simply Healthcare Plans
00666Soundpath Health
00667The Loomis Company
00668University Care Advantage AZ
00669Western & Southern Financial Group
00670Ambetter Superior Health Plan
00671CareMore Health Plan
00672Utah Medicaid
00673United American Ins Co
00674Virginia Premier Health Plan
00675Equitable Life Casualty Ins Co
00676Magellan Behavioral Health
00677Aetna Senior Supplemental
00678IBEW Local 508 Health Plan
00679Medico Insurance Company
00680Veteran Administrators (VA) Healthcare
00681Plumbers & Pipefitters Local Union 525 Health & Welfare Trust
00682Farm Bureau Health Plans
00683Thrivent
00684Heartland National Life Ins Co
00921Aetna Better Health NJ-REV
00955VETERANS AFFAIRS FEE BASIS PROGRAM
00961COMMERCE BENEFITS GROUP
00965HIP NEW YORK
BO00192Alignment Health Plan
BO00193CENTRAL HEALTH
BO00194Kern Health Systems
BO0093BRAND NEW DAY
BO10001Vision Service Plan
BO10002ADOC
BO10003KERN HEALTH SYSTEMS
BO10004EYEMED CLAIMS
BO10005EHS MEDICAL GROUP IPA
BO10006HEALTH CARE LA IPA
BO10007SPECTERA CLAIMS DEPARTMENT
BO10008MARCH VISION CARE
BO10009Opticare
BO10011PACIFIC IPA
BO10012Premier Eye Care
BO10013MESVISION
BO10014ADVANTAGE CARE IPA
BO10015VISION CARE PROCESSING UNIT
BO10016PACIFIC HEALTHCARE IPA
BO10017SEOUL MEDICAL GROUP
BO10018PROSPECT AMVI
BO10019Central Health Plan
BO10020PRIMARY CARE ASSOCIATES OF CA
BO10021BRAND NEW DAY HMO
BO10022IMMIGRATION HEALTH SERVICES
BO10023PINNACLE CLAIMS MANAGEMENT INC
BO10024PROSPECT LACARE
BO10025KEENAN & ASSOCIATES
BO10026CALCARE
BO10027DELTA HEALTH SYSTEMS
BO10028TRI VALLEY MEDICAL GROUP
BO10029HANKOOK IPA
BO10030STATE COMPENSATION INSURANCE FUND
BO10031Superior Vision
BO10032Travelers Insurance Company
BO10033WESTERN GROWERS ASSURANCE TRUST
BO10034CENTER IPA
BO10035SOUTH ATLANTIC MED GRP
BO10036PIA
BO10037UNITED FOOD & COMMERCIAL WORKERS TR
BO10038ESIS
BO10039IMPERIAL HEALTH
BO10040ASSOCIATED HISPANIC PHYS.
BO10041GALLAGHER BASSETT
BO10042AIG
BO10043EBA&M
BO10044HEALTHCOMP
BO10045TRANSWESTERN
BO10046GEMCARE HEALTH PLAN
BO10047ORANGE COUNTY ADVANTAGE MEDICAL GRP
BO10048SEDGWICK
BO10049ADVANCED MEDICAL DOCTORS OF CA
BO10050COUNTY OF KERN POS PLAN
BO10051HEALTHEDGE ADMINISTRATORS
BO10052IPM TRUST FUND
BO10053YORK RISK SERVICES GROUP
BO10054ZENITH INSURANCE CO
BO10055OSCAR HEALTH
BO10056BERKSHIRE HATHAWAY INSURANCE CO
BO10057HARTFORD INSURANCE CO
BO10058LIBERTY MUTUAL
BO10059LOS ANGELES MEDICAL CENTER LAMC
BO10060PRIMECARE OF COACHELLA VALLEY
BO10061ACCESS IPA
BO10062CAPITOL ADMINISTRATORS
BO10063COMPWEST
BO10064GOLDEN EMPIRE MANAGED CARE
BO10065PARADIGM MANAGEMENT SERVICES
BO10066TRISTAR RISK MANAGEMENT
BO10067COASTAL COMMUNITIES PHYSICIAN NTWRK
BO10068FIRST COMP INSURANCE
BO10069HCC MEDICAL INSURANCE SERVICES
BO10070HEALTHCARE PARTNERS/HERITAGE
BO10071IMG
BO10072PIONEER MEDICAL GROUP
BO10073SHEET METAL WORKERS HEALTH PLAN
BO10074TRIBAL HEALTH PARTNERS
BO10075VILLAGE HEALTH HCP
BO10076AIMS
BO10077CHARTIS
BO10078ESIS CENTRAL WC CLAIMS
BO10079FREEDOM LIFE INS COMPANY OF AMERICA
BO10080HEALTH ONE
BO10081MATRIX ABSENCE MANAGEMENT INC
BO10082PACIFIC COMPENSATION
BO10083PRIME HEALTH SERVICES
BO10084STEWART MEDICAL GROUP
BO10085UNIFIED LIFE INSURANCE CO
BO10086CHURCH MUTUAL INSURANCE CO
BO10087CORVEL CORPORATION
BO10088FARMERS
BO10089FUTURE CARE MEDICAL ASSOCIATES IPA
BO10090GLOBAL CARE MEDICAL GROUP
REV02AmeriHealth-REV
REV03EMBLEM HEALTH-EDI-REV
UGH005United Healthcare Facets Pittsburgh Community and State
UHG001UnitedHealth Group - Community Plan
UHG0010United Healthcare- West
UHG002United Healthcare Community Plan Kansas
UHG003United Healthcare Community Plan Tennessee
UHG004United Healthcare Facets Detroit Community and State
UHG006United Healthcare Nevada Market
UHG007United Healthcare - Optum Behavioral Solutions
UHG008United Healthcare SecureHorizons
UHG009United Healthcare Student Resources
00901Total Carolina Care
00975Tricare East
00600Hawaii Medical Assurance Assoc (HMAA)
00977PacificSource Administrators
00690Illinicare Health Plan
BO000050Total Health Care Commercial
BO000051McLaren Health Plan Commercial
BO000049UHA
BO100065AVESIS INCORPORATED BO
BO000469Care First Health Plan-BO
BO000144Care1st of California - BO
BO000154Cal optima (BO)
00979Aetna Better Health (CA)
00980Aetna Better Health (FL)
00981Aetna Better Health (MD)
00982Aetna Better Health (NV)
00983Aetna Retiree Medical Plan - Administrator
00985AgeWell NewYork *
00986AGIA. Inc.
00988Alliant Health Plans
00989AlohaCare
00990Alternative Insurance Resources, Inc
00991Ambetter of Arkansas
00992American Income Life Ins.Co.
00993American Medical Security (AMS)
00994American Network Ins. Medicare Supplement
00995Americo Financial Life & Annuity
00996AmeriHealth Caritas DC
00997AmeriHealth Caritas Iowa
00998AmeriHealth Caritas Louisiana (LaCare)
00999AmeriHealth Caritas VIP Care Plus
01000AmeriHealth New Jersey
01001AmeriHealth Northeast Pennsylvania
01002AmeriHealth Pennsylvania
01003AmeriHealth VIP Care
01004Apex Benefits Services
01005Arise Health Care
01006Arise Health Plan Medicare Select Policy
01007Associacion De Maestros Puerto Rico
01008Automated Benefit Services
01009Auxiant
01010Avalon Administrative Services
01011Bankers Fidelity Life Insurance Company
01012Bankers Life & Casualty
01013Banner University Family Care
01014BCBS of Alaska (Premera)
01015BCBS of Delaware
01016BCBS of Michigan (Professional)
01017BCBS Texas Medicaid STAR CHIP
01019Behavioral Health Systems, Inc.
01020Better Health Plans of Florida
01021Blue Benefit Administrators of Mass
01022Blue Cross Community Options
01023Blue Cross of Utah (Regence)
01024BlueCross Medicare Advantage
01025Boon Group
01026Bright Health
01027C and O Employees’ Hospital Association Plan
01029CalOptima
01030Cal-Viva
01033Carpenters Health and Welfare Trust Fund of St Louis
01034CDS Group Health
01035Celtic Insurance
01036CenCal
01037Cenpatico - Illinois
01038Cenpatico - Kentucky
01039Cenpatico - Mississippi
01040Cenpatico - New Hampshire
01041Cenpatico - Texas
01042Cenpatico - Wisconsin
01043Cenpatico Behavioral Health
01044Cenpatico Behavioral Health Texas
01045Centene - Advantage by Peach State
01046Centene - Advantage by Sunshine State
01047Centene - Ambetter Sunshine Health
01048Centene - California Health & Wellness
01049Centene - Coordinated Care
01050Centene - Granite State Health Plan
01051Centene - Home State Health Plan
01052Centene - Kentucky Spirit Health Plan
01053Centene - Magnolia Health Plan
01054Centene - Michigan Fidelis Secure Care
01055Centene - New Hampshire Healthy Families
01056Centene Advantage Plans
01057Central California Alliance for Health
01058Central Senior Care
01059Central States Indemnity
01060Cerner Health Plan
01061CHC - COVENTRYCARES OF KENTUCKY
01062Childrens Mercy PCN
01063CHP Direct
01064Christie Student Health Plans
01065CHRISTUS Health Plan Medicaid
01066CHRISTUS Health Plan New Mexico
01067CHRISTUS Health Plan NM Medicare Advantage
01068Claims Management Service Inc
01069Clover Health
01070CMFG Life Insurance
01071Community Health Choice
01072Concentrix Insurance Solutions
01073ConnectiCare - Medicare
01074Constellation Health (INMEDIATA HEALTH GROUP)
01075Consumers Life
01076Consumers Mutual Insurance of Michigan
01077Cook Children’s Health Plan
01078CountyCare
01079Covenant Administrators (TPA)
01080Cox Health Plan
01082CSI Life Insurance Company
01083Culinary Health Fund
01084Dean Health Plan
01085Definity Health
01086DeltaCare USA - Claims
01087DeltaCare USA - Encounters
01088District No. 9, I. A. of M. & A. W. Welfare Trust
01089Diversified Administration Corp
01090Driscoll Health Plan
01091Educators Mutual Insurance (EMI)
01092EPIC Life Insurance
01093EPSI, Inc.
01094Evercare
01095Everence Financial
01096Evergreen Health
01097Evergreen Health Co-Op
01098Expert Benefit Solutions
01099Fallon Community Health Plan (Exception)
01100First Carolina Care
01101First Community Health Plan
01102First Health Network (Coventry National)
01103First Medical Network
01104First United American Ins.Co
01105FirstCare
01106FISERV WAUSAU
01107Food Employers & Bakery
01109Fresenius Health Partners
01110Fringe Benefits
01111FSL Admin by KBA
01112G.M.P. Employers Retiree Trust
01113Geisinger Health Plan Gold
01114GEMCare
01115GHI
01117Globe Life & Accident Ins.Co.
01118Greek Catholic Union of the USA
01119Group Health Northwest
01120Group Hospitalization and Medical Services
01121Health Cost Solutions
01124Health Plan of Upper Ohio Valley
01125HEALTH SERVICES CHILDREN SPECIAL NEEDS
01126Health Share of Oregon
01127Healthcare Management Administrators
01128HealthComp Administrators
01129HealthEZ
01130Healthgram (Primary PhysiciansCare)
01131Healthplan Services - Celtic Insurance Company
01132HealthSmart Benefit Solutions
01134HealthTeam Advantage
01135Heritage Physician Network (Houston)
01136Highmark Senior Solutions
01138HM Care Advantage Admin by KBA
01139HMA (Hawaii Mainland Administrators)
01140HSBS Oklahoma City
01141Hudson Health Plan
01142Humana CareSource (KY)
01143iCare (Independent Care Health Plan)
01144Ideal Life Insurance
01145IHC Health Solutions
01146Insurers Administrative Corporation (IAC)
01147INTEGRA Administrative Group
01148International Medical Card Inc
01149Intracorp
01150Island Home Insurance
01151Jai Medical Systems
01152Johns Hopkins HealthCare LLC
01153Kaiser Foundation Health Plan of Hawaii (DHMO Choice)
01156Katy Medical Group
01157Kemper Benefits
01158Key Benefits Administrators (IN)
01159Key Healthy Partners
01160KeySolution
01161Keystone VIP Choice
01162KSKJ Life
01163Leggett & Platt
01164Leon Medical Centers Health Plan
01165Liberty National Life Ins.Co.
01166LifeCare Assurance Company
01167Lifetime Benefit Solutions (RMSCO)
01168Lifewise Arizona
01169Lifewise Health Plan of Washington
01170Lincoln Financial
01171Lincoln Heritage
01172LoneStar TPA
01173Louisiana Healthcare Connections
01174Loyal Christian Benefit Association
01175Lumico Life Insurance
01176Managed Care of America
01177Managed Health Network (MHN)
01178MAPFRE Life Puerto Rico
01180MDWise Exchange
01182Medica Health Plans
01183Medica2
01184Medical Associates Health Plan/Health Choices
01185Medical Card System
01186Medicare Advantage - Pennsylvania
01187Medicare y Mucho Mas (INMEDIATA HEALTH GRP CORP)
01188Med-Pay Inc
01189MedStar Family Choice
01190MercyCare Health Plan (WI)
01191Meritus Health Partners
01192MHNET Behavioral Health
01193Mississippi Children's Health Insurance Program
01194Missouri Care
01195Moda Health
01196Molina Healthcare of Puerto Rico
01197Molina Healthcare of South Carolina
01198Molina Healthcare of Wisconsin
01199Montefiore CMO
01200Municipal Health Benefit Fund
01201Mutual Health Services
01202NaphCare,Inc.
01203National Telecommunications Cooperative Association (NTCA)
01204Nebraska Medicaid
01205Nebraska Total Care
01207New Mexico Health Connections
01208Northwest Administrators
01209Oklahoma Employees Group Insurance Division
01210Operating Engineers Local No.428
01211Orange County Fire Authority
01212Oregon’s Health CO-OP
01213Oscar
01214PacificSource Community Solutions (Medicaid)
01215PacificSource Medicare
01216Panamerican Life Puerto Rico (PALIC)
01217Paramount Health
01218Pekin Life Insurance
01219Penn Treaty Network America Ins Medicare Supp
01220Pennsylvania Health and Wellness
01221People First
01222Peoples Health
01223Physicians Health Plan Northern IN
01224Physicians Health Plan of Mid-Michigan
01225Physicians Plus Insurance
01226Piedmont
01227Piedmont Wellstar HealthPlans
01228Pinnacle Claims Management
01229Pinnacle Physician Management Org
01230Plan de Salud Hospital Menonita
01231Planned Administrator Inc
01232Prairie States
01233Preferred Care Partners
01234Preferred Health System of Kansas
01235Preferred Medicare Choice(PMC)(INMEDIATA HEALTH GRP)
01237Prominence Health Plan (PPO & HMO)
01238Prominence Health Plan of Nevada (Medicare Advantage)
01239Prominence Health Plan of Texas (Medicare Advantage)
01240Public Employee Benefit Authority
01241Public Employees Health Program - CHIP
01242Public Employees Health Program - Medicare
01243Puritan Life Insurance
01244Regence Group Administration
01245Reserve National Insurance Company
01246RightCare from Scott and White Health Plan
01248Royal Neighbors of America
01249S and S Healthcare Strategies
01250S. USA Life Insurance Company, Inc.
01252Santa Clara Family Health Plan
01253SBLI USA Life Insurance Company, Inc.
01254Schaller Anderson Aetna Better Health of New York
01255Schaller Anderson Aetna Better Health OH
01256Schaller Anderson Delaware Physicians, Inc
01257Schaller Anderson Maryland Physicians Care
01258Schaller Anderson Mercy Care
01259Schaller Anderson Mercy Maricopa
01260Schaller Anderson Missouri Care
01261Schaller Anderson Parkland Community Health Plan
01262Security Health Plan
01263Select Senior Clinic
01264SelectCare of Texas (Beaumont)
01265SelectCare of Texas (Golden Triangle)
01266SelectCare of Texas (Houston)
01267SelectCare of Texas (Integranet)
01268SelectCare of Texas (Kelsey-Seybold)
01269SelectCare of Texas (Memorial Clinical Assoc)
01270SelectCare of Texas (Northwest Diagnostic)
01271Selman & Company
01272Senior Dimensions
01273Senior Health Services Center-Univ American Family Co.
01274Senior Whole Health
01275Shenandoah Life Insurance
01276Silver Summit Health Plan
01277SisCo Benefits
01278Southeastern Indiana Health Organization
01279Spectrum Health
01280State Mutual Med Supp
01281Stewart C Miller and Co
01284Summit America Insurance Service
01285Sunflower State Health (Kansas)
01286Sutter Select
01287TennDent
01288TexanPlus (Integranet)
01289TexanPlus (Kelsey-Seybold)
01290The Kempton Company
01291The ULLICO Family of Companies
01292TransactRX Infusion and Specialty
01293TransactRX Part D
01294Transamerica Life Insurance (KBA)
01295Transamerica Life Insurance Company
01296Transamerica Premier Life Insurance Co.
01297Triad Healthcare, Inc
01298TRICARE Overseas
01299Trillium Community Health Plan
01300Triple-S Salud (BCBS Puerto Rico)
01301Ultimate Health Plans
01302UMWA Health and Retirements Funds
01303Union Pacific Railroad Employees Health Systems
01304Universal American
01305Universal Benefit Corp
01306University Care Advantage Arizona
01307University of Arizona Health Plans - UHM
01308University of Utah Health Plans
01309VA Health Administration Center
01310Valley Care Program
01311Valley Health Plan
01313Vantage Health Plan,Inc
01314Village Family Practice
01315Washington National
01316Wellsense
01317West Virginia Family Health Plan
01318Windsor Medicare Extra
01320WPS Health Insurance
01321YourCare Health Plan
01031Capitol Administrators - EDI
01322Blue Shield of Idaho
01323Old Surety Life Insurance Co

 

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Note: For testing, one of the following payer Ids must be used when using the Eligibility Rest API  (as they are the only ones with the canned HIPAA compliant test result).

Payer list:
a ) AETNA (pVerify® Payer-Id 00001)
b ) United Healthcare (pVerify® Payer-Id 00192)
c ) Medicare Part A & B (pVerify® Payer-Id 00007)
d ) Ohio Medicaid (pVerify® Payer-Id 00165)
e ) BCBS of Texas (pVerify® Payer-Id 00220)For examples, click the endpoint of interest on the table of contents (left) and view the example on the right.

View the real-time Claim Status Payer List

pVeify supported payers   
Payer CodePayer NameTypeClaim Status
00344Absolute Total CareEDIYes
00001AetnaEDIYes
00013Alabama MedicaidEDIYes
00471Allegiance Benefit Plan ManagementEDIYes
01328AMBETTEREDIYes
00991Ambetter of ArkansasEDIYes
00025AMERIGROUPEDIYes
00411Asuris Northwest HealthEDIYes
01329BC ILLINOIS MEDICARE ADVANTAGEEDIYes
01330BC MONTANA MEDICARE ADVANTAGEEDIYes
01331BC NEW MEXICO MEDICARE ADVANTAGEEDIYes
01332BC OKLAHOMA MEDICARE ADVANTAGEEDIYes
01333BC TEXAS MEDICARE ADVANTAGEEDIYes
000931BCBS ANTHEM VIVITYEDIYes
00029BCBS of ArizonaEDIYes
00031BCBS of ConnecticutEDIYes
00032BCBS of GeorgiaEDIYes
00033BCBS of IllinoisEDIYes
00034BCBS of IndianaEDIYes
00036BCBS of KentuckyEDIYes
00038BCBS of MaineEDIYes
00039BCBS of Michigan (Thru Blue Exchange)EDIYes
00040BCBS of MinnesotaEDIYes
00042BCBS of MissouriEDIYes
00475BCBS of MontanaEDIYes
00043BCBS of NevadaEDIYes
00044BCBS of New HampshireEDIYes
00045BCBS of New Jersey (Horizon)EDIYes
00046BCBS of New MexicoEDIYes
00047BCBS of New York (Empire)EDIYes
00311BCBS of North DakotaEDIYes
00048BCBS of OhioEDIYes
00454BCBS of OklahomaEDIYes
00049BCBS of Oregon (Regence)EDIYes
00052BCBS of VirginiaEDIYes
00053BCBS of WisconsinEDIYes
00312BCBS of WyomingEDIYes
01017BCBS Texas Medicaid STAR CHIPEDIYes
00207Blue Cross Blue Shield Alabama (Commercial)EDIYes
00210Blue Cross Blue Shield ColoradoEDIYes
00214Blue Cross Blue Shield MassachusettsEDIYes
00220Blue Cross Blue Shield TexasEDIYes
00002Blue Cross of CaliforniaEDIYes
00056Blue Cross of IdahoEDIYes
00058Blue Shield of Washington (Regence)EDIYes
000952BRIDGESPANEDIYes
00891Care Improvement PlusEDIYes
00385Centene - Peach State Health PlanEDIYes
00004CignaEDIYes
00004CignaEDIYes
00645Florida Health Care PlansEDIYes
00112HumanaEDIYes
00690Illinicare Health PlanEDIYes
00379Managed Health Services IndianaEDIYes
00380Managed Health Services WisconsinEDIYes
00135Medical Mutual of OhioEDIYes
00151Molina Healthcare of OhioEDIYes
00165Ohio MedicaidEDIYes
00977PacificSource AdministratorsEDIYes
00662Prestige Health ChoiceEDIYes
00303UnicareEDIYes
00192United HealthcareEDIYes
00418WellCare Health PlansEDIYes

Click here to download the Claim Status payer list.