Availity® Health Information Network
Availity® Health Information Network
Availity® Health Information Network
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Availity's Business to Business (B2B) <strong>Health</strong> Plan Partners<br />
Supported Transactions & Payer Required Payer ID<br />
<strong>Availity®</strong> <strong>Health</strong> <strong>Information</strong> <strong>Network</strong><br />
Electronic Data Interchange (EDI) & Web Solutions Companion Guides<br />
Eligibility & Benefits (270) Claims Status (276) Authorization & Referral (278) <strong>Health</strong> Care Claim (837) <strong>Health</strong> Care Encounters (837) Additional <strong>Information</strong><br />
Payer Name<br />
XML Receiver (Payer)Values<br />
AETNA AETNA AETNA 60054<br />
AVMED AVMED 592742907<br />
BLUECROSS BLUESHIELD (BCBS) IL HCSC BCBSIL G00621 G00621<br />
Please contact your Availity Account Manager to initiate the B2B<br />
submission enrollment process<br />
BLUECROSS BLUESHIELD (BCBS) KANSAS CITY BCBSKC 47171 47171<br />
BLUECROSS BLUESHIELD (BCBS) MN BCBSMN 00720 00720<br />
BLUECROSS BLUESHIELD (BCBS) NM HCSC BCBSNM G00790 G00790<br />
Please contact your Availity Account Manager to initiate the B2B<br />
submission enrollment process<br />
BLUECROSS BLUESHIELD (BCBS) OK HCSC BCBSOK G00840 G00840<br />
Please contact your Availity Account Manager to initiate the B2B<br />
submission enrollment process<br />
BLUECROSS BLUESHIELD (BCBS) TX HCSC BCBSTX G84980 G84980<br />
Please contact your Availity Account Manager to initiate the B2B<br />
submission enrollment process<br />
CARESOURCE OF OHIO CARESOURCE OF OHIO 31114 31114<br />
The dependent loop is not supported on inquiries. Patient is always<br />
subscriber.<br />
CENTRAL SENIOR CARE XCLR003 HPN11 HPN11<br />
CIGNA CIGNA or XCLR001 CIGNA CIGNA<br />
FLORIDA BLUE BCBSF BCBSF BCBSF BCBSF BCBSF<br />
FLORIDA HEALTH CARE PLANS FLORIDA HEALTH CARE PLANS 593222484 593222484<br />
FLORIDA TRUE HEALTH FLORIDATRUEHEALTH 45408 45408<br />
FRESENIUS MEDICAL CARE HEALTH PLAN XCLR003 FMCHP FMCHP<br />
GENERATIONS HEALTHCARE XCLR003 GHEDI GHEDI<br />
GOLDEN TRIANGLE PHYSICIAN ALLIANCE XCLR003 HPN11 HPN11<br />
GREAT-WEST LIFE & ANNUITY INS CO CIGNA or XCLR001 CIGNA CIGNA<br />
HARMONY HEALTH PLAN WELLCARE_HEALTH_PLANS 14163 14163<br />
HEALTHEASE WELLCARE_HEALTH_PLANS 14163 14163<br />
HEALTHEASE KIDS WELLCARE_HEALTH_PLANS 14163 14163<br />
HERITAGE PHYSICIAN NETWORK (HOUSTON) XCLR003 HPN11 HPN11 61102 & 61105<br />
HUMANA HUMANA HUMANA 61101 HUMANA 61101<br />
HUMANA-CARESOURCE HUMANA-CARESOURCE KYCS1 KYCS1<br />
KATY MEDICAL GROUP XCLR003 HPN11 HPN11<br />
MEDICAID FLORIDA FL_MEDICAID 77027 77027<br />
MEMORIAL CLINICAL ASSOCIATES XCLR003 HPN11 HPN11<br />
NORTHWEST DIAGNOSTIC CLINIC XCLR003 HPN11 HPN11<br />
OHANA HEALTH PLAN WELLCARE_HEALTH_PLANS 14163 14163<br />
PINNACLE PHYSICIAN MANAGEMENT ORG XCLR003 HPN11 HPN11<br />
SELECT SENIOR CLINIC XCLR003 HPN11 HPN11<br />
SELECTCARE OF OKLAHOMA XCLR003 SCOK1 SCOK1<br />
SELECTCARE OF TEXAS (BEAUMONT) XCLR003 HPN11 HPN11<br />
SELECTCARE OF TEXAS (HOUSTON) XCLR003 HPN11 HPN11<br />
SELECTCARE OF TEXAS (INTEGRANET) XCLR003 HPN11 HPN11<br />
SELECTCARE OF TEXAS (KELSEY-SEYBOLD) XCLR003 HPN11 HPN11<br />
STAYWELL WELLCARE_HEALTH_PLANS 14163 14163<br />
STAYWELL KIDS WELLCARE_HEALTH_PLANS 14163 14163<br />
TEXAN PLUS (INTEGRANET) XCLR003 HPN11 HPN11<br />
TEXAN PLUS (KELSEY-SEYBOLD) XCLR003 HPN11 HPN11<br />
TEXAS FIRST HEALTH PLANS XCLR003 TX1ST TX1ST<br />
TEXAS FIRST HEALTH PLANS (TIOPA) XCLR003 TX1ST TX1ST<br />
TODAY'S HEALTH XCLR003 WITH1 WITH1<br />
UNITEDHEALTHCARE UNITEDHEALTHCARE 87726 87726<br />
VILLAGE FAMILY PRATICE XCLR003 HPN11 HPN11<br />
WELLCARE HEALTH PLAN WELLCARE_HEALTH_PLANS 14163 14163<br />
42 of 124 Visit our web site: www.availity.com
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