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Availity® Health Information Network

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Last<br />

Update<br />

Payer ID Payer Name<br />

Availity's Electronic Data Interchange (EDI) <strong>Health</strong> Plan Partners<br />

Government<br />

Payer*<br />

Claim Enroll<br />

Required<br />

Remit (835)<br />

NPI Option<br />

Professional<br />

Claim (837)<br />

Institutional<br />

Claim (837)<br />

Eligibility &<br />

Benefits (270)<br />

Claim<br />

Status<br />

(276)<br />

Auth &<br />

Referral<br />

(278)<br />

Additional <strong>Information</strong><br />

36369 AMERICAN IMAGING MANAGEMENT 2 x x<br />

81949 AMERICAN INSURANCE COMPANY OF TEXAS 4 x<br />

72099 AMERICAN LIFECARE 2 x x<br />

81400 AMERICAN MEDICAL SECURITY 2 x x NPI required in all loops, EIN or SSN required in 2310A and/or 2310B loop<br />

60739 AMERICAN NATIONAL INSURANCE CO 2 x x<br />

44444 AMERICAN POSTAL WORKERS UNION 3 x x<br />

56071 AMERICAN REPUBLIC 2 x x<br />

42011 AMERICAN REPUBLIC INSURANCE 2 x x<br />

37322 AMERICAN WORKER HEALTH PLUS 2 x x<br />

20553 AMERICA'S 1ST CHOICE - SOUTH CAROLINA 2 x x<br />

20029 AMERICA'S CHOICE HEALTHPLANS/NMA 2 x x<br />

16120 AMERICA'S PPO (ARAZ) 3 x x<br />

86047 AMERICHOICE OF NEW JERSEY (MEDICAID NJ) 2 x x<br />

86001 AMERICHOICE OF NEW JERSEY PERSONAL CARE PLUS (MEDICARE) 2 x x<br />

86048 AMERICHOICE OF NEW YORK (MEDICAID NY) 2 x x<br />

86002 AMERICHOICE OF NEW YORK PERSONAL CARE PLUS (MEDICARE) 2 x x<br />

86049 AMERICHOICE OF PENNSYLVANIA MEDICAID/CHIP 2 x x<br />

86003 AMERICHOICE OF PENNSYLVANIA PERSONAL CARE PLUS (MEDICARE) 2 x x<br />

26375 AMERIGROUP 2 x x<br />

26374 AMERIGROUP HOUSTON 2 x x<br />

26378 AMERIGROUP MULTIPLE STATES 2 x x<br />

IHP001 AMERIGROUP OF VIRGINIA x 3 x<br />

IHP002 AMERIGROUP OF VIRGINIA x 3 x<br />

54763 AMERIHEALTH ADMINISTRATORS 2 x x<br />

23037 AMERIHEALTH HMO NEW JERSEY AND DELAWARE 2 x<br />

22248 AMERIHEALTH MERCY HEALTH PLAN 2 x x<br />

53085 ANCHOR BENEFIT CONSULTING, INC 2 x x<br />

86062 ANCILLARY BENEFIT SYSTEMS/ARIZONA FOUNDATION FOR MEDICAL CARE 2 x x<br />

47198 ANTHEM CA 3 x x<br />

00050 ANTHEM CO 3 x x<br />

00060 ANTHEM CT 3 x<br />

00630 ANTHEM IN 3 x<br />

00130 ANTHEM IN 3 x<br />

00660 ANTHEM KY 3 x<br />

00160 ANTHEM KY 3 x<br />

00180 ANTHEM ME 3 x<br />

00680 ANTHEM ME 3 x<br />

00241 ANTHEM MO 3 x x<br />

00270 ANTHEM NH 3 x<br />

6 of 124 Visit our web site: www.availity.com<br />

<strong>Availity®</strong> <strong>Health</strong> <strong>Information</strong> <strong>Network</strong><br />

Electronic Data Interchange (EDI) & Web Solutions Companion Guides<br />

This payer accepts EDI batch claims via the Availity portal only. To do so, log in to the Availity portal<br />

(www.availity.com), and then click EDI File Management | Send and Receive EDI Files. After<br />

selecting your organization, click SendFiles. For further assistance, click Help at the top of the portal<br />

page or contact Availity Client Services (1.800.282.4548).<br />

This payer accepts EDI batch claims via the Availity portal only. To do so, log in to the Availity portal<br />

(www.availity.com), and then click EDI File Management | Send and Receive EDI Files. After<br />

selecting your organization, click SendFiles. For further assistance, click Help at the top of the portal<br />

page or contact Availity Client Services (1.800.282.4548).<br />

This payer accepts EDI batch claims via the Availity portal only. To do so, log in to the Availity portal<br />

(www.availity.com), and then click EDI File Management | Send and Receive EDI Files. After<br />

selecting your organization, click SendFiles. For further assistance, click Help at the top of the portal<br />

page or contact Availity Client Services (1.800.282.4548).<br />

This payer accepts EDI batch claims via the Availity portal only. To do so, log in to the Availity portal<br />

(www.availity.com), and then click EDI File Management | Send and Receive EDI Files. After<br />

selecting your organization, click SendFiles. For further assistance, click Help at the top of the portal<br />

page or contact Availity Client Services (1.800.282.4548).<br />

This payer accepts EDI batch claims via the Availity portal only. To do so, log in to the Availity portal<br />

(www.availity.com), and then click EDI File Management | Send and Receive EDI Files. After<br />

selecting your organization, click SendFiles. For further assistance, click Help at the top of the portal<br />

page or contact Availity Client Services (1.800.282.4548).<br />

This payer accepts EDI batch claims via the Availity portal only. To do so, log in to the Availity portal<br />

(www.availity.com), and then click EDI File Management | Send and Receive EDI Files. After<br />

selecting your organization, click SendFiles. For further assistance, click Help at the top of the portal<br />

page or contact Availity Client Services (1.800.282.4548).<br />

This payer accepts EDI batch claims via the Availity portal only. To do so, log in to the Availity portal<br />

(www.availity.com), and then click EDI File Management | Send and Receive EDI Files. After<br />

selecting your organization, click SendFiles. For further assistance, click Help at the top of the portal<br />

page or contact Availity Client Services (1.800.282.4548).<br />

This payer accepts EDI batch claims via the Availity portal only. To do so, log in to the Availity portal<br />

(www.availity.com), and then click EDI File Management | Send and Receive EDI Files. After<br />

selecting your organization, click SendFiles. For further assistance, click Help at the top of the portal<br />

page or contact Availity Client Services (1.800.282.4548).<br />

This payer accepts EDI batch claims via the Availity portal only. To do so, log in to the Availity portal<br />

(www.availity.com), and then click EDI File Management | Send and Receive EDI Files. After<br />

selecting your organization, click SendFiles. For further assistance, click Help at the top of the portal<br />

page or contact Availity Client Services (1.800.282.4548).<br />

This payer accepts EDI batch claims via the Availity portal only. To do so, log in to the Availity portal<br />

(www.availity.com), and then click EDI File Management | Send and Receive EDI Files. After<br />

selecting your organization, click SendFiles. For further assistance, click Help at the top of the portal<br />

page or contact Availity Client Services (1.800.282.4548).<br />

This payer accepts EDI batch claims via the Availity portal only. To do so, log in to the Availity portal<br />

(www.availity.com), and then click EDI File Management | Send and Receive EDI Files. After<br />

selecting your organization, click SendFiles. For further assistance, click Help at the top of the portal<br />

page or contact Availity Client Services (1.800.282.4548).

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