Membership/Participant list https://www.caqh.org/ en CAQH CORE Participant List https://www.caqh.org/core/caqh-core-participant-list <span>CAQH CORE Participant List</span> <span><span lang="" about="/users/siteadmin" typeof="schema:Person" property="schema:name" datatype="">site_admin</span></span> <span>Thu, 01/07/2021 - 12:48</span> <div class="field field--name-field-subtitle field--type-text-long field--label-hidden field--item"><h2><h1><strong>CAQH CORE Participating Organizations</strong></h1> </h2></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><div id="tabs"> <p>Industry-led, CAQH CORE Participants include healthcare providers, health plans, vendors, government entities, associations and standard-setting organizations. Health plans participating in CAQH CORE represent 75 percent of the insured US population. We are working in collaboration to simplify administrative data exchange. Join us and become a CAQH CORE Participant today!</p> <p><span data-fid="6031">Download the <a href="https://www.caqh.org/sites/default/files/core/caqh-core-participationapplication.pdf?token=U7sWUINt">CAQH CORE Participant Application Form</a>.</span></p> <p> </p> <ul><li><a href="#health_plans_and_PPO_networks">Providers</a></li> <li><a href="#dental">Health Plans</a></li> <li><a href="#provider_groups">Government</a></li> <li><a href="#hospitals">Integrated Plans/Providers</a></li> <li><a href="#tpas">Other</a></li> <li><a href="#government">Vendors/Clearinghouses</a></li> </ul><div class="long-list-text" id="health_plans_and_PPO_networks"> <ul><li>American College of Physicians (ACP)</li> <li>American Hospital Association (AHA)</li> <li>American Medical Association (AMA)</li> <li>Children’s Healthcare of Atlanta</li> <li>Cleveland Clinic</li> <li>Greater New York Hospital Association (GNYHA)</li> <li>Healthcare Financial Management Association</li> <li>Laboratory Corporation of America</li> <li>Mayo Clinic</li> <li>Medical Group Management Association (MGMA)</li> <li>Montefiore Medical Center</li> <li>New Mexico Cancer Center</li> <li>OhioHealth</li> <li>Ohio Hospital Association</li> <li>Ortho NorthEast (ONE)</li> <li>UC Davis Health</li> <li>Virginia Mason Medical Center</li> </ul><p> </p> </div> <div class="long-list-text" id="dental"><a id="dental" name="dental"></a> <ul><li>Aetna</li> <li>America's Health Insurance Plans (AHIP)</li> <li>Ameritas Life Insurance Corp.</li> <li>Anthem Inc.</li> <li>Aultcare</li> <li>Blue Cross and Blue Shield Association (BCBSA)</li> <li>Blue Cross Blue Shield of Michigan</li> <li>Blue Cross Blue Shield of North Carolina</li> <li>Blue Cross Blue Shield of Tennessee</li> <li>CareFirst BlueCross BlueShield</li> <li>Centene</li> <li>CIGNA</li> <li>Coventry Health Care</li> <li>Government Employees Health Association, Inc. (GEHA)</li> <li>Harvard Pilgrim and Tufts Health Plan</li> <li>Health Care Service Corp</li> <li>Health Net Inc. (Centene)</li> <li>Horizon Blue Cross Blue Shield of New Jersey</li> <li>Humana</li> <li>Medical Mutual of Ohio, Inc.</li> <li>UnitedHealthGroup</li> <li>Unitedhealthcare</li> </ul><p> </p> </div> <div class="long-list-text" id="provider_groups">  <ul><li>Arizona Health Care Cost Containment System</li> <li>California Department of Health Care Services</li> <li>Centers for Medicare and Medicaid Services (CMS)</li> <li>Federal Reserve Bank of Atlanta</li> <li>Florida Agency for Health Care Administration</li> <li>Health Plan of San Joaquin</li> <li>Louisiana Medicaid - Molina</li> <li>Michigan Department of Community Health</li> <li>Minnesota Department of Health</li> <li>Minnesota Department of Human Services</li> <li>Missouri HealthNet Division</li> <li>North Dakota Medicaid</li> <li>Oregon Department of Human Services</li> <li>Oregon Health Authority</li> <li>Pennsylvania Department of Public Welfare</li> <li>TRICARE</li> <li>United States Department of Treasury Financial Management</li> <li>United States Department of Veterans Affairs</li> </ul></div> <div class="long-list-text" id="hospitals"> <ul><li>Highmark Health (Highmark Inc.)</li> <li>Kaiser Permanente</li> <li>Marshfield Clinic/Security Health Plan of Wisconsin, Inc.</li> </ul></div> <div class="long-list-text" id="tpas"> <ul><li>Accenture</li> <li>ASC X12</li> <li>Cognosante</li> <li>Health Level 7 (HL7)</li> <li>Healthcare Business Management Association</li> <li>Mettle Solutions</li> <li>NACHA The Electronic Payments Association</li> <li>NASW Risk Retention Group, Inc.</li> <li>National Association of Health Data Organizations (NAHDO)</li> <li>National Committee for Quality Assurance (NCQA)</li> <li>National Council for Prescription Drug Programs (NCPDP)</li> <li>New England Healthcare Exchange Network (NEHEN)</li> <li>OneHealthPort</li> <li>Private Sector Technology Group</li> <li>Tata Consultancy Services Ltd</li> <li>Utilization Review Accreditation Commission (URAC)</li> <li>Work Group for Electronic Data Interchange (WEDI)</li> </ul></div> <div class="long-list-text" id="government"> <ul><li>AIM Specialty Health</li> <li>athenahealth</li> <li>Availity, LLC</li> <li>Averhealth</li> <li>Cedar</li> <li>Cerner/Healthcare Data Exchange</li> <li>Change Healthcare</li> <li>Claim.MD</li> <li>Cognizant</li> <li>Conduent</li> <li>CSRA</li> <li>DST Health Solutions</li> <li>DXC Technology</li> <li>Edifecs</li> <li>Epic</li> <li>Experian</li> <li>HealthEdge</li> <li>HEALTHeNET</li> <li>HMS</li> <li>Infocrossing LLC</li> <li>InstaMed</li> <li>NantHealth NaviNet</li> <li>NextGen Healthcare Information Systems, Inc.</li> <li>OptumInsight</li> <li>PaySpan</li> <li>PNC Bank</li> <li>PriorAuthNow</li> <li>The SSI Group, Inc.</li> <li>TIBCO Software, Inc.</li> <li>TrialCard</li> <li>TriZetto Corporation, A Cognizant Company</li> <li>Utah Health Information Network (UHIN)</li> <li>Wells Fargo Bank</li> </ul></div> </div> </div> <div class="field field--name-field-taxonomy-type field--type-entity-reference field--label-inline"> <div class="field--label">Type</div> <div class="field--item"><a href="/type/membershipparticipant-list" hreflang="en">Membership/Participant list</a></div> </div> <div class="field field--name-field-taxonomy-caqh-program field--type-entity-reference field--label-inline"> <div class="field--label">CAQH Program</div> <div class="field--item"><a href="/programsolution/core" hreflang="en">CORE</a></div> </div> Thu, 07 Jan 2021 17:48:41 +0000 site_admin 118 at https://www.caqh.org Health Plan Participation https://www.caqh.org/solutions/health-plan-participation <span>Health Plan Participation</span> <span><span lang="" about="/users/cmassiecaqhorg" typeof="schema:Person" property="schema:name" datatype="">cmassie@caqh.org</span></span> <span>Wed, 08/10/2016 - 11:46</span> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><h4><strong><span id="cke_bm_277S"> </span>COB Smart Market Penetration:</strong></h4> <p><img alt="COB Smart Heatmap" data-entity-type="" data-entity-uuid="" height="296" src="/sites/default/files/cob_heatmap.png" width="582" /></p> <p><span><span><span><span>The COB Smart Registry includes eligibility and membership data for more than 180M+ covered lives with direct participation from <b>all </b>national health plans. COB Smart penetration exceeds 50% nationwide. For a current list of participating organizations <a href="https://www.caqh.org/solutions/cob-smart-request-demo">contact your account manager</a>. </span></span></span></span></p> <h4> </h4> </div> <div class="field field--name-field-taxonomy-type field--type-entity-reference field--label-inline"> <div class="field--label">Type</div> <div class="field--item"><a href="/type/membershipparticipant-list" hreflang="en">Membership/Participant list</a></div> </div> <div class="field field--name-field-taxonomy-audience field--type-entity-reference field--label-inline"> <div class="field--label">Audience</div> <div class="field--item"><a href="/target-audience/public" hreflang="en">Public</a></div> </div> <div class="field field--name-field-taxonomy-organization-type field--type-entity-reference field--label-inline"> <div class="field--label">Organization Type</div> <div class="field--item"><a href="/organization/health-plans" hreflang="en">Health plans</a></div> </div> <div class="field field--name-field-taxonomy-caqh-program field--type-entity-reference field--label-inline"> <div class="field--label">CAQH Program</div> <div class="field--item"><a href="/programsolution/cob-smart" hreflang="en">COB Smart</a></div> </div> Wed, 10 Aug 2016 15:46:29 +0000 cmassie@caqh.org 1780 at https://www.caqh.org EnrollHub Participating Health and Dental Plans https://www.caqh.org/solutions/enrollhub-participating-health-and-dental-plans <span>EnrollHub Participating Health and Dental Plans</span> <span><span lang="" about="/users/skanacaqhorg" typeof="schema:Person" property="schema:name" datatype="">skana@caqh.org</span></span> <span>Tue, 03/24/2015 - 15:10</span> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><ul><li>Aetna</li> <li>Amerigroup Community Care of New Mexico</li> <li>Amerigroup DC</li> <li>Amerigroup Florida</li> <li>Amerigroup Georgia</li> <li>Amerigroup Insurance Company</li> <li>Amerigroup Iowa</li> <li>Amerigroup Maryland</li> <li>Amerigroup Tennessee</li> <li>Amerigroup Texas</li> <li>Amerigroup Washington</li> <li>AmFirst Insurance</li> <li>Anthem California</li> <li>Anthem Colorado</li> <li>Anthem Connecticut</li> <li>Anthem Georgia</li> <li>Anthem Indiana</li> <li>Anthem Kentucky</li> <li>Anthem Maine</li> <li>Anthem Missouri</li> <li>Anthem Nevada</li> <li>Anthem New Hampshire</li> <li>Anthem Ohio</li> <li>Anthem Virginia</li> <li>Anthem Wisconsin</li> <li>Anthem, Inc.</li> <li>Blue Cross and Blue Shield of Alabama</li> <li>Blue Cross and Blue Shield of Vermont</li> <li>Blue Cross BlueShield of Tennessee</li> <li>Blue Cross BlueShield of Western New York Medicaid/CHP</li> <li>Blue Cross NC Healthy Blue</li> <li>CareCentrix</li> <li>CDPHP</li> <li>Cigna</li> <li>Colorado Community Health (CCHA)</li> <li>Dell Children's Health Plan</li> <li>Empire Blue Cross Blue Shield</li> <li>First Community Health</li> <li>Global Life Insurance Company of New York</li> <li>Globe Life And Accident Insurance</li> <li>Hap Midwest Health Plan</li> <li>Healthy Blue</li> <li>Healthy Blue BlueChoice HealthPlan of SC</li> <li>Humana</li> <li>Kaiser Permanente</li> <li>Liberty National Life Insurance</li> <li>Magellan Complete Care of Virginia</li> <li>MAPFRE</li> <li>MetLife</li> <li>Simply Healthcare</li> <li>Summit Community Care</li> <li>Unicare</li> <li>United American Insurance</li> <li>US Family Health Plan NY</li> <li>USFHP NY</li> <li>WPS Health Solutions</li> <li>Xiaflex</li> </ul><p> </p> </div> <div class="field field--name-field-taxonomy-type field--type-entity-reference field--label-inline"> <div class="field--label">Type</div> <div class="field--item"><a href="/type/membershipparticipant-list" hreflang="en">Membership/Participant list</a></div> </div> <div class="field field--name-field-taxonomy-audience field--type-entity-reference field--label-inline"> <div class="field--label">Audience</div> <div class="field--item"><a href="/target-audience/public" hreflang="en">Public</a></div> </div> <div class="field field--name-field-taxonomy-caqh-program field--type-entity-reference field--label-inline"> <div class="field--label">CAQH Program</div> <div class="field--item"><a href="/programsolution/enrollhub" hreflang="en">EnrollHub</a></div> </div> Tue, 24 Mar 2015 19:10:44 +0000 skana@caqh.org 323 at https://www.caqh.org CORE-certified Organizations (Pending and Current) https://www.caqh.org/core/core-certified-organizations-pending-and-current <span>CORE-certified Organizations (Pending and Current)</span> <span><span lang="" about="/users/siteadmin" typeof="schema:Person" property="schema:name" datatype="">site_admin</span></span> <span>Thu, 02/26/2015 - 00:07</span> <div class="field field--name-field-subtitle field--type-text-long field--label-hidden field--item"><h2><h1><strong>CORE-Certified Organizations/Products</strong></h1> </h2></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><div>CAQH CORE certifies and awards CORE Certification Seals to entities that create, transmit or use the administrative transactions addressed by the CAQH CORE Operating Rules. CORE Certification means an entity has demonstrated that its IT system or product is operating in conformance with the CAQH CORE Operating Rules for a specific transaction. Voluntary CORE Certification is available for providers, health plans, clearinghouses, and product vendors.</div> <div> </div> <div>Organizations that do not create, transmit, or use administrative healthcare transactions, and therefore cannot implement the CAQH CORE Operating Rules, can demonstrate their support for the CORE mission and vision and operating rules by applying for and using the CORE Endorser Seal. View endorser organizations by <a href="/CORE_endorser.php" target="_blank">visiting the CORE Endorsers page</a>.</div> <div> <div><a id="#healthplans" name="#healthplans"></a></div> </div> <div class="caqh_tabs" id="tabs"> <ul><li><a href="#tabs-health_plans">HEALTH PLANS</a></li> <li><a href="#tabs-providers">PROVIDERS</a></li> <li><a href="#tabs-clearinghouse">CLEARINGHOUSES</a></li> <li><a href="#tabs-vendors">VENDORS</a></li> </ul><div id="tabs-health_plans"> <table border="0" cellpadding="0" cellspacing="0"><thead><tr><th scope="col"> <p>Organization</p> </th> <th scope="col"> <p> </p> </th> <th scope="col"> <p>Certified RULE SETS</p> </th> <th scope="col"><span>Certification STatus</span></th> </tr></thead><tbody><tr><td width="30%">Aetna, Inc.</td> <td><img title="aetna(1).jpg" style="height: 58px; width: 100px;" class="table_image_landscape media-element file-media-table-image img-responsive" src="/sites/default/files/oldsitefiles/images/aetna%281%29.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>E<span>ligibility &amp; Benefits</span></li> <li><span>Claim Status</span></li> <li><span>Payment &amp; Remittance</span></li> <li><span>Prior Authorization &amp; Referrals (Infrastructure Only)</span></li> <li>Health Care Claims</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Alabama Medicaid Agency</td> <td width="40%"><img alt="Alabama Medicaid A" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/Alabama%20Medicaid%20Logo.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Alameda Alliance for Health</td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"> <div>Alaska Department of</div> <div>Health and Social Services</div> </td> <td width="40%"><img alt="Alaska Logo" title="Alaska Logo" style="height: 100px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/DHSS%20Logo.png" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">All Savers Insurance</td> <td width="40%"><br /><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/UHC-AllSavers-Logo_232x70.jpg" /></td> <td width="30%"> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">American Postal Workers Union Health Plan</td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Anthem</td> <td width="40%"><img title="Anthem_Inc_RGB.jpg" style="height: 27px; width: 100px;" class="table_image_landscape media-element file-media-table-image img-responsive" src="/sites/default/files/oldsitefiles/images/Anthem_Inc_RGB.jpg" typeof="foaf:Image" /></td> <td width="30%"> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Anthem Colorado*</td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/design-images/blank.gif" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Anthem Connecticut*</td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/design-images/blank.gif" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Anthem Indiana*</td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/design-images/blank.gif" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Anthem Kentucky*</td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/design-images/blank.gif" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Anthem Maine*</td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/design-images/blank.gif" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Anthem Nevada*</td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/design-images/blank.gif" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Anthem New Hampshire*</td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/design-images/blank.gif" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Anthem Ohio*</td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/design-images/blank.gif" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Anthem Virginia*</td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/design-images/blank.gif" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">AultCare</td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/other/logos/member_aultcare.gif" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">AvMed Health Plans</td> <td width="40%"><img title="AvMed.jpg" style="height: 56px; width: 100px;" class="table_image_landscape media-element file-media-table-image img-responsive" src="/sites/default/files/oldsitefiles/images/AvMed.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Blue Cross of California*</td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/design-images/blank.gif" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Blue Cross Blue Shield of Georgia*</td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/design-images/blank.gif" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Blue Cross Blue Shield of Missouri*</td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/design-images/blank.gif" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Blue Cross Blue Shield of Nebraska<sup>3</sup></td> <td width="40%"><img title="Blue Cross Blue Shield of Nebraska" style="height: 27px; width: 100px;" class="media-element file-media-crop file-media-table-image img-responsive" id="media_crop_6422507946365" src="/sites/default/files/oldsitefiles/images/BCBSNE.JPG" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Blue Cross Blue Shield of North Carolina</td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/BCBSNC.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">BlueCross BlueShield of Tennessee</td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/BCBSTN.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Blue Cross Blue Shield of Wisconsin*</td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/design-images/blank.gif" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Boston Medical Center Health Plan</td> <td width="40%">      <img style="height: 30px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/Logo_BMCHP_Color.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">CalOptima</td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Centene Corporation</td> <td width="40%"><img title="Centene.jpg" style="height: 27px; width: 100px;" class="media-element file-media-crop file-media-table-image img-responsive" id="media_crop_5095569725969" src="/sites/default/files/oldsitefiles/images/Centene.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Cigna<sup>7</sup></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/other/logos/member_Cigna.GIF" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">ConnectiCare</td> <td width="40%"><img style="width: 100px; height: 20px;" class="media-element file-default img-responsive" src="/sites/default/files/core/ConnectiCare.png" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Contra Costa Health Plan</td> <td width="40%"><img style="height: 78px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/oldsitefiles/Host/CORE/CCHP%20LOGO%203C%20culture%20of%20caring.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">County of Riverside - Exclusive Care</td> <td width="40%"><img style="height: 61px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/Exclusive%20Care%20Logo%20-%20Green.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">DAKOTACARE</td> <td width="40%"><img style="height: 18px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/DAKOTACARE%20RGB_NoTagLine.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Delta Dental of California</td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">^Delta Dental of Delaware</td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">^Delta Dental District of Columbia</td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">^Delta Dental Insurance Company</td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">^Delta Dental of New York</td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">^Delta Dental of Pennsylvania</td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">^Delta Dental of Puerto Rico</td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">^Delta Dental of West Virginia</td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Dentegra</td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">EmblemHealth</td> <td width="40%"><img style="height: 21px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/EmblemHealth_0.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Empire Blue Cross Blue Shield*</td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/design-images/blank.gif" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"> <div> </div> <div>Excellus Health Plan</div> </td> <td width="40%"><br /><img title="EX_Logo_clr.jpg" style="height: 21px; width: 100px;" class="table_image_landscape media-element file-media-table-image img-responsive" src="/sites/default/files/oldsitefiles/images/EX_Logo_clr.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">First Medical Health Plan</td> <td width="40%"><img style="height: 20px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/fmhplogo.png" typeof="foaf:Image" /></td> <td width="30%"> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"> <div> </div> <div>Florida Division of Medicaid</div> </td> <td width="40%"><br /><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/Primary%20Logo%20%28color%29.png" /></td> <td width="30%"> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Georgia Department of Community Health</td> <td width="40%"><img style="height: 50px; width: 150px;" class="media-element file-default img-responsive" src="/sites/default/files/core/dch_logo_pms299_ALT2012_hires.jpg" typeof="foaf:Image" /></td> <td width="30%"> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Gold Coast Health Plan</td> <td width="40%"><img style="height: 50px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/gc-h4c-vector%20%282%29.jpg" typeof="foaf:Image" /></td> <td width="30%"> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Golden Rule Insurance Company</td> <td width="40%"><br /><img title="GoldenRule-UHC_072.jpg" style="height: 26px; width: 100px;" class="table_image_landscape media-element file-media-table-image img-responsive" src="/sites/default/files/oldsitefiles/images/GoldenRule-UHC_072.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Government Employees Health Association</td> <td width="40%"><img alt="GEHA Logo" title="GEHA Logo" style="width: 100px; height: 39px;" class="media-element file-default img-responsive" src="/sites/default/files/core/geha_logo.png" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"> <div> </div> <div>Harvard Pilgrim Health Care</div> </td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/about/newsletter/images/HarvardPilgrim.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Health Plan of San Joaquin</td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Health Plan of San Mateo</td> <td width="40%"> </td> <td width="30%"> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Health Net</td> <td width="40%"><img alt="Health Net" data-entity-type="" data-entity-uuid="" height="60" src="/sites/default/files/HNT_Logo_Stacked.jpg" width="123" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Healthplex</td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Horizon Blue Cross Blue Shield of New Jersey</td> <td width="40%"><img title="HBCBSNJ.jpg" style="height: 30px; width: 100px;" class="table_image_landscape media-element file-media-table-image img-responsive" src="/sites/default/files/oldsitefiles/images/HBCBSNJ.jpg" typeof="foaf:Image" /></td> <td width="30%"> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Humana<sup>1</sup></td> <td width="40%"><img title="Humana Logo" style="height: 46px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/marketing/Humana%20logo%20print%20with%20R.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>E<span>ligibility &amp; Benefits</span></li> <li><span>Claim Status</span></li> <li><span>Payment &amp; Remittance</span></li> <li><span>Prior Authorization &amp; Referrals (Infrastructure only)</span></li> <li><span>Health Care Claims</span></li> <li><span>Benefit Enrollment</span></li> <li><span>Premium Payment</span></li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> <li>Active</li> <li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Inland Empire Health Plan</td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Kaiser Permanente Colorado</td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/other/logos/member_KaiserPermanente.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Kaiser Permanente Washington</td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/other/logos/member_KaiserPermanente.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"> <div>MaineCare</div> <div> </div> </td> <td width="40%"><br /><img title="m.png" style="height: 39px; width: 100px;" class="table_image_landscape media-element file-media-table-image img-responsive" src="/sites/default/files/oldsitefiles/images/m.png" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Medical Card Systems</td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%">Medical Mutual of Ohio</td> <td width="40%"><img style="height: 35px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/MM%20Logo_C%20%28CMYK_361_300dpi%29.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance <span>(Q4 2020)</span></li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Pending</li> </ul></td> </tr><tr><td width="30%">MVP Health Care</td> <td width="40%"><img alt="MVP Healthcare" title="MVP Healthcare" style="height: 74px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/MVP%20RGB.png" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"> <div>National Association of Letter Carriers</div> <div>Health Benefit Plan</div> </td> <td width="40%"><img style="width: 75px; height: 75px;" class="media-element file-default img-responsive" src="/sites/default/files/core/HBP%20Logo%20Color.png" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Nebraska Medicaid</td> <td width="40%"><img style="height: 50px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/DHHS%2520Logo%2520For%2520On-Screen%2520Use%2520Color%2520-%2520JPG.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">New Hampshire Medicaid</td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">North Dakota Department of Human Services</td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"> <div>Oklahoma Office of Management and</div> <div>Enterprise Services: Employees Group</div> <div>Insurance Division</div> </td> <td width="40%"> </td> <td width="30%"> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Partnership Health Plan</td> <td width="40%"><img style="height: 93px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/oldsitefiles/Host/CORE/PHC%20logo%20505.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance (Q4 2020)</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Pending</li> </ul></td> </tr><tr><td width="30%">Physicians Health Plan</td> <td width="40%"><img style="height: 53px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/Physician%20Health%20Plan%20rgb.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">PrimeWest Health</td> <td width="40%"><img style="height: 32px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/oldsitefiles/Host/CORE/PW%20Logo%202617.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Priority Health</td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Providence Health Plan</td> <td width="40%"><img alt="Providence Health Plan Logo " title="Providence Health Plan Logo " style="height: 39px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/PH%26SHP_high-res.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance (Q4 2020)</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Pending</li> </ul></td> </tr><tr><td width="30%">Public Employees Health Plan</td> <td width="40%"><img style="width: 100px; height: 50px;" class="media-element file-default img-responsive" src="/sites/default/files/core/PEHP_HB.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Rocky Mountain Health Plans<sup>4</sup></td> <td width="40%"><img style="height: 46px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/RMHPlogo-%20no%20tagline%20-%20RGB-small.jpg" typeof="foaf:Image" /></td> <td width="30%"> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Sanford Health Plan</td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">San Francisco Health Plan</td> <td width="40%"><img style="height: 50px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/sfhp_logo_307_425_2014.jpg" typeof="foaf:Image" /></td> <td width="30%"> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Santa Clara Family Health Plan</td> <td width="40%"> </td> <td width="30%"> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Security Health Plan</td> <td width="40%"><img alt="Security Health Plan Logo" title="Security Health Plan Logo" style="width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/SHP_logo_-%C2%ABtag_CMYK.JPG" typeof="foaf:Image" /></td> <td width="30%"> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">SummaCare</td> <td width="40%"><img style="height: 75px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/SummaCare_4c.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"><span>Sutter Health Plus</span></td> <td width="40%"><img alt="Sutter Health Plus" title="Sutter Health Plus" style="width: 100px; height: 37px;" class="media-element file-default img-responsive" src="/sites/default/files/core/SHP_clr_rgb.jpg" typeof="foaf:Image" /></td> <td width="30%"> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Texas Medicaid</td> <td width="40%"> </td> <td width="30%"> <ul><li>E<span>ligibility &amp; Benefits</span></li> <li><span>Claim Status</span></li> <li><span>Payment &amp; Remittance</span></li> <li><span>Prior Authorization &amp; Referrals (Infrastructure only)</span></li> <li><span>Health Care Claims</span></li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Trillium Commmunity Health Plan</td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"> <div>Triple-S Salud </div> <div>BlueCross BlueShield of Puerto Rico</div> </td> <td width="40%"><img title="logo-sss-salud-horizontal-colores-no-margenes.png" style="height: 14px; width: 100px;" class="table_image_landscape media-element file-media-table-image img-responsive" src="/sites/default/files/oldsitefiles/images/logo-sss-salud-horizontal-colores-no-margenes.png" typeof="foaf:Image" /></td> <td width="30%"> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"> <div> </div> <div>Tufts Health Plan</div> <div> </div> </td> <td width="40%"><img title="Tufts.jpg" style="height: 11px; width: 100px;" class="table_image_landscape media-element file-media-table-image img-responsive" src="/sites/default/files/oldsitefiles/images/Tufts.jpg" typeof="foaf:Image" /></td> <td width="30%"> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">UnitedHealthcare Life Insurance Company</td> <td width="40%"><img style="height: 63px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/united-healthcare-life-insurance-company-300x125_0.png" typeof="foaf:Image" /></td> <td width="30%"> <div> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></div> </div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">UnitedHealth Group<sup>2</sup></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/other/logos/uhg_logo.jpg" /></td> <td width="30%"> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">University of Pittsburgh Medical Center</td> <td width="40%"><img style="height: 26px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/UPMC_HealthPlan_H_RGB%202in.jpg" typeof="foaf:Image" /></td> <td width="30%"> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr></tbody></table></div> <div id="tabs-providers"> <table border="0" cellpadding="0" cellspacing="0"><thead><tr><th scope="col" width="30%"> <p>Organization</p> </th> <th scope="col" width="40%"> <p> </p> </th> <th scope="col" width="30%"> <p><span>CERTIFIED RULE SETS</span></p> </th> <th scope="col" width="30%"><span>CERTIFICATION STATUS</span></th> </tr></thead><tbody><tr><td width="30%">Mayo Clinic</td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/Mayo.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%">Montefiore Medical Center</td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/Montefiore.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Quest Diagnostics</td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%">Summit Medical Group</td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/SummitMedicalGroup.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%">U.S. Department of Veterans Affairs</td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/VA.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%">Wake Forest University Health Sciences</td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/WakeForest.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr></tbody></table></div> <div id="tabs-clearinghouse"> <table border="0" cellpadding="0" cellspacing="0"><thead><tr><th scope="col" width="30%"> <p>Organization<br /><span><em>Product</em></span></p> </th> <th scope="col" width="40%"> <p> </p> </th> <th scope="col" width="30%"> <p><span>CERTIFIED RULE SETS</span></p> </th> <th scope="col" width="30%"><span>CERTIFICATION STATUS</span></th> </tr></thead><tbody><tr><td width="30%"> <div>Ability</div> <div><em>CHOICE All-Payer Claims</em></div> </td> <td><br /><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/Ability.jpg" /></td> <td width="30%"> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"> <div>AdminisTEP, LLC</div> <div><span><em>AdminisTEP Next Generation Clearinghouse including Eligibility and Claim Status</em></span></div> <div> </div> </td> <td width="40%"><img title="astep 2012 logo clear background.png" style="width: 60px; height: 50px;" class="table_image_landscape media-element file-media-table-image-portrait img-responsive" src="/sites/default/files/oldsitefiles/images/astep%202012%20logo%20clear%20background.png" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%"> <div>Alight Solutions, LLC</div> <div><span><em>Connections Eligibility EDI 834 5010 File</em></span></div> </td> <td width="40%"> </td> <td width="30%"> <ul><li>Benefit Enrollment</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%"> <div>ASSERTUS </div> <div><span><em>ASSERTUS Clearinghouse </em></span></div> <div> </div> </td> <td width="40%"><img title="ASSERTUS Logo.jpg" style="height: 40px; width: 80px;" class="table_image_landscape media-element file-media-table-image img-responsive" src="/sites/default/files/oldsitefiles/images/ASSERTUS%20Logo.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Availity, LLC<br /><span><em>Availity Health Information Network</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/Availity.png" /></td> <td width="30%"> <ul><li>E<span>ligibility &amp; Benefits</span></li> <li><span>Claim Status</span></li> <li><span>Payment &amp; Remittance</span></li> <li><span>Prior Authorization &amp; Referrals (Infrastructure only)</span></li> <li><span>Health Care Claims</span></li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"><span>Avizzor Health Solutions</span><br /><span><em>Clearinghouse</em></span></td> <td width="40%"><img title="Avizzor Health Solutions Logo" style="height: 70px; width: 95px;" class="media-element file-default img-responsive" src="/sites/default/files/core/logo%20avizzor%20final-01.png" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Capario<br /><span><em>Phoenix Processing System</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/Capario.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Cerner/Healthcare Data Exchange<br /><em>HDX</em></td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%"> <div> </div> <div><span>Change Healthcare</span><br /><span><em>Real Time and Batch Transaction Processing and Data Hosting Service</em></span></div> <div><em>RelayExchange<sup>TM</sup></em></div> </td> <td width="40%"><img alt="Change Healthcare Logo" title="Change Healthcare Logo" style="height: 60px; width: 75px;" class="media-element file-default img-responsive" src="/sites/default/files/core/CHLOGORDBLJPG_0.JPG" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"> <div>Change Healthcare</div> <div><em>Remittance and Payment Management</em></div> </td> <td width="40%"><img alt="Change Healthcare Logo" title="Change Healthcare Logo" style="font-size: 14px; text-align: center; background-color: rgb(255, 255, 255); height: 60px; width: 75px;" class="media-element file-default img-responsive" src="/sites/default/files/core/CHLOGORDBLJPG_0.JPG" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%">Claim.MD<br /><span><em>Claim.MD</em></span></td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%"> <div>ClaimRemedi<br /><span><em>ClaimRemedi by eSolutions</em></span></div> <div> </div> </td> <td width="40%"><img alt="ClaimRemedi Logo" title="ClaimRemedi Logo" style="height: 30px; width: 75px;" class="media-element file-default img-responsive" src="/sites/default/files/core/eSolutions_Logo_4C.png" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"><span>Conduent EDI Solutions, Inc.</span><br /><i>Conduent EDI Direct</i></td> <td width="40%"><img style="cursor: default; color: rgb(68, 68, 68); font-family: &quot;Gotham Narrow SSm A&quot;, &quot;Gotham Narrow SSm B&quot;, &quot;Helvetica Neue&quot;, Helvetica, Arial, sans-serif; font-size: 14px; text-align: center; background-color: rgb(255, 255, 255); width: 95px; height: 43px;" class="media-element file-default img-responsive" src="/sites/default/files/core/Conduent_Horizontal_CMYK.JPG" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Dorado Systems<br /><em>doradoConnect by eSolutions</em></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/Dorado.JPG" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Dorado Systems<br /><span><em>doradoVerify</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/Dorado.JPG" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Eligible<br /><em>Eligible</em></td> <td width="40%"><img alt="Eligible Logo" title="Eligible Logo" style="width: 95px; height: 95px;" class="media-element file-default img-responsive" src="/sites/default/files/core/avatar_2017.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"><span>eMEDIX</span><br /><em>eMEDIX Clearinghouse Eligibility</em></td> <td width="40%"><img title="eMEDIX Logo" style="height: 84px; width: 95px;" class="media-element file-default img-responsive" src="/sites/default/files/core/phase-i/certification/emedix_logo.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"> <p>eProvider Solutions<br /><em>eProvider Solutions</em></p> </td> <td width="40%"><img alt="eProvider Solutions" title="eProvider Solutions" style="width: 95px; height: 80px;" class="media-element file-default img-responsive" src="/sites/default/files/core/EPSInCircle_LG.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">eServices Group Inc.<br /><span><em>Unite</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/eServices.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"><span>Experian Health</span><br /><span><em>OneSource</em></span></td> <td width="40%"><img title="Experian Health Logo" style="cursor: default; color: rgb(68, 68, 68); font-family: &quot;Gotham Narrow SSm A&quot;, &quot;Gotham Narrow SSm B&quot;, &quot;Helvetica Neue&quot;, Helvetica, Arial, sans-serif; font-size: 14px; text-align: center; background-color: rgb(255, 255, 255); height: 76px; width: 95px;" class="media-element file-default img-responsive" src="/sites/default/files/core/Experian%20Health%20Stacked%20RGB.PNG" typeof="foaf:Image" /></td> <td width="30%"> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">GE Healthcare<br /><span><em>Centricity EDI Clearinghouse</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/GE.JPG" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Healthcare IP<br /><span><em>Healthcare IP</em></span></td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%">HEALTHeLink<br /><span><em>HEALTHeNET</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/design-images/blank.gif" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">HeW<br /><span><em>Revenue Cycle Management &amp; EDI Services</em></span></td> <td width="40%"><img title="HEW.jpg" style="width: 95px; height: 95px;" class="table_image_landscape media-element file-media-table-image img-responsive" src="/sites/default/files/oldsitefiles/images/HEW.jpg" typeof="foaf:Image" /></td> <td width="30%"> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">HealthFusion<br /><span><em>HealthFusion® Real-Time</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/healthfusion.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">HMS<br /><span><em>HMS</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/hms.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%">InstaMed<br /><span><em>InstaMed Network</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/InstaMed.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">MD On-Line, Inc.<br /><span><em>ACCE$$ Patient Eligibility Verification</em></span></td> <td width="40%"><img title="MDOL.png" style="width: 95px; height: 29px;" class="table_image_landscape media-element file-media-table-image img-responsive" src="/sites/default/files/oldsitefiles/images/MDOL.png" typeof="foaf:Image" /></td> <td width="30%"> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"> <p><span>GMG Management Consulting, Inc.</span><br /><span><em>GMG Management Consulting, Inc.</em></span></p> </td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">NaviNet<br /><span><em>NaviNet</em></span></td> <td width="40%"><img alt="/sites/default/files/NaviNet%20Logo%20Large.png" data-entity-type="" data-entity-uuid="" height="41" src="/sites/default/files/NaviNet%20Logo%20Large.png" width="168" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"><span>Navicure</span><br /><span><em>Eligibility</em></span><br />  </td> <td width="40%"><img style="cursor: default; color: rgb(68, 68, 68); font-family: &quot;Gotham Narrow SSm A&quot;, &quot;Gotham Narrow SSm B&quot;, &quot;Helvetica Neue&quot;, Helvetica, Arial, sans-serif; font-size: 14px; text-align: center; background-color: rgb(255, 255, 255); width: 95px; height: 59px;" class="media-element file-default img-responsive" src="/sites/default/files/core/phase-iii/certification/Waystar_Horiz_FullColor.png" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Office Ally<br /><span><em>Office Ally Clearinghouse</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/OfficeAlly.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Optum<br /><em>Optum360</em></td> <td width="40%"><img title="Optum 360" style="cursor: default; color: rgb(68, 68, 68); font-family: &quot;Gotham Narrow SSm A&quot;, &quot;Gotham Narrow SSm B&quot;, &quot;Helvetica Neue&quot;, Helvetica, Arial, sans-serif; font-size: 15px; height: 28px; width: 95px;" class="media-element file-default img-responsive" src="/sites/default/files/core/phase-iii/certification/Optum360%28R%29_4C_0.png" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%">OptumInsight<br /><span><em>Optum Netwerkes</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/Optum.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">OptumInsight<br /><span><em>Optum Transaction Exchange</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/Optum.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"> <div>Pay Span</div> <div><span><em>PaySpanHealth.com</em></span></div> <div> </div> </td> <td width="40%"><img title="PaySpan.png" style="height: 29px; width: 95px;" class="table_image_landscape media-element file-media-table-image img-responsive" src="/sites/default/files/oldsitefiles/images/PaySpan.png" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%">PNT Data<br /><em>EDI Services &amp; Clinical Data Services​</em></td> <td width="40%"><img style="width: 95px; height: 27px;" class="media-element file-default img-responsive" src="/sites/default/files/oldsitefiles/Host/CORE/PNT-Data-NoTagLine.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">PokitDok<br /><em>PokitDok Platform</em></td> <td width="40%"><img title="PokitDok Logo" style="height: 30px; width: 75px;" class="media-element file-default img-responsive" src="/sites/default/files/core/PokitDok.Purple.Orange.png" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>E<span>ligibility &amp; Benefits</span></li> <li><span>Claim Status</span></li> <li><span>Payment &amp; Remittance</span></li> <li><span>Prior Authorization &amp; Referrals (Infrastructure only)</span></li> <li><span>Health Care Claims</span></li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"> <div>Practice Insight<br /><span><em>EDIinsight by eSolutions</em></span></div> <div> </div> </td> <td width="40%"><img title="Practice-Insight-oneline-rgb-small.jpg" style="width: 95px; height: 15px;" class="table_image_landscape media-element file-media-table-image img-responsive" src="/sites/default/files/oldsitefiles/images/Practice-Insight-oneline-rgb-small.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"> <div>RealMed Corporation<br /><span><em>RealMed Revenue Cycle Management</em></span></div> <div> </div> </td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/RealMed.JPG" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Retrace Labs, Inc.<br /><span><em>Retrace Labs</em></span></td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> <li>Health Care Claims</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"> <div>Inmediata Health Group Corp.<br /><span><em>Inmediata Clearinghouse</em></span></div> </td> <td width="40%"><img title="inMediata" style="cursor: default; color: rgb(68, 68, 68); font-family: &quot;Gotham Narrow SSm A&quot;, &quot;Gotham Narrow SSm B&quot;, &quot;Helvetica Neue&quot;, Helvetica, Arial, sans-serif; font-size: 15px; height: 45px; width: 95px;" class="media-element file-default img-responsive" src="/sites/default/files/core/phase-ii/certification/INMEDIATA-LOGO.jpg" typeof="foaf:Image" /></td> <td width="30%"> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Smart Data Solutions<br /><span><em>Smart Data Stream Clearinghouse</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/SmartData.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Surescripts<br /><span><em>Surescripts Prescription Benefit</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/Surescripts.bmp" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%">TransUnion Healthcare, LLC<br /><span><em>Insurance Clearinghouse</em></span></td> <td width="40%"><img style="width: 95px; height: 38px;" class="media-element file-default img-responsive" src="/sites/default/files/oldsitefiles/Host/CORE/hc-updated-logo.gif" typeof="foaf:Image" /><br /><span><!--[endif]--></span></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"><span>The SSI Group, Inc</span><br /><span><em>Access Director V 3.5</em></span></td> <td width="40%"><img alt="SSI Group" title="SSI Group" style="font-size: 14px; text-align: center; background-color: rgb(255, 255, 255); height: 50px; width: 75px;" class="media-element file-default img-responsive" src="/sites/default/files/core/SSI-Logo-70x57-blue.png" typeof="foaf:Image" /></td> <td width="30%"> <ul><li><span>Prior Authorization &amp; Referrals (Infrastructure only)</span></li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%">The SSI Group, Inc<br /><span><em>ClickON E-Verify Suite</em></span></td> <td width="40%"><img alt="SSI Group" title="SSI Group" style="font-size: 14px; text-align: center; background-color: rgb(255, 255, 255); height: 50px; width: 75px;" class="media-element file-default img-responsive" src="/sites/default/files/core/SSI-Logo-70x57-blue.png" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"><span>The SSI Group, Inc</span><br /><span><em>ClickON Remittance Module</em></span></td> <td width="40%"><img alt="SSI Group" title="SSI Group" style="height: 50px; width: 75px;" class="media-element file-default img-responsive" src="/sites/default/files/core/SSI-Logo-70x57-blue.png" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%">TriZetto Provider Solutions<br /><span><em>Integrated Eligibility &amp; Integrated Claim Status Inquiry</em></span></td> <td width="40%"><img alt="Trizetto III" title="Trizetto III" style="cursor: default; color: rgb(68, 68, 68); font-family: &quot;Gotham Narrow SSm A&quot;, &quot;Gotham Narrow SSm B&quot;, &quot;Helvetica Neue&quot;, Helvetica, Arial, sans-serif; font-size: 14px; text-align: center; background-color: rgb(255, 255, 255); width: 95px; height: 35px;" class="media-element file-default img-responsive" src="/sites/default/files/core/trizettoprovider.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"><span>TriZetto Provider Solutions</span><br /><em>CORE III version 2</em></td> <td width="40%"><img alt="Trizetto III" title="Trizetto III" style="width: 95px; height: 35px;" class="media-element file-default img-responsive" src="/sites/default/files/core/trizettoprovider.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%"> <div>UHIN</div> <div><em>uTRANSEND v2.0</em></div> </td> <td width="40%"> </td> <td width="30%"> <p> </p> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Pending</li> <li>Pending</li> <li>Pending</li> </ul></td> </tr><tr><td width="30%">Waystar<br /><span><em>Claims Management</em></span></td> <td width="40%"><img style="width: 95px; height: 59px;" class="media-element file-default img-responsive" src="/sites/default/files/core/phase-iii/certification/Waystar_Horiz_FullColor.png" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%"> <div>WorkCompEDI</div> <div><i>Clearinghouse </i></div> </td> <td width="40%"><img title="WorkCompEDI.Logo" style="height: 68px; width: 95px;" class="media-element file-default img-responsive" src="/sites/default/files/core/WorkCompEDI-Logo-vWLbg%20%28Transparent%29_0.gif" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Payment &amp; Remittance</li> <li>Health Care Claims</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%">ZirMed<br /><span><em>Eligibility Verification</em></span></td> <td width="40%"><img style="cursor: default; color: rgb(68, 68, 68); font-family: &quot;Gotham Narrow SSm A&quot;, &quot;Gotham Narrow SSm B&quot;, &quot;Helvetica Neue&quot;, Helvetica, Arial, sans-serif; font-size: 14px; text-align: center; background-color: rgb(255, 255, 255); width: 95px; height: 59px;" class="media-element file-default img-responsive" src="/sites/default/files/core/phase-iii/certification/Waystar_Horiz_FullColor.png" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr></tbody></table></div> <div id="tabs-vendors"> <table border="0" cellpadding="0" cellspacing="0"><thead><tr><th scope="col" width="30%"> <p>Organization<br /><span><em>Product</em></span></p> </th> <th scope="col" width="40%"> <p> </p> </th> <th scope="col" width="30%"> <p><span>CERTIFIED RULE SETS</span></p> </th> <th scope="col" width="30%"><span>CERTIFICATION STATUS</span></th> </tr></thead><tbody><tr><td width="30%">ABILITY<br /><span><em>EligibilityOne</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/Ability.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">athenahealth<br /><span><em>athenaCollector</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/AthenaHealth.jpg" /></td> <td width="30%"> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Automated HealthCare Solutions (AHCS)/ezVerify and Validate<br /><em>ezVerify</em></td> <td width="40%"><img title="EZ-Verify_Logo_FINAL.png" style="height: 23px; width: 100px;" class="table_image_landscape media-element file-media-table-image img-responsive" src="/sites/default/files/oldsitefiles/images/EZ-Verify_Logo_FINAL.png" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%">CSC<br /><span><em>CSC DirectConnect®</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/CSC.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%"> <p>CVS Health<br /><em>Pharmacy Benefit Management Division</em></p> </td> <td width="40%"><img alt="CVS Health Pharmacy Benefit Management Division" title="CVS Health Pharmacy Benefit Management Division" style="height: 18px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/CVS_Caremark_logo_h_reg_rgb_red_0.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%">Datavi<br /><span><em>P3NET</em></span></td> <td width="40%"><img title="P3 Logo Large.jpg" style="height: 53px; width: 100px;" class="table_image_landscape media-element file-media-table-image img-responsive" src="/sites/default/files/oldsitefiles/images/P3%20Logo%20Large.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%">SS&amp;C Health<br /><em>PowerSTEPP</em></td> <td width="40%"><img title="SS&amp;amp;C Health Logo" style="height: 46px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/SSCHealth-logo.png" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">ECHO Health, Inc.<br /><span><em>National EFT/ERA Simplicity Payment Solution v8.1</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/ECHO.jpg" /></td> <td width="30%"> <ul><li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%">Eldorado, Inc.<br /><em>HEALTHpac CORE Real-Time Application</em></td> <td width="40%"><img style="height: 70px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/oldsitefiles/Host/CORE/HEALTHpac%20logo%202012.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"> <div> </div> <div>Eldorado, Inc.</div> <div><span><em>Javelina Real-Time</em></span></div> <div> </div> </td> <td width="40%"><img title="Javelina(1).jpg" style="height: 50px; width: 100px;" class="table_image_landscape media-element file-media-table-image img-responsive" src="/sites/default/files/oldsitefiles/images/Javelina%281%29.jpg" typeof="foaf:Image" /></td> <td width="30%"> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"><span>Eligibill</span><br /><em>Eligibill II</em></td> <td width="40%"><img style="cursor: default; color: rgb(68, 68, 68); font-family: &quot;Gotham Narrow SSm A&quot;, &quot;Gotham Narrow SSm B&quot;, &quot;Helvetica Neue&quot;, Helvetica, Arial, sans-serif; font-size: 14px; text-align: center; background-color: rgb(255, 255, 255); height: 49px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/03.01.17_eligibill%20New%202%20-%20Logo%20Only%20%28002%29.jpg" typeof="foaf:Image" /></td> <td width="30%"> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">EmergingHealth<br /><span><em>TREKS</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/EmergingHealth.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%">eServices Group, Inc.<br /><span><em>XJ Series Gateway Services</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/eServices.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">EIXSYS<br /><span><em>EIXSYS GATEWAY</em></span></td> <td width="40%"><img title="EIXSYS Logo" style="width: 100px; height: 32px;" class="media-element file-default img-responsive" src="/sites/default/files/core/main-eixsys-logo%20small%20R.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"><span>FrontRunnerHC</span><br /><span><em>FrontRunnerHC</em></span></td> <td width="40%"><img alt="FrontRunner Logo" title="FrontRunner Logo" style="height: 56px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/FrontRunnerHC-Color-L2.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">GE Healthcare<br /><span><em>Centricity Business Version 4.0 and Version 4.3</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/GE.JPG" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%">GE Healthcare<br /><span><em>Centricity Business Version 5.0 Eligibility/Benefits</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/GE.JPG" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"><span>GE Healthcare</span><br /><i>Financial Risk Manager Version 6.1</i></td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"><span>Gi4</span><br /><i>Gi4</i></td> <td width="40%"><img alt="Gi4 Logo" title="Gi4 Logo" style="height: 93px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/marketing/logo-on-white-large_tagline.png" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%">HealthTrio<br /><span><em>Smart Series</em></span></td> <td width="40%"><img style="height: 37px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/HealthTrio.png" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> <li>Prior Authorization &amp; Referrals (Infrastructure Only)</li> <li>Health Care Claims</li> <li>Benefit Enrollment</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> <li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"><span>HIPAAsuite</span><br /><em>HIPAA Claim Payment Master</em></td> <td width="40%"><img title="HipaaSuite 300.png" style="cursor: default; color: rgb(68, 68, 68); font-family: &quot;Gotham Narrow SSm A&quot;, &quot;Gotham Narrow SSm B&quot;, &quot;Helvetica Neue&quot;, Helvetica, Arial, sans-serif; font-size: 14px; text-align: center; background-color: rgb(255, 255, 255); height: 100px; width: 100px;" class="table_image_landscape media-element file-media-table-image-portrait img-responsive" src="/sites/default/files/oldsitefiles/images/HipaaSuite%20300.png" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%">HIPAAsuite<br /><em>HIPAA RealTime Server</em></td> <td width="40%"><img title="HipaaSuite 300.png" style="height: 100px; width: 100px;" class="table_image_landscape media-element file-media-table-image-portrait img-responsive" src="/sites/default/files/oldsitefiles/images/HipaaSuite%20300.png" typeof="foaf:Image" /></td> <td width="30%"> <div> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></div> </td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"> <div> </div> <div>ikaSystems</div> <div><span><em>ikaClaims version 5.X suite</em></span></div> <div> </div> </td> <td width="40%"><br /><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/ikaSystems%20logo.png" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Loxogon<br /><span><em>Loxogon Alloy™</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/Loxogon.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%"><span>McKesson/Change Healthcare</span><br /><span><em>RelayPayer Connectivity Services (PCS)</em></span></td> <td width="40%"><img alt="Change Healthcare Logo" title="Change Healthcare Logo" style="cursor: default; color: rgb(68, 68, 68); font-family: &quot;Gotham Narrow SSm A&quot;, &quot;Gotham Narrow SSm B&quot;, &quot;Helvetica Neue&quot;, Helvetica, Arial, sans-serif; font-size: 14px; text-align: center; background-color: rgb(255, 255, 255); height: 100px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/CHLOGORDBLJPG_0.JPG" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> <li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"><span>McKesson/Change Healthcare</span><br /><span><em>RelayClearance™ Plus Version 4.6</em></span></td> <td width="40%"><img alt="Change Healthcare Logo" title="Change Healthcare Logo" style="cursor: default; color: rgb(68, 68, 68); font-family: &quot;Gotham Narrow SSm A&quot;, &quot;Gotham Narrow SSm B&quot;, &quot;Helvetica Neue&quot;, Helvetica, Arial, sans-serif; font-size: 14px; text-align: center; background-color: rgb(255, 255, 255); height: 100px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/CHLOGORDBLJPG_0.JPG" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Medical Informatics Engineering<br /><span><em>WebChart EMR</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/Mie.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%">Medical Present Value, Inc. (MPV)<br /><span><em>MPV Eligibility</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/blank.gif" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%"> <div><span>MEDITECH</span></div> <div><span>​</span><em>EDI Eligibility Validation - Version Client/Server 5.66</em></div> </td> <td width="40%"><img style="height: 56px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/MEDITECHReimagining_FontNotOutlined.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"> <div>MEDITECH</div> <div>​<i>Claim Status Inquiry and Response - Version Client/Server 5.66</i></div> </td> <td width="40%"><img style="font-size: 14px; text-align: center; height: 56px; width: 100px; background-color: rgb(255, 255, 255);" class="media-element file-default img-responsive" src="/sites/default/files/core/MEDITECHReimagining_FontNotOutlined.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%"> <div><span>MEDITECH</span></div> <div><span>​</span><em>Electronic Claim Submission/Remittance - Version Client/Server 5.66</em></div> </td> <td width="40%"><img style="font-size: 14px; text-align: center; height: 56px; width: 100px; background-color: rgb(255, 255, 255);" class="media-element file-default img-responsive" src="/sites/default/files/core/MEDITECHReimagining_FontNotOutlined.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%">NextGen Healthcare<br /><span><em>NextGen® Practice Management</em> (Small &amp; Group Practices)</span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/NextGen.JPG" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%">NoMoreClipboard.com<br /><span><em>NoMoreClipboard.com</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/NMClogo.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%"> <p><span>NTT DATA Services, LLC</span><br /><span><em>NTT DATA Services</em></span></p> </td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"> <div>Orbograph</div> <div><em>Healthcare Payments Automation Center (HPAC)</em></div> </td> <td width="40%"><img alt="Orbograph" title="Orbograph" style="height: 33px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/Logo-With%20Tagline_0.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%"><span>Phreesia </span><br /><span><em>Phreesia</em></span></td> <td width="40%"> </td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"><span>PNC </span><br /><span><em>Remittance Advantage</em></span></td> <td width="40%"><img title="PNC.jpg" style="height: 33px; width: 100px;" class="table_image_landscape media-element file-media-table-image img-responsive" src="/sites/default/files/oldsitefiles/images/PNC.jpg" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%">Recondo Technology<br /><span><em>SurePayHealth</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/Recondo.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">The SSI Group Inc<br /><span><em>ClickON E-Verify Suite</em></span></td> <td width="40%"><img alt="" data-entity-type="" data-entity-uuid="" src="/sites/default/files/oldsitefiles/images/SSI_Logo.jpg" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"><span>Tallan</span><br /><span><em>T-Connect</em></span></td> <td width="40%"><img title="Tallan Logo" style="height: 85px; width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/Tallan_logo_color_digital.png" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%">Ventanex<br /><span><em>Provider Pay Application</em></span></td> <td width="40%"> </td> <td width="30%"> <ul><li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr><tr><td width="30%"><span>XIFIN</span><br /><span><em>XIFIN RPM</em></span></td> <td width="40%"><img alt="XIFIN Logo" data-entity-type="" data-entity-uuid="" height="49" src="/sites/default/files/XIFIN%20Corporate%20Logo-Clean-RGB-750px.png" width="208" /></td> <td width="30%"> <ul><li>Eligibility &amp; Benefits</li> <li>Claim Status</li> </ul></td> <td width="30%"> <ul><li>Active</li> <li>Active</li> </ul></td> </tr><tr><td width="30%"> <p>Zelis™ Payments<br /><em>Zelis ACH</em></p> </td> <td width="40%"><img style="width: 100px;" class="media-element file-default img-responsive" src="/sites/default/files/core/ZelisPayments_Logo_72dpi_0.png" typeof="foaf:Image" /></td> <td width="30%"> <ul><li>Payment &amp; Remittance</li> </ul></td> <td width="30%"> <ul><li>Active</li> </ul></td> </tr></tbody></table></div> </div> <div><br /><small>*Indicates an Anthem, Inc. company</small></div> <div><small>^Indicates affiliates to Delta Dental of California<br /><br /><strong>CORE Health Plan IT Exemptions &amp; Out of Scope Designations:</strong></small></div> <div> <center> </center> <center><small><strong>System Exemptions:</strong></small></center> <center><span><sup>7</sup>Cigna: System migrations are underway to ensure the following Cigna products run over Payment &amp; Remittance CORE-certified platforms:<em> Qualcare and Qualcare Delivery System Alliances</em>. These products cover less that 1% of Cigna's membership.</span></center> <center> </center> <center><small><strong>Out of Scope Designations:</strong></small></center> <center><br /><small><sup>1</sup> Humana: <em>Humana Military Healthcare Services</em> (HMHS) and <em>Humana Puerto Rico</em>, covering approximately 30% of Humana's membership, are out of scope for the Eligibility &amp; Benefits, Claim Status, and Payment &amp; Remittance CAQH CORE Operating Rules. HMHS claims are owned and processed by PGBA of South Carolina and, as a non-US product, <em>Humana Puerto Rico</em> is not covered by the CAQH CORE Operating Rules.<br /><br /><sup>2</sup> UnitedHealth Group: <em>OptumRx</em> (formerly <em>Prescription Solutions, Inc.</em>) is out of scope for the CAQH CORE Eligibility &amp; Benefits and Claim Status Operating Rules; claims are wholly owned and processed by <em>OptumRx</em>.<br /><br /><sup>3</sup> Blue Cross Blue Shield of Nebraska (BCBS NE): BCBS NE's <em>Medicare Advantage</em> and Vision products, covering less than 10% of BCBS NE's membership, are out of scope for the CAQH CORE Operating Rules. Claims for these products are owned and processed by ClearStone Solutions (for <em>Medicare Advantage</em>) and VSP and Davis Vision (for Vision product).<br /><br /><sup>4</sup> Rocky Mountain Health Plans (RMHP): RMHP's non-medical Dental and Vision products, covering less than 10% of RMHP's membership, are out of scope for the CAQH CORE Eligibility &amp; Benefits and Claim Status Operating Rules. Claims for these products are owned and processed by Delta Dental (for Dental product) and VSP (for Vision product).</small></center> </div> </div> <div class="field field--name-field-taxonomy-type field--type-entity-reference field--label-inline"> <div class="field--label">Type</div> <div class="field--item"><a href="/type/membershipparticipant-list" hreflang="en">Membership/Participant list</a></div> </div> <div class="field field--name-field-taxonomy-audience field--type-entity-reference field--label-inline"> <div class="field--label">Audience</div> <div class="field--item"><a href="/target-audience/public" hreflang="en">Public</a></div> </div> <div class="field field--name-field-taxonomy-organization-type field--type-entity-reference field--label-inline"> <div class="field--label">Organization Type</div> <div class="field--item"><a href="/organization/health-plans" hreflang="en">Health plans</a></div> </div> Thu, 26 Feb 2015 05:07:27 +0000 site_admin 144 at https://www.caqh.org CAQH Membership https://www.caqh.org/about/caqh-membership <span>CAQH Membership</span> <span><span lang="" about="/users/siteadmin" typeof="schema:Person" property="schema:name" datatype="">site_admin</span></span> <span>Wed, 02/25/2015 - 03:20</span> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p>CAQH members are leading the industry -- driving solutions that are fundamentally changing the direction of healthcare. They are defining how the industry does business today and in the future. </p> <p> </p> <div class="about" id="membership"> <div id="copy"> <div><span><a href="http://www.aetna.com/" target="_blank"><img alt="Aetna" class="members-list" data-entity-type="" data-entity-uuid="" src="/sites/default/files/other/logos/member_aetna.jpg" /></a>             <a href="http://www.antheminc.com/index.htm" target="_blank"><img alt="Anthem" class="members-list" data-entity-type="" data-entity-uuid="" src="/sites/default/files/other/logos/member_anthem.jpg" /></a>          <a href="http://www.aultcare.com/" target="_blank"><img alt="AultCare" class="members-list" data-entity-type="" data-entity-uuid="" src="/sites/default/files/other/logos/member_aultcare.gif" /></a> <a href="http://www.bluecares.com/" target="_blank"><img alt="BlueCross BlueShield Association" class="members-list" data-entity-type="" data-entity-uuid="" src="/sites/default/files/other/logos/member_bcbsa.jpg" /></a>        <a href="http://www.bcbsm.com/" target="_blank"><img alt="Blue Cross Blue Shield of Michigan" class="members-list" data-entity-type="" data-entity-uuid="" src="/sites/default/files/other/logos/member_bcbsm.gif" /></a> <a href="http://www.bcbsnc.com/" target="_blank"><img alt="BlueCross and BlueShield of North Carolina" class="members-list" data-entity-type="" data-entity-uuid="" src="/sites/default/files/other/logos/bcbs2pcc.gif" /></a>       <a href="http://www.bcbst.com/" target="_blank"><img alt="BlueCross BlueShield of Tennessee" class="members-list" data-entity-type="" data-entity-uuid="" src="/sites/default/files/other/logos/member_bcbst.gif" /></a> <a href="http://www.carefirst.com/" target="_blank"><img alt="CareFirst BlueCross BlueShield" class="members-list" data-entity-type="" data-entity-uuid="" src="/sites/default/files/other/logos/member_carefirst.gif" /></a>         <img style="height: 48px; width: 180px;" class="media-element file-default img-responsive" src="/sites/default/files/oldsitefiles/images/certification/Centene.jpg" typeof="foaf:Image" /></span></div> <div><span><a href="http://www.cigna.com/" target="_blank"><img alt="Cigna" class="members-list" data-entity-type="" data-entity-uuid="" src="/sites/default/files/other/logos/member_Cigna.GIF" /></a>         <a href="http://www.horizon-bcbsnj.com/" target="_blank"><img alt="Horizon Blue Cross Blue Shield of New Jersey" class="members-list" data-entity-type="" data-entity-uuid="" src="/sites/default/files/other/logos/member_horizon.gif" /></a> <a href="https://www.humana.com/" target="_blank"><img alt="Humana" class="members-list" data-entity-type="" data-entity-uuid="" src="/sites/default/files/other/logos/member-humana.jpg" /></a>         <a href="https://www.kaiserpermanente.org/" target="_blank"><img alt="Kaiser Permanente" class="members-list" data-entity-type="" data-entity-uuid="" src="/sites/default/files/other/logos/member_KaiserPermanente.jpg" /></a>                           <a href="http://www.unitedhealthgroup.com/" target="_blank"><img alt="UnitedHealth Group" class="members-list" data-entity-type="" data-entity-uuid="" src="/sites/default/files/other/logos/uhg_logo.jpg" /></a></span></div> </div> </div> </div> <div class="field field--name-field-taxonomy-type field--type-entity-reference field--label-inline"> <div class="field--label">Type</div> <div class="field--item"><a href="/type/membershipparticipant-list" hreflang="en">Membership/Participant list</a></div> </div> <div class="field field--name-field-taxonomy-audience field--type-entity-reference field--label-inline"> <div class="field--label">Audience</div> <div class="field--item"><a href="/target-audience/public" hreflang="en">Public</a></div> </div> <div class="field field--name-field-taxonomy-organization-type field--type-entity-reference field--label-inline"> <div class="field--label">Organization Type</div> <div class="field--item"><a href="/organization/health-plans" hreflang="en">Health plans</a></div> </div> Wed, 25 Feb 2015 08:20:37 +0000 site_admin 125 at https://www.caqh.org CAQH ProView List of Participating Organizations https://www.caqh.org/solutions/caqh-proview-list-participating-organizations <span>CAQH ProView List of Participating Organizations</span> <span><span lang="" about="/users/siteadmin" typeof="schema:Person" property="schema:name" datatype="">site_admin</span></span> <span>Wed, 02/25/2015 - 01:28</span> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p>Almost 1,000 of the nation's leading health plans, hospitals and healthcare organizations are demonstrating their commitment to high quality provider data and simplifying provider data collection by using CAQH ProView.</p> <div id="tabs"> <ul><li><a href="#health_plans_and_PPO_networks">Health Plans and<br /> PPO Networks</a></li> <li><a href="#dental">Dental Plans<br /> and TPAs</a></li> <li><a href="#provider_groups">Provider Groups<br />  </a></li> <li><a href="#hospitals">Hospitals<br />  </a></li> <li><a href="#tpas">TPAs<br />  </a></li> <li><a href="#government">Government<br /> Entities</a></li> </ul><div class="long-list-text" id="health_plans_and_PPO_networks"> <ul><li>1199 SEIU</li> <li>Absolute Total Care by Total Carolina Care</li> <li>Access Behavioral Health </li> <li>Adva-Net</li> <li>Aetna, Inc.</li> <li>Affinia Health Network </li> <li>Affinity Health Plan</li> <li>Agewell New York</li> <li>AIDS Healthcare Foundation</li> <li>Alameda Alliance for Health</li> <li>Allegiance Benefit Plan Management, Inc.</li> <li>AllyAlign Health, Inc.</li> <li>Alterwood Health Management Company</li> <li>Always Care Benefits, Inc.</li> <li>American Behavioral</li> <li>American Specialty Health, Inc.</li> <li>America's Health Medical Services</li> <li>Amerigroup Alabama</li> <li>Amerigroup Louisiana</li> <li>Amerigroup Nevada</li> <li>AmeriHealth Caritas Delaware</li> <li>AmeriHealth Caritas Iowa </li> <li>AmeriHealth Caritas Louisiana</li> <li>AmeriHealth Caritas of District of Columbia</li> <li>AmeriHealth Caritas of Michigan</li> <li>AmeriHealth Caritas New Hampshire</li> <li>AmeriHealth Caritas Nevada</li> <li>AmeriHealth Caritas North Carolina </li> <li>AmeriHealth Caritas Ohio</li> <li>AmeriHealth Mercy Health Plan Corporation</li> <li>Amida Care</li> <li>Amplifon Hearing Health Care</li> <li>Answer Health</li> <li>Anthem, Inc.</li> <li>Anthem Blue Cross of California</li> <li>Anthem Blue Cross of Colorado</li> <li>Anthem Blue Cross of Connecticut</li> <li>Anthem Blue Cross of Kentucky</li> <li>Anthem Blue Cross of Maine</li> <li>Anthem Blue Cross of Missouri</li> <li>Anthem Blue Cross of Ohio</li> <li>Anthem Blue Cross of Virginia</li> <li>Anthem Blue Cross of Wisconsin</li> <li>Apex Health</li> <li>Argus Dental &amp; Vision </li> <li>Arizona Association of Health Plans</li> <li>ATI Physical Therapy</li> <li>AultCare Corporation</li> <li>Aunt Martha's Youth Service Center, Inc.</li> <li>AvMed Health Plans</li> <li>AZ Care Health Plan</li> <li>Banner University Health Plans </li> <li>BayCare Select Health Plans</li> <li>Beacon Health Strategies</li> <li>Behavioral Services Network, LLC</li> <li>Beyond Health Plans</li> <li>Block Vision</li> <li>Blue Cross and Blue Shield of Alabama </li> <li>Blue Cross and Blue Shield of Arizona</li> <li>Blue Cross and Blue Shield of Florida / Health Options, Inc.</li> <li>Blue Cross and Blue Shield of Kansas</li> <li>Blue Cross and Blue Shield of Massachusetts</li> <li>Blue Cross and Blue Shield of Michigan</li> <li>Blue Cross and Blue Shield of Mississippi</li> <li>Blue Cross and Blue Shield of Montana</li> <li>Blue Cross and Blue Shield of Nebraska </li> <li>Blue Cross and Blue Shield of North Carolina</li> <li>Blue Cross and Blue Shield of North Dakota </li> <li>Blue Cross and Blue Shield of Rhode Island</li> <li>Blue Cross and Blue Shield of Western New York</li> <li>Blue Cross and Blue Shield of Vermont</li> <li>Blue Cross Blue Shield of Illinois</li> <li>Blue Cross and Blue Shield of Minnesota </li> <li>Blue Cross Blue Shield of New Mexico</li> <li>Blue Cross Blue Shield of Oklahoma</li> <li>BlueCross Blue Shield of Tennessee </li> <li>Blue Cross Blue Shield of Texas</li> <li>Blue Cross Blue Shield of Wyoming</li> <li>Blue Cross of Northeastern Pennsylvania</li> <li>Blue Shield of California </li> <li>Boston Medical Center HealthNet Plan</li> <li>Brand New Day</li> <li>Bright Health Plan</li> <li>Brown &amp; Toland Physicians</li> <li>CalOptima</li> <li>California Health and Wellness Plan</li> <li>Capital District Physicians' Health Plan</li> <li>CareFirst BlueCross BlueShield</li> <li>CareSource Management Group</li> <li>CeltiCare Family Health Plan </li> <li>Cencal Health</li> <li>Cenpatico Behavioral Health</li> <li>Censeo Health</li> <li>Centene Corporation</li> <li>Center Care Health Benefit Programs</li> <li>Centers Plan for Healthy Living New York, LLC</li> <li>CenterLight Healthcare</li> <li>Centivo </li> <li>Central Valley PACE</li> <li>Ceridian Corporation</li> <li>Chesapeake Health Care</li> <li>Children's Community Health Plan</li> <li>Chinese Community Health Plan </li> <li>CIGNA</li> <li>CIGNA Behavioral Health</li> <li>CIGNA Healthsprings</li> <li>Clever Care Health Plan </li> <li>CMDP</li> <li>Colorado Access</li> <li>Colorado Choice Health Plans</li> <li>Colorado Physical Therapy Network</li> <li>Commonwealth Care Alliance</li> <li>Community Eye Care</li> <li>Community First Health Plans</li> <li>Community Health Choice, Inc.</li> <li>Community Health Group</li> <li>Community Health Options</li> <li>Community Network for Behavioral Health Care, Inc.</li> <li>Compass Health, Inc.</li> <li>ComplexCare Solutions, Inc.</li> <li>Comprehensive Health Management, Inc.</li> <li>ComPsych</li> <li>Concentra Health Services, Inc.</li> <li>Concordia Behavioral Health</li> <li>Contra Costa Health Plan</li> <li>Cook Children's Health Plan</li> <li>Coordinated Care</li> <li>Corvel </li> <li>Covenant HealthCare Partners, Inc. </li> <li>DaVita</li> <li>Deaconess Health Plans</li> <li>Denver Health Medical Plan</li> <li>Devon Health Services, Inc.</li> <li>Devoted HealthCare</li> <li>Doctors Health Care Plans</li> <li>Driscoll Children's Health Plan</li> <li>Elderplan</li> <li>ElderServe Health, Inc.</li> <li>El Paso First Health Plans</li> <li>EmblemHealth</li> <li>Empire Blue Cross and Blue Shield</li> <li>Employer Direct Health Care</li> <li>Employers Health Network</li> <li>Envolve Vision Benefits, Inc.</li> <li>e-Psychiatry</li> <li>ESI-Employee Assistance Group</li> <li>ESPRIT Medical Care</li> <li>eternalHealth Inc. </li> <li>Evergreen Health Cooperative Inc.</li> <li>eviCore Healthcare</li> <li>EyeMax Vision Plan</li> <li>EyeMed Vision Care</li> <li>Excellus Health Plans</li> <li>Fallon Community Health Plan</li> <li>Farm Bureau Health Plans</li> <li>Fidelis Care New York</li> <li>First Care Clinics </li> <li>First Care Health Plans</li> <li>Florida True Health</li> <li>ForeSight Medical, d/b/a Encompass Specialty Network</li> <li>Freedom Healthcare</li> <li>Fresnius Health Partners, Inc.</li> <li>FrontPath Health Coalition</li> <li>Geisinger Health Plan</li> <li>General Vision Services</li> <li>Georgia Health Network</li> <li>GlobalHealth, Inc.</li> <li>Gold Coast Health Plan</li> <li>Government Management Services</li> <li>GN Hearing</li> <li>Greater Louisville Medical Society </li> <li>Great Rivers Behavioral Health </li> <li>Guardian Life Insurance Company of America</li> <li>Happier Living</li> <li>Harvard Pilgrim Health Plan</li> <li>Hawaii Western Management Group</li> <li>Health Alliance Medical Plan</li> <li>Health Alliance Plan</li> <li>Health Care Service Corporation</li> <li>Healthcare Highways</li> <li>Health First Health Plans</li> <li>HealthNet Federal Services, LLC</li> <li>Health New England</li> <li>HealthNow New York, Inc.</li> <li>Health One Alliance LLC</li> <li>Health Partners </li> <li>HealthPlus of Michigan</li> <li>Healthfirst Management Services, LLC</li> <li>HealthSmart</li> <li>Health Services for Children with Special Needs</li> <li>Heritage Vision Plan </li> <li>Highmark, Inc.</li> <li>Hillcrest Family Health Services</li> <li>HIP Health Plan of New York</li> <li>Holzer Health System</li> <li>Home State Health Plan</li> <li>Hometown Health </li> <li>Horizon Blue Cross Blue Shield of New Jersey</li> <li>Humana, Inc.</li> <li>iCircle Services of the Finger Lakes, Inc. </li> <li>Imagine Health</li> <li>IMCS Group Inc.</li> <li>Independence Blue Cross</li> <li>Independence Care System</li> <li>Independent Health</li> <li>Independent Living Systems LLC </li> <li>Infinite Computer Solutions</li> <li>InnoVage</li> <li>Integra MLTC, Inc</li> <li>Integrated Solutions Health Network</li> <li>JAI Medical Systems Inc.</li> <li>Johns Hopkins Healthcare</li> <li>JSA Healthcare Corporation</li> <li>Justice Health Solutions</li> <li>Kaiser Foundation Health Plan of the Mid-Atlantic States</li> <li>Kaiser Permanente</li> <li>Kansas Superior Select, Inc.</li> <li>Kelsey-Seybold Clinic </li> <li>Kettering Physician Partners</li> <li>Keystone First</li> <li>Kentucky Orthopedic Rehab Team </li> <li>Kure Technologies LLC</li> <li>L.A. Care</li> <li>Leon Medical Centers Health Plans </li> <li>Lighthouse Health</li> <li>Lone Star Circle of Care</li> <li>Longevity Health Plan </li> <li>Lumeris, Inc.</li> <li>Magellan Complete Care Arizona</li> <li>MagnaCare Administrative Services, LLC</li> <li>Magnolia Health Plan</li> <li>Magnum Health Plan, Inc.</li> <li>Managed Care of North America</li> <li>Managed Health Network</li> <li>Managed Health Service</li> <li>Mclaren Health Plans</li> <li>MDLive Provider Service</li> <li>MDwise Care Select</li> <li>Medical Associates Health Plan</li> <li>Medical Mutual of Ohio</li> <li>MedCare Partners</li> <li>MedCost, LLC</li> <li>MEDNAX Services, Inc.</li> <li>MedStar Family Choice</li> <li>MedXM</li> <li>Memorial Health Network</li> <li>Memorial Hermann Health Solutions</li> <li>Mercy Care Plan</li> <li>Mercy Maricopa Integrated Care</li> <li>MetroPlus Health Plan </li> <li>MHMR of Tarrant County</li> <li>Miami Children's Health Plan</li> <li>Midlands Choice</li> <li>Mississippi Physicians Care Network</li> <li>Molina Healthcare of California</li> <li>Molina Healthcare of Florida</li> <li>Molina Healthcare of New Mexico</li> <li>Molina Healthcare of Ohio</li> <li>Molina Healthcare of Utah</li> <li>Molina Healthcare of Washington</li> <li>Mt. Carmel Health Plan/Medigold</li> <li>Multiplan</li> <li>MVP Health Plan, Inc.</li> <li>Nascentia Health</li> <li>National Vision</li> <li>Nations Hearing </li> <li>Nationwide Optometry P.C.</li> <li>Neighborhood Health Plan</li> <li>Neighborhood Health Plan of Rhode Island</li> <li>Network Health Plan</li> <li>New Avenues, Inc.</li> <li>New Directions Behavioral Health</li> <li>New Hampshire Healthy Families</li> <li>New Jersey Manufacturers Insurance Company</li> <li>New Mexico Health Connections</li> <li>New Mexico Mutual</li> <li>Next Medical Staffing </li> <li>Nomi Health</li> <li>Occupational Managed Care Alliance/Provider Net </li> <li>Ochsner Health Plan</li> <li>One Call Care Management</li> <li>Optum Consumer Solutions Group </li> <li>OptumHealth Care Solutions - Physical Health</li> <li>Oscar Insurance Corporation</li> <li>P3 Health Partners Network</li> <li>Palladian Muscular Skeletal Health</li> <li>Paramount Health</li> <li>Parkview Health Plan Services</li> <li>Partners Behavioral Health</li> <li>Passport Health Plan</li> <li>Payer Pro</li> <li>Pediatric Associates </li> <li>Penn Behavioral Health Corporate Services</li> <li>People's Health</li> <li>Physicians Eyecare Plan</li> <li>Physicians Health Plan of Mid Michigan</li> <li>Physicians Health Plan of Northern Indiana, Inc.</li> <li>Physicians Practice Enhancement</li> <li>Piedmont Community Health Plan</li> <li>Pinnacol</li> <li>Political Subdivision Workers' Compensation </li> <li>Preferred Health Plan </li> <li>Premier Health Partners</li> <li>Prestige Health Choice</li> <li>Prime Health Services</li> <li>Priority Health</li> <li>Privia Health</li> <li>Privia Medical Group North Texas</li> <li>Progyny</li> <li>Prominence Heath Plan</li> <li>Promise Health Plan </li> <li>Providence Health Plan </li> <li>ProviDRs Care </li> <li>Psychcare</li> <li>Q-Point</li> <li>QualCare</li> <li>Recover Together</li> <li>Recovery Coa</li> <li>Riverside Health</li> <li>Rocky Mountain Health Plans</li> <li>RubiconMD Florida Physicians</li> <li>Saint Mary's Health Plans / Prime Health</li> <li>Santa Clara Fmaily Health Plan </li> <li>Scott &amp; White Health Plan </li> <li>Secure Health Plans of Georgia </li> <li>Select Health of South Carolina</li> <li>Sendero Health Plan</li> <li>Sentara Healthcare</li> <li>Senior Whole Health, LLC</li> <li>Ser Familia</li> <li>Seton Insurance Services</li> <li>Shared Health</li> <li>Sightcare</li> <li>Signature Advantage, LLC </li> <li>Signature Health Care</li> <li>SIHO Insurance Services</li> <li>Silver Rock Risk Solutions</li> <li>Solis Heath Plans, Inc.</li> <li>Solstice Benefits</li> <li>Sonder Health Plans</li> <li>South Florida Community Care Network, LLC</li> <li>South Florida Vision</li> <li>Southwest Network</li> <li>Spectera Eyecare Networks</li> <li>Stanford Health Care Advantage</li> <li>Steinberg Diagonstic Medical Imagining</li> <li>Steward Health Choice Arizona Health Plan</li> <li>Strive Health</li> <li>SummaCare</li> <li>Sunflower State Health Plan</li> <li>Superior Health Plan - Texas</li> <li>Talkspace</li> <li>Teladoc</li> <li>Telecare</li> <li>Tenet Health</li> <li>Texas Independence Health Plan </li> <li>The Doctors Company</li> <li>The Health Plan, Inc. </li> <li>The Superior Plan</li> <li>Tivity Health</li> <li>Total Health Care Online </li> <li>TPAC</li> <li>TriWest Healthcare Alliance</li> <li>Troy Medicare</li> <li>Tufts Health Plan</li> <li>UCHealth Plan Administrators</li> <li>Ultimate Health Plans, Inc. </li> <li>Unison Administrative Services</li> <li>United Concordia</li> <li>UnitedHealthcare</li> <li>United Behavioral Health/US Behavioral Health Plan</li> <li>University of Arizona Health Plans </li> <li>University of Chicago Medicine Care Network </li> <li>University of Pittsburgh Medical Center</li> <li>USA Managed Care Organization </li> <li>US Family Healthplan at St Vincent Catholic Medical Centers</li> <li>US Vision</li> <li>Valley Health Plan Santa Clara County</li> <li>Valor Health Plan</li> <li>Value Options</li> <li>Vantage Health Plans </li> <li>Vantage Oncology, LLC</li> <li>VillageCareMAX</li> <li>Virginia Health Network</li> <li>Vision Group Holding</li> <li>Vision Service Plan</li> <li>Vivida Health</li> <li>VNSNY CHOICE</li> <li>Vohra Health Services</li> <li>WEA Insurance Corporation</li> <li>WellComp Managed Care Services, Inc.</li> <li>Wellhealth Quality Care</li> <li>Wellmed Medical Management, Inc.</li> <li>Wellmerica</li> <li>WinFertility</li> <li>Workers' Compensation Trust</li> <li>Your Hearing Network</li> <li>YourCare Health Plan</li> <li>Zing Health </li> </ul><p> </p> </div> <div class="long-list-text" id="dental"><a id="dental" name="dental"></a> <ul><li>Aetna</li> <li>Anthem Dental</li> <li>Argus Dental &amp; Vision</li> <li>Avesis Third Party Administrators, Inc.</li> <li>Blue Cross Blue Shield of Arizona</li> <li>Blue Cross Blue Shield of North Carolina</li> <li>CareFirst BlueCross BlueShield</li> <li>CIGNA</li> <li>Comprehensive Health Services, Inc.</li> <li>Comprehensive Medical and Dental Program (CMDP) in Arizona</li> <li>Delta Dental of Massachusetts</li> <li>Dental Cooperative</li> <li>Dental Safety Net </li> <li>DentaQuest</li> <li>Envolve Dental, Inc. (Dental Benefits Manager)</li> <li>GEHA Connection Dental </li> <li>Guardian Life Insurance Company of America</li> <li>Humana</li> <li>Liberty Dental Plan</li> <li>Northeast Delta Dental</li> <li>quip</li> <li>Scion Dental </li> <li>Solstice Benefits</li> <li>United Concordia </li> <li>UnitedHealthcare Dental/DBP</li> </ul><p> </p> </div> <div class="long-list-text" id="provider_groups">  <ul><li>A1 Doctors Association</li> <li>Access Management</li> <li>Actin Care Group </li> <li>Adventist Health Physicians Network</li> <li>Adventist Health System, Illinois</li> <li>Affiliated Chiropractic Network </li> <li>Alliance Health Incorporated </li> <li>Alliance Health Partners</li> <li>Alpha Care Medical Group</li> <li>AltaMed Health Services Corporation</li> <li>Altus ACE</li> <li>Advanced Health Management Systems </li> <li>Adventist Health Physicians Network</li> <li>American Health Network of Indiana</li> <li>Angeles IPA</li> <li>Apogee Health Partners</li> <li>AppleCare Medical Management</li> <li>ArchCare</li> <li>Association of Primary Care Physicians </li> <li>Atlantic Integrated Health</li> <li>Autism Learning Partners</li> <li>Babylon Inc. </li> <li>Bakersfield Family Medical Group</li> <li>Beacon Health, LLC</li> <li>Beaumont Care Partners</li> <li>Behavioral Health Group, LLC</li> <li>Beth Israel Deaconess Provider Organization</li> <li>Best Care Partners, Inc</li> <li>Beverly Oncology &amp; Imaging </li> <li>Bronx United IPA</li> <li>Brown Medicine </li> <li>California IPA</li> <li>Cardinal Health Partners </li> <li>CBHS IPA, LLC</li> <li>Center for Autism and Related Disorders</li> <li>Center for Foot Surgery - Oxnard</li> <li>CentMass Association of Physicians, Inc.</li> <li>Central Ohio Primary Care Physicians</li> <li>Chapters HEalth System </li> <li>Chesapeake IPA</li> <li>Child and Family Health Collaborative of Ohio</li> <li>Chinese Community Health Care Association </li> <li>Chiropractic Services Management, LLC</li> <li>Choice Physicians Medical Group</li> <li>Choosing Therapy</li> <li>Citrus Valley Physicians Group</li> <li>Cleveland Clinic Health System Physician Organization</li> <li>Coalition of Asian-American IPA</li> <li>Community Behavioral Health </li> <li>Community Care IPA</li> <li>Community Care Physicians</li> <li>Community Health and Immunization Services, LLC</li> <li>Community Health Center Network (CHCN)</li> <li>Community Medical Group, Inc.</li> <li>Comprehensive Health Services Inc.</li> <li>ConcertoHealth</li> <li>Connections Health Solutions </li> <li>Continuum Health Partners</li> <li>Coordinated Behavioral Health Services IPA</li> <li>Corinthian Medical IPA </li> <li>Cornerstone Alliance, Inc.</li> <li>Crown City Medical Group </li> <li>CVS Health</li> <li>Dignity Health </li> <li>Doc Clear USA</li> <li>EHE International </li> <li>Eleanor Health </li> <li>Eskenazi Medical Group</li> <li>Espyr</li> <li>ExamOne</li> <li>Family Care Specialists</li> <li>Foresight Mental Health</li> <li>Gateway Health Alliance, Virginia</li> <li>Genesis</li> <li>Genoa Telepsychiatry</li> <li>George Washington University Medical Faculty Associates</li> <li>Golden Physicians Medical Group, Inc. </li> <li>Gonzaba Medical Group </li> <li>Great Lakes Provider Network, LLC </li> <li>Greater Tri Cities IPA </li> <li>GRIPA</li> <li>Gulf Coast Optometry</li> <li>HCA Shared Services</li> <li>Headway Behavioral Health Management Services, Inc. </li> <li>Health Alliance of the South</li> <li>Health Care Partners, Davita</li> <li>Health First Network, Inc. Florida </li> <li>HealthTap</li> <li>Hi-Desert Memorial Healthcare District</li> <li>Highlands Physicians Inc</li> <li>Hill Physicians Medical Group</li> <li>Hispanic Physicians IPA </li> <li>Hudson Doctors IPA </li> <li>Imperial Health Holdings Medical Group</li> <li>Indiana ProHealth Network</li> <li>InteCare, Inc.</li> <li>IntegraNet Physician Resources, Inc.</li> <li>Integrative Care Partners, LLC</li> <li>Integrated Health Partners</li> <li>IPA of North Jersey</li> <li>IPN</li> <li>IU Health Goshen Hospital/Indiana Lakes MCO</li> <li>Ivy Rehab</li> <li>Jefferson Physician Group</li> <li>Kentucky Medical Services Foundation, Inc.</li> <li>Kentucky Orthopedic Rehab Team, LLC</li> <li>Kentucky Primary Care Association</li> <li>Kettering Health Network</li> <li>Key Medical Group</li> <li>KOVA Healthcare</li> <li>LaSalle Medical Associates</li> <li>LeggUP Inc.</li> <li>Lewis-Gale Clinic, LLC</li> <li>LifePrint IPA</li> <li>Livingston Physician Organization</li> <li>LocumTenens.com</li> <li>Logistics Health</li> <li>Los Gatos Therapy Center</li> <li>Managed Care Concepts</li> <li>Maverick Medical Group</li> <li>McLaren Physician Hospital Organization</li> <li>Medex IPA</li> <li>Medichoice IPA</li> <li>Mercy Physicians Medical Group</li> <li>Merit Independent Physicians Association, LLC</li> <li>Meritage Medical Group</li> <li>MET Healthcare Solutions</li> <li>Metroplex Pathology Associates</li> <li>MissouriHealthPlus, LLC</li> <li>Mohawk Valley Medical Associates IPA</li> <li>MoreCare Health Network </li> <li>Mosaic IPA</li> <li>Mount Carmel Health Partners</li> <li>Mount Kisco Medical Group, PC</li> <li>Network Solutions, IPA</li> <li>New England Physician Alliance</li> <li>New York Network, IPA </li> <li>Nivano Physicians, Inc. </li> <li>Noble AMA IPA Medical Group, Inc. </li> <li>North American Partners in Anesthesia</li> <li>North Coast Professional Services </li> <li>Northeast Alabama Physicians</li> <li>Northern California Physicians Networks</li> <li>Northwest Physicians Network</li> <li>Oakland Physician Network Services</li> <li>OFFOR Health</li> <li>Old Pueblo Medical Management </li> <li>OptumCare Care Delivery</li> <li>OptumCare Network in CT</li> <li>Orlando Health Network </li> <li>Owensboro Community Health Network</li> <li>Paramount Health Options</li> <li>Path</li> <li>Patient Physician Network </li> <li>Peace River Center</li> <li>Physicians Medical Group of San Jose </li> <li>Physician Staffing Inc./Community Hospitalist</li> <li>Physicians of Coastal Georgia</li> <li>Physicians of Southwest Washington, LLC</li> <li>Pinehurst Medical Clinic</li> <li>Planned Parenthood of Metropolitan Washington DC, Inc.</li> <li>Planned Parenthood of Wisconsin </li> <li>Platinum Physician Services</li> <li>Plush Care</li> <li>Preferred IPA of California</li> <li>Premier Care IPA</li> <li>Premier Patient Care IPA</li> <li>Premier Physician Support Services </li> <li>Primary Care Association LLC</li> <li>Primary Care Coalition of Mississippi</li> <li>Primary Partner Care Network</li> <li>PrimeCare Medical Network, Inc.</li> <li>Prime Community Care of Central Valley</li> <li>Promedica Physicians Group</li> <li>Prospect Medical Group</li> <li>Purchase Health Partners </li> <li>Rayn Healthcare Alliance</li> <li>RCCA MSO LLC</li> <li>Reliance Physician Organization of Michigan</li> <li>Resurrection Physician Provider Group, Inc.</li> <li>Rideout Medical Associates, Inc.</li> <li>River City Medical Group</li> <li>Rochester Community IPA, Inc. (RCIPA)</li> <li>Salisbury Health Group, LLC </li> <li>Sanvello</li> <li>SecureCare, Inc.</li> <li>Seoul Medical Group</li> <li>SonderMind</li> <li>South Asian IPA</li> <li>South Georgia Physicians Association, LLC</li> <li>South Georgia Physician Network, LLC</li> <li>Sovereign Phoenix IPA</li> <li>Starling IPA</li> <li>St. John's Mercy Health Network</li> <li>St. Vincent IPA Medical Corporation</li> <li>Steward Medical Group </li> <li>Suburban Health Organization</li> <li>Sunset Surgery Center</li> <li>Temple University </li> <li>Texas Independent Providers</li> <li>Texas Professional Healthcare Alliance</li> <li>The Association of Primary Care Physicians (APCP)</li> <li>The Institute for Family Health </li> <li>The Mental Health Association of Westchester (MHA) </li> <li>Therapy Partners</li> <li>Thrivee</li> <li>Text and Online Counseling</li> <li>Tower Health </li> <li>TPN</li> <li>Umoja Behavioral Health PC</li> <li>Unified Physicians Network, Inc.</li> <li>United Physicians</li> <li>Unity Healthcare</li> <li>University of Louisville Physicians</li> <li>University of Toledo Physicians</li> <li>US Medical Management</li> <li>Vale-U-Health</li> <li>Valley Obstetrics and Gynecology, PC</li> <li>Van Lang IPA</li> <li>Vantage Oncology</li> <li>Vermont Managed Care</li> <li>VillageMD</li> <li>Vision Source Texas IPA, PLLC</li> <li>Visionworks</li> <li>WeCare of New York</li> <li>XiMED IPA/Health Excel IPA</li> </ul></div> <div class="long-list-text" id="hospitals"> <ul><li>Adena Health System </li> <li>Adventist HealthCare (Maryland) </li> <li>Adventist Health Systems West</li> <li>Alliance Behavioral Healthcare</li> <li>Blessing Health System </li> <li>Brattleboro Memorial Hospital</li> <li>Brattleboro Retreat</li> <li>Cameron Memorial Community Hospital</li> <li>Cardinal Innovations Healthcare Solutions</li> <li>Century PHO, Inc.</li> <li>Children's Hospital Medical Center</li> <li>CHRISTUS Health</li> <li>Community Health Systems Professional Services Corporation</li> <li>Copley Hospital</li> <li>Dayton Children's Hospital </li> <li>DesPeres Hospital</li> <li>Detroit Medical Centers</li> <li>Eleanor Health </li> <li>Genesis HealthCare System</li> <li>Gifford Medical Center</li> <li>Grace Cottage Hospital</li> <li>Henry Ford Health System </li> <li>Health Care Alliance Pool (HCAP)</li> <li>Inova Health System</li> <li>Kingman Regional Medical Center</li> <li>LifePoint Health</li> <li>Memorial Hospital of Rhode Island</li> <li>Mercy Hospital of Rhode Island</li> <li>Miami Jewish Health System</li> <li>Mt Carmel Health System</li> <li>Muskingum Valley Health Center</li> <li>Nationwide Childrens Hospital</li> <li>Nevada Behavioral Health Systems</li> <li>Nobis Rehabilitation Partners</li> <li>North Carolina Council of Community Programs</li> <li>North Country Health System</li> <li>Northeastern Vermont Regional Hospital</li> <li>Northwestern Medical Center, Inc</li> <li>Norton Healthcare, Inc.</li> <li>NYU Langone Medical Center </li> <li>OhioHealth Group, Ltd.</li> <li>OSS Orthopedic Hospital</li> <li>OSU Health Plan, Inc.</li> <li>Phoenix Children's Hospital</li> <li>Pinnacle Health PHO</li> <li>Porter Hospital</li> <li>Prime Healthcare Management, Inc. </li> <li>ProgressHealth PHO</li> <li>Quorum Health</li> <li>Rochester Regional Centralized </li> <li>Rogers Memorial Hospital, Inc.</li> <li>Rutland Regional Medical Center</li> <li>Saint Francis HealthCare Partners (formerly the Saint Francis PHO)</li> <li>Saint Luke's Physician Specialists, LLC</li> <li>Sandhills Center</li> <li>San Ysidro Health</li> <li>Southwestern Vermont Medical Center</li> <li>Springfield Hospital Vermont</li> <li>St Louis University Hospital</li> <li>St. Mary's PHO</li> <li>Stark Regional PHO</li> <li>Stormont-Vail Health Care</li> <li>Tenet Health</li> <li>The SAFE Group </li> <li>Trinity Health CPI</li> <li>Vermont Hospital Association</li> <li>Women and Infants PHO of Rhode Island</li> </ul></div> <div class="long-list-text" id="tpas"> <ul><li>Access Health Services, LLC</li> <li>Advanced Medical Pricing Solutions</li> <li>Advanced MSO</li> <li>Alignment Healthcare USA</li> <li>American Hearing Benefits </li> <li>Arizona Foundation</li> <li>Avesis Third Party Administrators, Inc.</li> <li>Beacon Health Solutions</li> <li>Bikham Healthcare</li> <li>Capital Health Partners</li> <li>CHG Healthcare Services</li> <li>CMS Cap Management Systems</li> <li>Community eConsult Network Inc. </li> <li>Exceedent Health</li> <li>Freedom Health</li> <li>HealthSmart MSO Inc. </li> <li>HS1 Medical Management, Inc.</li> <li>iCare Health Options</li> <li>Innovative Management System </li> <li>KEPRO</li> <li>Legacy MSO, Incorporated </li> <li>Medical Advantage Group </li> <li>MedNetOne Health Solutions </li> <li>OpenLoop Health</li> <li>Post Acute Innovations LLC</li> <li>PremierOne Plus MSO </li> <li>Primary Provider Management Company, Inc.</li> <li>QTC Management Inc</li> <li>Simple Health Care</li> <li>The Holman Group </li> <li>Unified Women's healthcare</li> </ul></div> <div class="long-list-text" id="government"> <ul><li>Alameda County Government</li> <li>CenterPoint Human Services</li> <li>District of Columbia Department of Health Care</li> <li>Fairfax Falls Church Community Services Board</li> <li>Memorial Hermann Health Care Collaborative LLC</li> <li>Ohio Department of Medicaid</li> <li>Rocky Mountain Human Services </li> <li>State of Connecticut Judicial Branch</li> <li>TennCare - State of Tennessee Medicaid</li> </ul></div> </div> </div> <div class="field field--name-field-taxonomy-type field--type-entity-reference field--label-inline"> <div class="field--label">Type</div> <div class="field--item"><a href="/type/membershipparticipant-list" hreflang="en">Membership/Participant list</a></div> </div> <div class="field field--name-field-taxonomy-audience field--type-entity-reference field--label-inline"> <div class="field--label">Audience</div> <div class="field--item"><a href="/target-audience/public" hreflang="en">Public</a></div> </div> <div class="field field--name-field-taxonomy-organization-type field--type-entity-reference field--label-inline"> <div class="field--label">Organization Type</div> <div class="field--item"><a href="/organization/health-plans" hreflang="en">Health plans</a></div> </div> <div class="field field--name-field-taxonomy-caqh-program field--type-entity-reference field--label-inline"> <div class="field--label">CAQH Program</div> <div class="field--item"><a href="/programsolution/caqh-proview" hreflang="en">CAQH ProView</a></div> </div> Wed, 25 Feb 2015 06:28:39 +0000 site_admin 124 at https://www.caqh.org CORE Board https://www.caqh.org/core/core-board <span>CORE Board</span> <span><span lang="" about="/users/siteadmin" typeof="schema:Person" property="schema:name" datatype="">site_admin</span></span> <span>Tue, 02/24/2015 - 01:52</span> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p> </p> <p>In 2013, CAQH CORE extended its existing multi-stakeholder governance and, in 2015, updated its governing procedures, which can be accessed <a href="https://www.caqh.org/sites/default/files/core/governance/core-governance-model-revised-2015.pdf">here</a>. Presented below is the multi-stakeholder CAQH CORE Board.</p> <p> </p> <table><tbody><tr><th><strong>ENTITY TYPE</strong></th> <th><strong>COMPANY</strong></th> <th><strong>INDIVIDUAL</strong></th> </tr><tr><td> <p><span>Provider - Vice Chair</span><br /><span>(Proposed by AHA) </span></p> </td> <td>St. Joseph's Health</td> <td>Linda Reed, RN, MBA, CHCIO, FCHIME; Vice President and Chief Information Officer</td> </tr><tr><td>Hospital</td> <td>Montefiore Medical Center</td> <td>Stephen Rosenthal, MBA, Senior Vice President, Population Health Management and President of CMO, Montefiore Care Management</td> </tr><tr><td>Broader Care Delivery</td> <td>ComfortCare Dental</td> <td>Kenneth L. Chung, DDS, MPH; CEO</td> </tr><tr><td>Provider<br /> (Proposed by AMA)</td> <td>Drexel University College of Medicine</td> <td>Marilyn J. Heine, MD, FACEP, FACP, FFSMB, FCPP; Clinical Assistant Professor of Medicine</td> </tr><tr><td>Provider <br /> (Proposed by MGMA)</td> <td>Massachusetts General Physician Organization</td> <td>Kevin Mulcahy, Senior Director, Payer Relations, Special Billing &amp; Provider Enrollment</td> </tr><tr><td>Health Plan </td> <td>Aetna</td> <td>Renee Ghent, Chief Digitalization Officer</td> </tr><tr><td>Health Plan</td> <td>BCBSNC</td> <td>Troy Smith, MBA, Vice President, Healthcare Strategy &amp; Payment Transformation</td> </tr><tr><td>Health Plan - Chair</td> <td>UnitedHealthcare</td> <td>Tim Kaja, MBA, CPC, Senior Vice President, Optum Care</td> </tr><tr><td>Health Plan</td> <td>Centene</td> <td>Jennifer Weigand, MBA, Senior Vice President, Business Digitization </td> </tr><tr><td>Health Plan<br /> (Proposed by AHIP)</td> <td>Harvard Pilgrim Health Care</td> <td>Michael S. Sherman, MD, MBA, MS; Chief Medical Officer</td> </tr><tr><td>Other</td> <td>InstaMed</td> <td>Chris Seib, Chief Technology Officer and Co-Founder</td> </tr><tr><td>Other</td> <td>athenahealth</td> <td>Paul Brient, MBA, Senior Vice President and Chief Product Officer</td> </tr><tr><td>Other</td> <td>Epic</td> <td>Achudhan Sivakumar, Software Development Product Lead - Referrals &amp; Authorizations</td> </tr></tbody></table><p><br /><strong>Non-Voting Members</strong></p> <div class="bulletedlist"> <ul><li><em>Federal Government</em> - Christine Gerhardt, Director, National Standards Group, CMS</li> <li><em>State Government</em> - <em>TBD</em>: <i>In Process</i></li> <li><em>Author</em> - CAQH CORE: Robin Thomashauer, President, CAQH</li> <li><em>Author</em> - CAQH CORE: April Todd, Senior Vice President of CORE &amp; Explorations</li> </ul></div> <p><strong>Non-Voting Advisors</strong><em>​</em></p> <div class="bulletedlist"> <ul><li>X12: Cathy Sheppard, Executive Director</li> <li>HL7: Walter Suarez, Chair, HL7 International Board of Directors </li> <li>NACHA: Jane Larimer, President and CEO</li> <li>NCPDP: Lee Ann Stember, President</li> <li>WEDI: Charles Stellar, President and CEO</li> <li><em>Emeritus</em>: Joel Perlman, Former EVP, CFO, Montefiore Medical Center</li> </ul></div> </div> <div class="field field--name-field-taxonomy-type field--type-entity-reference field--label-inline"> <div class="field--label">Type</div> <div class="field--item"><a href="/type/membershipparticipant-list" hreflang="en">Membership/Participant list</a></div> </div> <div class="field field--name-field-taxonomy-caqh-program field--type-entity-reference field--label-inline"> <div class="field--label">CAQH Program</div> <div class="field--item"><a href="/programsolution/core" hreflang="en">CORE</a></div> </div> Tue, 24 Feb 2015 06:52:02 +0000 site_admin 117 at https://www.caqh.org