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1 | While Tebra has not received payer details directly from Change Healthcare, and their payer list isn't currently accessible online, we have been working closely with our clearinghouse partner to compile this presumed list. The attached list represents the payers/payer IDs for Trizetto that are dependent on intermediary relationships with Change. For these payers, interruption is anticipated in eligibility checks, claim submissions, clearinghouse reports, and electronic remittance (ERA) processing. Updated on: 04/26/2024 | ||||||
2 | List of Trizetto payers that are impacted by the Change Healthcare outage | These payer are no longer impacted by the Change Healthcare outage | |||||
3 | Payer ID | Payer Name | Payer ID | Payer | Notes | ||
4 | R6845 | 1-888-OHIOCOMP | 128KY | Aetna Better Health of Kentucky | Rejected claims can now be submitted | ||
5 | R7627 | 1-888-OHIOCOMP - UB | U28KY | Aetna Better Health of Kentucky - UB | Rejected claims can now be submitted | ||
6 | U7205 | 360 Alliance UB - Gilsbar | 10580 | Blue Cross and Blue Shield of Dist of Columbia | Rejected claims can now be submitted | ||
7 | 20446 | 6 Degrees Health Incorporated | 10580 | Blue Cross and Blue Shield of NationalCapital Area | Rejected claims can now be submitted | ||
8 | 84129 | Access Behavioral Care | 10580 | Blue Cross and Blue Shield of Virginia Carefirst | Rejected claims can now be submitted | ||
9 | COACC | Access Behavioral- Care | U0580 | Blue Cross Blue Shield of DC- UB | Rejected claims can now be submitted | ||
10 | S7815 | Acordia National - UB | U8334 | Cape Health Plan UB | Rejected claims can now be submitted | ||
11 | 59141 | Administrative Services, Inc. | 93975 | Care Oregon | Rejected claims can now be submitted | ||
12 | U9141 | Administrative Services, Inc. UB | E3975 | Care Oregon - UB | Rejected claims can now be submitted | ||
13 | U8056 | Advantage Plan - UB | E9076 | Carolina Care Plan, Inc. - UB | Rejected claims can now be submitted | ||
14 | 68056 | Advantage Plan by Bridgeway | 41124 | Carpenters H & W Fund of St. Louis | Rejected claims can now be submitted | ||
15 | 59374 | Advantica | 93975 | Columbia Pacific CCO - Medical & Mental Health | Rejected claims can now be submitted | ||
16 | U9374 | Advantica UB | 41124 | Corporate Benefit Services of America | Rejected claims can now be submitted | ||
17 | 6509F | Advocate Christ Health Partners | U4157 | FACS Group/Federated HR Services/Federated Bene-UB | Rejected claims can now be submitted | ||
18 | 3632B | Advocate HMO Illinois and Unicare HMO | SX072 | Fallon Community Health (Moda Health Formerly ODS Health Plan | Rejected claims can now be submitted | ||
19 | 6509B | Advocate South Suburban Health Partners | 22254 | Fallon Community Health (Moda Health Formerly ODS Health Plan) | Rejected claims can now be submitted | ||
20 | 23228 | Aetna Better Health of Pennsylvania | UPSJ1 | Health Pan of an Joanquin - UB | Rejected claims can now be submitted | ||
21 | 46594 | Affinity Medical Solutions | HPSJ1 | Health Plan of San Joaquin | Rejected claims can now be submitted | ||
22 | 95426 | Affordable Benefit Admin., Inc. | 80141 | Healthfirst New Jersey | Rejected claims can now be submitted | ||
23 | U5426 | Affordable Benefit Admin., Inc. - UB | 80141 | Healthfirst New York | Rejected claims can now be submitted | ||
24 | AWNY6 | AgeWell New York | U0141 | Healthfirst New York - UB | Rejected claims can now be submitted | ||
25 | UWNY6 | AgeWell New York - UB | LNDMK | Landmark Healthcare | Rejected claims can now be submitted | ||
26 | RP065 | Alacura Medical Transportation | 29076 | Medical Mutual of Ohio | Rejected claims can now be submitted | ||
27 | VMF01 | All Care Medical Group | E9076 | Medical Mutual of Ohio - UB | Rejected claims can now be submitted | ||
28 | E8234 | Alliant Health Plans of Georgia - UB | E9076 | Medical Mutual of Ohio - UB | Rejected claims can now be submitted | ||
29 | 50749 | Allianz Global Assistance | 86052 | Mercy Care Plan | Rejected claims can now be submitted | ||
30 | U0749 | Allianz Global Assistance - UB | U6052 | Mercy Care Plan-UB | Rejected claims can now be submitted | ||
31 | VMF01 | Allied Healthcare | 64157 | Meritain Health - Banner Health Network | Rejected claims can now be submitted | ||
32 | A0701 | Alta Bates Medical Group - Brown & Toland | U4157 | Meritain Health (North American Admin) - UB | Rejected claims can now be submitted | ||
33 | 75137 | Ameriben Solutions, Inc. | 64157 | Meritain Health (North American Administrators) | Rejected claims can now be submitted | ||
34 | A5137 | Ameriben Solutions, Inc. - UB | 64157 | Meritain Health (North American Health Plan) | Rejected claims can now be submitted | ||
35 | A5185 | American Administrative Group - UB | 41124 | Meritain Health Minneapolis | Rejected claims can now be submitted | ||
36 | 75185 | American Administrative Group (AAG) | A3350 | Moda Health Formerly ODS Health Plan | Rejected claims can now be submitted | ||
37 | 63103 | American Behavioral Health | 13350 | Moda Health Formerly ODS Health Plan | Rejected claims can now be submitted | ||
38 | U3103 | American Behavioral Health - UB | UX072 | Moda Health Formerly ODS Health Plan | Rejected claims can now be submitted | ||
39 | 62030 | American General | 38333 | Molina Health Care - California Providers | Rejected claims can now be submitted | ||
40 | 31156 | American Health Advantage of Idaho and Utah | U8333 | Molina Health Care - California Providers - UB | Rejected claims can now be submitted | ||
41 | U1145 | American Health Advantage of Idaho and Utah UB | 51062 | Molina Healthcare of Florida | Rejected claims can now be submitted | ||
42 | MMS01 | American Health Advantage of Missouri | U1062 | Molina Healthcare of Florida | Rejected claims can now be submitted | ||
43 | UMS01 | American Health Advantage of Missouri UB | 20934 | Molina Healthcare of Illinois | Rejected claims can now be submitted | ||
44 | 31135 | American Health Advantage of MS | U0934 | Molina Healthcare of Illinois - UB | Rejected claims can now be submitted | ||
45 | 3113U | American Health Advantage of MS UB | 38334 | Molina Healthcare of Michigan | Rejected claims can now be submitted | ||
46 | 31130 | American Health Advantage of TN | U8334 | Molina Heathcare of Michigan - UB | Rejected claims can now be submitted | ||
47 | U1130 | American Health Advantage of TN UB | 14165 | MVP Health Plan of New York (Moda Health Formerly ODS Health Plan | Rejected claims can now be submitted | ||
48 | 31155 | American Health Advantage of TX | S4165 | MVP Health Plan of New York (Moda Health Formerly ODS Health Plan | Rejected claims can now be submitted | ||
49 | U1155 | American Health Advantage of TX UB | 64157 | North American Administrators, Inc. | Rejected claims can now be submitted | ||
50 | 01066 | American Healthcare Alliance | A4157 | North American Administrators, Inc. - | Rejected claims can now be submitted | ||
51 | A1066 | American Healthcare Alliance - UB | U4157 | North American Administrators, Inc.- UB | Rejected claims can now be submitted | ||
52 | 74048 | American National Insurance Company | 64157 | North American Preferred | Rejected claims can now be submitted | ||
53 | U4048 | American National Insurance Company UB | U4157 | North American Preferred - UB | Rejected claims can now be submitted | ||
54 | 44444 | American Postal Workers Union (APWU) | A4157 | North American Preferred - UB | Rejected claims can now be submitted | ||
55 | A4444 | American Postal Workers Union (APWU) UB | 64157 | North AmeriCare | Rejected claims can now be submitted | ||
56 | E7322 | American Worker Life - Key Family of Co. - UB | U4157 | North AmeriCare - UB | Rejected claims can now be submitted | ||
57 | 37322 | American Worker Life - Key Family of Companies | A4157 | North AmeriCare - UB | Rejected claims can now be submitted | ||
58 | U0553 | America's 1st Choice Health Plan of SC - UB | OSCAR | Oscar Health Insurance | Rejected claims can now be submitted | ||
59 | MSO33 | Americhoice San Diego County Ryan White Care Act | USCAR | Oscar Health Insurance UB | Rejected claims can now be submitted | ||
60 | 77003 | Amerihealth Caritas FL FKA Prestige Health Choice | 65031 | Physicians Healthcare Plans | Rejected claims can now be submitted | ||
61 | 47073 | Amerihealth Caritas Next | 80141 | Senior Health Partners (SHP) | Rejected claims can now be submitted | ||
62 | 45408 | AmeriHealth Caritas Next A | 93975 | Yamhill CCO Medical | Rejected claims can now be submitted | ||
63 | 45408 | AmeriHealth Caritas Next A UB | 68024 | Aetna Better Health of IL | Rejected claims can now be submitted | ||
64 | 77062 | AmeriHealth Caritas VIP Care | U8024 | Aetna Better Health of IL UB | Rejected claims can now be submitted | ||
65 | 87406 | AmeriHealth Caritas VIP Care - Delaware DSNP | 27004 | Care Wisconsin Health Plan (Trizetto) | Rejected claims can now be submitted | ||
66 | 88232 | AmeriHealth Caritas VIP Care - Florida DSNP | U7004 | Care Wisconsin Health Plan (Trizetto) - UB | Rejected claims can now be submitted | ||
67 | 77062 | AmeriHealth Caritas VIP Care UB | 48143 | Imagine360 Administrators (GPA) | Rejected claims can now be submitted | ||
68 | 7701P | AmeriHealth Caritus VIP Care Plus - MI | A8143 | Imagine360 Administrators (GPA) UB | Rejected claims can now be submitted | ||
69 | U7013 | AmeriHealth VIP Care Plus - MI- UB | 128VA | Aetna Better Health of Virginia | Rejected claims can now be submitted | ||
70 | 79966 | AmidaCare Medicare | U28VA | Aetna Better Health of Virginia UB | Rejected claims can now be submitted | ||
71 | U9966 | AmidaCare Medicare UB | 60550 | Gateway Health Plan Medicare Assured | Rejected claims can now be submitted | ||
72 | 53085 | Anchor Benefits Consulting Inc | U0550 | Gateway Health Plan Medicare Assured UB | Rejected claims can now be submitted | ||
73 | 83112 | Apex Health Medical | 75273 | Geisinger Health Plan | Rejected claims can now be submitted | ||
74 | 83112 | Apex Health Medical UB | U5273 | Geisinger Health Plan - UB | Rejected claims can now be submitted | ||
75 | VLGMD | Arcadia Healthcare Solutions (FKA Village MD) | MCC02 | Magellan Complete Care Virginia DSNP UB | Rejected claims can now be submitted | ||
76 | UVLGM | Arcadia Healthcare Solutions UB (FKA Village MD) | MCC02 | Molina Complete Care Virginia DSNP | Rejected claims can now be submitted | ||
77 | R7150 | Archbold Medical Center Health Plan | 38336 | Molina Health Care of Washington | Rejected claims can now be submitted | ||
78 | R1680 | Archbold Medical Center Health Plan - UB | U8336 | Molina Health Care of Washington UB | Rejected claims can now be submitted | ||
79 | ARGUS | Argus Dental and Vision | 16146 | Molina Healthcare of NY (fka Total Care NY) | Rejected claims can now be submitted | ||
80 | URGUS | Argus Dental and Vision - UB | 20554 | Molina Healthcare of Texas | Rejected claims can now be submitted | ||
81 | 27154 | Arizona Priority Care Plus | U0554 | Molina Healthcare of Texas UB | Rejected claims can now be submitted | ||
82 | U7154 | Arizona Priority Care Plus - UB | 43174 | Molina Healthcare of Washington Encounter | Rejected claims can now be submitted | ||
83 | 75278 | Arkansas Best Corporation | 77076 | Network Health Insurance Corporation Medicare | Rejected claims can now be submitted | ||
84 | U5278 | Arkansas Best Corporation - UB | U7076 | Network Health Insurance Corporation Medicare UB | Rejected claims can now be submitted | ||
85 | 46156 | Aspire Health Plan | 95112 | Capital Health Plan | Rejected claims can now be submitted | ||
86 | U6156 | Aspire Health Plan - UB | 94134 | Kaiser Foundation Health Plan of Southern CA | Rejected claims can now be submitted | ||
87 | 36483 | Aspirus Medicare Advantage | 61799 | Molina Healthcare of Idaho | Rejected claims can now be submitted | ||
88 | 36483 | Aspirus Medicare Advantage UB | U1799 | Molina Healthcare of Idaho UB | Rejected claims can now be submitted | ||
89 | 36326 | Associates for Healthcare (AHC) | MLNNV | Molina Healthcare of Nevada | Rejected claims can now be submitted | ||
90 | A6326 | Associates for Healthcare (AHC) - UB | MLNNV | Molina Healthcare of Nevada UB | Rejected claims can now be submitted | ||
91 | 74240 | Assured Benefit Administrators | 20149 | Molina Healthcare of Ohio | Rejected claims can now be submitted | ||
92 | U4240 | Assured Benefit Administrators UB | SX109 | Molina Healthcare of Utah | Rejected claims can now be submitted | ||
93 | 93221 | Asuris Northwest Health | 12X09 | Molina Healthcare of Utah UB | Rejected claims can now be submitted | ||
94 | 87020 | Atlantic Coast Life Insurance | 61325 | Passport Health Plan - 10/1/2017 & After | Rejected claims can now be submitted | ||
95 | 37242 | Aultra Administrative Group | UB325 | Passport Health Plan UB | Rejected claims can now be submitted | ||
96 | E7242 | Aultra Administrative Group - UB | 22099 | Blue Cross Blue Shield of New Jersey - Horizon | Rejected claims can now be submitted | ||
97 | 37280 | Automated Group Administration, Inc | E2099 | Blue Cross Blue Shield of New Jersey UB | Rejected claims can now be submitted | ||
98 | E7280 | Automated Group Administration, Inc - UB | KSRCS | Colorado Springs Kaiser Permanente | Rejected claims can now be submitted | ||
99 | U6045 | Avera Health Plan UB | 55413 | UCare Individual and Family Plans | Rejected claims can now be submitted | ||
100 | 46045 | Avera Health Plans | U5413 | UCare Individual and Family Plans UB | Rejected claims can now be submitted |