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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 outageThese payer are no longer impacted by the Change Healthcare outage
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Payer IDPayer NamePayer IDPayerNotes
4
R68451-888-OHIOCOMP128KYAetna Better Health of Kentucky Rejected claims can now be submitted
5
R76271-888-OHIOCOMP - UBU28KYAetna Better Health of Kentucky - UBRejected claims can now be submitted
6
U7205360 Alliance UB - Gilsbar10580Blue Cross and Blue Shield of Dist of ColumbiaRejected claims can now be submitted
7
204466 Degrees Health Incorporated10580Blue Cross and Blue Shield of NationalCapital AreaRejected claims can now be submitted
8
84129Access Behavioral Care10580Blue Cross and Blue Shield of Virginia Carefirst Rejected claims can now be submitted
9
COACCAccess Behavioral- CareU0580Blue Cross Blue Shield of DC- UB Rejected claims can now be submitted
10
S7815Acordia National - UBU8334Cape Health Plan UBRejected claims can now be submitted
11
59141Administrative Services, Inc.93975Care OregonRejected claims can now be submitted
12
U9141Administrative Services, Inc. UBE3975Care Oregon - UBRejected claims can now be submitted
13
U8056Advantage Plan - UBE9076Carolina Care Plan, Inc. - UBRejected claims can now be submitted
14
68056Advantage Plan by Bridgeway41124Carpenters H & W Fund of St. Louis Rejected claims can now be submitted
15
59374Advantica93975Columbia Pacific CCO - Medical & Mental HealthRejected claims can now be submitted
16
U9374Advantica UB41124Corporate Benefit Services of America Rejected claims can now be submitted
17
6509FAdvocate Christ Health PartnersU4157FACS Group/Federated HR Services/Federated Bene-UB Rejected claims can now be submitted
18
3632BAdvocate HMO Illinois and Unicare HMOSX072Fallon Community Health (Moda Health Formerly ODS Health Plan Rejected claims can now be submitted
19
6509BAdvocate South Suburban Health Partners22254Fallon Community Health (Moda Health Formerly ODS Health Plan)Rejected claims can now be submitted
20
23228Aetna Better Health of PennsylvaniaUPSJ1Health Pan of an Joanquin - UB Rejected claims can now be submitted
21
46594Affinity Medical SolutionsHPSJ1Health Plan of San Joaquin Rejected claims can now be submitted
22
95426Affordable Benefit Admin., Inc.80141Healthfirst New Jersey Rejected claims can now be submitted
23
U5426Affordable Benefit Admin., Inc. - UB80141Healthfirst New YorkRejected claims can now be submitted
24
AWNY6AgeWell New YorkU0141Healthfirst New York - UB Rejected claims can now be submitted
25
UWNY6AgeWell New York - UBLNDMKLandmark Healthcare Rejected claims can now be submitted
26
RP065Alacura Medical Transportation29076Medical Mutual of Ohio Rejected claims can now be submitted
27
VMF01All Care Medical GroupE9076Medical Mutual of Ohio - UBRejected claims can now be submitted
28
E8234Alliant Health Plans of Georgia - UBE9076Medical Mutual of Ohio - UB Rejected claims can now be submitted
29
50749Allianz Global Assistance86052Mercy Care Plan Rejected claims can now be submitted
30
U0749Allianz Global Assistance - UBU6052Mercy Care Plan-UB Rejected claims can now be submitted
31
VMF01Allied Healthcare64157Meritain Health - Banner Health NetworkRejected claims can now be submitted
32
A0701Alta Bates Medical Group - Brown & TolandU4157Meritain Health (North American Admin) - UB Rejected claims can now be submitted
33
75137Ameriben Solutions, Inc.64157
Meritain Health (North American Administrators)
Rejected claims can now be submitted
34
A5137Ameriben Solutions, Inc. - UB64157Meritain Health (North American Health Plan)Rejected claims can now be submitted
35
A5185American Administrative Group - UB41124Meritain Health Minneapolis Rejected claims can now be submitted
36
75185American Administrative Group (AAG)A3350Moda Health Formerly ODS Health PlanRejected claims can now be submitted
37
63103American Behavioral Health13350Moda Health Formerly ODS Health Plan Rejected claims can now be submitted
38
U3103American Behavioral Health - UBUX072Moda Health Formerly ODS Health Plan Rejected claims can now be submitted
39
62030American General38333Molina Health Care - California ProvidersRejected claims can now be submitted
40
31156American Health Advantage of Idaho and UtahU8333Molina Health Care - California Providers - UB Rejected claims can now be submitted
41
U1145American Health Advantage of Idaho and Utah UB51062Molina Healthcare of FloridaRejected claims can now be submitted
42
MMS01American Health Advantage of MissouriU1062Molina Healthcare of FloridaRejected claims can now be submitted
43
UMS01American Health Advantage of Missouri UB20934Molina Healthcare of Illinois Rejected claims can now be submitted
44
31135American Health Advantage of MSU0934Molina Healthcare of Illinois - UB Rejected claims can now be submitted
45
3113UAmerican Health Advantage of MS UB38334Molina Healthcare of Michigan Rejected claims can now be submitted
46
31130American Health Advantage of TNU8334Molina Heathcare of Michigan - UB Rejected claims can now be submitted
47
U1130American Health Advantage of TN UB14165MVP Health Plan of New York (Moda Health Formerly ODS Health Plan Rejected claims can now be submitted
48
31155American Health Advantage of TXS4165MVP Health Plan of New York (Moda Health Formerly ODS Health Plan Rejected claims can now be submitted
49
U1155American Health Advantage of TX UB64157North American Administrators, Inc. Rejected claims can now be submitted
50
01066American Healthcare AllianceA4157North American Administrators, Inc. - Rejected claims can now be submitted
51
A1066American Healthcare Alliance - UBU4157North American Administrators, Inc.- UBRejected claims can now be submitted
52
74048American National Insurance Company64157North American PreferredRejected claims can now be submitted
53
U4048American National Insurance Company UBU4157North American Preferred - UBRejected claims can now be submitted
54
44444American Postal Workers Union (APWU)A4157North American Preferred - UB Rejected claims can now be submitted
55
A4444American Postal Workers Union (APWU) UB64157North AmeriCare Rejected claims can now be submitted
56
E7322American Worker Life - Key Family of Co. - UBU4157North AmeriCare - UBRejected claims can now be submitted
57
37322American Worker Life - Key Family of CompaniesA4157North AmeriCare - UB Rejected claims can now be submitted
58
U0553America's 1st Choice Health Plan of SC - UBOSCAROscar Health Insurance Rejected claims can now be submitted
59
MSO33Americhoice San Diego County Ryan White Care ActUSCAROscar Health Insurance UB Rejected claims can now be submitted
60
77003Amerihealth Caritas FL FKA Prestige Health Choice65031Physicians Healthcare Plans Rejected claims can now be submitted
61
47073Amerihealth Caritas Next80141Senior Health Partners (SHP) Rejected claims can now be submitted
62
45408AmeriHealth Caritas Next A93975Yamhill CCO MedicalRejected claims can now be submitted
63
45408AmeriHealth Caritas Next A UB68024Aetna Better Health of ILRejected claims can now be submitted
64
77062AmeriHealth Caritas VIP CareU8024Aetna Better Health of IL UBRejected claims can now be submitted
65
87406AmeriHealth Caritas VIP Care - Delaware DSNP27004Care Wisconsin Health Plan (Trizetto)Rejected claims can now be submitted
66
88232AmeriHealth Caritas VIP Care - Florida DSNPU7004Care Wisconsin Health Plan (Trizetto) - UBRejected claims can now be submitted
67
77062AmeriHealth Caritas VIP Care UB48143Imagine360 Administrators (GPA)Rejected claims can now be submitted
68
7701PAmeriHealth Caritus VIP Care Plus - MIA8143Imagine360 Administrators (GPA) UBRejected claims can now be submitted
69
U7013AmeriHealth VIP Care Plus - MI- UB128VAAetna Better Health of VirginiaRejected claims can now be submitted
70
79966AmidaCare MedicareU28VAAetna Better Health of Virginia UBRejected claims can now be submitted
71
U9966AmidaCare Medicare UB60550Gateway Health Plan Medicare AssuredRejected claims can now be submitted
72
53085Anchor Benefits Consulting IncU0550Gateway Health Plan Medicare Assured UBRejected claims can now be submitted
73
83112Apex Health Medical75273Geisinger Health PlanRejected claims can now be submitted
74
83112Apex Health Medical UBU5273Geisinger Health Plan - UBRejected claims can now be submitted
75
VLGMDArcadia Healthcare Solutions (FKA Village MD)MCC02Magellan Complete Care Virginia DSNP UBRejected claims can now be submitted
76
UVLGMArcadia Healthcare Solutions UB (FKA Village MD)MCC02Molina Complete Care Virginia DSNPRejected claims can now be submitted
77
R7150Archbold Medical Center Health Plan38336Molina Health Care of WashingtonRejected claims can now be submitted
78
R1680Archbold Medical Center Health Plan - UBU8336Molina Health Care of Washington UBRejected claims can now be submitted
79
ARGUSArgus Dental and Vision16146Molina Healthcare of NY (fka Total Care NY)Rejected claims can now be submitted
80
URGUSArgus Dental and Vision - UB20554Molina Healthcare of TexasRejected claims can now be submitted
81
27154Arizona Priority Care PlusU0554Molina Healthcare of Texas UBRejected claims can now be submitted
82
U7154Arizona Priority Care Plus - UB43174Molina Healthcare of Washington EncounterRejected claims can now be submitted
83
75278Arkansas Best Corporation77076Network Health Insurance Corporation MedicareRejected claims can now be submitted
84
U5278Arkansas Best Corporation - UBU7076Network Health Insurance Corporation Medicare UBRejected claims can now be submitted
85
46156Aspire Health Plan95112Capital Health PlanRejected claims can now be submitted
86
U6156Aspire Health Plan - UB94134Kaiser Foundation Health Plan of Southern CARejected claims can now be submitted
87
36483Aspirus Medicare Advantage61799Molina Healthcare of IdahoRejected claims can now be submitted
88
36483Aspirus Medicare Advantage UBU1799Molina Healthcare of Idaho UBRejected claims can now be submitted
89
36326Associates for Healthcare (AHC)MLNNVMolina Healthcare of NevadaRejected claims can now be submitted
90
A6326Associates for Healthcare (AHC) - UBMLNNVMolina Healthcare of Nevada UBRejected claims can now be submitted
91
74240Assured Benefit Administrators20149Molina Healthcare of OhioRejected claims can now be submitted
92
U4240Assured Benefit Administrators UBSX109Molina Healthcare of UtahRejected claims can now be submitted
93
93221Asuris Northwest Health12X09Molina Healthcare of Utah UBRejected claims can now be submitted
94
87020Atlantic Coast Life Insurance61325Passport Health Plan - 10/1/2017 & AfterRejected claims can now be submitted
95
37242Aultra Administrative GroupUB325Passport Health Plan UBRejected claims can now be submitted
96
E7242Aultra Administrative Group - UB22099Blue Cross Blue Shield of New Jersey - HorizonRejected claims can now be submitted
97
37280Automated Group Administration, IncE2099Blue Cross Blue Shield of New Jersey UBRejected claims can now be submitted
98
E7280Automated Group Administration, Inc - UBKSRCSColorado Springs Kaiser PermanenteRejected claims can now be submitted
99
U6045Avera Health Plan UB55413UCare Individual and Family PlansRejected claims can now be submitted
100
46045Avera Health PlansU5413UCare Individual and Family Plans UBRejected claims can now be submitted