State | Module | Description | Payors | Carrier Contact Information |
IN, KY | AIM1 | Indiana AdminaStar | Medicare Part B and BC/BS in Indiana and Kentucky | www.edi.anthem.com
(800)470-9630 |
AZ | APN1 | Arizona All Payor Network | Medicare Part B, BC/BS, and Commercials | www.bcbsaz.com
(602) 864-4844 |
Multiple | ARMB | Arkansas BC/BS | Medicare Part B for Arkansas, Eastern Missouri, Louisiana, New Mexico, and Oklahoma; BC/BS for Arkansas | www.arkbluecross.com
Arkansas & Missouri: (501)378-2419
Louisiana:
(504)231-2164
New Mexico & Oklahoma:
(405)848-8458 |
National | AVAP | Availity All Payer | Medicare Part B, Medicaid, BC/BS and commercial | www.availity.com
|
CA | CAMC | California Medi-Cal | California Medi-Cal | www.medi-cal.ca.gov
(916)636-1100 |
ID, NC, TX | CIGN | CIGNA Medicare | Medicare Part B for Idaho, North Carolina, and Texas | www.cigna.com
Idaho: (866)520-4022
N. Carolina:
(866)352-1608
Tennessee:
(866)520-4022 |
FL, CT | FLCT | Florida Availity | Florida Availity: BC/BS of Florida, Humana, Commercial Medicare Part B for Florida and Connecticut | Availity: (800)282-4548 Medicare: (904)791-8767 |
FL, GA | FLMC | Florida & Georgia Medicaid | Medicaid through ACS EDI Gateway for Florida & Georgia | FL State Dept of Health (800)829-0218 GA Medicaid/Peachcare for Kids (800)987-6715 |
GA, MS | GAMS | Georgia Medicare | Medicare part B for GA Medicare and MS Medicare | www.gamedicare.com
(866)582-3253
|
Multiple | GPNT | Regence Blue Shield | Illinois Medicare, Illinois IDPA, Michigan Medicare, IL/MI BC/BS, Texas Medicare, New Mexico Medicare, TX Blue Cross, TX Medicaid, NM Blue Cross, and Commercials | (800)373-1477 |
Multiple | GPNT | Trailblazer Health | Medicare Part B CA, CO, HI, NV, NM, OK, DE, MD, SC, TX, VA, DC, Trailblazer | Contact your EDI Rep |
HI | HMSA | Hawaii Medical Services Assoc. | Transmit virtually all insurance claims through HMSA | www.hmsa.com
(808)948-5989
(808)948-5987 |
IA | INET | Wellmark BC/BS | Medicaid, BC/BS, Commercial payers | www.wellmark.com
(800)407-0267 |
Multiple | NDMB | Noridian Medicare | Medicare Part B for AK, AZ, CO, HI, IA, NV, ND, OR, SD, WA, WY | AK, AZ, HI, NV, OR, WA (800)849-7243
CO, ND,SD, WY
(866)849-7246
IA (800)967-7902 |
Multiple | NHIC | Medicare of California & New England | Medicare Part B for Northern CA, Southern CA, ME, MA, NH, VT | North CA (530)879-2662
South CA (866)502-9054
New England (781)749-7745 |
NY | NYEB | New York Empire BC/BS | Virtually all insurance carriers. You must also have the windows version of the IVANS program. | www.empiremedicare.com
(866)889-7322 |
NY | NYGH | New York GHI Medicare | Medicare Part B through NY Group Health Medicare | www.ghimedicare.com
(646)458-6722 |
NY | NYMA | New York Medicaid | NY Medicaid | (866)840-3445 |
NY | NYUM | New York Upstate Medicare | Medicare Part B through NY Upstate Medicare | (607)766-6331 |
OH, WV | OHMB | Palmetto GPB | Medicare Part B for Ohio and West Virginia | www.palmettogba.com
(614)473-6181 |
PA | PABS | Pennsylvania BC/BS | BC/BS and Medicare Part B for PA, Medicare Part B for NJ, DE, DC, MD | www.highmark.com
(717)763-6722 |
TN | TNBB | BC/BS of Tennessee | BC/BS & Blue TennCare | www.bcbst.com
(423)755-5717 |
UT | UHIN | Utah Health Information Network | Virtually all insurance claims | www.uhin.com
(801)466-7705 |
WV | UNIS | West Virginia Medicaid | West Virginia Medicaid | www.wvmmis.com
(888)483-0793 |
WA | WMSC | Premera Blue Cross | Virtually all insurance claims through Premera BC/MSC in Washington | www.premera.com
(800)435-2715 |
Multiple | WPS1 | Wisconsin Physicians Service | Medicare Part B, EPIC, TRICARE, and WPS Commercial payers for Wisconsin. Medicare Part B for IL, IA, MI, MN | www.wpsic.com
(877)567-7261 IL, WI
(866)503-9670 IA
(877)567-7261 MI
(866)380-4742 MN |