Trading Partners (Payer List) and Attachments Support

RH Payer ID and Optum Payer ID: 68069

Institutional CPIDProfessional CPIDPayer NameAttachment TypeDocument Type SupportedBatch File Document Size RestrictionsAPI/Portal Document Size RestrictionsEnrollment Required
85494272Absolute Total CareUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
95644793Advantage By BuckeyeUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
85267784Allwell from Absolute Total CareUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
75727767Allwell from Arkansas Health & WellnessUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
75927776Allwell from Buckeye Health PlanUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
75707766Allwell from Health NetUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
75917775Allwell from Home State HealthUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
75887773Allwell from Louisiana Healthcare ConnectionsUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
75897774Allwell from Magnolia HealthUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
75827770Allwell from Managed Health ServicesUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
85287786Allwell from Managed Health Services Health WisconsinUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
85247783Allwell from PA Health & WellnessUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
75817769Allwell from Peach State Health PlanUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
60259172Allwell from Silver Summit HealthUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
75867772Allwell from Sunflower Health PlanUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
75787768Allwell from Sunshine HealthUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
85277785Allwell from Superior HealthPlanUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
10758102Allwell from Western Sky Community CareUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
66606761Ambetter from Buckeye Community Health PlanUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
85837808Ambetter from Health NetUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
85847809Ambetter from Homestate HealthUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
66586759Ambetter from Magnolia HealthUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
66566757Ambetter from Managed Health ServicesUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
60309181Ambetter from MeridianUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
65749278Ambetter from Nebraska Total CareUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
66556756Ambetter from Peach State Health PlanUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
40528793Ambetter from Pennsylvania Health and WellnessUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
10798106Ambetter from Sunflower Health PlanUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
66546755Ambetter from Sunshine HealthUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
66616762Ambetter from Superior HealthUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
70499431Ambetter from Wellcare of KentuckyUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
70509432Ambetter from Wellcare of New JerseyUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
95877286Ambetter Illinicare HealthUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
95887287Ambetter New Hampshire Healthy FamiliesUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
66526753Ambetter of ArkansasUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
20711299Ambetter of North CarolinaUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
70519433Ambetter of OklahomaUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
40138741Ambetter of TennesseeUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
10457874Arizona Complete HealthUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
20038136Arkansas Total CareUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
20298299Ascension CompleteUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
19624717Buckeye Community HealthUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
66466748California Health & WellnessUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
60279175Carolina Complete Health CareUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
46656197Coordinated CareUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
75157751Health Net of CA, ORUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
46526196Home State HealthUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
20268162Iowa Total CareUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
46396157Louisiana Health ConnectionsUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
16115286Magnolia Health PlanUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
15622703Managed Health Services IndianaUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
35042702Managed Health Services WisconsinUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
25081164Nebraska Total CareUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
56286262New Hampshire Healthy FamiliesUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
25113733Novasys Health NetworkUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
65827740PA Health & WellnessUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
19212417Peach State Health PlanUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
55421263Silver Summit Health PlanUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
56136249Sunflower StateUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
59472111Sunshine HealthUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
35222701Superior Health Plan of TexasUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
96177295Trillium Community Health PlanUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
70119293Wellcare by Allwell from Nebraska Total CareUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
70489430Wellcare by Allwell of OklahomaUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
10768103Western Sky Community CareUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
40388766YouthCare HealthChoice IllinoisUnsolicitedJPEG, JPG, PDF
TIFF, TIF
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo

These attributes are supported for the following Payers list:

Institutional CPIDProfessional CPIDRH Payer IDOptum Payer IDPayer NameAttachment TypeDocument Type SupportedBatch File Document Size RestrictionsAPI/Portal Document Size RestrictionsEnrollment Required
156917412637527514AmerigroupUnsolicitedTIFF, TIF, JPEG
JPG, PDF
Total 10 documents — 100 MBTotal 10 documents — 48 MBNo
351144174719847198California Anthem Blue CrossUnsolicitedTIFF, TIF, JPEG
JPG, PDF
Total 10 documents — 100 MBTotal 10 documents — 48 MBNo
154914150005012B03, SB550
12B05
Colorado Anthem Blue Cross Blue ShieldUnsolicitedTIFF, TIF, JPEG
JPG, PDF
Total 10 documents — 100 MBTotal 10 documents — 48 MBNo
74160005012B03, SB550
12B05
Colorado Anthem Blue Cross Blue Shield HMOUnsolicitedTIFF, TIF, JPEG
JPG, PDF
Total 10 documents — 100 MBTotal 10 documents — 48 MB
3537140700101, 0060112015, SB600Georgia Blue Cross Blue ShieldUnsolicitedTIFF, TIF, JPEG
JPG, PDF
Total 10 documents — 100 MBTotal 10 documents — 48 MB
595321210040300403Healthy Blue South CarolinaUnsolicitedTIFF, TIF, JPEG
JPG, PDF
Total 10 documents — 100 MBTotal 10 documents — 48 MBNo
3502141200130, 0063012B09, SB630Indiana Anthem Blue Cross Blue ShieldUnsolicitedTIFF, TIF, JPEG
JPG, PDF
Total 10 documents — 100 MBTotal 10 documents — 48 MB
5534242100160, 0066012B11, SB660Kentucky Anthem Blue Cross Blue ShieldUnsolicitedTIFF, TIF, JPEG
JPG, PDF
Total 10 documents — 100 MBTotal 10 documents — 48 MB
3548744600180, 0068012B13, SB680Maine Anthem Blue Cross Blue ShieldUnsolicitedTIFF, TIF, JPEG
JPG, PDF
Total 10 documents — 100 MBTotal 10 documents — 48 MB
290674960026500265Nevada Anthem Blue Cross Blue ShieldUnsolicitedTIFF, TIF, JPEG
JPG, PDF
Total 10 documents — 100 MBTotal 10 documents — 48 MBNo
3520443700303, 0080312B36, SB803New York Empire Blue Cross Blue ShieldUnsolicitedTIFF, TIF, JPEG
JPG, PDF
Total 10 documents — 100 MBTotal 10 documents — 48 MBNo
3505241800332, 00834SB338, 12B24Ohio Anthem Blue Cross Blue ShieldUnsolicitedTIFF, TIF, JPEG
JPG, PDF
Total 10 documents — 100 MBTotal 10 documents — 48 MB
10968124SMPLYSMPLYSimply Healthcare Plans, Inc.UnsolicitedTIFF, TIF, JPEG
JPG, PDF
Total 10 documents — 100 MBTotal 10 documents — 48 MBNo
5537141300423SB923, 12002Virginia Anthem Blue Cross Blue ShieldUnsolicitedTIFF, TIF, JPEG
JPG, PDF
Total 10 documents — 100 MBTotal 10 documents — 48 MB
5511140100450, 0095012B29, SB950Wisconsin Anthem Blue Cross Blue ShieldUnsolicitedTIFF, TIF, JPEG
JPG, PDF
Total 10 documents — 100 MBTotal 10 documents — 48 MBNo

These attributes are supported for the following Payers list:

Institutional CPIDProfessional CPIDRH Payer IDOptum Payer IDPayer NameAttachment TypeDocument Types SupportedBatch File Document Size RestrictionsAPI/Portal Document Size RestrictionsEnrollment Required
408388598167181671Amerihealth Caritas North CarolinaUnsolicitedTIFF, JPEG, PDF
JPG, PNG, BMP
GIF, TIF, DOC
DOCX, RTF, TXT, XML
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
150338078414684146CHAMPVA - HACUnsolicitedPDF, BMP, GIF
JPG, JPEG, TIF
TIFF, XML
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
653637921131511315Fidelis CareUnsolicitedJPEG, JPG, PDF, TIFF, TIFTotal 10 documents — 64 MBTotal 10 documents — 48 MBNo
651428559556795567Health Net of CaliforniaUnsolicitedJPEG, JPG, PDF, TIFF, TIFTotal 10 documents — 64 MBTotal 10 documents — 48 MBNo
59886464LACARLACARLA CAreUnsolicitedPDFTotal 10 documents — 64 MBTotal 10 documents — 48 MBNo
595621278188381883Municipal Health Benefit FundUnsolicitedJPEG, JPG, PDF
TIFF, TIF, PNG
XML
Total 10 documents — 64 MBTotal 10 documents — 64 MBNo
303282839627796277OptiMed HealthUnsolicitedPDF, TIFF, TIF
JPEG, JPG
Total 10 documents — 64 MBTotal 10 documents — 64 MBNo
301382628396783867QualLynxUnsolicitedTIFF, TIF, PDFTotal 10 documents — 64 MBTotal 10 documents — 48 MBNo
150738871211512115VA Fee Basis ProgramsUnsolicitedPDF, BMP, GIF
JPG, JPEG, TIF
TIFF, XML
Total 10 documents — 64 MBTotal 10 documents — 48 MBNo
184485511416314163Wellcare Health PlansUnsolicitedPDF, TIF, JPEG, PNGTotal 10 documents — 64 MBTotal 10 documents — 48 MBNo
36573657Workers Compensation Professional
(Relay Health Only)
UnsolicitedPDF, TIF, TIFFTotal 10 documents — 64 MBTotal 10 documents — 48 MBNo
58615861Workers Compensation Professional
(Relay Health Only)
UnsolicitedPDF, TIF, TIFFTotal 10 documents — 64 MBTotal 10 documents — 48 MBNo

📘

NOTE

Visit this page for occasional updates.

For non-electronic payers, always use the actual Payer ID and Payer Name. You can look up the complete list of Payer IDs and their names on the Optum Payer IDs page.