Trading Partners (Payer List) and Attachments Support

RH Payer ID and CHC 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 IDCHC 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 IDCHC 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

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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 Change Healthcare Payer IDs page.