Streamlining the flow of healthcare information

HealthXnet Payer List



Health Plan 

 Eligibility & Benefit

Inquiries

 Claim Status
Inquiries

 PreAuth & Referral

Inquiries (1)

Data

Connection

 Dental Benefits Available?
AARP Real-Time 
 Advantage by Bridgeway  Real-Time
Advantage by Superior Health Plan  Real-TimeYES
Aetna Real-TimeYES
 Aetna Better Health (TX)  Real-TimeYES
 Aetna Better Health (TX) CHIP  Real-TimeYES
Aflac Real-Time
 Aflac Dental  Real-Time
 Aflac Medicare Supplemental   Real-Time
 Alabama Medicaid   Real-Time
Altius Health Plans  Real-TimeYES
AmeriBen Real-TimeYES
American Postal Workers Union  

   Real-TimeYES
Amerigroup

Real-Time
Arizona Medicaid (AHCCCS)


 Real-Time
Arizona Physicians IPA

 Real-TimeYES
 Arkansas Medicaid
 Real-Time
Banner Health  Real-Time
Best Choice Health Plan  Real-Time
Blue Cross Blue Shield of Arizona (2)Real-TimeYES
Blue Cross Blue Shield of Colorado (2)

Real-TimeYES
Blue Cross Blue Shield of Florida (2)

Real-TimeYES
 Blue Cross Blue Shield of Louisiana (2)  Real-TimeYES
 Blue Cross Blue Shield of New Jersey (2)  Real-TimeYES
Blue Cross Blue Shield of New Mexico (2) Real-TimeYES
Blue Cross Blue Shield of New Mexico Medicaid (2) Updated Daily
Blue Cross Blue Shield of Oklahoma (2)
Real-TimeYES
Blue Cross Blue Shield of Texas (2)
Real-TimeYES
Blue Cross Blue Shield of Utah (2)
Real-Time
Blue Cross Medicare Advantage
Real-Time
 Caprock HealthPlansReal-Time
Care Improvement Plus  Real-TimeYES
CarePlus Health Plan  Real-TimeYES
CHAMPVA
Real-Time
 CHRISTUS Health Plan Medicaid
Real-Time YES
 CHRISTUS Health Plan NM Real-Time YES
 CHRISTUS Health Plan NM Medicare Advantage Real-Time YES
 CHRISTUS Schaller Anderson TX
 Real-TimeYES
Cigna Healthcare

Real-TimeYES
Colorado Access


Real-TimeYES
Colorado Medicaid
Real-Time
Community Care of Oklahoma
Real-Time
Consolidated Associates Railroad

Real-Time
 Coventry Health Care USA  Real-TimeYES
Delta Dental of New Mexico
 Real-TimeYES
Denver Health Medical Plan
Real-Time
 FirstCare Health Plans  Real-Time
 Florida Medicaid
 Real-Time
 Golden Rule Real-Time YES
Government Employees Hospital Assoc (GEHA)

Real-Time
Harmony Health Plan (Illinois and Indiana)
- available under WellCare Health Plan inquiries

Real-Time
Healthease and Healthease Kids
- available under WellCare Health Plan inquiries
Real-Time
 Health Smart Benefit Solutions Real-Time
HealthSpring
Real-Time
 Health Choice Arizona  Real-TimeYES

 Health Net

 Real-Time

 HealthSCOPE

 Real-Time
Humana

Real-TimeYES
Illinois Medicaid

Real-Time
Kaiser Foundation Health Plan of Colorado
Real-Time
Kaiser Permanente of Northern California
Real-TimeYES
Kaiser Permanente of Southern California 
Real-TimeYES
Kansas Medicaid


Real-TimeYES
 Louisiana Medicaid Real-Time
 Magellan Behavioral Health
Real-Time
 Mail Handlers Benefit Plan Real-Time YES
Medicare
Real-Time YES
Mercy Care Plan   Real-Time
Meridian Health Plan of Illinois
 Real-TimeYES
Meritain Health Real-Time YES
Meritus Health Partners  Real-Time
MetLife Dental
  Real-TimeYES
Molina Healthcare of Florida

  Real-TimeYES
Molina Healthcare of Illinois

  Real-TimeYES
 Molina Healthcare of New Mexico Real-Time YES
Molina Healthcare of New Mexico (Medicaid Only)


Updated Daily
Molina Healthcare of Texas

Real-Time YES
Molina Healthcare of Utah


Real-Time YES
Mutual of Omaha Commercial
Real-Time
Nevada Medicaid
Real-Time
New Jersey Medicaid   Real-Time
 New Mexico Health Connections Updated Daily
New Mexico Medicaid

Real-Time
 Ohana Health Plan
- available under WellCare Health Plan inquiries
Real-Time
Oklahoma Medicaid
Real-Time
PHCS Savility
Real-Time
Phoenix Health Plan
Real-Time
Preferred Health System of Kansas

Real-Time  YES
Presbyterian Health Plan

Updated Daily
Public Employees Health Plan (PEHP)
Real-Time YES
Rocky Mountain Health Plan
Real-Time YES
Scott & White Health Plan
Real-Time
Select Health - Utah  Real-TimeYES
 Staywell and Staywell Kids
- available under WellCare Health Plan inquiries
Real-Time
Superior Health Plan of Texas  Real-Time
Texas Medicaid
Real-Time
Tricare
Real-Time YES
Trustmark

Real-Time YES
Unicare

Real-Time YES
United American Insurance Company


Real-Time YES
United Concordia Dental


Real-Time YES
United Healthcare  Real-TimeYES
United Healthcare Community Plan Kansas


 Real-TimeYES
United Healthcare Dental


Real-Time YES
 United Medical Resources (UMR)  Real-TimeYES
 University Family Care   Real-Time
 USAA Insurance (Medicare)
 Real-Time
 Utah Medicaid  Real-TimeYES
VA Health Administration Cener  Real-Time
VA Healthcare  Real-Time
Washington Medicaid Real-Time
WellCare Health Plans
  Real-Time

= Participating, = Non-Participating


PAYER PARTICIPATION STATUS SUBJECT TO CHANGE. Availability of information on HealthXnet is subject to payer system availability.


(1) Preauthorization and referral inquiries are available for New Mexico providers and on existing preauthorization and referrals only.

(2) Inquiries on nationwide BCBS members available for BCBS providers of this state.


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ECM Payer list available upon request.