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EFT Participating Payers

The following table provides a listing of participating Change Healthcare ePayment payers. You can use this information to complete your EFT enrollment for Change Healthcare ePayment services. If you need help or have additional questions, please call 866.506.2830 (option 1) for personal assistance. We’re here to help you with the enrollment process.

Payers That Do Not Require Additional Information

Payer ID Payer Name Line of Business
22384 Administrative Concepts, Inc M, H
95340 Adventist Health System/West M, H, D
26119 AIA M
95241 AGIA M, H
52193 Allegeant M, H, D
13788 Associated Administrators M
26202 Auxiant M, H
12X42 Banner Health AZ M, H, D
SX145 Banner Health AZ (EFT is LIVE however to receive EFT if submitting claims under SX145 you must enroll for EFT under 12x42) M, D
77078 Banner Health AZ (Medisun) M, H, D
61124 Bluegrass Family Health M
CM001 Caremore M, H
64073 Centene M
23626 Central Pennsylvania Teamsters Fund M, H
37227 CNIC (EFT required to receive ERA) M, H, D
84129 Colorado Access M, H
42723 Community First Health Plans M
58231 Core Administrative Services M, D, H, P
CX035 Dental Care Plus D
CX093 Dental Select D
31625 ElderPlan, Inc. M, H
85362 Foundation for Medical Care of Tulare and Kings Countries M
64246 Guardian Life Insurance Company D, M
86066 Hawaii Mainland Administrators M, H, D
37111 HCH Administration (IL) M
68035 Health Plan of San Joaquin M, H
31604 Heartland (UFCW-OH) M, H
40523 Kaiser Foundation Health Plan M, H
35316 Key Benefit Administrators M, H, D
58112 Key Benefit Administrators M, H, D
35205 MedPartners Administrative Services M, H, D
27401 Michigan UFCW Unions & Employers Administrator, LLC D
R0755 Ohio Benefit Administrators M
76112 Oxford Life Insurance Company M, H
SX158 Paramount Health M
47027 Physicians Mutual M, H
33081 Pinnacle M, H
65054 Premier Eye Care M, H
65088 Preferred Care Partners M
31441 S & S Healthcare Strategies M, H
28530 S & S Healthcare M, H, D
24077 Santa Clara Family Health Plan (SCFHP) M, H
87020 Sentinel Security Life Insurance Company M, H
SX142 South Indiana Health Operations - HMO M
75299 Angeless IPA (SynerMed)
Employee Health System Medical Group
Fresno - ENH Medical Group
Inland Valleys IPA
Multicultural Primary Care Medical Group (San Diego) (Synermed)
Sacramento - Primary Care Practices of Sacramento - EHS
M,H
88019 Teacher’s Health Trust M
76048 Texas Children’s Health Plan - CHIP M
75228 Texas Children’s Health Plan - STAR M
DSHOP The Dental Shop M, H, D
94174 United Administrative Service M, H
59189 United Group Programs M, H
75261 Web-TPA Employer Services, LLC M, H
91136 Welfare and Pension M, H, D
37272 Wells Fargo TPA D, M

Payers That Do Require Additional Information

Payer ID Payer Name Additional Provider ID Required/Optional (R/O) Line of Business
93044 A&I Benefit Plan Administrator, Inc. Provider ID- (R) M, H, D
CX097 Access Dental NPI- (R) D
43168 Advantica Administrative Service NPI- (O) D
59374 Advantica and Delta Vision NPI- (O) M, H
65093 Advocate Health Partners Legacy ID- (R) M
36320 Advocate HPO Provider ID- (R) M, H
62118 Aetna - American Continental Insurance Company NPI- (R) M, H
62118 Aetna - American General Life Insurance Company NPI- (R) M, H
62118 Aetna - Aetna Health and Life Insurance Company NPI- (R) M, H
62118 Aetna - Aetna Life Insurance Company NPI- (R) M, H
62118 Aetna - Allianz Life Insurance Company of New York NPI- (R) M, H
62118 Aetna - Combined Insurance Company of America NPI- (R) M, H
62118 Aetna - Continental Life Insurance Company of Brentwood, Tennessee NPI- (R) M, H
62118 Aetna/Genworth - Genworth Life and Annuity Insurance Company NPI- (R) M, H
62118 Aetna/Genworth - Genworth Life Insurance Company NPI- (R) M, H
62118 Aetna - Union Fidelity Life Insurance Company NPI- (R) M, H
62118 Aetna - Virginia Surety Company, Inc NPI- (R) M, H
62118 Aetna - Washington National Insurance Company NPI- (R) M, H
13334 Affinity Legacy ID- (O) M
13333 Affinity Medicare Advantage NPI- (R) M, H
13346 AFTRA Health Fund Provider ID- (O) M, H
75137 AmeriBen NPI- (R) M
48055 American Progressive Life and Health Insurance Company NPI- (R); Tax ID- (R) M, H
77002 AmeriHealth Caritas District of Columbia Legacy ID- (R) M, H
77075 AmeriHealth Caritas Iowa Payee ID- (R) M, H
27357 AmeriHealth Caritas Louisiana Legacy ID- (R) M, H
77001 AmeriHealth Caritas Northeast Legacy ID- (R) M, H
22248 AmeriHealth Caritas Pennsylvania Payee ID- (R) M, H
77013 AmeriHealth Caritas VIP Care Plus Provider ID- (R) M, H
22355 AmeriHealth VIP Care Legacy ID- (R) M, H
77006 AmeriHealth VIP Care - LA Legacy ID- (R) M, H
77007 AmeriHealth VIP Care - DC Legacy ID- (R) M, H
20572 Ametros Financial, Inc. NPI- (R); Tax ID- (R) M, H
52312 Arbor Health Plan Legacy ID- (R) M, H
39185 Arise Health Plan Provider ID- (O) M, H
48055 AveraAdvantage NPI- (R); Tax ID- (R) M, H
59274 AvMed (EFT Required for ERA and ERA Required for EFT) NPI- (O) M, H
CBMI1 BCBS Michigan NPI- (R)

*Enrollments must be completed using Change Healthcare's Dental Connect for Provider's portal. Please log into your DC-p account or register for one here.

D
44357 Benefits Administration Corporation (EFT required to receive ERA) NPI- (R) M, H, D
20488 Better Health NPI- (O) M, H
CB621 Blue Cross Blue Shield of Illinois NPI- (O)

*Enrollments must be completed using Change Healthcare's Dental Connect for Provider's portal. Please log into your DC-p account or register for one here.

D
CBMT1 Blue Cross Blue Shield of Montana NPI- (R)

*Enrollments must be completed using Change Healthcare's Dental Connect for Provider's portal. Please log into your DC-p account or register for one here.

D
SB790 Blue Cross Blue Shield of New Mexico NPI- (O); Tax ID- (R) M, H
SB840 Blue Cross Blue Shield of Oklahoma NPI- (R)

*Enrollments must be completed using Change Healthcare's Dental Connect for Provider's portal. Please log into your DC-p account or register for one here.

M, H, D
CB900 Blue Cross Blue Shield of Texas NPI- (R)

*Enrollments must be completed using Change Healthcare's Dental Connect for Provider's portal. Please log into your DC-p account or register for one here.

D
77307 Blue Cross Blue Shield of Vermont Practice Group NPI- (R) M, H
32002 Blue Cross Complete of Michigan NPI- (R) M, H
BOONG Boon Administrative Services, Inc. (ERA required to receive EFT) NPI- (R)
Tax ID- (R)
M, H, D
52192 Bravo Health NPI- (R) M
71057 Cannon Cochran Management Services Inc. (CCMSI) NPI- (O)
Tax ID- (R)
M, H, D
75190 CareFirst Administrators/NCAS NPI- (R) M, H
65391 CBHNP- Amerihealth L-O M, H
68063 Celtic Insurance NPI- (R) M, H
37214 Central States NPI- (O) M, H
04332 Change from Network Health Plan to Tufts Health Plan Provider ID - (R) M
36222 CHICAGO REGIONAL COUNCIL OF CARPENTERS WELFARE FUND NPI- (R) M, H
35199 Cooperative Managed Care NPI- (O) M, H
42141 CTI Administrators NPI- (R) M, H, D
39113 Dean Health Plan (DHP) NPI- (O) M, H
36123 Dearborn National NPI- (R)

*Enrollments must be completed using Change Healthcare's Dental Connect for Provider's portal. Please log into your DC-p account or register for one here.

D
MWELT District 9 Machinists Welfare Trust NPI- (R) M, H
52611 Electrical Workers Welfare Trust NPI- (O) M, H, D
35112 Employee Plans LLC Legacy ID- (R) M, H, D
FAMR1 FAI NPI- (R) M, H, D
77054 Fidelis Secure Care of Michigan NPI- (R) M, H
49096 FirstCare Health Provider ID- (O) M, H, D
37510 First Choice VIP Care Legacy ID- (R) M, H
77009 First Choice VIP Care Plus - SC Provider ID- (R) M, H
26492 Florida True Health, Inc. Legacy ID- (R) M, H
44054 GEHA Provider ID- (R) M, H, D
46051 Generations-Hillcrest NPI- (R); Tax ID- (R) M, H
10152 Harken (EFT required to receive ERA) NPI- (O) M, H
99208 Hawaii Medical Assurance Association (HMAA/HWMG) Legacy ID- (O) D, M
77950 Health Alliance Medical Plans NPI- (O) M
77180 HealthyCT Inc NPI- (O) M, H
15064 Health First Health Plans (EFT required to receive ERA; ERA required to receive EFT) NPI- (O) M, H
41178 HealthEZ (formerly America’s TPA) NPI- (O); Tax ID-(R) M, D, P
96475 HealthLink Vendor ID-(R) M, H
37290 HealthServices for Children with Special Needs NPI- (R)
Tax ID- (R)
M, H, D
77050 Healthy PA Provider ID- (R) M, H
77051 Healthy PA Provider ID- (R) M, H
11324 Health Plus Legacy ID- (R) M
11328 Healthcare Partners IPA Vendor ID- (R) M
22326 Horizon NJ Health Legacy ID- (R) M, H
13335 Hudson Health Plan Provider ID- (O) M, H
SX073 Independent Health Provider ID- (O)
(Pharmacy's use Payee ID if needed)
M
36342 IPMG Trading Partner- (O) M, H, D
66003 Johns Hopkins Advantage MD NPI-(R) M
52189 Johns Hopkins Healthcare (EHP/PP) Provider ID- (O) M, H
52123 Johns Hopkins Healthcare (USFHP) Provider ID- (O) M, H
37217 Key Family of Companies NPI- (O) M, H, D
37323 Key Solutions NPI- (O) M, H
23284 Keystone Mercy Health Plan Legacy ID- (R) M, H
84223 Keystone VIP Choice Legacy ID- (R) M, H
LMCHP Leon Medical Centers Health Plans (EFT required to receive ERA) NPI- (R) M, H
48055 Marquette Life Insurance Company NPI- (R); Tax ID- (R) M, H
20475 MDwise Excel Network Payee ID- (R) M, H
EM284 Med3000 CMS Safety Net Provider ID- (R) M, H, D
EM843 Med3000 CMS Title 19 Reform Provider ID- (R) M, H, D
EM205 Med3000 CMS Title 21 Provider ID- (R) M, H, D
EM522 Med3000 Pedicare Title 21 Provider ID- (R) M, H, D
EM039 Med3000 Pedicare Title 19 Provider ID- (R) M, H, D
74323 MedBen NPI- (O) M, H, D
56205 MedCost Benefits Legacy ID- (O) M, H, D
12422 Medica NPI- (O) M, H
MAHC1 Medical Associates Health Plan Provider ID- (O) M, H, D
62045 Farm Bureau Health Plans NPI- (R); Tax ID- (R) M, H
38164 Messa NPI- (R) M, H
81883 Municipal Health Benefit Fund NPI- (R) M, H, D
CX045 National Elevator Industry Health Benefit Plan NPI- (R); Tax ID- (R) M, H, D
39144 Network Health Plan of Wisconsin (NHP/Network Health Plan) NPI- (O) M, H
91068 Northwest Administrators NPI- (R) M, H, D
61129 Passport Health Plan Legacy ID- (R) M, H
91171 Physicians of Southwest Washington (EFT required to received ERA; ERA required to received EFT) NPI- (R) M, H
21524 Preferred Medical Claim Solutions (PMCS) NPI- (O) M, H
CX078 Premier Dental Providers - NPI-R; Brokers - Agency ID-R D
77003 Prestige Health Choice Legacy ID- (R) M, H
38303 Professional Benefit Services, Inc. Provider ID- (O) M, H
48055 Pyramid Life Insurance Company NPI- (R); Tax ID- (R) M, H
22312 Qualcare Vendor ID- (R) M
23342 QualCare, Inc. Vendor ID- (R) M, H
45281 Riverside NPI- (R) M, H
39181 Triad Healthcare (CBHNP Amerihealth) NPI- (O) M
91184 Sanford NPI- (O) M
72261 SCAN Health Plan Vendor ID- (R) M, H, D
TH002 Scott & White Health Plan NPI- (O) M, H
LIFE1 Optumcare (EFT required to receive ERA) NPI- (O) M
13162 SEIU Provider ID (O) M, H
23285 Select Health of South Carolina Legacy ID- (R) M, H
76045 SelectCare of Texas (HPN) Heritage Physicians Network NPI- (R); Tax ID- (R) M, H
83035 Senior Whole Health (SWH) NPI- (R) M
76342 Sierra Health Services (EFT required to receive ERA) NPI- (O) M
27094 Simply Health Care NPI - (O) M, H
38242 Southern Benefit Administrators NPI- (R) M, H, D
67829 Sterling Life NPI- (R) D, M
43619 Teamsters Medicate Trust for Retired Employees (EFT required to receive ERA) NPI- (R) M
13185 TexasFirst Health Plan (NTX) NPI- (R); Tax ID- (R) M, H
73117 Tribute /SelectCare of Oklahoma NPI- (R); Tax ID- (R) M, H
TLINS, TRCLF, TRLTC, TRP1E, TRP1P, TRSEL Transamerica NPI- (O); Tax ID- (R) M, H
37284 TransChoice - Key Benefit Administrators NPI- (O) M, H, D
48055 Today's Options (American Progressive and Pyramid Life) NPI- (R); Tax ID- (R) M, H
48055 Today's Options powered by CCRX NPI- (R); Tax ID- (R) M, H
77023 Clover Health (fka CarePoint HP) NPI- (R); Tax ID-(R) M, H
74214 TML Intergovernmental Employee Benefits NPI- (R) D, M
77022 Ultimate Health Plans, Inc NPI- (R) M, H
74227 United Healthcare Student Resources NPI- (R); Tax ID- (R) M, H
45282 University of Maryland Health Advantage (Riverside) NPI - (R) M, H
65250 University of Utah Health Plans Vendor NPI- (R); Tax ID- (R) M
38337 Upper Peninsula Health Plan NPI- (R) M
63114 Viva Health Vendor ID- (R) M, H
TH023 Wellmed NPI- (R) M, H
68039 Western Health Advantage NPI- (O) M, H
31048 Western Southern Financial Group (WSFG)
NPI- (O) M, H
62153 Windsor Medicare Extra Vendor ID- (R) M, H
59266 Volusia Health Network NPI- (R) M, H, D
26335 Zepherella NPI- (O) M

Direct Payment Payers

The payers listed below are offering to distribute EFT payments directly to you without the assistance of Change Healthcare. If you select one of these payers (listed below), the payer will pay you directly and Change Healthcare will not be involved with any of their payment transactions. As such, Change Healthcare will make no representations or warranties regarding the payment services provided by the payers set forth below.

Payer ID Payer Name Additional Provider ID Required/Optional (R/O) Additional Requirements Line of Business
27514 Amerigroup Legacy PIN-R Providers must enroll using Amerigroup assigned Provider Identification Number. ERA is only available with EFT enrollment. M, H
SB580 CareFirst NPI- (R) and Provider Group Number Providers must enroll for Electronic Remittance Advice (ERA) when selecting CareFirst EFT. Please complete the Change Healthcare ERA Provider Enrollment Form M, H

Legend

  • Legacy ID - (R): the Legacy ID (payer assigned provider ID) is required by the payer
  • Legacy ID - (O): the Legacy ID (payer assigned provider ID) is not required by the payer
  • NPI - (R): the National Provider ID is required by the payer
  • NPI - (O): the National Provider ID is not required by the payer
  • Brokers - Agency ID - (R): the agency ID is required for brokers<br />
  • LOB: Line of business for which the payer is enabled for EFT with Change Healthcare
  • D: Dental
  • M: Medical
  • P: Pharmacy
  • H: Hospital