Exchange sensitive electronic data related to claims, patient eligibility, and ERA and EFT payments by enrolling today.
Benefit from our connectivity. View payers and transactions in the nation’s largest payment cycle network.
Browse our inventory of intelligent application program interfaces (APIs) available through our developer platform.
State Payer Sheets
The following payer sheets provide the format and the required fields that pharmacies must follow when submitting claims to the payers. Each state has their own payer sheets located on the links below.
Download lists of recommended preferred drugs for coverage by your plan, including brand and generic medications.
HIPAA Simplified Portal
Insight and guidance into healthcare regulations, transaction standards, timelines, and program updates.
Download helpful product-specific documentation, user tips, and industry thought leadership.