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
22384Administrative Concepts, IncM, H
95340Adventist Health System/WestM, H, D
95241AGIAM, H
26119AIAM
52193AllegeantM, H, D
13788Associated AdministratorsM
12X42Banner Health AZM, H, D
SX145Banner Health AZ (EFT is LIVE however to receive EFT if submitting claims under SX145 you must enroll for EFT under 12x42)M, D
77078Banner Health AZ (Medisun)M, H, D
61124Bluegrass Family HealthM
CM001CaremoreM, H
64073CenteneM
23626Central Pennsylvania Teamsters FundM, H
84129Colorado AccessM, H
42723Community First Health PlansM
58231Core Administrative ServicesM, D, H, P
CX035Dental Care PlusD
CX093Dental SelectD
31625ElderPlan, Inc.M, H
85362Foundation for Medical Care of Tulare and Kings CountriesM
64246Guardian Life Insurance CompanyD, M
86066Hawaii Mainland AdministratorsM, H, D
37111HCH Administration (IL)M
68035Health Plan of San JoaquinM, H
40523Kaiser Foundation Health PlanM, H
35316Key Benefit AdministratorsM, H, D
35205MedPartners Administrative ServicesM, H, D
27401Michigan UFCW Unions & Employers Administrator, LLCD
R0755Ohio Benefit AdministratorsM
SX158Paramount HealthM
47027Physicians MutualM, H
33081PinnacleM, H
65054Premier Eye CareM, H
65088Preferred Care PartnersM
31441S & S Healthcare StrategiesM, H
28530S & S HealthcareM, H, D
24077Santa Clara Family Health Plan (SCFHP)M, H
87020Sentinel Security Life Insurance CompanyM, H
SX142South Indiana Health Operations - HMOM
75299Angeless 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
88019Teacher’s Health TrustM
76048Texas Children’s Health Plan - CHIPM
75228Texas Children’s Health Plan - STARM
DSHOPThe Dental ShopM, H, D
94174United Administrative ServiceM, H
59189United Group ProgramsM, H
75261Web-TPA Employer Services, LLCM, H
91136Welfare and PensionM, H, D
37272Wells Fargo TPAD, M

Payers That Do Require Additional Information
Payer ID Payer Name Additional Provider ID Required/Optional (R/O) Line of Business
CX097Access DentalNPI - (R)D
43168Advantica Administrative ServiceNPI - (O)D
59374Advantica and Delta VisionNPI - (O)M, H
65093Advocate Health PartnersLegacy ID - (R)M
36320Advocate HPOProvider ID - (R)M, H
62118Aetna - American Continental Insurance CompanyNPI - (R)M, H
62118Aetna - American General Life Insurance CompanyNPI - (R)M, H
62118Aetna - Aetna Health and Life Insurance CompanyNPI - (R)M, H
62118Aetna - Aetna Life Insurance CompanyNPI - (R)M, H
62118Aetna - Allianz Life Insurance Company of New YorkNPI - (R)M, H
62118Aetna - Combined Insurance Company of AmericaNPI - (R)M, H
62118Aetna - Continental Life Insurance Company of Brentwood, TennesseeNPI - (R)M, H
62118Aetna/Genworth - Genworth Life and Annuity Insurance CompanyNPI - (R)M, H
62118Aetna/Genworth - Genworth Life Insurance CompanyNPI - (R)M, H
62118Aetna - Union Fidelity Life Insurance CompanyNPI - (R)M, H
62118Aetna - Virginia Surety Company, IncNPI - (R)M, H
62118Aetna - Washington National Insurance CompanyNPI - (R)M, H
13333Affinity Health PlanNPI - (R)M, H
13346AFTRA Health FundProvider ID - (O)M, H
75137AmeriBenNPI - (R)M
48055American Progressive Life and Health Insurance CompanyNPI - (R); Tax ID - (R)M, H
77799Amerihealth Caritas DelawareNPI - (R)M, H
77002AmeriHealth Caritas District of ColumbiaLegacy ID - (R)M, H
77075AmeriHealth Caritas Iowa Payee ID - (R)M, H
27357AmeriHealth Caritas LouisianaLegacy ID - (R)M, H
77001AmeriHealth Caritas NortheastLegacy ID - (R)M, H
22248AmeriHealth Caritas PennsylvaniaPayee ID - (R)M, H
77013AmeriHealth Caritas VIP Care PlusProvider ID - (R)M, H
77062Amerihealth Caritas PA Community HealthChoices/AmeriHealth Caritas VIP CareLegacy ID - (R)M, H
77006AmeriHealth VIP Care - LALegacy ID - (R)M, H
77007AmeriHealth VIP Care - DCLegacy ID - (R)M, H
20572Ametros Financial, Inc.NPI - (R); Tax ID - (R)M, H
52312Arbor Health PlanLegacy ID - (R)M, H
39185Arise Health PlanProvider ID - (O)M, H
48055AveraAdvantageNPI - (R); Tax ID - (R)M, H
59274AvMed (EFT Required for ERA and ERA Required for EFT)NPI - (O)M, H
CBMI1BCBS MichiganNPI - (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
44357Benefits Administration Corporation (EFT required to receive ERA)NPI - (R)M, H, D
20488Better HealthNPI - (O)M, H
CB621Blue Cross Blue Shield of IllinoisNPI - (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
CBMT1Blue Cross Blue Shield of MontanaNPI - (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
SB790Blue Cross Blue Shield of New MexicoNPI - (O); Tax ID - (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
SB840Blue Cross Blue Shield of OklahomaNPI - (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
CB900Blue Cross Blue Shield of TexasNPI - (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
77307Blue Cross Blue Shield of VermontPractice Group NPI - (R)M, H
32002Blue Cross Complete of MichiganNPI - (R)M, H
BOONGBoon Administrative Services, Inc. (ERA required to receive EFT)NPI - (R)
Tax ID - (R)
M, H, D
71057Cannon Cochran Management Services Inc. (CCMSI)NPI - (O)
Tax ID - (R)
M, H, D
75190CareFirst Administrators/NCASNPI - (R)
(Billing NPI Only)
M, H
68063Celtic InsuranceNPI - (R)M, H
37214Central StatesNPI - (O)M, H
04332Change from Network Health Plan to Tufts Health PlanProvider ID - (R)M
52192Cigna-HealthSpringNPI - (R)M
36222CHICAGO REGIONAL COUNCIL OF CARPENTERS WELFARE FUNDNPI - (R)M, H
77023Clover Health (fka CarePoint HP)NPI - (R); Tax ID -(R)M, H
35199Cooperative Managed CareNPI - (O)M, H
42141CTI AdministratorsNPI - (R)M, H, D
39113Dean Health Plan (DHP)NPI - (O)M, H
36123Dearborn NationalNPI - (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
MWELTDistrict 9 Machinists Welfare TrustNPI - (R)M, H
52611Electrical Workers Welfare TrustNPI - (O)M, H, D
35112Employee Plans LLCLegacy ID - (R)M, H, D
77054Fidelis Secure Care of MichiganNPI - (R)M, H
49096FirstCare HealthProvider ID - (O)M, H, D
37510First Choice VIP CareLegacy ID - (R)M, H
77009First Choice VIP Care Plus - SCProvider ID - (R)M, H
44054GEHAProvider ID - (R)M, H, D
46051Generations-HillcrestNPI - (R); Tax ID - (R)M, H
10152Harken (EFT required for ERA)NPI - (O)M, H
99208Hawaii Medical Assurance Association (HMAA/HWMG)Legacy ID - (O)D, M
77950Health Alliance Medical PlansNPI - (O)M
77180HealthyCT IncNPI - (O)M, H
15064Health First Health Plans (EFT required to receive ERA; ERA required to receive EFT)NPI - (O)M, H
41178HealthEZ (formerly America’s TPA)NPI - (O); Tax ID -(R)M, D, P
96475HealthLinkVendor ID -(R)M, H
37290HealthServices for Children with Special NeedsNPI - (R)
Tax ID - (R)
M, H, D
77050Healthy PAProvider ID - (R)M, H
77051Healthy PAProvider ID - (R)M, H
22326Horizon NJ HealthLegacy ID - (R)M, H
13335Hudson Health PlanProvider ID - (O)M, H
SX073Independent HealthProvider ID - (O)
(Pharmacy's use Payee ID if needed)
M
36342IPMGTrading Partner- (O)M, H, D
66003Johns Hopkins Advantage MDNPI -(R)M
52189Johns Hopkins Healthcare (EHP/PP)Provider ID - (O)M, H
52123Johns Hopkins Healthcare (USFHP)Provider ID - (O)M, H
23284Keystone FirstLegacy ID - (R)M, H
77741Keystone First VIP ChoiceLegacy ID - (R)M, H
LMCHPLeon Medical Centers Health Plans (EFT required to receive ERA)NPI - (R)M, H
48055Marquette Life Insurance CompanyNPI - (R); Tax ID - (R)M, H
20475MDwise Excel NetworkPayee ID - (R)M, H
EM284Med3000 CMS Safety NetProvider ID - (R)

(*See notes below)

M, H, D
EM843Med3000 CMS Title 19 ReformProvider ID - (R)

(*See notes below)

M, H, D
EM205Med3000 CMS Title 21Provider ID - (R)

(*See notes below)

M, H, D
EM522Med3000 Pedicare Title 21Provider ID - (R)

(*See notes below)

M, H, D
EM039Med3000 Pedicare Title 19Provider ID - (R)

(*See notes below)

M, H, D
74323MedBenNPI - (O)M, H, D
56205MedCost BenefitsLegacy ID - (O)M, H, D
12422MedicaNPI - (O)M, H
MAHC1Medical Associates Health PlanProvider ID - (O)M, H, D
62045Farm Bureau Health PlansNPI - (R); Tax ID - (R)M, H
38164MessaNPI - (R)M, H
81883Municipal Health Benefit FundNPI - (R)M, H, D
77076Network Health PlanNPI - (R)M, H
39144Network Health Plan of Wisconsin (NHP/Network Health Plan)NPI - (O)M, H
91068Northwest AdministratorsNPI - (R)M, H, D
LIFE1Optumcare (EFT required for ERA)NPI - (O)M, H
66008Passport Advantage (EFT required to receive ERA)NPI - (R)M, H
61129Passport Health PlanProvider ID - (R)M, H
65391PerformCareNPI - (O)M, H
91171Physicians of Southwest Washington (EFT required to received ERA; ERA required to received EFT)NPI - (R)M, H
21524Preferred Medical Claim Solutions (PMCS)NPI - (O)M, H
CX078Premier DentalProviders - NPI -R; Brokers - Agency ID -RD
77003Prestige Health ChoiceLegacy ID - (R)M, H
38303Professional Benefit Services, Inc.Provider ID - (O)M, H
48055Pyramid Life Insurance CompanyNPI - (R); Tax ID - (R)M, H
22312QualcareVendor ID - (R)M
23342QualCare, Inc.Vendor ID - (R)M, H
45281RiversideNPI - (R)M, H
91184SanfordNPI - (O)M
72261SCAN Health PlanVendor ID - (R)M, H, D
TH002Scott & White Health PlanNPI - (O)M, H
13162SEIUProvider ID (O)M, H
23285Select Health of South CarolinaLegacy ID - (R)M, H
76045SelectCare of Texas (HPN) Heritage Physicians NetworkNPI - (R); Tax ID - (R)M, H
83035Senior Whole Health (SWH)NPI - (R)M
76342Sierra Health Services (EFT required for ERA)NPI - (O)M, H
27094Simply Health CareNPI - (O)M, H
38242Southern Benefit Administrators (EFT required for ERA)NPI - (R)M, H, D
67829Sterling LifeNPI - (R)D, M
43619Teamsters Medicate Trust for Retired Employees (EFT required to receive ERA)NPI - (R)M
13185TexasFirst Health Plan (NTX)NPI - (R); Tax ID - (R)M, H
73117Tribute /SelectCare of OklahomaNPI - (R); Tax ID - (R)M, H
TLINS, TRCLF, TRLTC, TRP1E, TRP1P, TRSELTransamericaNPI - (O); Tax ID - (R)M, H
37284TransChoice - Key Benefit AdministratorsNPI - (O)M, H, D
39181Triad HealthcareNPI - (O)M
48055Today's Options (American Progressive and Pyramid Life)NPI - (R); Tax ID - (R)M, H
48055Today's Options powered by CCRXNPI - (R); Tax ID - (R)M, H
74214TML Intergovernmental Employee BenefitsNPI - (R)D, M
77022Ultimate Health Plans, IncNPI - (R)M, H
74227United Healthcare Student ResourcesNPI - (R); Tax ID - (R)M, H
45282University of Maryland Health Advantage (Riverside)NPI - (R)M, H
65250University of Utah Health PlansVendor NPI - (R); Tax ID - (R)M
38337Upper Peninsula Health PlanNPI - (R)M
63114Viva Health Vendor ID - (R)M, H
TH023WellmedNPI - (R)M, H
68039Western Health AdvantageNPI - (O)M, H
31048Western Southern Financial Group (WSFG)
NPI - (O)M, H
59266Volusia Health NetworkNPI - (R)M, H, D
26335ZepherellaNPI - (O)M

*Payer Related Comments

1. If the customer is not currently enrolled w/any of the Med3000 Payers ID's they need to enroll w/ECHO by calling 888-834-3511

2. If the customer is currently enrolled w/any of the Med3000 Payer ID’s they can enroll w/any additional Med3000 Payer ID’s through CHC

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
27514AmerigroupLegacy PIN-RProviders must enroll using Amerigroup assigned Provider Identification Number. ERA is only available with EFT enrollment.M, H
SB580CareFirstNPI- (R) and Provider Group NumberProviders must enroll for Electronic Remittance Advice (ERA) when selecting CareFirst EFT. Please complete the Change Healthcare ERA Provider Enrollment FormM, 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
  • LOB: Line of business for which the payer is enabled for EFT with Change Healthcare
  • D: Dental
  • M: Medical
  • P: Pharmacy
  • H: Hospital