Medical & Hospital Real-Time Enrollment Forms

Each provider must be set up in the Change Healthcare system to access Real-time functions.

New customers: Please contact the sales team regarding Real-time products.
Current customers: Please contact your vendor for assistance.

Commonly Used Real-time Enrollment Forms


Real-time Payer Enrollment Forms

Title Payer ID States
MEDICARE PART A & B - ALL STATES - 00431 - Realtime 00431 States unavailable for MEDICARE PART A & B - ALL STATES - 00431 - Realtime
Michigan BCBS - Real Time BCMIC Michigan
Delaware Medicaid - DWMCD DWMCD Delaware
Real Time Site Replication Payer ID unavailable for Real Time Site Replication States unavailable for Real Time Site Replication
Real Time NPI Payer Add - Existing Clients Payer ID unavailable for Real Time NPI Payer Add - Existing Clients States unavailable for Real Time NPI Payer Add - Existing Clients
Florida Medicaid - Real Time 36 Florida
South Dakota BCBS - Real Time BCSDC South Dakota
Wyoming Medicaid - Real Time WY Wyoming
Vermont Medicaid - Real Time VT Vermont
California Medicaid - Realtime CA California
Pennsylvania BCBS - Real Time BCPAC Pennsylvania
Mountain State BCBS WV MTNST States unavailable for Mountain State BCBS WV
Veteran's Administration VAFEE States unavailable for Veteran's Administration
Capital Blue Cross Real Time BCCBC States unavailable for Capital Blue Cross Real Time
Arkansas BCBS BCARC Arkansas
KAISER - Real Time KAISER States unavailable for KAISER - Real Time
Independence BCBS - Real Time BCIBC States unavailable for Independence BCBS - Real Time
CarePlus Health Plan Realtime CPHP States unavailable for CarePlus Health Plan Realtime
Health Partners - Real Time HPMN Minnesota
Wyoming BCBS - Real Time BCWYC Wyoming
North Dakota BCBS - Real Time BCNDC States unavailable for North Dakota BCBS - Real Time
MEDICARE MEDX States unavailable for MEDICARE
NEBRASKA MEDICAID REALTIME NEBMD Nebraska
Delaware BCBS - Real Time BCDEL Delaware
Michigan Medicaid - Realtime MI Michigan
Maryland Medicaid - Realtime MD Maryland
AETNA - Realtime Aetna ~All States
Freedom BCBS FRBLU States unavailable for Freedom BCBS
CHC MID TID TPG CREATION FORM Payer ID unavailable for CHC MID TID TPG CREATION FORM States unavailable for CHC MID TID TPG CREATION FORM
Nevada Medicaid NV Nevada
North Carolina Medicaid NC North Carolina