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
Michigan BCBS - Real Time BCMIC Michigan
Arkansas BCBS BCARC Arkansas
Delaware Medicaid - DWMCD DWMCD Delaware
Freedom BCBS FRBLU States unavailable for Freedom BCBS
Mountain State BCBS WV MTNST States unavailable for Mountain State BCBS WV
Health Partners - Real Time HPMN Minnesota
NEBRASKA MEDICAID REALTIME NEBMD Nebraska
Nevada Medicaid NV Nevada
Florida Medicaid - Real Time 36 Florida
Maryland Medicaid - Realtime MD Maryland
Vermont Medicaid - Real Time VT Vermont
AETNA - Realtime Aetna ~All States
North Carolina Medicaid NC North Carolina
South Dakota BCBS - Real Time BCSDC South Dakota
Veteran's Administration VAFEE States unavailable for Veteran's Administration
Michigan Medicaid Realtime MI Michigan
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
California Medicaid - Realtime CA California
Real Time Site Replication Payer ID unavailable for Real Time Site Replication States unavailable for Real Time Site Replication
Wyoming BCBS - Real Time BCWYC Wyoming
Pennsylvania BCBS - Real Time BCPAC Pennsylvania
KAISER KAISER States unavailable for KAISER
MEDICARE MEDX States unavailable for MEDICARE
Wyoming Medicaid - Real Time WY Wyoming
CarePlus Health Plan Realtime CPHP States unavailable for CarePlus Health Plan Realtime
Independence BCBS - Real Time BCIBC States unavailable for Independence BCBS - Real Time
North Dakota BCBS - Real Time BCNDC States unavailable for North Dakota BCBS - Real Time
Capital Blue Cross Real Time BCCBC States unavailable for Capital Blue Cross Real Time
Delaware BCBS - Real Time DE BC Delaware