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March 21, 2024

Navigating the Change Healthcare Crisis: Insights from Benjamin Reigle

Navigating the Change Healthcare Crisis: Insights from Benjamin Reigle

Benjamin Reigle, founder and host of the Revenue Cycle podcast "My Good Friends," shares his extensive experience in the healthcare industry, including co-founding Health Rise Consulting Firm and leading initiatives at companies like McKinsey &...

Benjamin Reigle, founder and host of the Revenue Cycle podcast "My Good Friends," shares his extensive experience in the healthcare industry, including co-founding Health Rise Consulting Firm and leading initiatives at companies like McKinsey & Company and Accredited Health (now R1). He is also the CEO of Tarpon Health, a community driving automation for healthcare providers. In this episode, Benjamin dives into the topic of healthcare change, emphasizing the importance of understanding industry shifts. Stay tuned to gain insights into the evolving landscape of healthcare.

The Change Healthcare breach, as discussed in the podcast episode with Benjamin Reigle, has had a profound impact on the healthcare industry. The breach resulted in challenges with claim submission, cash flow, and data security, affecting not only the operations of Change Healthcare but also having a ripple effect on healthcare providers, payers, and patients.

The breach led to issues with claim submission, as some payers who relied solely on Change as their intermediary were unable to process claims. This created a backlog of claims and disrupted the revenue cycle for many healthcare organizations. Some providers resorted to manual processes, such as printing and mailing claims, which added complexity and delays to the billing process.

Cash flow was significantly impacted by the breach, especially for smaller healthcare entities like physician groups and community hospitals. With claims not being processed efficiently, these organizations faced financial strain due to delayed payments and uncertainty about when the situation would be resolved. The lack of cash flow threatened the financial stability of these smaller entities, highlighting the importance of having contingency plans and backup systems in place.

Data security concerns arose as a result of the breach, with questions about the extent of the data compromised and the potential implications for patient privacy. The breach raised questions about the adequacy of security measures in place and the vulnerability of healthcare systems to cyber threats. The need for enhanced data security protocols and proactive measures to prevent future breaches became a pressing issue for healthcare organizations.

Experian Health Client Communication

February 23, 2024


Experian Health is aware of Change Healthcare’s (Optum’s) announcement on February 21
about a cybersecurity incident affecting its systems. Experian’s Cyber Incident Response team and Cyber Threat Intelligence teams have been engaged and are closely monitoring the situation. We have not seen evidence of a threat to Experian. Out of an abundance of caution and consistent with Experian’s security practices, Experian has temporarily severed connectivity to Change Healthcare. During the period of this severed connectivity, there will be an impact to batch and EDI authorizations, claims and remits, claim status, eligibility, and notice of care transactions that Experian Health sends to Change Healthcare. Experian will resume connectivity to Change when it receives assurances from Change Healthcare that it has adequately contained the threat.
Payers work with a variety of clearinghouses to process data. In many cases, multiple payer connections are available although sometimes payer connectivity may be limited or even exclusive to a single clearinghouse. In the majority of cases, transactions from Experian Health route directly to the requestedpayer.

When connectivity is limited or certain routes are unavailable, however, it is common to route
traffic through another clearinghouse.
Below is a list of potentially impacted payers. Our teams are actively evaluating and rerouting
transactions when an alternative route is available and will provide an update to this list as soon as possible.

BCBS-MA Blue Cross Blue Shield of Massachusetts
Claims
13162 1199 National Benefit Fund
93044 A & I Benefit Plan Administrators
37283 AAG-American Administravie Group
72467 ACS Benefit Services Inc.
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83077 Advantek Benefit Administrators
CB159 Advisory Health Administrators
65093 Advocate Physician Partners
CB637 Aegis Administrative Services
128CA Aetna Better Health of California
128FL Aetna Better Health of Florida
68024 Aetna Better Health of Illinois
128KS Aetna Better Health of Kansas
128KY Aetna Better Health of Kentucky
128LA Aetna Better Health of Louisiana
128MD Aetna Better Health of Maryland
128MI Aetna Better Health of Michigan
46320 Aetna Better Health of New Jersey
34734 Aetna Better Health of New York
50023 Aetna Better Health of Ohio
23228 Aetna Better Health of Pennsylvania
38692 Aetna Better Health of Texas (Medicaid & CHIP)
128VA Aetna Better Health of Virginia
128WV Aetna Better Health of West Virginia
26337 Aetna Better Health Premier Plan MMAI
45221 Aetna OhioRISE
13334 Affinity Health Plan
46594 AFFINITY MEDICAL GROUP
37280 AGA
20048 Agate Resources Inc. (LIPA)
64158 Agency Services Inc
ARA01 AgeRight Advantage
AWNY6 Agewell New York
95422 AIDS Healthcare Foundation
12K01 Alabama Medicaid
91136 Alaska Carpenters Trust
44423 Alexian Brothers Community Services of TN
13550 ALICARE
AHCA1 Alignment Healthcare
26160 AllCare Advantage
58234 Alliant Health Plans of Georgia
50749 Allianz Global Assistance
37308 Allied Benefit Systems
A0701 Alta Bates Medical Group
RP016 Alterwood Advantage
13343 Amalgamated Life - PA / Alicare
75137 AmeriBen Solutions Inc.
TH095 American Family Insurance
62030 American General
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31135 American Health Advantage of Mississippi
31125 American Health Advantage of Oklahoma
31130 American Health Advantage of Tennessee
31155 American Health Advantage of Texas
1066 American Healthcare Alliance
74048 American National Ins. Co. (ANICO)
44444 American Postal Workers Union Health Plan
48055 American Progressive Life and Health Insurance Company
56195 American Trust Administrators Inc.
54763 AmeriHealth Administrators
77799 AmeriHealth Caritas Delaware
77003 AmeriHealth Caritas Florida
27357 Amerihealth Caritas Louisiana (LACare)
47073 AmeriHealth Caritas Next - A Product of AmeriHealth Caritas VIP Next, Inc.
45408 AmeriHealth Caritas Next A Product of AmeriHealth Caritas Florida, Inc.
83148 AmeriHealth Caritas Next North Carolina
81671 AmeriHealth Caritas North Carolina
84243 AmeriHealth Caritas Ohio
22248 AmeriHealth Caritas Pennsylvania
77062 AmeriHealth Caritas VIP Care
87406 AmeriHealth Caritas VIP Care - Delaware DSNP
77013 AmeriHealth Caritus VIP Care Plus (Michigan)
77002 Amerihealth District of Columbia
77001 AmeriHealth NorthEast
64090 AmFirst Insurance Company (payer only accepts Secondary claims)
24818 Amida Care
79966 Amida Care Medicare
37105 Amita Health Medical Care Group
34192 Antares Management Solutions
29370 Anthem Ohio Medicaid
34196 Apex Benefit Services
83112 Apex Health
11081 Arcadia Healthcare Solutions - IPG
36364 Arcadia Healthcare Solutions - NPA
39185 ARISE
61184 Arkansas Superior Select
6603 ASAGEHA
AAMG1 Asian American Medical Group
46156 Aspire Health Plan
36483 Aspirus Medicare Advantage
75068 Assurant Health Self Funded
74240 Assured Benefits Administrators
84320 Astiva Health
87020 Atlantic Coast Life
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AVA01 Avalon Administrative Services
46045 Avera Health Plans
87098 Avesis (Vision)
59274 AvMed Inc.
65101 AXA Assistance_USA
77005 Bakersfield Family Medical Group
12X42 Banner Health
SX145 Banner Health AZ
84323 Banner Medicare Advantage Prime HMO
81079 BayCare Select Health Plans
63100 Behavioral Health Systems
99320 Benefit & Risk Management Services
48611 Benefit Management Inc. of KS
37212 Benefit Management Systems Inc
88052 Benefit Plan Administrators
39081 Benefit Plan Administrators Co. (Eau Claire WI)
38238 BeneSys, Inc.
95606 Berkshire Lehigh Partners
62183 Better Health Plans Inc.
CB987 Black Hawk
3036 Blue Benefit Administrators of MA
12B54 Blue Cross Blue Shield of Alabama
77078 Blue Cross Blue Shield of Arizona Advantage
SB580 Blue Cross Blue Shield of District of Columbia (Carefirst)
12000 Blue Cross Blue Shield of District of Columbia (Carefirst)
SB971 Blue Cross Blue Shield of Hawaii (HMSA)
SB690 Blue Cross Blue Shield of Maryland (Carefirst)
12011 Blue Cross Blue Shield of Maryland (Carefirst)
12B15 Blue Cross Blue Shield of Missouri (Blue Cross)
BCSVT Blue Cross Blue Shield of Vermont
BOONG Boon Administrative Services
22286 BritCay
35182 Brodart
51037 Brokerage Concepts
94316 Brown & Toland Medical Group
BTHS1 Brown and Toland Health Services
42020 Buckeye Ohio Medicaid
42150 Butler Benefit
23708 C&O Employees Hospital Association
CAIPA California IPA
71057 Cannon Cochran Management Services Inc. Metairie LA
95399 CAP Management Systems
12X03 Capital District Physicians Health Plan
95112 Capital Health Plan
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68011 Capitol Administrators
12K89 Care Access Health Plan (CAHP)
77082 Care Improvement Plus
66010 Care N' Care
57116 Care1st Health Plan of Arizona - Medicaid (DOS < 11/30/22)
11345 CareCentrix
14182 CareCore National
14180 CareCore National LLC (Oxford Radiology Claims)
14188 CareCore/WCNY RAD
75191 CareFirst Administrators/NCAS (Charlotte, NC)
75190 CareFirst Administrators/NCAS (Fairfax, VA)
93975 CareOregon Inc.
16307 CarePartners of Connecticut
31500 CareSource Ohio Medicaid
65391 CBHNP - HealthChoices
95167 Cedars-Sinai Medical Network Services
68063 Celtic Insurance
99111 Cencal Health
94312 Center for Elders Independence
13360 CenterLight Healthcare
23626 Central Pennsylvania Teamsters Fund
13193 Central Reserve Life Ins Co-Medicare Supplement
36215 Central States Health & Welfare Funds
84146 CHAMPVA - HAC
CHERO Cherokee Nation Comprehensive Care Agency
34154 Chesterfield Resources Inc.
80141 Childhealth Plus by Healthfirst (CHP)
94321 Children First Medical Group
33065 CHOC - Children's Hospital Of Orange County Health Alliance
38308 Christian Brothers Services
59355 Christian Care Ministries
10629 Christus Health Medicare Advantage
52106 Christus Health TX HIX
38219 ClaimChoice Administrators (DOS >1.1.21)
11752 ClaimsBridge HPN
85468 Clear Spring Heath
13285 Clover Health
51579 Coastal Communities Physician Network
42049 Cofinity - Group Resources
22284 Colonial Medical
88091 Commercial Travelers/PHX
14315 Commonwealth Care Alliance
14316 Commonwealth Care Alliance - Medicare Advantage
60995 Community Care Inc. - Family Care (Wisconsin)
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73143 Community Care Managed Health Care Plans of Oklahoma
35193 Community Health Alliance
48145 Community Health Choice
75261 Community Health Electronic Claims/CHEC/webTPA
37322 Companion Life
37363 Compsych
6105 ConnectiCare Inc
75284 Consolidated Associates Railroad
87843 Consolidated Health Plans
45321 Consumers Choice Health SC
99433 Contessa Health
46478 Continuum (formerly Marrick WRx)
55544 Conversion Plan-APWU
THCP9 Cook Children STAR Plan
58231 Core Administrative Services
43160 Corizon Inc.
35202 Cornerstone Benefit Adminstrators
CB268 Cornerstone Preferred Resources
CMSP1 County Services Medical Program
58102 Covenant Administrators, Inc.
64068 Creative Medical Systems
CC304 Curaechoice
38261 Dell Children's Health Plan (DCHP)
63740 DentaQuest Vision
84133 Denver Health and Hospital Authority
DESRT Desert Medical Group
44006 Desert Oasis Healthcare
27133 Dignity Health MSO
12001 District of Columbia Medicaid
6102 Diversified Administration Corporation
74284 Driscoll Children's Health Plan
35186 Dunn and Associates Benefits Administrators Inc.
TH084 Early Intervention Central
66122 Eastland Medical Group
31074 EBMC
31625 ElderPlan Inc.
4326 Element Care Inc.
EMP01 Empire Physician's Medical Group
42149 Employee Benefit Systems
35112 Employee Plans LLC
20818 Essence Healthcare
RP037 Eternal Health
35605 Everence I & P
32052 Everpointe
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62160 eviCore
59313 Evolutions Healthcare Systems (New Port Richey FL)
22344 Exceedent LLC
12B38 Excellus - BCBS Utica Watertown
12B40 Excellus - Blue Cross Blue Shield Rochester Area
71412 ExclusiCare
22254 Fallon Community Health Plan
88055 First Agency
FCC01 First Carolina Care
91131 First Choice Health Administrators
57103 First Choice Next (SC)
32456 First Choice VIP Care (SC - DSNP)
77009 First Choice VIP Care Plus by Select Health of South Carolina
59322 Florida Health Care Plan
48116 Florida Hospital Waterman
48117 FMH Benefit Services Inc.
64069 Fox-Everett Inc.
99660 Fresno PACE
34171 FrontPath Health Coalition
25169 Gateway Health Plan Medicaid PA
75273 Geisinger Health Plan
31140 Georgia Health Advantage
7205 Gilsbar Inc.
7689 Global Care Inc.
GEM01 Global Excel Management
GHOKC Global Health
GMICC Global Medical Management
47083 GMS Inc.
76923 Good Shephard Hospice Inc.
45235 Government Employees Health Association (Multiplan)
GRV01 Gravie Inc.
36338 Group Administrators Ltd.
CB951 Group Benefit Services Inc.
39167 Group Health Cooperative of South Central Wisconsin
64246 Guardian Life Insurance Company of America
47738 Hamaspik Choice
59143 Harrington Health Non-EPO
62061 Harrington Health-Kansas (formerly known as Fiserv Health-Kansas)
4245 Harvard Community Health Plan
4271 Harvard Pilgrim
12K62 Hawaii Medicaid
62180 Health Change Pathway
62179 Health Choice Arizona
46221 Health Choice Insurance Co
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62111 Health Cost Solutions
34158 Health Design Plus (Hudson OH)
RP039 Health First Health Plans
TH049 Health Management Administrators (HMA)
4286 Health New England
SX030 Health Options Inc (FL - BCBS HMO)
80142 Health Partners of Philadelphia
20270 Health Payment Systems Inc.
83253 Health Plan of Michigan
68035 Health Plan of San Joaquin
44273 Health Plans Inc.
37290 Health Services for Children with Special Needs
HCH01 Healthcare Highways
56731 Healthcare Resources NW
73147 Healthcare Solutions Group
71064 HealthChoice Oklahoma
85729 Healthcomp Inc.
56144 Healthgram Inc.
55204 Healthnow Division
94267 Healthpartners
59140 HealthPlan Services
75237 Healthsmart Accel
37272 HealthSmart Benefit Solutions
87815 HealthSmart Benefit Solutions fka Wells Fargo TPA.Inc.
75250 HealthSmart Preferred Care Inc.
60058 Hennepin Health
30862 Heritage Victor Valley Medical Group
95393 High Desert Medical Group
95461 Highmark Senior Solutions (WV)
46 Hill Physicians Medical Group
HPIPA Hispanic Physicians IPA (Encounters Only)
12T11 HMA - Health Management Admin
86066 HMA Hawaii
75318 HMC HealthWorks aka Health Management Co
84555 HMO Louisiana Inc
91164 HMSO-Highline Medical Service Organization
HLSTA Holista (Novant Health Direct to Employer)
88023 Hometown Health Plan Nevada
37224 HSBS Memphis
37256 HSBS Oklahoma City
31172 HSBS World Trade Center Health Program
37137 HSHS Medical Group IPA
61103 Humana Ohio Medicaid
94154 Humboldt-Del Norte Foundation for Medical Care
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54750 Huron PACE
37279 IAA
19028 IBM Business Transformation Outsourcing Insurance Services Corporate
26054 iCare Health Solutions
97661 IEC Group - AmeriBen
41600 I'Mcare
40585 INDECS Corporation
TA720 Independence Administrators
MHM01 Independence Medical Group
12X01 Independent Health
SX073 Independent Health
INDPM Independent Physicians at Mercy
12X75 Indian Health Services
SX171 Indian Health Services
35600 Indiana Childrens Special Health Care Services
35107 Indiana Teamsters Health Benefits Fund (Indianapolis IN)
95444 Indiana University Health Plan
26212 Indiana University Health Plan (Commercial)
30360 Individual Assurance Company
31053 Individual Health Insurance Companies
43471 Inetico Inc.
52196 Informed LLC
38343 Ingham Health Plan Corporation
31182 InnovAge
TH012 Insurance Services of Lubbock
39182 InsuranceTPA.com
86304 Insurers Administrative Corp.
51020 Integra Administrative Group (Seaford DE)
31127 Integra Group
20050 Integrated Medical Solutions LLC
23287 Intergroup Services Corporation
93116 Interlink
11329 International Benefit Administrator
RP075 Iowa Health Advantage
47262 IU Health Transplant Evaluation Program
JLSFE JLS Family Enterprises
38310 JOHN MORRELL COMPANY CO. - AHPBA
68036 John Muir Mt. Diablo Health System
66003 Johns Hopkins Health Advantage
52189 Johns Hopkins Healthcare (EHP/PP)
52123 Johns Hopkins Healthcare (USFHP)
43178 Joplin Claims / Benefit Management Inc
34136 JP Farley Corporation
91617 Kaiser Foundation Health Plan of Colorado
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94123 Kaiser Foundation Health Plan of Hawaii
94135 Kaiser Foundation Health Plan of Northern CA Region
52095 Kaiser Foundation Health Plan of the Mid-Atlantic States Inc.
21313 Kaiser Permanente of Georgia
94320 Kaiser Self Funded
40137 Kalos Heath
KCIPA Kane County BCBS
71066 Kansas Superior Select
95279 Keenan Associates (CA)
73100 Kempton Company
77039 Kern Health Systems
37217 Key Benefit Administrators (Indianapolis IN)
37321 Key Select
37323 Key Solution
23284 Keystone First
42344 Keystone First Community HealthChoices
77741 Keystone First VIP Choice
34145 Klais & Company
KPS01 KPS-Kitsap Physician Services
72107 LA Blue Advantage Louisiana
LACAR LA Care Health Plan
37116 Lake County Physicians Association
66125 Lakeside Medical Group
LNDMK Landmark Healthcare Inc
52193 LBA Health Plans
37316 Leon Medical Center Health Plan
LIB01 Liberty Advantage Health Plan (HMO SNP)
87071 Liberty Health Advantage
37281 Liberty Union
25181 LIFE Pittsburgh
41136 Life Trac
71498 LifeCircles PACE
76870 LifePath Hospice Inc
LWA01 Lifeworks Advantage
CB752 Lockard & Williams
37267
Loma Linda University Adventist Health Sciences Center Employee Health
Plan
33036 Loma Linda University Healthcare
SKLA2 Louisiana Medicaid - Ambulance claims
37175 Loyola Physician Partners
88056 Lucent Health Solutions
82694 Lucentis Copay Program
35183 Luminare Health (CoreSource OH)
35187 Luminare Health Internal (CoreSource-Internal)
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75136 Luminare Health Little Rock (CoreSource Little Rock)
36334 MacNeal Health Providers- CHS
56139 Maestro Health Plan
MCC01 Magellan Complete Care of Arizona
MCC02 Magellan Complete Care of Virginia
1260 Magellan Health Services
11303 Magnacare
45341 Maine Community Health Options
35162 Managed Care Services LLC
52461 March Vision Care Inc.
53275 MARTINS POINT HEALTH CARE
83269 Mary Washington Health Plan
37121 Mashantucket Pequot Tribal Nation
86220 Mass Advantage
12T52 Masters Mates and Pilots Program
TH111 Masters Mates and Pilots Program
88090 Mayo Clinic FL/GA
83028 MBA Benefit Administrators Inc (Salt Lake UT)
25160 MCA ADMINISTRATORS
88058 MED PAY
74323 MedBen (Newark OH)
56821 Medcost Benefit Services Bundled Billing
78857 Medica HealthCare Plan of Florida
MAHC1 MEDICAL ASSOCIATES HEALTH PLAN
L0170 Medical Card System ( MCS )
62177 Medical Reimbursements of America
L0210 Medicare y Mucho Mas ( MMM )
95655 MediGold
35205 MedPartners Administrative Services
RP062 Medstar Family Choice, Inc (DC)
RP063 Medstar Family Choice, Inc (MD)
37050 Mental Health Consultants Inc.
86087 Merchants Benefit Administration
86052 Mercy Care Plan (AHCCCS)
33628 Mercy Maricopa Integrated Care
41124 Meritain Health Minneapolis
13265 MetroPlus Health Plan
23550 MFC & HealthPlus Peoria
47080 Midlands Choice Inc.
76079 Midwest Health Partners
SKMS0 Mississippi Medicaid
12K17 Mississippi Medicaid
SKMS1 Mississippi Medicaid
12K18 Mississippi Medicaid
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64084 Mississippi Physicians Care Network
37233 Mississippi Public Entity Employee Benefit Trust
MMS01 Missouri Medicare Select
13350 Moda Health
12X09 Molina Healthcare
38333 Molina Healthcare of California
51062 Molina Healthcare of Florida
61799 Molina Healthcare of Idaho
20934 Molina Healthcare of Illinois
38334 Molina Healthcare of Michigan
77010 Molina Healthcare of Mississippi
MLNNV Molina Healthcare of Nevada
9824 Molina Healthcare of New Mexico - Salud
20149 Molina Healthcare of Ohio
46299 Molina Healthcare of South Carolina
SX109 Molina Healthcare of Utah (aka American Family Care)
38336 Molina Healthcare of Washington
ABRI1 Molina Healthcare of Wisconsin
73160 Molina Ohio Medicaid
7316V Molina Ohio Medicaid Vision
12M77 Montana Medicare
13174 Montefiore Contract Management Organization
TLINS Monumental Life Insurance Company (AR)
TRCLF Monumental Life Insurance Company (IA)
TRP1E Monumental Life Insurance Company (IA, MD, PA)
TRLTC Monumental Life Insurance Company (TX)
SB941 Mountain State Blue Cross Blue Shield of West Virginia
20572 MSA Care Guard
80019 MSC (Medical Service Company) Group, Inc.
RP036 Multicare Connected Care (MCC)
34080 Multiplan Wisconsin Preferred Provider Network
81883 Municipal Health Benefit Fund
27004 My Choice Wisconsin
65085 NAA (North America Administrators L.P.) (Nashville TN)
53011 NALC/Affordable
58182 NAPHCARE INC.
ASHC1 National General
52104 National Telecommunications Cooperative Association (NTCA - Staff)
52103 National Telecommunications Cooperative Association (NTCA)
SKNE0 Nebraska Medicaid
12K19 Nebraska Medicaid
12M19 Nebraska Medicare
96107 Neighborhood Health Partnership (NHP)
5047 Neighborhood Health Plan Rhode Island
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96240 Neighborhood Health Plan Rhode Island - Exchange, Unity, Integrity
66055 Netcare Life and Health Insurance (Hagatna Guam)
77076 Network Health Insurance Corp-Medicare
39144 Network Health Plan of Wisconsin Inc.
95998 NEW AVENUES INC.
NCH11 New Century Health - IEHP Oncology
NCH09 New Century Health - Vista Cardiology
75281 New Era Life Insurance Company
12K90 New Hampshire Medicaid
12K22 New Mexico Medicaid
7707C New York Hotel Fund
81085 Next Level Health Partners
38225 NGS American Inc
88050 NHBCAUX
NHC01 NHC Advantage
81264 Nippon Life Insurance Company of America
36347 Northern Illinois Health Plan
88027 Northern Nevada Trust Fund
OSCAR Novanet
71080 Novasys Health Network
PHMD1 NP Providence Health Plan Commercial
PHMD2 NP Providence Health Plan Medicare
PHMD3 NP Providence Health Plan OHP
PHMD4 NP Yamhill County CCO
37299 Nyhart
14142 NYS DOH UCP
36400 Oak West Physician Association
69879 OCRW Orange County Health Services Dept - Ryan White Program
34189 Ohio Health Choice PPO
74431 Ohio PPO Connect
71065 Oklahoma DRS DOC
65074 Olympus Managed Health Care
22321 One Call Medical
56190 OptiCare Managed Vision
96277 Optimed Health Plans
13382 Orthonet - Uniformed Services Family Health Plan
OSFC9 OSF Healthcare Central
OSFE9 OSF Healthcare East I & P
72436 PACE Central Iowa
86711 PACE Southeast Michigan
20416 PacificSource Community Solutions
93029 PacificSource Health Plans
20377 PacificSource Medicare
94115 Palo Alto Medical Foundation
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4218 Pan American Life Insurance Group
52613 PARTNERS BEHAVIORAL HEALTH MANAGEMENT
PARTH Partners In Health
66008 Passport Advantage
61325 Passport Health Plan by Molina Healthcare
20510 Patient Physician Cooperatives
27048 Payer Fusion
20172 Pennsylvania Pace
72126 Peoples Health Network
72099 PHCS Claims (formerly American LIFECARE)
PA513 Physician Associates of the Greater San Gabriel Valley
36345 Physicians Care Network (Rockford IL only)
MHM03 Physicians Health Network
83276 Physicians Health Plan of Michigan Medicare
PMGSC Physicians Medical Group of Santa Cruz County
47027 Physicians Mutual Insurance Company
91171 Physicians of Southwest Washington
55768 PIEDMONT COMMUNITY HEALTH PLAN
24735 Pinnacle Claims Management Inc.
84109 Pinnacol Assurance
IP057 Pomona Valley Medical Group
95411 Positive Healthcare Florida (FL MCO PHC/PHP)
36373 Prairie States Enterprises Inc.
73145 Preferred Community Choice/PCCSelect/CompMed
14966 Preferred Health Partners
CB404 Preferred Health Plan of the Carolinas
41147 PreferredOne (MN)
65054 Premier Eye Care
88051 Premier HealthCare Exchange, Inc. (PHX)
5003 Presbyterian (NM)
46311 Presence ERC
61604 Prime West Health Plan
37268 Prism Network Inc.
93082 Prominence Health Plan of Nevada
83352 Prominence Healthfirst
SX133 Providence of Oregon Health Plan
77240 Providence PACE CA
SX187 Providence PPO
48100 ProviDRs Care Network
PH001 Pruitt Health Premier
PSKW0 PSKW Physician Reimbursement Program
89461 Quality Care Partners
CX077 Quality Plan Administrator, Inc
73067 QuikTrip
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57117 QVI Risk Solutions Inc.
44219 Reading Hospital Employer Group
95449 Regal Medical Group
SB611 Regence Blue Shield Idaho
12B88 Regence Blue Shield Idaho
38221 Regency Employee Benefits
79846 Reliance Community Care Partners
36396 Resurrection Healthcare Preferred
74205 Right Care from Scott & White
RIOS1 RIOS SOUTHWEST MEDICAL GROUP
RCMG1 RIVER CITY MEDICAL GROUP
45281 Riverside Health Inc.
RMC01 Riverside Medical Clinic
5178 Riverspring Health Plans (ElderServe)
AMM03 Ryan White Network
88029 SAINT MARY'S HEALTH PLAN
CP001 Samaritan Health Plans
96400 San Diego PACE
91184 Sanford Health Plan
RP035 Sanford Health Plan Medicare Advantage
24077 SANTA CLARA FAMILY HEALTH PLAN
SNTMC Sante Community Physicians Medical Group Corp
77038 Sante Health System and Affiliates
72261 SCAN Health Plan
73172 Scan Health Plan Arizona
TH002 Scott & White Health Plan
12T05 Scott & White Health Plan
10010 Sedgwick Managed Care Ohio (formerly Careworks)
15243 Sedwick Managed Care Ohio (formerly CompManagement)
93031 Select Benefit Administrators Inc.
37282 Select Benefit Administrators of America
23285 Select Health of South Carolina
61225 SelectCare of Texas (Kelsey-Seybold)
36404 Self Insured Plans (Naples FL)
34131 Self-Funded Plans Inc.
52214 Selman Tricare Supp
SWHMA Senior Whole Health Massachusetts
23249 Sentinel Management Services
SMG01 Seoul Medical Group
25404 Seven Corners
30891 Sierra Medical Group
23250 Significa Benefits Services Inc.
SIM02 Simpra Advantage Inc. (DOS > 12/31/2022)
SKSD0 South Dakota Medicaid
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SMSD0 South Dakota Medicare
23253 Spectrum Administrators Inc. - TPA Allentown PA (IHS Gateway Payer)
73099 Standard Life and Accident (Secondary claims only)
46407 Stanford Healthcare Advantage
61425 Starmark
TRP1P Stonebridge Life Insurance Company (TX)
95202 SummaCare Health Plan
37301 Summit America Insurance Services Inc.
77306 Sutter Connect - Solano Regional Medical Foundation (SRMF)
94269 Sutter East Bay Medical Foundation
77302 Sutter Gould Medical Foundation
77304 Sutter Medical Group of the Redwoods
56621 Sutter Senior Care
TALMG Talbert Medical Group
88067 Tall Tree Administrators
43619 Teamsters Medicare Trust for Retired Employees
20212 Tethys Health Ventures
TXCSM TEXAS CHILDRENS HEALTH
76048 Texas Children's Health Plan
75228 Texas Childrens Health Plan (Medicaid)
31403 Texas Independence Health Plan
68423 The Care Network/The Savannah Business Group
75600 The City of Odessa
95677 The Health Plan
23223 The Loomis Company - TPA Wyomissing PA (IHS Gateway Payer)
59227 The MEGA Life & Health Insurance Company-OKC
J1746 Thomas McGee
THIPA Torrance Hospital IPA
37284 TransChoice-Key Benefit Administrators
31118 Tribute Health Plan
SX176 Tricare for Life
12X43 Tricare for Life
SX163 Tricare for Overseas
12X46 Tricare for Overseas
12C01 Tricare West
31144 TRIHEALTH PHYSICIAN SOLUTIONS
56089 Trillium Health Resources
TRNPC Trinity Health Pace
TRIN1 Trinity HealthShare
42137 TRISTAR Benefit Administrators
L0230 TRUSTED HEALTH PLAN
91078 Trusteed Plans Service Corporation
94603 UC-Davis Health
74223 UICI Administrators
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41206 Ultra Benefits Inc.
95266 UMR - Harrington
52180 UMWA Health & Retirement Funds
35198 Unified Group Services
62170 Unified Health Services
RP064 Unified Life
UPN99 Unified Physicians Network
87042 Union Pacific Railroad Employees Health Systems
38260 United Benefit Advisors
84132 United Medical Alliance
86003 UnitedHealthcare Community Plan / PA - formerly AmeriChoice Personal Care
25175 UnitedHealthcare Community Plan / SC (formerly Unison)
88337 UnitedHealthcare Ohio Medicaid
8357V UnitedHealthcare Ohio Medicaid Vision
95999 UnitedHealthcare West (formerly PacifiCare PPO - All States)
33001 Universal Care - California
9830 University Family Care
37601 University of Illinois at Chicago Div of Specialized Care for Children
45282 University of Maryland Health Advantage
IP056 Upland Medical Group
37324 Upper Peninsula Health Group (TPA)
38337 Upper Peninsula Health Plan (Medicaid)
93092 US Benefits
12X31 US Department of Labor
90551 US Family Health Plan
74095 USAA (United Services Automobile Association)
13407 USFHP - St. Vincent Catholic Medical Centers of New York
12K42 Utah Medicaid
SKUT0 Utah Medicaid
12115 VA Fee Basis Programs
43259 Valor Health Plan
77701 Vantage Health Plan
50701 VGM Homelink
VVIPA Victor Valley IPA
25924 VieCare Life and Beaver and Life Lawrence Counties
25923 VieCare LIFE Butler
73743 Village Family Practice
VLGMD Village MD
26545 VillageCareMAX
12003 Virginia Medicaid
12004 Virginia Medicare
63114 Viva Health Plan
31626 VNA Homecare Options
85256 Wabash Memorial Hospital Association
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SX063 Washington State Dept of Labor and Industry
73155 Waterstone Benefit Administrators (Oklahoma Providers)
36337 Weiss Health Providers
35245 WellSystems LLC
80942 West Suburban Health Providers
12K28 West Virginia Medicaid
SMWV0 West Virginia Medicare
68039 Western Health Advantage
77225 Western Health Advantage
31048 Western Southern Financial Group (Cincinnati OH)
12K29 Wisconsin Medicaid
13413 Women's Integrated Network Inc. (WIN Fertility)
SX022 WPS Commercial
12X29 WPS Commercial
60646 Yale University Heath Plan
83248 Zing Choice IL (HMO)
Claim Status
AARP AARP
AETNA-BH-CA Aetna Better Health (CA)
AETNA-BH-FL Aetna Better Health (FL)
AETNA-BETTER-HEALTH-IL Aetna Better Health (IL)
AETNA-BH-KS Aetna Better Health (KS)
AETNA-BETTER-HEALTH-KY Aetna Better Health (KY)
AETNA-BETTER-HEALTH-LA Aetna Better Health (LA)
AETNA-BH-MD Aetna Better Health (MD)
AETNA-BETTER-HEALTH-MI Aetna Better Health (MI)
AETNA-BETTERHEALTH-NJ Aetna Better Health (NJ)
AETNA-BETTER-HEALTH-OH Aetna Better Health (OH)
AETNA-BETTER-HEALTH-PA Aetna Better Health (PA)
AETNA-BETTER-HEALTH-TX Aetna Better Health (TX)
AETNA-BETTER-HEALTH-VA Aetna Better Health (VA)
AETNA-LONG-TERM Aetna Long Term Care
AETNA-SENIOR-SUPP Aetna Senior Supplemental
AFLAC AFLAC
AFLAC-MCARE-SUPP AFLAC Medicare Supplement
ALL-SAVERS-BATCH All Savers
ALLIED-BENEFIT-BATCH Allied Benefit Systems
HEALTHLINK-PPO-AMERIBEN-BATCH AmeriBen
AMERICAN-GENERAL American General Life and Accident
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AMERICAN-NATL-INS-CO American National Insurance Company
AMERICAN-NATL-LIFE-TX American National Insurance Company of Texas
AM-POSTAL-WKRS-UNION American Postal Workers Union
AMERICAN-RET-LIFE-MCARESUPP American Retirement Life Ins Co Medicare Supplement
AMERITAS-LIFE Ameritas Life Insurance Company
BANKERS-FIDELITY-LIFE Bankers Fidelity Life Insurance Company
BANNER-ADV-PRIME Banner Medicare Advantage Prime HMO
BAYCARE-SELECT BayCare Select Health Plans Inc.
BEST-LIFE-HEALTH Best Life and Health
CARE-N-CARE Care N Care Insurance Company
CARE1ST-HP-AZ Care1st Health Plan Arizona
CAREFIRST-BCBS-BATCH CareFirst BCBS
CENTRAL-STATES Central States Fund
CHAMPVA CHAMPVA
CHRISTIAN-BROTHERS Christian Brothers Services
CHRISTUS-HP CHRISTUS Health Plan
HEALTHSPRING Cigna-HealthSpring
CSH-IL Clear Spring Health of Illinois
COLORADO-ACCESS Colorado Access
COMM-CARE-OK-BATCH Community Care of Oklahoma
COUNTYCARE CountyCare
CULINARY-HEALTH-FUND Culinary Health Fund UNITE HERE Health
DIVERSIFIED-ADM-CORP Diversified Administration Corporation
ELDERPLAN Elderplan
ESSENCE-HC Essence Healthcare
FARM-BUREAU Farm Bureau Health Plans
GLOBE-LIFE-ACCIDENT Globe Life and Accident Insurance Company
FIRST-UNITED-AMER Globe Life Insurance Company of New York
GOLDEN-RULE Golden Rule
GREAT-AMERICAN-INSURANCEMCARESUPP
Great American Life Ins Co Medicare Supplement
RECALL-GROUP-PENSION Group and Pension
HEALTH-CHOICE-AZ Health Choice Arizona
HEALTH-PARTNERS-PHILADELPHIA Health Partners Plans
HEALTH-SVC-CHILDREN-SPEC-NEEDS Health Services for Children with Special Needs
HEALTHCOMP HealthComp Administrators
HEALTHGRAM Healthgram
HEALTH_SMART-BATCH HealthSmart
KEY-BENEFIT-ADMIN-BATCH Key Benefit Administrators
LOCAL-1199 Local 1199
LOYAL-AMERICAN-MCARESUPP Loyal American Life Ins Co Medicare Supplement
MAGNACARE MagnaCare
MANAGED-HEALTH-NETWORK Managed Health Network
MEDBEN MedBen (Newark OH)
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MEDICA-BATCH Medica
MEDICAL-ASSOCIATES-HEALTH Medical Associates Health Plan/Health Choices
MERCY-CARE-PLAN-CAID Mercy Care Plan Medicaid
MERITAIN-HEALTH-BATCH Meritain Health
METROPLUS MetroPlus
MOLINA Molina
MOLINA_CA Molina (CA)
Molina_FL Molina (FL)
MOLINA-ID Molina (ID)
MOLINA_IL Molina (IL)
MOLINA_MI Molina (MI)
MOLINA_OH Molina (OH)
MOLINA-SC Molina (SC)
Molina_TX Molina (TX)
MOLINA_UT Molina (UT)
MOLINA_WA Molina (WA)
MUNICIPAL-HEALTH-BENEFIT Municipal Health Benefit Fund
ANTARES Mutual Health Services
NALC National Association of Letter Carriers
NETWORK-HEALTH-WI Network Health (WI)
NEW-ERA-LIFE-INS New Era Life Insurance Company
NOVASYS-HEALTH NovaSys Health
OLD-SURETY Old Surety Life Insurance
OSCAR Oscar
PACIFIC-SOURCE Pacific Source Health Plan
PACIFICSOURCE-COMMUNITYSOLUTIONS
PacificSource Community Solutions
PACIFICSOURCE-MCARE PacificSource Medicare
PAN-AMERICAN-LIFE Pan-American Life Insurance Company
PARKLAND-COMMUNITY-HP Parkland Community Health Plan
PASSPORT-ADVANTAGE Passport Advantage
PASSPORT-HP Passport Health Plan
PEOPLES-HEALTH Peoples Health
PHYSICIANS-HP-MI Physicians Health Plan of Michigan Medicare
PHYS-MUTUAL Physicians Mutual Insurance Company
PLANNED-ADMINISTRATORS Planned Administrators Inc.
PREFERRED-CARE-PARTNERS Preferred Care Partners
PROVIDENCE-HP Providence Health Plan
SANTA-CLARA Santa Clara Family Health Plan
SELECT-ADMIN-SVCS Select Administrative Services
SELMAN Selman and Company
STANDARD-LIFE Standard Life and Accident Insurance Company
TX-CHILDRENS-HP Texas Childrens Health Plan
TRANSAMERICA-FIN-LIFE Transamerica Financial Life Insurance
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TRUSTMARK Trustmark Small Business Benefits
UMR-WAUSAU-BATCH UMR Wausau
UNION-PACIFIC Union Pacific Railroad Employees
UNITED-AMER-INS-CO United American Insurance Company
UNITED-MINE-WORKERS-ASSOCIATION United Mine Workers Association
USAA-LIFE USAA Life Insurance Company
USAA-MCARE-SUPP USAA Medicare Supplement
VA-FEE-BASIS VA Fee Basis Program
VANTAGE-HEALTH-COMMERCIAL Vantage Health
WA-MCAID-INST Washington Medicaid Institutional
WA-MCAID-PROF Washington Medicaid Professional
WEB-TPA WEB-TPA
WESTERN-HEALTH-ADVANTAGE Western Health Advantage
MEDICAID-WY Wyoming Medicaid
Eligibility
AARP AARP
ABSOLUTE-TOTAL-CARE Absolute Total Care
ADMIN-CONCEPTS Administrative Concepts
ADMIN-SERVICES-INC Administrative Services Inc.
AETNA-BH-CA Aetna Better Health (CA)
AETNA-BH-FL Aetna Better Health (FL)
AETNA-BETTER-HEALTH-IL Aetna Better Health (IL)
AETNA-BH-KS Aetna Better Health (KS)
AETNA-BETTER-HEALTH-KY Aetna Better Health (KY)
AETNA-BETTER-HEALTH-LA Aetna Better Health (LA)
AETNA-BH-MD Aetna Better Health (MD)
AETNA-BETTER-HEALTH-MI Aetna Better Health (MI)
AETNA-BETTERHEALTH-NJ Aetna Better Health (NJ)
AETNA-BETTER-HEALTH-NY Aetna Better Health (NY)
AETNA-BETTER-HEALTH-OH Aetna Better Health (OH)
AETNA-BETTER-HEALTH-PA Aetna Better Health (PA)
AETNA-BETTER-HEALTH-TX Aetna Better Health (TX)
AETNA-BETTER-HEALTH-TX-CHIP Aetna Better Health (TX) CHIP
AETNA-BETTER-HEALTH-VA Aetna Better Health (VA)
AETNA-BETTER-HEALTH-WV Aetna Better Health (WV)
AETNA-LONG-TERM Aetna Long Term Care
AETNA-SENIOR-SUPP Aetna Senior Supplemental
AFLAC AFLAC
AFLAC-MCARE-SUPP AFLAC Medicare Supplement
ALL-SAVERS-BATCH All Savers
ALLIANT-HP Alliant Health Plans
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ALLIED-BENEFIT-BATCH Allied Benefit Systems
ALT-INS-RESOURCES Alternative Insurance Resources, Inc.
HEALTHLINK-PPO-AMERIBEN-BATCH AmeriBen
AMERICAN-GENERAL American General Life and Accident
AMER-INCOME-LIFE-INS American Income Life Insurance Company
AMERICAN-INS-ADMIN American Insurance Administrators
AMERICAN-NATL-INS-CO American National Insurance Company
AMERICAN-NATL-LIFE-TX American National Insurance Company of Texas
AMERICAN-NETWORK-INS-MCARE-SUPP American Network Ins. Medicare Supplement
AMERICAN-RET-LIFE-MCARESUPP American Retirement Life Ins Co Medicare Supplement
AMERICO-FIN-LIFE Americo Financial Life
AMERITAS-LIFE Ameritas Life Insurance Company
ARISE-HEALTH-PLAN-MCARE-SELECT Arise Health Plan Medicare Select Policy
ARIZONA-PHYS-MEDICAID Arizona Physicians IPA Medicaid
ARIZONA-PHYS-MEDICARE Arizona Physicians IPA Medicare
ATLANTIC-COAST Atlantic Coast Life Insurance
BANKERS-FIDELITY-LIFE Bankers Fidelity Life Insurance Company
BANNER-ADV-PLUS Banner Medicare Advantage Plus PPO
BANNER-ADV-PRIME Banner Medicare Advantage Prime HMO
BAYCARE-SELECT BayCare Select Health Plans Inc.
BENEFIT-MGMT-INC Benefit Management Inc
BEST-LIFE-HEALTH Best Life and Health
BOON-GROUP Boon Group
BRIDGEWAY-AZ Bridgeway Arizona
BUCKEYE-BATCH Buckeye
CO-EMP-HOSP-ASSOC C and O Employees Hospital Association
CAPROCK-HP Caprock Health Plans
CARE-N-CARE Care N Care Insurance Company
CARE1ST-HP-AZ Care1st Health Plan Arizona
CAREFIRST-BCBS-BATCH CareFirst BCBS
CP-CT CarePartners of Connecticut
CS-NC CareSource NC
CAROLINA-COMPLETE Carolina Complete Health
CENTRAL-RESERVE-LIFE-MCARESUPP Central Reserve Life Ins Co Medicare Supplement
CENTRAL-STATES Central States Fund
CERNER-HEALTH-PLAN Cerner Health Plan
CHAMPVA CHAMPVA
CHP-DIRECT CHP Direct
CHRISTIAN-BROTHERS Christian Brothers Services
CHRISTIE-STUDENT Christie Student Health Plans
CHRISTUS-HP CHRISTUS Health Plan
CHRISTUS-NM-MCARE CHRISTUS Health Plan New Mexico Medicare Advantage
CHRISTUS-HP-TX CHRISTUS Health Plan Texas Health Insurance Exchange
HEALTHSPRING Cigna-HealthSpring
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CSH-IL Clear Spring Health of Illinois
CAREPOINT-MEDICARE-ADVANTAGE Clover Health
CMFG-LIFE-INSURANCE CMFG Life Insurance
COLONIAL-PENN Colonial Penn
COLORADO-ACCESS Colorado Access
COMMUNITY-HEALTH-OPTIONS-WC Community Health Options
COMPSYCH Compsych Corporation
IBM-INS-OUTSOURCING Concentrix Insurance Solutions
CONSOLIDATED-ASSOC-RR Consolidated Associates Railroad
CONSUMERS-LIFE Consumers Life
CONTINENTAL-GEN-MCARESUPP Continental General Ins Co Medicare Supplement
COUNTYCARE CountyCare
COX-HP Cox Health Plans
CULINARY-HEALTH-FUND Culinary Health Fund UNITE HERE Health
DELTA-DENTAL-CA Delta Dental of California
DD-FL Delta Dental of Florida
DD-GA Delta Dental of Georgia
DD-MO Delta Dental of Missouri
DDOFNY Delta Dental of New York
DD-NC Delta Dental of North Carolina
DD-OK Delta Dental of Oklahoma
DD-SC Delta Dental of South Carolina
DIVERSIFIED-ADM-CORP Diversified Administration Corporation
DRISCOLL-HP Driscoll Health Plan
EDUCATORS-MUTUAL Educators Mutual Insurance Association
ELDERPLAN Elderplan
EMBLEM-HEALTH-BATCH Emblem Health
EMPOWER Empower Healthcare Solutions
ESSENCE-HC Essence Healthcare
EVERENCE-FINANCIAL Everence Financial
FALLON Fallon Community Health Plan
FARM-BUREAU Farm Bureau Health Plans
FIDELITY-SECURITY-LIFE Fidelity Security Life Insurance Company
FIRST-AMERITAS-NY First Ameritas of New York
FIRSTCHOICE-HEALTH-BATCH First Choice Health
FIRST-MEDICAL-NETWORK First Medical Network
FIRSTCAROLINACARE FirstCarolinaCare Insurance Company
FOOD-BAKERY-FUND-SOCAL Food Bakery Confection Workers Fund of So Cal
GATEWAY-HEALTH-PLAN-BATCH Gateway Health Plan
GLOBAL-HEALTH Global Health
GLOBAL-ADV Global Health Medicare Advantage
GLOBE-LIFE-ACCIDENT Globe Life and Accident Insurance Company
FIRST-UNITED-AMER Globe Life Insurance Company of New York
GOLDEN-RULE Golden Rule
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GRAVIE Gravie Inc.
GREAT-AMERICAN-INSURANCEMCARESUPP
Great American Life Ins Co Medicare Supplement
RECALL-GROUP-PENSION Group and Pension
HEALTH-CHOICE-AZ Health Choice Arizona
HLTH-CHOICE-PATHWAY Health Choice Pathway Insurance Company
HEALTH-PARTNERS-PHILADELPHIA Health Partners Plans
HEALTH-PLAN-NV Health Plan of Nevada
HEALTH-SVC-CHILDREN-SPEC-NEEDS Health Services for Children with Special Needs
HEALTHBRIDGE HealthBridge
BENEFIT-ADMIN-SYS HealthComp (Benefit Administrative Systems)
HEALTHCOMP HealthComp Administrators
HEALTHEZ HealthEZ
HEALTHGRAM Healthgram
HEALTH_SMART-BATCH HealthSmart
HM-CARE-ADV HM Care Advantage
HOORAY-HLTH Hooray Health
PITTMAN-ASSOC HSBS Memphis
HUMANA-DENTAL Humana Dental
INDEPENDENCE-ADMIN Independence Administrators
INDEPENDENT-HEALTH Independent Health
IUHP-MCARE Indiana University Health Plan Medicare
INLANDEMPIRE-BATCH Inland Empire Health Plan
INTEGRA-ADMIN-GROUP INTEGRA Administrative Group
INTEGRATED-MENTAL-HLTH-SVC Integrated Mental Health Services
INT-BENEFITS-ADM International Benefits Administrators
JOHN-HOPKINS Johns Hopkins Priority Partners and EHP
KAISER-FHP-HI Kaiser Foundation Health Plan of Hawaii
KAISER-FHP-HI-MCARE Kaiser Foundation Health Plan of Hawaii Medicare
KMAT Kaiser Foundation Health Plan of the Mid-Atlantic States
KGA Kaiser Permanente of Georgia
KEMPER-BENEFITS Kemper Benefits
KEY-BENEFIT-ADMIN-BATCH Key Benefit Administrators
KEY-HEALTHY-PARTNERS Key Healthy Partners
KEYSOLUTION KeySolution
LIBERTY-NAT-LIFE Liberty National Life Insurance Company
LIFEWISE-HP-OR-BTCH Lifewise Health Plan of Oregon
LINCOLN-FINANCIAL-GROUP Lincoln Financial Group
LOCAL-1199 Local 1199
LOUISIANA-HEALTHCARE Louisiana Healthcare Connections
LOYAL-AMERICAN-MCARESUPP Loyal American Life Ins Co Medicare Supplement
CORESOURCE-FMH Luminare Health (fkaCoreSource Kansas FMH)
CORESOURCE-LITTLEROCK Luminare Health (fkaCoreSource Little Rock)
CORESOURCE-MD-PA-IL Luminare Health (fkaCoreSource MD, PA, IL, NC, IN)
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CORESOURCE-OH Luminare Health (fkaCoreSource OH)
MAESTRO-HEALTH Maestro Health
MAGNACARE MagnaCare
MAGNOLIA-HP-BATCH Magnolia Health Plan
MANAGED-HEALTH-NETWORK Managed Health Network
MANAGED-HEALTH-WISCONSIN Managed Health Services Wisconsin
MANHATTAN-LIFE Manhattan Life
MAPFRE-MCARE-EXCEL MAPFRE Medicare Excel
MARTINS-POINT Martins Point
MARTINS-POINT-CARE Martins Point Medicare
MARY-WA-HP Mary Washington Health Plan
MASS-ADV Mass Advantage
MEDBEN MedBen (Newark OH)
MEDICA-BATCH Medica
MEDICA-BATCH Medica
MEDICA-HC-FL Medica HealthCare Plans of Florida
MEDICAL-ASSOCIATES-HEALTH Medical Associates Health Plan/Health Choices
MEDBEN Medical Benefits Administrators / MedBen
MEDBEN Medical Benefits Administrators Inc. (Newark OH)
MEDBEN Medical Benefits Companies (Newark OH)
MEDBEN Medical Benefits Mutual (Newark OH)
MEDBEN Medical Benefits Mutual / MedBen
MEDBEN Medical Benefits Mutual Life Insurance Co.
MED-CARD-SYS Medical Card System
MEDIGOLD MediGold
MEDI-SHARE Medi-Share
MEDPAY Med-Pay
MERITAIN-HEALTH-BATCH Meritain Health
METROPLUS MetroPlus
MSEMPTEACH Mississippi State Employees and Teachers
MOLINA Molina
MOLINA_CA Molina (CA)
Molina_FL Molina (FL)
MOLINA-ID Molina (ID)
MOLINA_IL Molina (IL)
MOLINA_MI Molina (MI)
MOLINA_OH Molina (OH)
MOLINA-SC Molina (SC)
Molina_TX Molina (TX)
MOLINA_UT Molina (UT)
MOLINA_WA Molina (WA)
MOLINA_WI Molina (WI)
MOLINA-CC-AZ Molina Complete Care of Arizona
MOLINA-CC-AZ-MCARE Molina Complete Care of Arizona Medicare
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MCC-VA Molina Complete Care of Virginia
MOLINA-HC-NV Molina Healthcare of Nevada
MOLINA-NM Molina Healthcare of New Mexico
MOLINA-OH-MP Molina Healthcare of Ohio Marketplace
MEDICAID-MT-BATCH Montana Medicaid
MORECARE-ADV MoreCare Advantage HMO
MUNICIPAL-HEALTH-BENEFIT Municipal Health Benefit Fund
ANTARES Mutual Health Services
NALC National Association of Letter Carriers
NE-TOTAL-CARE Nebraska Total Care
NETWORK-HEALTH-WI Network Health (WI)
HEALTH-NETWORK-CORP Network Health Insurance Corp.
NEW-ERA-LIFE-INS New Era Life Insurance Company
MEDICAID-NH New Hampshire Medicaid
NY-HOTEL-FUNDS New York Hotel Funds
MEDICAID-NY-NAME New York Medicaid Name Search
NIPPON-LIFE Nippon Life Insurance Company
NORTHWEST-ADMIN Northwest Administrators
OCHSNER-HP-ADV Ochsner Health Plan Medicare Advantage
OLD-SURETY Old Surety Life Insurance
OPTUM-MED-NETWORK Optum Medical Network
OPTUMCARE OptumCare
OPTUMHEALTH-BEHAVIORAL OptumHealth Behavioral Solutions
OSCAR Oscar
PACIFIC-SOURCE Pacific Source Health Plan
PACIFICSOURCE-COMMUNITY-SOLUTIONS PacificSource Community Solutions
PACIFICSOURCE-MCARE PacificSource Medicare
PAN-AMERICAN-LIFE Pan-American Life Insurance Company
PASSPORT-ADVANTAGE Passport Advantage
PASSPORT-HP Passport Health Plan
PAYERFUSION PayerFusion
PENN-TREATY-MCARE-SUPP Penn Treaty Network America Ins Medicare Supp
PEOPLES-HEALTH Peoples Health
PERSONAL-ADMIN Personal Insurance Administrators (PIA)
PHP-MI PHP of Michigan
PHYSICIANS-HP-MI Physicians Health Plan of Michigan Medicare
PHYS-MUTUAL Physicians Mutual Insurance Company
PIEDMONT Piedmont
PLANNED-ADMINISTRATORS Planned Administrators Inc.
PREFERRED-CARE-PARTNERS Preferred Care Partners
PRIORITYHEALTH Priority Health
PROMINENCE-HEALTH-PLAN Prominence Health Plan
PHP-FL-ADV Prominence Health Plan of Florida (Medicare Advantage)
PHP-NV-ADV Prominence Health Plan of Nevada (Medicare Advantage)
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PHP-TX-ADV Prominence Health Plan of Texas (Medicare Advantage)
PROVIDENCE-HP-MCARE Providence Health Plan Medicare
PROVIDENT-AMERICAN-MCARESUPP Provident American Life And Health Ins Co Medicare
Supplement
RELIANCE-STANDARD QuikTrip Corporation
RELIANCE-STANDARD Reliance Standard Life
RENAISSANCE Renaissance Life and Health
RCKY-MTN-ELIG Rocky Mountain Health Plan
RCKY-MTN-MD-ELIG Rocky Mountain Medicaid Health Plan
ROYAL-NEIGHBORS Royal Neighbors of America
SAMARITAN-HP Samaritan Health Plans
SAMBA-HP SAMBA Health Benefit Plan
SANA-HLTH SANA Health
SELMAN Selman and Company
SENIOR-DIMENSIONS Senior Dimensions
SENIOR-WHOLE-MCAID Senior Whole Health of Massachusetts Medicaid
SENIOR-WHOLE-MCARE Senior Whole Health of Massachusetts Medicare
SHARED-HLTH-MS Shared Health Mississippi
SIERRA-HEALTH-BATCH Sierra Health and Life
SIGNIFICA Significa Benefit Services TPA
SILVERSUMMIT-HP SilverSummit Healthplan
MEDICAID-SD South Dakota Medicaid
SPECIAL-AGENTS-MUTUAL Special Agents Mutual Benefit Association
SPJST-MCARESUPP SPJST Medicare Supplement
SVCMC-NY St Vincent Catholic Medical Centers of New York
STANDARD-INSURANCE Standard Insurance
STANDARD-INSURANCE-NY Standard Insurance of New York
STANDARD-LIFE Standard Life and Accident Insurance Company
STANFORD-HC-ADV Stanford Healthcare Advantage (SHC)
STUDENT StudentResources
SUMMIT-AMERICA Summit America Insurance Services
SUNFLOWER-STATE-HP Sunflower State Health Plan
SUNSHINE-STATE-BATCH Sunshine State Health Plan
SUPERIOR-HP-TX-BATCH Superior HealthPlan of Texas
BIND Surest
SUTTER-SELECT Sutter Select
TX-CHILDRENS-HP Texas Childrens Health Plan
HEALTHPLAN-WV The Health Plan of West Virginia
THE-ULLICO-COMPANIES The ULLICO Family of Companies
Three Rivers Health Plans Three Rivers Health Plans
THRIVENT Thrivent
TOTAL-HEALTH Total Health Care
TRANSACTRX TransactRX Part D
TRANSAMERICA-FIN-LIFE Transamerica Financial Life Insurance
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TRANS-LIFE-INS Transamerica Life Insurance
TRIPLE-S-ADV Triple-S Advantage
TRIPLE-SALUD-BCBSPR Triple-S Salud (BCBS Puerto Rico)
TRUSTMARK Trustmark Small Business Benefits
UCARE-MINNESOTA-COMM UCare of Minnesota
UCARE-MINNESOTA-MEDICAID UCare of Minnesota Medicaid
UCARE-MINNESOTA-MEDICARE UCare of Minnesota Medicare
UMR-WAUSAU-BATCH UMR Wausau
UNION-PACIFIC Union Pacific Railroad Employees
BETTER-HEALTH Unison Health Plan
BETTER-HEALTH Unison Health Plan
UNITE-HERE Unite HERE Health-LV
UNITED-AMER-INS-CO United American Insurance Company
UNITED-MINE-WORKERS-ASSOCIATION United Mine Workers Association
UNITED-TEACHER-MCARESUPP United Teacher Associates Medicare Supplement
UNIVERSITY-CARE-ADVANTAGE-AZ University Care Advantage Arizona
UNIVERSITY-FAMILY University Family Care
UNIVERSITY-PHYS-ADVANTAGE University Physicians Care Advantage
US-FAM-HP US Family Health Plan
USAA-LIFE USAA Life Insurance Company
USAA-MCARE-SUPP USAA Medicare Supplement
VA-FEE-BASIS VA Fee Basis Program
VA-HAC VA Health Administration Center
VANTAGE-HEALTH-COMMERCIAL Vantage Health
VANTAGE-HEALTH-MEDICARE Vantage Health Medicare
VILLAGE-FAMILY-PRACTICE Village Family Practice
WEB-TPA WEB-TPA
WPAS Welfare and Pension Administration Service (WPAS)
WELLFLEET Wellfleet Group LLC
WV-CHIP West Virginia CHIP
WS-FINANCIAL-GRP Western and Southern Financial Group
WESTERN-HEALTH-ADVANTAGE Western Health Advantage
WHA-MCARE Western Health Advantage Medicare
WESTERN-SKY Western Sky Community Care
MEDICAID-WY Wyoming Medicaid
Notice of Care
BCBS-MA Blue Cross Blue Shield of Massachusetts

 

[00:01:15] Change in healthcare industry.

[00:04:42] Cybersecurity breach at Change.

[00:08:55] Cash flow challenges for healthcare groups.

[00:13:37] Major issues in healthcare cybersecurity.

[00:16:28] Hackers demanding ransom for data.

[00:20:45] Cybersecurity threats in healthcare.

[00:24:40] Healthcare system vulnerabilities.

[00:29:53] Lack of transparency in communication.