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Co Central Senior Care Central States Funds Central States Indemnity CHA Health CHA Health (Kentucky) CHAMPVA – HAC CHC Care of South Carolina CHC Florida Christian Brothers Services Christian Care Ministries Cigna APWU Cigna Great West Cigna Healthspring Cigna HMO Cigna International Cigna Medicare Cigna NALC Health Cigna Open Access Cigna Samba Cimarron Commercial Cincinatti Health CareSource Citrus Care Claims Management Services Clover Health CNIC Health Solutions Colonial Penn Ins Colorado Access Columbus Health CareSource Commonwealth Care Alliance Community Care Network Community Care of Oklahoma Community Health Choice Community Health Group Community Health Plan of MI Community Health Plan of WA Comprehensive Care Services Connecticare Connecticut General Life Conseco Consociate Dansig Continental Gen. 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Blue Hill Physicians HIP NY HMA (Healthcare Mgmt Admin) Holden Pepsi-Cola Hometown Health Plan HOP (Health Options Program) Administration Unit Horizon Horizon BCBS Horizon NJ Health Hudson Health Humana Humana Medicare Humana Military Humana of Florida IlliniCare Indecs Independence Administrators Independence Blue Cross Independent Health Ingham Health Plan Inland Empire Health Plan Integra BMS Inter Valley Health Plan IU Health Jackson Memorial Hospital Johns Hopkins Emp. Hlth Plans Johns Hopkins Medicine JP Farley Corp Kaiser (Colorado) Kaiser (Georgia) Kaiser (Hawaii) Kaiser (Midatlantic) Kaiser (N. California) Kaiser (Northwest) Kaiser (Ohio) Kaiser (S. California) Kaiser Foundation Washington Kanawha Health Katy Medical Group Key Benefit Admin Inc. Keysolution Keystone Connect Keystone First Keystone VIP Choice Klais KPS Health Plans L.A. Care Lifestyle Lifetime Benefit Solutions(RMSCO) Lifewise Health Plan of Oregon Lifewise Plan of WA Lincoln Heritage Loomis Loyal American Life Medicare M Plan of Indiana M.D. IPA Magellan Behavioral Health MagnaCare Magnolia Healthplan Mail Handlers Benefit Plan Maine Community Health Options MAMSI – Midatlantic Med Svcs Managed Health Services Manatee Health Manhattan Life March Vision Maricopa Care Advantage Maricopa Health Plan Maricopa Integrated Health Sys Martins Point Maryland Physician Care MassHealth McLaren HP MedBen MedCost Benefit Services Medica Medica IFB Medica MA Medicaid (WV) Carelink Medicaid (WV) Unicare Medicaid (WV) Unisys Medicaid Alabama Medicaid Alaska Medicaid Arkansas Medicaid Colorado Medicaid Connecticut Medicaid Delaware Medicaid Florida Medicaid Georgia Medicaid Hawaii Medicaid Idaho Medicaid Illinois Medicaid Indiana Medicaid Iowa Medicaid Kansas Medicaid Kentucky Medicaid Louisiana Medicaid Maine Medicaid Maryland Medicaid Michigan Medicaid Michigan Pending Medicaid Minnesota Medicaid Mississippi Medicaid Missouri Medicaid Montana Medicaid Nebraska Medicaid Nevada Medicaid New Hampshire Medicaid New Jersey Medicaid New Mexico Medicaid New York Medicaid North Carolina Medicaid North Dakota Medicaid Ohio Medicaid Oklahoma Medicaid Oregon Medicaid Pennsylvania Medicaid Puerto Rico Medicaid Rhode Island Medicaid South Carolina Medicaid South Dakota Medicaid Texas Medicaid Utah Medicaid VA Medicaid Vermont Medicaid Virginia Medicaid Washington Medicaid Washington DC Medicaid West Virginia Medicaid Wisconsin Medicaid Wyoming Medi-Cal California Medical Mutual of Ohio Medical Outreach Ministries AL Medicare Medicare DC Medicare MD Medicare NY Medicare VA Medico Insurance Company MediGold MedStar MedStar Family Choice Megalife (Oklahoma City) Memorial Care BCI Memorial Care TPA Memorial Clinical Associates Mercy Care Plan (Arizona) Meridian Health Plan MI Meritain Meritain Health Mesa Chip MetLife Dental Family MetroPlus Metropolitan Health Plan Michigan Child Mid Atlantic Medical (MAMSI) Mid-American Benefits Midwest Security Admin Minuteman Health Mississippi Administrative Services MMSI (Mayo Health) Moda Health Molina (South Carolina) Molina Healthcare (California) Molina Healthcare (Florida) Molina Healthcare (Illinois) Molina Healthcare (Indiana) Molina Healthcare (Michigan) Molina Healthcare (New Mexico) Molina Healthcare (Ohio) Molina Healthcare (Texas) Molina Healthcare (Utah) Molina Healthcare (Washington) Montifiore CMO MS Children’s Health MS State Emps and Teachers MSI Mutual Assurance Admin Mutual of Omaha MVP Healthcare MVP Healthcare (New York) National Vision Admin. Natl Assoc of Letter Carriers NEHEN – Neighborhood Health Neighborhood Health (FL) Neighborhood Health Plan Network Health Nevada Checkup CHIP New Era Life New Hampshire Healthy Families NGS American Nippon Life Ins North America Admin Northwest Administrators Northwest Diagnostic Clinic NOVA Healthcare NovaSys Health NW Plumbing & Pipefitting NY State Catholic Health Plan Ochsner Health Plan Ohana Health Plan Ohio Valley HMO (Aetna) OhioHealthy Optima Sentara OneNet Alliance Opticare Optima Health Optimum Choice Optum Health Oscar Health Oxford Health Plans Pacific Source Health Plan PacifiCare (HMO and POS) PacifiCare (PPO) PacifiCare Health Systems CA PacifiCare of Arizona PacifiCare of AZ (PPO) Pacificare of California PacifiCare of CO (HMO) PacifiCare of CO (PPO) PacifiCare of NV (HMO) PacifiCare of NV (PPO) PacifiCare of OK (HMO & POS) PacifiCare of OK (PPO) PacifiCare of OR (HMO & POS) PacifiCare of OR (PPO) PacifiCare of Texas PacifiCare of TX (HMO & POS) PacifiCare of TX (PPO) PacifiCare of WA (HMO & POS) PacifiCare of WA (PPO) PAI Benefits Paragon Benefits Paramount Partners Nat Health Plans (NC) Partnership Health Plan CA Passport Health Plan Peachcare PeachState Health Plan Peoples Health Network PHCS Healthsmart PHCS Loomis PHCS Savility Phoenix Health Plan Advantage PHP of Georgia (Atlanta-Aetna) PHP of Michigan PHP of North Ohio (Cleveland) Physician Hospital Comm Org Physicians Mutual Insurance Co Physicians United (PUP) Piedmont Administrators Emps Piedmont Community Health Plan Pinnacle Claims Management Pinnacle Physician Management Pittman and Associates POMCO Prairie States Enterprises Preferred Care Preferred Health Plan Preferred Health Systems KS Preferred One Premier Health Presbyterian Prestige Health Choice Primary Care Plus Primary PhysicianCare Prime West Health Plan Principal Financial Group Principal Life Ins. Co. (PLI) Priority Health Priority Partner Promina Health Plan Providence Health Plan Public Employees Health Prg QualCare QualCare, Inc QualChoice QualChoice of Ohio Quartz QuikTrip Corporation Railroad Medicare Recall Sys – Cor Benefit Svc Recall Sys – Grp & Pension Recall Sys – MS Admin Services Recall Sys – Prof. Benefits Recall Sys – SRT Admins Recall Sys – Underwriters Safety Regence Group Administrators Regence or other BCBS plans Regional Care Reliance Standard Life Rocky Mountain Health Plan Royal Neighbors Rural Carrier Saint Marys Health Plan (Reno) San Francisco Health Plan San Joaquin Health Plan Sanford Health Plan Santa Clara Valley Health SCAN(Senior Care Action Ntwk) Scott and White Health Plan Secure Health Plans of Georgia Secure Horizons Secure Horizons (California) Secure Horizons (HMO) Secure Horizons (Texas) Secure Horizons MedSup Select Choice (Aetna NY/NJ) Select Health ENH Select Health UT Select Senior Clinic Selectcare of Oklahoma Selectcare of Texas Self Pay Selman & Company Senior Choice (Aetna NY/NJ) Senior Whole Health Seton Care Plus Seton Employee Health Plan Share Advantage Sharp Health Plan Sierra Health Services Significa Benefit Svcs SIHO Simple, Inc Simply Healthcare SmartHealth Southern Health Services (SHS) Southwest Services Admin Special Agents Mutual Spectera Vision Care SS Healthcare Strategies Standard Insurance Standard Insurance of New York Standard Life and Accident Ins Stanislaus County MIA Program Starmark State Farm Health Insurance Staywell Staywell Kids Sterling Medicare PFFS Student Insurance SummaCare Summit Health Sunflower Health Plan Sunshine State Health Plan Superior Health Plan Texas Superior Vision TCC Tenn-Care Texan Plus Texas First Health Plan Three Rivers Admin Svcs Three Rivers Health Three Rivers Health (Unison) TLC Family Health Care Plan Todays Health Todays Options Total Healthcare TransAmerica Life Insurance Tricare East Tricare for Life Tricare for Life (Maryland) Tricare for You TriCare Prime USFHP Tricare South Tricare West Triwest PC3 Trustmark Tuality Health Alliance Tufts Health Care Tufts Health Plan Tufts Network Health UCare of Minnesota UCI Medical Group UHA Health UHC – Harken Health UHC All Savers UHC Community Plan UHC Medicare UHC Shared Services UHC West UHIS Ultimate Health Plan UMR – Healthx UMWA – United Mine Workers Underwriters Safety & Claims UniCare Unified Group Services Unison Health Plans United ALL Savers United Allies MDIPA United American Insurance United Behavioral Health United Choice Plus United Commercial Travelers United Community Medicaid United Compass Navigate Core United Golden Rule United Healthcare United Healthcare-River Valley United International United MDIPA Optimum Choice United Medical Resources (HB) United Medical Resources (UMR) United Medicare Direct United Optimum Choice United Option Student United Options United Options GEHA United Options UMR United Oxford Health United Student Resource United Teacher Assoc United UMR UnitedHealth Integrated Services Unity Health Plans Univ of MD Health Advantage Riverside Medicare Univ of MD Health Partners Riverside Medicaid Univera Universal Health University Family Care University of Utah Health Plan TSH University Physicians UPitts Medical Center UPMC For Life Medicare UPMC For You UPMC For You Medicare UPMC Health Plan (Tristate) UPMC Vision Advantage UPREHS USAA Insurance VA Fee Basis Program VA HAC Vanderbilt University Health VillageCareMax Virginia Premier Health Plans Vision Care Direct Vista Health Plan Viva Health VNS Choice VSP-Vision Service Plan VYTRA Wausau WEA Trust WebTPA Well Sense Health Plan Wellcare Wellcare Medicaid Wellcare Medicare Wellcare Ohio Medicaid WellCare PFFS WellMed Wells Fargo Wells Fargo TPAs West Virginia Family Health Plan Western Health Advantage Windsor Medicare WPS (Wisconsin) WVCH YourCare Zenith Administrators
Clearwave’s Real-Time Eligibility Platform, Enterprise EligibilityTM, Outperforms the Competition
From Clearwave’s inception in 2004, we have had the following goalsas it relates to verifying a patient’s insurance:
• Automatically run eligibility without staff involvement We do this through integration with the scheduling system or patient check-in at kiosk or using our mobile solution.
• Process transactions real-time Not the industry real-time, but the CLEARWAVE real-time which means “immediate”!
• Provide 95% coverage to insurance companies We have clients at 99%.
• Format insurance response based on our clients needs Our platform removes unwanted data.
• Add intelligence to inform staff of the exact eligibility issue This reduces research time needed to fix issues.
• Deliver world-class customer support If eligibility doesn’t go through, who do you call? CLEARWAVE!