Real-Time Eligibility Platform

Payer List

1199SEIU
AARP (United Healthcare)
AARP Medicare Complete
Absolute Total Care
Acclaim
Acordia National
ACS Benefit Services
Administrative Enterprises
Adventist Health System
Advicare
Aetna
Aetna App Int Tech
Aetna Better Health CA
Aetna Better Health FL
Aetna Better Health IL
Aetna Better Health KY
Aetna Better Health LA
Aetna Better Health MI
Aetna Better Health MO
Aetna Better Health NE
Aetna Better Health OH
Aetna Better Health Penn
Aetna Better Health TX
Aetna Better Health VA
Aetna Better Health WV
Aetna Coresource
Aetna Foreign Service
Aetna HMO
Aetna Innovation Health
Aetna Medicare
Aetna Medicare HMO
Aetna Meritain Health
Aetna Mycare Ohio
Aetna Senior Supplemental
Aetna Student Plan
Aetna Wellstar
Aetna World Bank International
Affinity Health Essentials
Affinity Health Plan
Affinity Health Plan Medicare
AFLAC
AFLAC Dental
AgeWell New York
AHCCCS – Arizona Medicaid
Allegiance
Alliant Health Plans
Allied Benefit Systems
AMA Insurance
Amalgamated Life
Ambetter
Ameriben
American Continental by Aetna
American Medical Security
American National Insurance
American Postal Workers Union
American Retirement Life Ins
Americhoice
Americhoice (New Jersey)
Americhoice (Tennessee)
Amerigroup
Amerigroup (Georgia)
Amerigroup (Texas)
Amerigroup Amerivantage Medicare
Amerigroup Medicaid
Amerihealth (DE/NJ/PA)
AmeriHealth Administrators
Amerihealth Caritas (IA)
Amerihealth Caritas (PA)
AmeriHealth Mercy Keystone
Ameritas Life Insurance Co.
Amida Care
Anthem
Anthem BCBS FEP
Anthem BCBS MD
Anthem BCBS VA
Anthem Healthkeepers
Anthem Healthkeepers Medicaid
Arizona Foundation
Arizona Physicians IPA
ASR Health
Asuris
Atrio Health
Aultcare
Austin MAP
Auxiant Health
Avesis
AvMed Health Plans
Bankers Fidelity
Bankers Life and Casualty
Banner Health
BCBS (Alabama)
BCBS (Arizona)
BCBS (Arkansas)
BCBS (Carefirst)
BCBS (Child Health Plus)
BCBS (Colorado)
BCBS (Connecticut)
BCBS (Delaware)
BCBS (Florida)
BCBS (Georgia)
BCBS (Illinois)
BCBS (Indiana)
BCBS (Iowa)
BCBS (Kansas City)
BCBS (Kansas)
BCBS (Kentucky)
BCBS (Louisiana)
BCBS (Maine)
BCBS (Massachusetts)
BCBS (Michigan-Professional)
BCBS (Michigan)
BCBS (Minnesota)
BCBS (Mississippi)
BCBS (Missouri)
BCBS (Nebraska)
BCBS (Nevada)
BCBS (New Hampshire-Anthem)
BCBS (New Jersey)
BCBS (New Mexico)
BCBS (New York-Empire)
BCBS (New York-Excellus)
BCBS (North Carolina)
BCBS (North Dakota)
BCBS (Ohio-Anthem)
BCBS (Oklahoma)
BCBS (Oregon)
BCBS (Other Plan)
BCBS (Pennsylvania)
BCBS (Rhode Island)
BCBS (South Carolina)
BCBS (South Dakota)
BCBS (Tennessee)
BCBS (Texas)
BCBS (Virginia)
BCBS (West Virginia)
BCBS (Western NY)
BCBS (Wisconsin)
BCBS (Wyoming)
BCBS Carefirst TPA
BCBS Federal Employee Plan
BCBS FELRA
BCBS Health Plus
BCBS Medicare Preferred
BCBS Out of State
BCBS SC State Employee
BCMH
Beacon Health
Beacon Health Options
Benefit Management Inc.
Benefit Plan Administrators
Benesys
Best Choice Health Plan
Best Life and Health
Better Health Plans (Unison)
Block Bravo
Block Vision
Blue Care Network of Michigan
Blue Care Network of Michigan-Professional
Blue Choice Plan
Blue Cross (Alaska)
Blue Cross (California)
Blue Cross (Idaho)
Blue Cross (PA-Northeast)
Blue Cross (UT-Regence)
Blue Cross Idaho and Premera
Blue Cross PGX
Blue Cross Washington & Premera
Blue Medicare
Blue Shield (California)
Blue Shield (Colorado-Anthem)
Blue Shield (CT-Anthem)
Blue Shield (Idaho)
Blue Shield (PA-Highmark)
Blue Shield (UT-Regence)
Blue Shield (WA-Regence)
Blue Shield of Northeastern NY
BlueCare
Bluechoice Medicaid
Bluechoice SC
Bluegrass Family Health
BMC HealthNet
Boon Chapman Benefit Admin
Bravo Health
Bridgespan
Bridgeway Health
Buckeye Community Health Plan
Capital Blue Cross
Capital Health Plan
Capitol Administrators
Care 1st Health Plan (AZ)
Care Advisor Program AL
Care Improvement Plus (UHC)
Care Oregon
Care Plus
Care1st California
Carefirst Administrators
Carefirst BCBS Allegeant
CareFirst BCBS NCAS
CareFirst BCBS NCAS HMO
Carefirst Blue Choice
Carefirst POS
Carefirst POS 580
Carefirst POS 690
CareMore
Careplus Health Plan
CareSource (Arkansas)
CareSource (Illinois)
CareSource (Indiana)
CareSource (Maryland)
CareSource (North Carolina)
CareSource (Ohio)
CareSource (Pennsylvania)
CareSource HMO
Carolina Access
Carolina Care
CDPHP
CDS Group Health
Celtic Insurance
Celticare
Centerlight Healthcare
Central California Alliance
Central Reserve Ins. 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
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. Medicare Supp.
Continental General Ins Co
Continental Life
Cook Children’s Health Plan
Cooperative Benefit Admin
Coordinated Care
CoreSource (AZ and MN)
CoreSource (FMH)
CoreSource (Little Rock)
CoreSource (MD, PA, IL)
CoreSource (NC and IN)
CoreSource (OH)
Corporate Benefits Service
Covenant Admin Services
Coventry – Advantra Freedom
Coventry – Advantra Savings
Coventry – Altius Health
Coventry – Carenet
Coventry – Group Health (GHP)
Coventry (Delaware)
Coventry (Georgia)
Coventry (Iowa)
Coventry (Kansas)
Coventry (Louisiana)
Coventry (Missouri)
Coventry (Nebraska)
Coventry Advantra (TX/NM/AZ)
Coventry Assurance
Coventry Carelink (Advantra)
Coventry Carelink Medicaid
Coventry Diamond (Caid MD)
Coventry Florida/Vista/Summit
Coventry Health and Life – NV
Coventry Health and Life – OK
Coventry Health and Life (TN)
Coventry Health Care Federal
Coventry Healthcare (Promina)
Coventry HealthCare National
Coventry Healthcare USA
Coventry Omnicare (Michigan)
Coventry PersonalCare (IL)
Coventry Southern Health Svcs
Coventry University Missouri
Coventry Vista (MCD/FHK/LTC)
Coventry WellPath Carolinas
CoventryOne
Crystal Run Health Plan
Culinary Health Fund
Custom Design Benefits
Dakota Care
Davis Vision
Dean Health Plan
Definity Health
Delta
Delta IPA
DentaQuest
Denver Health Medical Plan
Deseret Mutual Benefit Admin.
Director’s Guild
EBA and M
EBMS
EcomPPO (Consol. Railroad)
ElderPlan
Emblem Health
Empire Plan-United Healthcare
Employee Benefit Consultants
Employee Benefit Mgt Corp
Epoch
Equicor Insurance
Equicor PPO
Equitable Insurance
Essence Healthcare
EverCare – A UHC Company
Evercare (Texas)
Everence
Evergreen
EyeMed
Fallon Community Health Plan
Family Health Clinic
Family Health Systems
Federated Ins. Co.
Fidelis Care
Fidelis Care New York
Fidelis Mgd Care Medicaid
First Administrators
First Ameritas of New York
First Carolina Care
First Choice Health
First Choice SC
First Health
First Health – Mailhandlers
First Medical Health Plan Reform TSH
First Reliance Standard Life
Firstcare Health Plans
Firstcare Star MCD
Fiserv
Florida Hospital Healthcare
Fox Everett
Freedom Health
Fresenius Medical Care Health Plan
Gateway Health Plan
GEHA-Coventry
GEHA(Govt Emp Hospital Assn)
Geisinger
Geisinger Medicare
Generations Healthcare
GHI (Group Health Inc)
Gilsbar
Golden Rule
Golden Triangle Physician Alliance
Great American Life
Great West Healthcare
Great West Life
Group and Pension Admin
Group Health Coop of Eau Clair
Group Health NW
Group Resources
Guardian
Harmony Health Plan
Harrington Health
Harvard Pilgrim Health Care
Harvard STRIDE
Hawaii-Mainland Administrators
Health Alliance
Health Alliance Medical (HAP)
Health Alliance Plan MI (HAP)
Health America/Assurance
Health Choice Arizona
Health Choice Generations
Health First Health Plan
Health First Insurance
Health First Insurance TSH
Health First NY
Health Net Medi-Cal
Health Net National
Health New England
Health Plan – Harvard
Health Plan of San Mateo
Health Plans, Inc
Health Plus
HealthCare Partners
Healthcare Partners IPA
Healthchoice of Arizona
HealthComp
Healthease
Healthease Kids
Healthfirst – NY MCD
Healthfirst Inc (New York)
HealthGram
HealthNet (Arizona)
HealthNet (Northeast)
HealthNet (West)
HealthNet Federal Svcs (Tricare)
HealthNow
Healthpartners (Minnesota)
Healthpartners (Philadelphia)
Healthpartners MA
Healthscope
HealthShare OR
HealthSmart
HealthSmart – Aetna Signature
Healthsmart – P&A
Hennepin Health
Heritage Physician Network
Highmark (Other Plan)
Highmark BCBS Medicare
Highmark Blue Shield
Highmark Freedom Blue
Highmark Keystone
Highmark PPO Blue
Highmark Security Blue Comm. 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
Medi-Cal California
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
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)
Scion Dental
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
Skygen USA
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

ClearwaveTM Real-Time Eligibility Platform, Enterprise EligibilityTM, Outperforms the Competition

From Clearwave’s inception in 2004, we have had the following goals as 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 CLEARWAVETM 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? CLEARWAVETM!