Institutional CPID Professional CPID RH Payer ID CHC Payer ID
8549 4272 68069 68069
9564 4793 68069 68069 8526 7784 68069 68069 7572 7767 68069 68069 7592 7776 68069 68069 7570 7766 68069 68069 7591 7775 68069 68069 7588 7773 68069 68069 7589 7774 68069 68069 7582 7770 68069 68069 8528 7786 68069 68069 8524 7783 68069 68069 7581 7769 68069 68069 6025 9172 68069 68069 7586 7772 68069 68069 7578 7768 68069 68069 8527 7785 68069 68069 1075 8102 68069 68069 6660 6761 68069 68069 8583 7808 68069 68069 8584 7809 68069 68069 6658 6759 68069 68069 6656 6757 68069 68069 6030 9181 68069 68069 6574 9278 68069 68069 6655 6756 68069 68069 4052 8793 68069 68069 1079 8106 68069 68069 6654 6755 68069 68069 6661 6762 68069 68069 7049 9431 68069 68069 7050 9432 68069 68069 9587 7286 68069 68069 9588 7287 68069 68069 6652 6753 68069 68069 2071 1299 68069 68069 7051 9433 68069 68069 4013 8741 68069 68069 1569 1741 26375 27514 4083 8859 81671 81671 1045 7874 68069 68069 2003 8136 68069 68069 2029 8299 68069 68069 1962 4717 68069 68069 3511 4417 47198 47198 6646 6748 68069 68069 6027 9175 68069 68069 1503 3807 84146 84146 1549 1415 00050 , SB550, 12B05 7416 00050 , SB550, 12B05 4665 6197 68069 68069 6536 3792 11315 11315 3537 1407 00101, 00601 12015, SB600 7515 7751 68069 68069 6514 2855 95567 95567 5953 2121 00403 00403 4652 6196 68069 68069 3502 1412 00130, 00630 12B09, SB630 2026 8162 68069 68069 5534 2421 00160, 00660 12B11, SB660 5988 6464 LACAR LACAR 4639 6157 68069 68069 1611 5286 68069 68069 3548 7446 00180, 00680 12B13, SB680 1562 2703 68069 68069 3504 2702 68069 68069 5956 2167 81883 81883 2508 1164 68069 68069 2906 7496 00265 00265 5628 6262 68069 68069 3520 4437 00303, 00803 12B36, SB803 2511 3733 68069 68069 3505 2418 00332, 00834 SB338, 12B24 3032 8283 96277 96277 6582 7740 68069 68069 1921 2417 68069 68069 3013 8262 83867 83867 5542 1263 68069 68069 1096 8124 SMPLY SMPLY 5613 6249 68069 68069 5947 2111 68069 68069 3522 2701 68069 68069 9617 7295 68069 68069 1507 3887 12115 12115 5537 1413 00423 SB923, 12002 7011 9293 68069 68069 7048 9430 68069 68069 1844 8551 14163 14163 1076 8103 68069 68069 5511 1401 00450, 00950 12B29, SB950 3657 3657 5861 5861 4038 8766 68069 68069 Payer Name Attachment Type Doccument Types Supported Absolute Total Care Unsolicited JPEG, JPG, PDF, TIFF, TIF Advantage By Buckeye Unsolicited JPEG, JPG, PDF, TIFF, TIF Allwell from Absolute Total Care Unsolicited JPEG, JPG, PDF, TIFF, TIF Allwell from Arkansas Health & Wellness Unsolicited JPEG, JPG, PDF, TIFF, TIF Allwell from Buckeye Health Plan Unsolicited JPEG, JPG, PDF, TIFF, TIF Allwell from Health Net Unsolicited JPEG, JPG, PDF, TIFF, TIF Allwell from Home State Health Unsolicited JPEG, JPG, PDF, TIFF, TIF Allwell from Louisiana Healthcare Connections Unsolicited JPEG, JPG, PDF, TIFF, TIF Allwell from Magnolia Health Unsolicited JPEG, JPG, PDF, TIFF, TIF Allwell from Managed Health Services Unsolicited JPEG, JPG, PDF, TIFF, TIF Allwell from Managed Health Services Health Wisconsin Unsolicited JPEG, JPG, PDF, TIFF, TIF Allwell from PA Health & Wellness Unsolicited JPEG, JPG, PDF, TIFF, TIF Allwell from Peach State Health Plan Unsolicited JPEG, JPG, PDF, TIFF, TIF Allwell from Silver Summit Health Unsolicited JPEG, JPG, PDF, TIFF, TIF Allwell from Sunflower Health Plan Unsolicited JPEG, JPG, PDF, TIFF, TIF Allwell from Sunshine Health Unsolicited JPEG, JPG, PDF, TIFF, TIF Allwell from Superior HealthPlan Unsolicited JPEG, JPG, PDF, TIFF, TIF Allwell from Western Sky Community Care Unsolicited JPEG, JPG, PDF, TIFF, TIF Ambetter from Buckeye Community Health Plan Unsolicited JPEG, JPG, PDF, TIFF, TIF Ambetter from Health Net Unsolicited JPEG, JPG, PDF, TIFF, TIF Ambetter from Homestate Health Unsolicited JPEG, JPG, PDF, TIFF, TIF Ambetter from Magnolia Health Unsolicited JPEG, JPG, PDF, TIFF, TIF Ambetter from Managed Health Services Unsolicited JPEG, JPG, PDF, TIFF, TIF Ambetter from Meridian Unsolicited JPEG, JPG, PDF, TIFF, TIF Ambetter from Nebraska Total Care Unsolicited JPEG, JPG, PDF, TIFF, TIF Ambetter from Peach State Health Plan Unsolicited JPEG, JPG, PDF, TIFF, TIF Ambetter from Pennsylvania Health and Wellness Unsolicited JPEG, JPG, PDF, TIFF, TIF Ambetter from Sunflower Health Plan Unsolicited JPEG, JPG, PDF, TIFF, TIF Ambetter from Sunshine Health Unsolicited JPEG, JPG, PDF, TIFF, TIF Ambetter from Superior Health Unsolicited JPEG, JPG, PDF, TIFF, TIF Ambetter from Wellcare of Kentucky Unsolicited JPEG, JPG, PDF, TIFF, TIF Ambetter from Wellcare of New Jersey Unsolicited JPEG, JPG, PDF, TIFF, TIF Ambetter Illinicare Health Unsolicited JPEG, JPG, PDF, TIFF, TIF Ambetter New Hampshire Healthy Families Unsolicited JPEG, JPG, PDF, TIFF, TIF Ambetter of Arkansas Unsolicited JPEG, JPG, PDF, TIFF, TIF Ambetter of North Carolina Unsolicited JPEG, JPG, PDF, TIFF, TIF Ambetter of Oklahoma Unsolicited JPEG, JPG, PDF, TIFF, TIF Ambetter of Tennessee Unsolicited JPEG, JPG, PDF, TIFF, TIF Amerigroup Unsolicited TIFF, TIF, JPEG, JPG, PDF Amerihealth Caritas North Carolina Unsolicited TIFF, JPEG, PDF, JPG, PNG, BMP, Arizona Complete Health Unsolicited JPEG, JPG, PDF, TIFF, TIF Arkansas Total Care Unsolicited JPEG, JPG, PDF, TIFF, TIF Ascension Complete Unsolicited JPEG, JPG, PDF, TIFF, TIF Buckeye Community Health Unsolicited JPEG, JPG, PDF, TIFF, TIF California Anthem Blue Cross Unsolicited TIFF, TIF, JPEG, JPG, PDF California Health & Wellness Unsolicited JPEG, JPG, PDF, TIFF, TIF Carolina Complete Health Care Unsolicited JPEG, JPG, PDF, TIFF, TIF CHAMPVA - HAC Unsolicited PDF, BMP, GIF, JPG, JPEG, TIF, TI Colorado Anthem Blue Cross Blue Shield Unsolicited TIFF, TIF, JPEG, JPG, PDF Colorado Anthem Blue Cross Blue Shield HMO Unsolicited TIFF, TIF, JPEG, JPG, PDF Coordinated Care Unsolicited JPEG, JPG, PDF, TIFF, TIF Fidelis Care Unsolicited JPEG, JPG, PDF, TIFF, TIF Georgia Blue Cross Blue Shield Unsolicited TIFF, TIF, JPEG, JPG, PDF Health Net of CA, OR Unsolicited JPEG, JPG, PDF, TIFF, TIF Health Net of California Unsolicited JPEG, JPG, PDF, TIFF, TIF Healthy Blue South Carolina Unsolicited TIFF, TIF, JPEG, JPG, PDF Home State Health Unsolicited JPEG, JPG, PDF, TIFF, TIF Indiana Anthem Blue Cross Blue Shield Unsolicited TIFF, TIF, JPEG, JPG, PDF Iowa Total Care Unsolicited JPEG, JPG, PDF, TIFF, TIF Kentucky Anthem Blue Cross Blue Shield Unsolicited TIFF, TIF, JPEG, JPG, PDF LA Care Unsolicited PDF Louisiana Health Connections Unsolicited JPEG, JPG, PDF, TIFF, TIF Magnolia Health Plan Unsolicited JPEG, JPG, PDF, TIFF, TIF Maine Anthem Blue Cross Blue Shield Unsolicited TIFF, TIF, JPEG, JPG, PDF Managed Health Services Indiana Unsolicited JPEG, JPG, PDF, TIFF, TIF Managed Health Services Wisconsin Unsolicited JPEG, JPG, PDF, TIFF, TIF Municipal Health Benefit Fund Unsolicited JPEG, JPG, PDF, TIFF, TIF, PNG, X Nebraska Total Care Unsolicited JPEG, JPG, PDF, TIFF, TIF Nevada Anthem Blue Cross Blue Shield Unsolicited TIFF, TIF, JPEG, JPG, PDF New Hampshire Healthy Families Unsolicited JPEG, JPG, PDF, TIFF, TIF New York Empire Blue Cross Blue Shield Unsolicited TIFF, TIF, JPEG, JPG, PDF Novasys Health Network Unsolicited JPEG, JPG, PDF, TIFF, TIF Ohio Anthem Blue Cross Blue Shield Unsolicited TIFF, TIF, JPEG, JPG, PDF OptiMed Health Unsolicited PDF, TIFF, TIF, JPEG, JPG PA Health & Wellness Unsolicited JPEG, JPG, PDF, TIFF, TIF Peach State Health Plan Unsolicited JPEG, JPG, PDF, TIFF, TIF QualLynx Unsolicited TIFF, TIF, PDF Silver Summit Health Plan Unsolicited JPEG, JPG, PDF, TIFF, TIF Simply Healthcare Plans, Inc. Unsolicited TIFF, TIF, JPEG, JPG, PDF Sunflower State Unsolicited JPEG, JPG, PDF, TIFF, TIF Sunshine Health Unsolicited JPEG, JPG, PDF, TIFF, TIF Superior Health Plan of Texas Unsolicited JPEG, JPG, PDF, TIFF, TIF Trillium Community Health Plan Unsolicited JPEG, JPG, PDF, TIFF, TIF VA Fee Basis Programs Unsolicited PDF, BMP, GIF, JPG, JPEG, TIF, TI Virginia Anthem Blue Cross Blue Shield Unsolicited TIFF, TIF, JPEG, JPG, PDF Wellcare by Allwell from Nebraska Total Care Unsolicited JPEG, JPG, PDF, TIFF, TIF Wellcare by Allwell of Oklahoma Unsolicited JPEG, JPG, PDF, TIFF, TIF Wellcare Health Plans Unsolicited PDF, TIF, JPEG, PNG Western Sky Community Care Unsolicited JPEG, JPG, PDF, TIFF, TIF Wisconsin Anthem Blue Cross Blue Shield Unsolicited TIFF, TIF, JPEG, JPG, PDF Workers Compensation Institutional(Relay Health Only) Unsolicited PDF, TIF, TIFF Workers Compensation Professional(Relay Health Only) Unsolicited PDF, TIF, TIFF YouthCare HealthChoice Illinois Unsolicited JPEG, JPG, PDF, TIFF, TIF Batch File Document Size Restrictions API/Portal Document Size Restrictions Enrollment Required Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 100 MB Total size of 10 documents - 64 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 100 MB Total size of 10 documents - 64 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 100 MB Total size of 10 documents - 64 MB No Total size of 10 documents - 100 MB Total size of 10 documents - 64 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 100 MB Total size of 10 documents - 64 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 100 MB Total size of 10 documents - 64 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 100 MB Total size of 10 documents - 64 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 100 MB Total size of 10 documents - 64 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 100 MB Total size of 10 documents - 64 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 64 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 100 MB Total size of 10 documents - 64 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 100 MB Total size of 10 documents - 64 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 100 MB Total size of 10 documents - 64 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 64 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 100 MB Total size of 10 documents - 64 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 100 MB Total size of 10 documents - 64 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No Total size of 10 documents - 100 MB Total size of 10 documents - 64 MB No Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB Yes Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB Yes Total size of 10 documents - 64 MB Total size of 10 documents - 48 MB No ent Required