EFT Participating Payers

The following table provides a listing of participating Change Healthcare ePayment payers. You can use this information to complete your EFT enrollment for Change Healthcare ePayment services. If you need help or have additional questions, please call 866.506.2830 (option 1) for personal assistance. We’re here to help you with the enrollment process.

Payers That Do Not Require Additional Information

Payer ID Payer Name Line of Business
26119 AIA M
SX145 Banner Health AZ (EFT is LIVE however to receive EFT if submitting claims under SX145 you must enroll for EFT under 12x42) M, D
85362 Foundation for Medical Care of Tulare and Kings Countries M
24077 Santa Clara Family Health Plan (SCFHP) M, H

Payers That Do Require Additional Information

Payer ID Payer Name Additional Provider ID Required/Optional (R/O) Line of Business
13346 AFTRA Health Fund Provider ID - (O) M, H
48055 American Progressive Life and Health Insurance Company NPI - (R); Tax ID - (R) M, H
77013 AmeriHealth Caritas VIP Care Plus Provider ID - (R) M, H
20572 Ametros Financial, Inc. NPI - (R); Tax ID - (R) M, H
52312 Arbor Health Plan Legacy ID - (R) M, H
39185 Arise Health Plan Provider ID - (O) M, H
48055 AveraAdvantage NPI - (R); Tax ID - (R) M, H
59274 AvMed (EFT Required for ERA and ERA Required for EFT) NPI - (O) M, H
CBMI1 BCBS Michigan NPI - (R)

*Enrollments must be completed using Change Healthcare's Dental Connect for Provider's portal. Please log into your DC-p account or register for one here.

D
44357 Benefits Administration Corporation (EFT required to receive ERA) NPI - (R) M, H, D
20488 Better Health NPI - (O) M, H
75190 CareFirst Administrators/NCAS NPI - (R)
(Billing NPI Only)
M, H
04332 Change from Network Health Plan to Tufts Health Plan Provider ID - (O) M
52192 Cigna Medicare/Medicaid NPI - (R) M
36222 CHICAGO REGIONAL COUNCIL OF CARPENTERS WELFARE FUND NPI - (R) M, H
35199 Cooperative Managed Care NPI - (O) M, H
MWELT District 9 Machinists Welfare Trust NPI - (R) M, H
35112 Employee Plans LLC Legacy ID - (R) M, H, D
49096
FirstCare Health Provider ID - (O) M, H, D
77009 First Choice VIP Care Plus (SC-MMP) Provider ID-(R) M, H
44054 GEHA Provider ID - (R) M, H, D
99208 Hawaii Medical Assurance Association (HMAA/HWMG) Legacy ID - (O) D, M
15064 Health First Health Plans (EFT required to receive ERA; ERA required to receive EFT) NPI - (O) M, H
41178 HealthEZ (formerly America’s TPA) NPI - (O); Tax ID -(R) M, D, P
96475 HealthLink Vendor ID -(R) M, H
77050 Healthy PA Provider ID - (R) M, H
77051 Healthy PA Provider ID - (R) M, H
22326 Horizon NJ Health Legacy ID - (R) M, H
13335 Hudson Health Plan Provider ID - (O) M, H
SX073 Independent Health Provider ID - (O)
(Pharmacy's use Payee ID if needed)
M
66003 Johns Hopkins Advantage MD (ERA required to receive EFT) NPI -(R) M
52189 Johns Hopkins Healthcare (EHP/PP) Provider ID - (O) M, H
52123 Johns Hopkins Healthcare (USFHP) Provider ID - (O) M, H
48055 Marquette Life Insurance Company NPI - (R); Tax ID - (R) M, H
20475 MDwise Excel Network Payee ID - (R) M, H
EM284 Med3000 CMS Safety Net Provider ID - (R)

(*See notes below)

M, H, D
EM843 Med3000 CMS Title 19 Reform Provider ID - (R)

(*See notes below)

M, H, D
EM205 Med3000 CMS Title 21 Provider ID - (R)

(*See notes below)

M, H, D
EM522 Med3000 Pedicare Title 21 Provider ID - (R)

(*See notes below)

M, H, D
EM039 Med3000 Pedicare Title 19 Provider ID - (R)

(*See notes below)

M, H, D
74323 MedBen NPI - (O) M, H, D
56205 MedCost Benefits Legacy ID - (O) M, H, D
MAHC1 Medical Associates Health Plan Provider ID - (O) M, H, D
62045 Farm Bureau Health Plans NPI - (R); Tax ID - (R) M, H
38164 Messa NPI - (R) M, H
LIFE1 Optumcare (EFT required for ERA) NPI - (O) M, H
61129 Passport Health Plan Provider ID - (R) M, H
CX078 Premier Dental Providers - NPI -R; Brokers - Agency ID -R D
38303 Professional Benefit Services, Inc. Provider ID - (O) M, H
48055 Pyramid Life Insurance Company NPI - (R); Tax ID - (R) M, H
22312 Qualcare Vendor ID - (R) M
23342 QualCare, Inc. Vendor ID - (R) M, H
13162 SEIU Provider ID (O) M, H
76045 SelectCare of Texas (HPN) Heritage Physicians Network NPI - (R); Tax ID - (R) M, H
67829 Sterling Life NPI - (R) D, M
73117 Tribute /SelectCare of Oklahoma NPI - (R); Tax ID - (R) M, H
63114 Viva Health Vendor ID - (R) M, H
59266 Volusia Health Network NPI - (R) M, H, D


*Payer Related Comments

1. If the customer is not currently enrolled w/any of the Med3000 Payers ID's they need to enroll w/ECHO by calling 888-834-3511

2. If the customer is currently enrolled w/any of the Med3000 Payer ID’s they can enroll w/any additional Med3000 Payer ID’s through CHC

Direct Payment Payers

The payers listed below are offering to distribute EFT payments directly to you without the assistance of Change Healthcare. If you select one of these payers (listed below), the payer will pay you directly and Change Healthcare will not be involved with any of their payment transactions. As such, Change Healthcare will make no representations or warranties regarding the payment services provided by the payers set forth below.

Payer ID Payer Name Additional Provider ID Required/Optional (R/O) Additional Requirements Line of Business
SB580 CareFirst NPI- (R) and Provider Group Number Providers must enroll for Electronic Remittance Advice (ERA) when selecting CareFirst EFT. Please complete the Change Healthcare ERA Provider Enrollment Form M, H

Legend

  • Legacy ID - (R): the Legacy ID (payer assigned provider ID) is required by the payer
  • Legacy ID - (O): the Legacy ID (payer assigned provider ID) is not required by the payer
  • NPI - (R): the National Provider ID is required by the payer
  • NPI - (O): the National Provider ID is not required by the payer
  • Brokers - Agency ID - (R): the agency ID is required for brokers
  • LOB: Line of business for which the payer is enabled for EFT with Change Healthcare
  • D: Dental
  • M: Medical
  • P: Pharmacy
  • H: Hospital