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List of Insurance Carriers

The Physicians Software team works hard to bring you a very comprehensive list of carriers that you can use straight “out of the box” to send claims to. Don’t forget, however, that the Validator works with ANY HIPAA COMPLIANT CARRIER in the free world! With our Professional edition, you may send claims to any carrier who accepts electronic claims with less than 10 minutes of setup.

Many of our clients have taken advantage of the great ability our Validator Professional edition offers, and as a result, the list of available carriers below is hard to keep updated! The carriers below are carriers who we have already tested or certified with as of 1/31/12, and with whom we are listed as a compliant vendor. There are many other carriers however, that we are either in the process of testing with, that clients of ours are in the process of testing with, or that the Validator already is capable of submitting claims to. Feel free to call us at 877-527-2407 for the most current information, but also remember that no carrier is off limits! With the Validator… the sky is the limit!

Alabama:

Alaska:

  • Noridian Medicare (AK,WA,OR)
  • Availity Commercial (All States)
  • Tricare – CHAMPUS

Arkansas:

Arizona:

  • Noridian Medicare 
  • Availity Commercial (All States)
  • Tricare – CHAMPUS

California:

  • Blue Cross of California Private Claims
  • Blue Shield of California Private Claims
  • Medi-CAL (California State Medicaid)
  • National Heritage Insurance Company Medicare (Ca)
  • Availity Commercial (All States)
  • Priority Health Care (CA) (NSF)
  • St. Josephs Medical Resources (CA)(NSF)
  • Tricare – CHAMPUS
  • Palmetto GBA – Medicare Part  B J1

Colorado:

Connecticut

  • Availity Commercial (All States)
  • Tricare – CHAMPUS
  • NGS Medicare

Delaware:

District of Columbia:

  • Empire Blue Cross Blue Shield Medicare (NY,DE,DC)
  • Empire Blue Cross Blue Shield Standard Business Claims (NY)
  • Availity Commercial (All States)
  • Tricare – CHAMPUS
  • Novitas Solutions – Medicare

Florida:

  • BlueCross BlueShield of Florida Medicare (FL)(NSF)
  • Availity Commercial (All States)
  • Tricare – CHAMPUS
  • First Coast – Medicare

Georgia:

Hawaii:

Idaho:

  • Availity Commercial (All States)
  • Tricare – CHAMPUS
  • Medicare

Illinois:

  • Availity Commercial (All States)
  • Tricare – CHAMPUS
  • CGS – Medicare 

Indiana:

Iowa:

Kansas:

Kentucky:

  • Availity Commercial (All States)
  • Tricare – CHAMPUS

Louisiana:

  • The Health Information Network Commercial (All States)
  • Tricare – CHAMPUS
  • Novitas Solutions – Medicare
  • Availity Commercial (All States)

Maine:

Maryland:

Massachusetts:

Michigan:

  • Blue Cross / Blue Shield of Michigan
  • Availity Commercial (All States)
  • Tricare – CHAMPUS
  • WPS Medicare

Minnesota:

  • Availity Commercial (All States)
  • Tricare – CHAMPUS
  • CGS – Medicare 

Mississippi:

Missouri:

Montana:

  •  Availity Commercial (All States)
  • Tricare – CHAMPUS
  • Medicare

Nebraska:

Nevada:

New Hampshire:

New Jersey:

New Mexico:

New York:

  • Empire Blue Cross Blue Shield Medicare (NY,DE,DC)
  • Empire Blue Cross Blue Shield Standard Business Claims (NY)
  • Empire Blue Cross Blue Shield Quicklink NEIC Claims (NY)
  • ASK Inc.
  • CDPHP
  • Excellus BCBS
  • Healthnow UMD (Upstate Medicare)
  • NGS Medicare
  • Tricare – CHAMPUS

North Carolina:

North Dakota:

  • Noridian Medicare (SD,ND,CO)
  • Availity Commercial (All States)
  • Tricare – CHAMPUS

Ohio:

  • Anthem Blue Cross\Blue Shield
  • Palmetto Medicare of Ohio/WVa
  • Availity Commercial (All States)
  • Tricare – CHAMPUS

Oklahoma:

Oregon:

  • Noridian Medicare (AK,WA,OR)
  • Availity Commercial (All States)
  • Tricare – CHAMPUS

Pennsylvania:

Rhode Island:

South Carolina:

South Dakota:

  • Noridian Medicare (SD,ND,CO)
  • Availity Commercial (All States)
  • Tricare – CHAMPUS

Tennessee:

Texas:

Utah:

  • Availity Commercial (All States)
  • Tricare – CHAMPUS
  • Medicare

Vermont:

Virginia:

Washington:

  • Noridian Medicare (AK,WA,OR)
  • Availity Commercial (All States)
  • Tricare – CHAMPUS

West Virginia:

  • Nationwide Mutual Insurance Company Medicare (Ohio/WVa)
  • WestVa- Medicaid(NSF)
  • WestVa-Workers Comp-ACS(NSF)
  • Availity Commercial (All States)
  • Tricare – CHAMPUS
  • Palmetto GBA– Medicare J11 Part B

Wisconsin:

  • Availity Commercial (All States)
  • Tricare – CHAMPUS
  • CGS – Medicare 

Wyoming:

  • BlueCross BlueShield of Florida Medicare (FL)
  • Availity Commercial (All States)
  • Tricare – CHAMPUS
  • Medicare