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Gateway EDI Available Remits |
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Revised 6-7-06 |
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Payers |
Medicare |
Medicaid |
BCBS |
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AK |
yes/yes |
yes/no |
yes/no |
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AL |
yes/yes |
yes/yes |
yes/yes |
|
AR |
yes/yes |
yes/yes |
yes/yes |
|
AZ |
yes/yes |
yes/no |
yes/yes |
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CA-BC |
XXXXXXXXX |
XXXXXXXXXXXX |
yes/no |
|
CA-BS |
XXXXXXXXX |
XXXXXXXXXXXX |
yes/yes |
|
CA-North |
yes/yes |
yes/yes |
no/no |
|
CA-South |
yes/yes |
yes/yes |
no/no |
|
CO |
yes/yes |
yes/yes |
yes/no |
|
CT |
yes/yes |
no/no |
yes/no |
|
DC |
yes/yes |
yes/yes |
yes/yes |
|
DE |
yes/yes |
yes/yes |
yes/yes |
|
FL |
yes/yes |
yes/yes |
yes/yes |
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GA |
yes/yes |
yes/yes |
yes/yes |
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GU |
yes/no |
no/no |
no/no |
|
HI |
yes/yes |
yes/no |
no/no |
|
IA |
yes/yes |
yes/yes |
yes/yes |
|
ID |
yes/yes |
no/no |
no/no |
|
IL |
yes/yes |
NA |
yes/yes |
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IN |
yes/yes |
yes/yes |
yes/yes |
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KS |
yes/yes |
yes/yes |
yes/yes |
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Kcity |
yes/yes |
yes/yes |
yes/yes |
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KY |
yes/yes |
yes/yes |
yes/yes |
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LA |
yes/yes |
yes/yes |
yes/yes |
|
MA |
yes/yes |
yes/no |
yes/no |
|
MD |
yes/yes |
yes/yes |
yes/yes |
|
ME |
yes/yes |
no/no |
yes/yes |
|
MI |
yes/yes |
yes/no |
yes/yes |
|
MN |
yes/yes |
yes/yes |
yes/yes |
|
MO |
yes/yes |
yes/yes |
yes/yes |
|
MS |
yes/yes |
yes/yes |
no/no |
|
MT |
no/no |
no/no |
no/no |
|
NC |
yes/yes |
yes/yes |
yes/yes |
|
ND |
yes/no |
no/no |
no/no |
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NE |
yes/yes |
yes/no |
yes/yes |
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NH |
yes/yes |
yes/no |
yes/no |
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NJ |
yes/yes |
yes/no |
no/no |
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NM |
yes/yes |
no/no |
yes/no |
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NV |
yes/yes |
yes/no |
yes/yes |
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NY/Empire |
yes/yes |
no/no |
yes/yes |
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NY/GHI |
yes/yes |
XXXXXXXXXXXX |
XXXXXXXX |
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NY/Upstate |
yes/yes |
XXXXXXXXXXXX |
XXXXXXXX |
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OH |
yes/yes |
yes/yes |
yes/yes |
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OK |
yes/yes |
yes/yes |
yes/yes |
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OR |
yes/yes |
yes/yes |
yes/no |
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PA |
yes/yes |
yes/no |
yes/yes |
|
RI |
yes/yes |
yes/yes |
yes/no |
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SC |
yes/yes |
yes/yes |
yes/yes |
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SD |
yes/yes |
yes/yes |
yes/no |
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TN |
yes/yes |
yes/no |
yes/yes |
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TX |
yes/yes |
yes/yes |
yes/yes |
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UT |
yes/yes |
NA |
yes/yes |
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VA |
yes/yes |
yes/yes |
yes/yes |
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VT |
yes/yes |
yes/no |
no/no |
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WA |
yes/yes |
yes/yes |
yes/yes |
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WI |
yes/yes |
yes/yes |
yes/no |
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WV |
yes/yes |
yes/yes |
yes/yes |
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WY |
yes/yes |
yes/no |
yes/yes |
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Dmerc A |
yes/yes |
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Dmerc B |
yes/yes |
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Dmerc C |
yes/yes |
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Dmerc D |
yes/yes |
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Railroad |
yes/yes |
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Riverbend |
yes/yes |
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Mutual of Omaha |
yes/yes |
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Commercial |
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Aetna |
yes/yes |
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Affinity (13334) |
NA |
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Allied Benefit Syst (37308) |
NA |
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Altius, Utah (SX113) |
NA |
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American Medical Security (81400) |
yes/no |
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Carelink, Advantra (25139) |
NA |
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Carelink (25139) |
yes/no |
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Carelink, Medicaid ( 25140) |
yes/no |
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Carenet (25142) |
yes/no |
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CIGNA |
yes/yes |
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Coventry Health Care of DE (25130) |
yes/yes |
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Coventry Health Care Of GA (25127) |
yes/yes |
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Coventry Health Care of IA (25132) |
yes/no |
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Coventry Health Care of KS, KC (25133) |
yes/yes |
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Coventry Health Care of KS, Wichita (25134) |
yes/no |
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Coventry Health Care of LA (25135) |
yes/no |
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Coventry Health Care of NE (25136) |
yes/no |
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Coventry-KC Medicare, Advantra (25143) |
yes/yes |
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Diamond Plan (25131) |
yes/no |
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EPIC-WPS |
NA |
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HCUSA |
yes/yes |
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Health America Inc. (25126) |
yes/no |
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Health Link |
NA |
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Horizon (22099) |
yes/no |
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Humana |
yes/yes |
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GAMP-WPS |
yes/no |
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GEHA |
NA |
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GHP |
yes/yes |
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Group Hospitalization & Medical Services |
yes/yes |
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Mercy |
NA |
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Medical Mutual of Ohio (29076) |
yes/no |
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Omnicare, A Coventry Plan (25150) |
yes/no |
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PersonalCare (25146) |
yes/no |
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Physicians Mutual (47027) |
NA |
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SouthCare/Healthcare Preferred (25147) |
NA |
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Southern Health Services (25128) |
yes/yes |
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Starmark |
NA |
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Three Rivers/Medplus of TN (25175 |
yes/no |
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Tricare for Life |
no/no |
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Tricare SO |
yes/no |
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Tricare NO |
yes/yes |
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Tricare West |
yes/yes |
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Trispan |
yes/yes |
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UHC |
yes/yes |
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UNICARE |
yes/no |
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WellPath (25129) |
yes/no |
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WPS-COM. |
yes/yes |
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yes/yes=Payer offers remits and we are picking up remits
from them |
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yes/no=We are sending 837 to the payer but are not
receiving remits as of yet |
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no/no=We are not sending 837 to the payer so remits is not
an option |
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NA=835 is not available to Gateway EDI |
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