Connected Payers - Insurance Eligibility Verification
AristaMD automates insurance eligibility verification with most payers at the time of referral.
Insurance eligibility verification is performed when the primary care provider submits a referral using our customized online referral forms.
Here are some of the payers we’re connected to:
- AARP
- AARP-UnitedHealthcare Ins Co
- Absolute Total Care
- ABSOLUTE TOTAL CARE
- ACN
- Advantage by Bridgeway Health Solutions
- Bridgeway Health Solutions
- Aetna
- AHP of New Jersey Parsippany
- AHP of New Jersey Purchase NY
- Ohio Valley HMO Cincinnati (Aetna)
- PHP of Georgia Atlanta Aetna
- PHP of North Ohio Cleveland Aetna
- Primary Choice (Aetna Health Plan of NY/NJ)
- Select Choice (Aetna Health Plan of NY/NJ)
- Senior Choice (Aetna Health Plan of NY/NJ)
- Southwest Health Plan (Aetna HMO)
- Aetna Long Term Care
- Affinity Health Plan
- AFTRA Health Fund
- Aftra Health Fund
- Alabama Medicaid
- Alliance PPO of MD (Mamsi)
- AMC Touchstone
- American Medical Security
- American Medical Security (AMS)
- American Postal Workers Union Health Plan
- American Republic Insurance
- American Republic Insurance Company (ARIC)
- AMERICHOICE
- Optum PA Medicare
- Americhoice NJ Medicaid & Family Care
- AmeriChoice – Community and State
- Americhoice NJ Personal Care Plus
- Americhoice NY Medicaid & Child Health Plus
- Americhoice NY Personal Care Plus
- Americhoice PA KidsChoice
- Amerigroup Corporation
- AmeriGroup
- AmeriHealth Administrators
- AmeriHealth Caritas PA
- Amerihealth DC
- AmeriHealth Mercy Health Plan
- Amerihealth NJ
- AmeriHealth NorthEast
- AmeriHealth VIP Care
- Anthem Blue Cross California
- California Anthem Blue Cross (WellPoint Health Network)
- Arise Health Plan
- Arizona Physicians IPA (APIPA)
- Arizona Physicians IPA – Community and State
- Arkansas Medicaid
- Arnett Health Plans
- Assurant Health
- Fortis Life Insurance Company
- Time Insurance Company
- Assurant Health-Time Insurance
- ASURIS
- Aultcare
- AvMed
- BCBS Excellus
- BCBSOK
- Oklahoma Blue Cross Blue Shield
- Best Life and Health
- BlueChoice HealthPlan of South Carolina Medicaid (HMO)
- BLUECROSS BLUESHIELD (BCBS) UT REGENCE
- Utah Blue Cross Blue Shield (Regance)
- Blue Cross Blue Shield of Alabama
- Alabama Blue Cross (Institutional)
- Alabama Blue Shield (Professional)
- Blue Cross Blue Shield of Alaska (Premera)
- Blue Cross Blue Shield of Arizona
- Arizona Blue Cross Blue Shield
- Blue Cross Blue Shield of Arkansas
- Arkansas Blue Cross Blue Shield
- Blue Cross Blue Shield of Colorado
- Colorado Anthem Blue Cross Blue Shield (WellPoint Health Network)
- Blue Cross Blue Shield of Connecticut
- Connecticut Anthem Blue Cross Blue Shield (WellPoint Health Network)
- Blue Cross Blue Shield of District of Columbia (CareFirst)
- Blue Cross Blue Shield of Florida
- Florida Blue Cross Blue Shield
- Blue Cross Blue Shield of Georgia
- Georgia Anthem Blue Cross Blue Shield (WellPoint Health Network)
- Blue Cross Blue Shield of Hawaii
- Blue Cross Blue Shield of Illinois
- Illinois Blue Cross Blue Shield
- Blue Cross Blue Shield of Indiana
- Indiana Anthem Blue Cross Blue Shield (WellPoint Health Network)
- Blue Cross Blue Shield of Iowa
- Iowa Blue Cross Blue Shield
- Blue Cross Blue Shield of Kansas
- Kansas Blue Cross Blue Shield
- Blue Cross Blue Shield of Kansas City
- Blue Cross Blue Shield of Kentucky
- Kentucky Anthem Blue Cross Blue Shield (WellPoint Health Network)
- Blue Cross Blue Shield of Louisiana
- Louisiana Blue Cross Blue Shield
- Blue Cross Blue Shield of Maine
- Maine Anthem Blue Cross Blue Shield (WellPoint Health Network)
- Blue Cross Blue Shield of Maryland (CareFirst)
- Maryland Blue Cross Blue Shield (CareFirst)
- Blue Cross Blue Shield of Massachusetts
- Massachusetts Blue Cross Blue Shield
- Blue Cross Blue Shield of Michigan (Dental)
- Blue Cross Blue Shield of Michigan (Institutional)
- Blue Cross Blue Shield of Michigan (Professional)
- Blue Cross Blue Shield of Minnesota
- Minnesota Blue Cross Blue Shield
- Blue Cross Blue Shield of Missouri
- Missouri Anthem Blue Cross Blue Shield (WellPoint Health Network)
- Blue Cross Blue Shield of Nebraska
- Blue Cross Blue Shield of Nevada
- Nevada Anthem Blue Cross Blue Shield (WellPoint Health Network)
- Blue Cross Blue Shield of New Hampshire
- New Hampshire Anthem Blue Cross Blue Shield (WellPoint Health Network)
- Blue Cross Blue Shield of New Mexico
- New Mexico Blue Cross Blue Shield
- Blue Cross Blue Shield of North Carolina
- North Carolina Blue Cross Blue Shield
- Blue Cross Blue Shield of Ohio
- Ohio Anthem Blue Cross Blue Shield (WellPoint Health Network)
- Blue Cross Blue Shield of Oregon (Regence)
- Blue Cross Blue Shield of Pennsylvania – Highmark
- Pennsylvania Blue Cross Blue Shield (Highmark)
- Blue Cross Blue Shield of Rhode Island
- Blue Cross Blue Shield of South Carolina
- South Carolina Blue Cross Blue Shield
- Blue Cross Blue Shield of South Dakota
- South Dakota Blue Cross Blue Shield
- Blue Cross Blue Shield of Tennessee
- Tennessee Blue Cross Blue Shield
- Blue Cross Blue Shield of Texas
- Texas Blue Cross Blue Shield
- Blue Cross Blue Shield of Virginia
- Virginia Anthem Blue Cross Blue Shield (WellPoint Health Network)
- Blue Cross Blue Shield of Wisconsin (Anthem)
- Wisconsin Anthem Blue Cross Blue Shield (WellPoint Health Network)
- Blue Cross of Idaho
- Blue Cross of Washington (Premera)
- Blue Shield California
- Blue Shield of Washington (Regence)
- Bravo Health Inc.
- HealthSpring
- Bravo Health
- Bridgespan
- Bridgeway Arizona
- Buckeye Community Health
- Buckeye Community Health Plan
- California Health and Wellness
- Coordinated Care
- Granite State Health Plan
- Home State Health Plan
- Peach State Health Plan
- Sunflower State Health Plan
- Superior Health Plan
- Absolutre Total Care
- Magnolia Health Plan
- Bridgeway
- Sunshine State Health Plan
- Louisiana Heathcare Connection
- CeltiCare
- California Medicaid
- California Medicaid (Medi-Cal)
- Cal Optima
- Capital Blue Cross (Pennsylvania)
- Capital District PHP
- CDPHP
- Cariten Healthcare Commercial
- Cariten Healthcare (Commercial)
- CeltiCare
- Celticare Health Plan
- Cenpatico Behavioral Health (Indiana)
- Cenpatico-Indiana
- Cenpatico Behavioral Health Indiana
- Cenpatico Wisconsin
- Cenpatico Ohio
- Cenpatico Texas
- Cenpatico Mississippi
- Cenpatico Missouri
- Cenpatico Behavioral Health
- Cenpatico Arizona
- Cenpatico Florida
- Cenpatico Kansas
- Cenpatico Massachusetts
- Cenpatico South Carolina
- Cenpatico Indiana
- IlliniCare Health Plan
- CHAMPVA
- CHC Altius Health Plan/CHC Nevada
- Altius Health Plans
- Chesapeake National Life Insurance (HealthMarkets)
- Chesapeake National Life Insurance
- CIGNA
- Connecticut General
- EQUICORE
- EQUICORE – PPO
- Connecticut General Life
- ConnectiCare
- Connecticut Medicaid
- Cooperative Benefit Administrators (CBA)
- Cooperative Benefit Administrators
- CORESOURCE (MD PA. IL)
- CoreSource (IL IN MD NC & PA)
- COVENTRY CARENET MEDICAID
- Coventry Health Care Carelink Medicaid
- COVENTRY DIAMOND PLAN (MD MEDICAID)
- Diamond Plan (Maryland Medicaid)
- COVENTRY HEALTHAMERICA & HEALTHASSURANCE
- Coventry Health Care Health America/ Health Assurance of Pennsylvania (HAPA)
- Coventry Health Care Carelink
- Coventry Health Care CareNet
- Coventry Health Care Group Health Plan (GHP)
- COVENTRY HEALTH CARE OF DELAWARE
- Coventry Health Care of Delaware
- COVENTRY HEALTH CARE OF GEORGIA
- Coventry Health Care of Georgia
- COVENTRY HEALTH CARE OF IOWA
- Coventry Health Care of Iowa
- Coventry Health Care of Kansas (Kansas City & Wichita)
- COVENTRY HEALTH CARE OF LOUISIANA
- Coventry Health Care of Louisiana
- COVENTRY HEALTH CARE OF NEBRASKA
- Coventry Health Care of Nebraska
- COVENTRY HEALTH CARE OF THE CAROLINAS
- Coventry Health Care Texas (includes Coventry Advantra Freedom)
- COVENTRY HEALTHCARE USA (HCUSA)
- Coventry Health Care USA (HCUSA)
- Coventry Health of Illinois/ Personal Care
- COVENTRY OMNICARE
- OmniCare Health Plan
- COVENTRY SOUTHERN HEALTH SERVICES (SHS)
- Coventry Health Care Southern Health Services
- COVENTRY WELLPATH SELECT / COVENTRY
- Coventry Health Care of Carolinas/WellPath
- Definity Health Plan
- Definity Health
- Delaware Blue Cross Blue Shield (Highmark)
- Delaware Medicaid
- Desert Mutual (DMBA)
- DIRECTORS GUILD HEALTH FUND
- Directors Guild Health Fund
- Emblem Health
- HIP NY
- Empire Blue Cross and Blue Shield (NY)
- Blue Cross Blue Shield of New York – Empire
- Wellchoice of NJ
- New York Blue Cross Blue Shield (Empire)
- EPIC Health Insurance
- Fallon Community Health Plan
- Fidelis (CenterCare)
- Fidelis Care New York
- Fidelis Secure Care
- First Ameritas of New York
- First Ameritas of NY
- First Health Coventry Health Care National Network
- First Health Mail Handlers Benefit Plan
- Florida Health Care Plans
- Florida Hospital Healthcare System
- Florida Medicaid
- Georgia Medicaid
- Golden Rule
- Golden Rule Insurance
- Government Employees Hospital Association
- Government Employees Health Association (GEHA)
- Great Lakes Health Plan
- UnitedHealthcare Facets Detroit – Community and State
- Great-West Healthcare
- Great West
- Great-West Life & Annuity Ins Co.
- Group Health Cooperative
- Harmony Health Plan (Illinois & Indiana)
- Harmony Health Plan
- Harvard Pilgrim HealthCare
- Harvard Pilgrim
- Health Choice of Arizona
- HealthEase (WellCare of Florida)
- HealthEase
- HealthEase Kids
- Healthease
- Healthease Kids
- Healthfirst of New York
- HealthFirst of New York
- Health Net
- Health Net of Arizona
- Health Net of the Northeast Inc.
- Health Net National
- Health Net of California
- HealthPartners of Minnesota
- Health Partners of Philadelphia
- Health Partners Pennsylvania
- Horizon Blue Cross Blue Shield of New Jersey
- Horizon Healthcare of NY
- New Jersey Blue Cross Blue Shield (Horizon)
- Humana
- Employers Health Insurance
- Emphesys
- Insurance Company Choice Care Network
- Idaho Medicaid
- IlliniCare Health Plan
- Illinicare health plan
- Illinois medicaid
- Illinois Medicaid
- Independence Blue Cross
- Indiana Medicaid
- J. F. Molloy and Associates Inc.
- Principal Financial Group
- Principal Life Insurance Company
- John Alden Life Insurance Company (Assurant Health)
- Assurant Health-John Alden Life
- John Deere Healthcare/Heritage
- Johns Hopkins Healthcare
- Johns Hopkins Health Plan
- Kaiser Foundation Health Plan of Colorado
- Kaiser Foundation Health Plan of Georgia
- Kaiser Foundation Health Plan of Hawaii
- Kaiser Foundation Health Plan of Ohio
- Kaiser Foundation Health Plan of Ohio
- Kaiser Foundation Health Plan of the Mid-Atlantic
- Kaiser Foundation Health Plan of the Northwest
- Kaiser Health Plan of Northern CA
- Kaiser Health Plan of Southern CA
- Kansas Medicaid
- Kentucky Medicaid
- KPS Health Plans
- LifePrint
- Lifewise
- Louisiana Healthcare Connections
- Louisiana Medicaid
- Lovelace
- Magellan Behavioral Health Services
- Magnolia Health Plan
- MAIL HANDLERS & FEHBP
- Maine Medicaid
- MAMSI
- MAHP/MAMSI
- Managed Health Services Indiana
- Managed Health Services – IN
- Managed Health Services Wisconsin
- Managed Health Services – WI
- Maryland Medicaid
- Massachusetts Medicaid
- MEDICA
- Medica Health Plans
- Medicaid of North Dakota
- Medicaid of Utah
- Medical Mutual of Ohio
- MMO
- Medicare Part A & B – All States
- Alabama Medicare
- Alaska Medicare
- American Samoa Medicare
- Arizona Medicare
- Arkansas Medicare
- California Medicare
- Colorado Medicare
- Connecticut Medicare
- Delaware Medicare
- District of Columbia Medicare
- Federated States of Micronesia Medicare
- Florida Medicare
- Georgia Medicare
- Guam Medicare
- Hawaii Medicare
- Idaho Medicare
- Illinois Medicare
- Indiana Medicare
- Iowa Medicare
- Kansas Medicare
- Kentucky Medicare
- Louisiana Medicare
- Maine Medicare
- Marshall Islands Medicare
- Maryland Medicare
- Massachusetts Medicare
- Michigan Medicare
- Minnesota Medicare
- Mississippi Medicare
- Missouri Medicare
- Montana Medicare
- Nebraska Medicare
- Nevada Medicare
- New Hampshire Medicare
- New Jersey Medicare
- New Mexico Medicare
- New York Medicare
- North Carolina Medicare
- North Dakota Medicare
- Northern Mariana Islands Northern Mariana Medicare
- Ohio Medicare
- Oklahoma Medicare
- Oregon Medicare
- Palau Medicare
- Pennsylvania Medicare
- Puerto Rico Medicare
- Railroad Medicare
- Rhode Island Medicare
- South Carolina Medicare
- South Dakota Medicare
- Tennessee Medicare
- Texas Medicare
- U.S. Minor Outlying Islands Medicare
- Utah Medicare
- Virgin Islands of the U.S Medicare
- Virginia Medicare
- Washington Medicare
- West Virginia Medicare
- Wisconsin Medicare
- Wyoming Medicare
- Mega Life and Health Insurance Company (HealthMarkets)
- HealthMarkets-Mega Life and Health
- Mercy Care Plan (Arizona)
- Mercy Care Plan Arizona
- Michigan Medicaid
- Mid-West National Life Insurance (HealthMarkets)
- Mid West National Life Insurance
- Midwest Security
- Minnesota Medicaid
- Mississippi Blue Cross Blue Shield
- Mississippi Medicaid
- Missouri Medicaid
- Montana Medicaid
- MVP Health Plan of NY
- MVP Health Plan
- National Association of Letter Carriers
- National Association of Letter Carriers (NALC)
- Nationwide Specialty Health fka Nationwide Health Plan
- Nationwide Specialty Health
- Neighborhood Health Partnership
- Nevada Medicaid
- New Hampshire Medicaid
- New Jersey Medicaid
- New Mexico Medicaid
- New York Medicaid
- New York Medicaid
- Nippon Life Benefits
- Nippon Life Insurance (Principal Financial Group)
- North Carolina Medicaid
- Ohana Health Plan (WellCare of Hawaii)
- Ohana Health Plan
- OHANA Health Plan
- Ohio Medicaid
- Oklahoma Medicaid
- Omnicare Health Plan of Michigan
- Optimum Choice of the Carolinas (MAMSI)
- Optum Health Care Solutions (Formerly U.R.N)
- URN
- OVATIONS
- Oxford Health Plans
- PacifCare Behavioral Health
- PacifiCare of AZ Arizona
- PacifiCare of CA
- PacifiCare of OK
- PacifiCare of Oregon
- PacifiCare of Texas
- PacifiCare of Colorado
- PEHP Utah
- Pennsylvania Medicaid
- Physicians Mutual
- Physicians Mutual Insurance Company
- PRINCIPAL FINANCIAL GROUP (PRINCIPAL LIFE)
- Principal Life (Principal Financial Group)
- Promina ASO (formerly HealthCare Inc.)
- Healthcare Inc.
- QualChoice
- Regence Blue Shield of Idaho
- SelectHealth
- SIERRA
- UnitedHealthcare Nevada Market
- South Carolina Medicaid
- South Carolina Medicaid
- STAR HRG
- Star HRG
- StayWell
- Staywell
- StayWell Kids
- Student Resources
- Sunshine State Health Plan
- Superior HealthPlan
- Superior Health Plan
- Tennessee Medicaid
- Tennessee Medicaid (TennCare)
- Texas Medicaid
- Texas Medicaid
- Texas Medicaid
- Today’s Options
- American Progressive and Pyramid Life
- TransAmerica Life Insurance (HealthMarkets)
- HealthMarkets-Transamerica Life
- Tricare (CHAMPUS)
- TRICARE (Champus)
- Tricare for Life (All Regions 1-12)
- TRICARE North Region – Health Care Services Review
- TRICARE North Region – Health Net Federal Services
- TRICARE South Region
- TRICARE West Region
- Tricare Overseas
- Trustmark
- Tufts Health Plan
- UMR Wausau
- UniCare
- UniCare (WellPoint Health Network)
- Union Security Insurance Company (Assurant Health)
- Assurant Health-Union Security Insurance
- Unison Health Plan / Better Health Plans
- Better Health Plans (Unison Health Plan)
- United Concordia
- United HealthCare
- PHP
- Pacificare of California
- Ever care
- Ever care creative
- UnitedHealthcare Community Plan (formerly Unison Ohio)
- AmeriChoice of Florida
- AmeriChoice of Illinois
- AmeriChoice of Maryland
- AmeriChoice of Nebraska
- AmeriChoice of Rhode Island
- Definity Services
- OptumHealth Behavior Solutions
- OptumHealth New Mexico
- Ovations
- Touchpoint
- UBH RIOS
- United Behavioral Health
- UBH Employer Division
- UHCWest (Pacificare)
- UnitedHealthcare Community Plan (OH)
- UnitedHealthcare Community Plan (PA TN SC)
- UnitedHealthcare River Valley
- UnitedHealthcare Community Plan – Kansas
- UnitedHealthcare Dental
- UnitedHealthcare Facets Pittsburgh – Community and State
- United Healthcare of River Valley
- United Medical Resources
- VA Patient Centered Community Care Region 5a
- VA Patient Centered Community Care Region 5b
- VA Patient Centered Community Care Region 6
- Vermont Medicaid
- Vermont Medicare
- Virginia Medicaid
- Washington Medicaid
- WEA Trust
- WellCare Health Plans (WellCare of FL GA NY CT NJ LA OH TX)
- WellCare Health Plans
- Wellcare Health Plan
- West Virginia Medicaid
- Wisconsin Medicaid
- WPS Health Insurance
- Writers Guild – Industry Health Plan
- Wisconsin Medicaid
- Writers Guild Health Fund
Learn more about referral management including insurance eligibility verification
Building a More Valuable Doctor Referral Network
Creating a high-value doctor referral network is the foundation of profitable practice operations. These networks pave the way for more streamlined referrals, more effective use of resources, and higher patient satisfaction and outcomes.
The ongoing challenge, however, is how to establish and nurture these relationships so that they remain financially beneficial for all parties involved.
Successful referral channels prioritize convenience, value, and patient satisfaction. Insurance eligibility verification is one way we support your referral network.