Health plan directory

Health plans

Browse payer connections and open plan-specific prior authorization checks or medical policy pages.

Aetna

CTAPI listedPA source loadedPolicies indexed

PA codes270

Is prior auth required for Aetna Medical policies for Aetna

AgeRight Advantage Health Plan

ORAPI listed

PA codes0

Is prior auth required for AgeRight Advantage Health Plan Medical policies for AgeRight Advantage Health Plan

Dedicated medical policy index pending for this health plan.

Alameda Alliance for Health

CAAPI listedPolicies indexed

PA codes0

Is prior auth required for Alameda Alliance for Health Medical policies for Alameda Alliance for Health

Alignment Health Plan

CAAPI listedPA source loaded

PA codes175

Is prior auth required for Alignment Health Plan Medical policies for Alignment Health Plan

Dedicated medical policy index pending for this health plan.

AllCare IPA

CAOffline

PA codes0

Is prior auth required for AllCare IPA Medical policies for AllCare IPA

Dedicated medical policy index pending for this health plan.

Alliant Health Plans, Inc.

GAAPI listed

PA codes0

Is prior auth required for Alliant Health Plans, Inc.Medical policies for Alliant Health Plans, Inc.

Dedicated medical policy index pending for this health plan.

AmeriHealth Caritas Family of Companies

PAOfflinePA source loaded

PA codes1

Is prior auth required for AmeriHealth Caritas Family of Companies Medical policies for AmeriHealth Caritas Family of Companies

Dedicated medical policy index pending for this health plan.

Amida Care

NYOffline

PA codes0

Is prior auth required for Amida Care Medical policies for Amida Care

Dedicated medical policy index pending for this health plan.

Arkansas Blue Cross and Blue Shield

ARAPI listed

PA codes0

Is prior auth required for Arkansas Blue Cross and Blue Shield Medical policies for Arkansas Blue Cross and Blue Shield

Dedicated medical policy index pending for this health plan.

AultCare Insurance Company

OHAPI listed

PA codes0

Is prior auth required for AultCare Insurance Company Medical policies for AultCare Insurance Company

Dedicated medical policy index pending for this health plan.

AvMed

FLOffline

PA codes0

Is prior auth required for AvMed Medical policies for AvMed

Dedicated medical policy index pending for this health plan.

Avera Health Plans, Inc.

SDOffline

PA codes0

Is prior auth required for Avera Health Plans, Inc.Medical policies for Avera Health Plans, Inc.

Dedicated medical policy index pending for this health plan.

Banner University Health Plans

AZAPI listed

PA codes0

Is prior auth required for Banner University Health Plans Medical policies for Banner University Health Plans

Dedicated medical policy index pending for this health plan.

Baylor Scott & White Health Plan

TXAPI listedPA source loadedPolicies indexed

PA codes21

Is prior auth required for Baylor Scott & White Health Plan Medical policies for Baylor Scott & White Health Plan

Bienvivir Senior Health Services

PROffline

PA codes0

Is prior auth required for Bienvivir Senior Health Services Medical policies for Bienvivir Senior Health Services

Dedicated medical policy index pending for this health plan.

Blue Cross & Blue Shield of Rhode Island

RIOffline

PA codes0

Is prior auth required for Blue Cross & Blue Shield of Rhode Island Medical policies for Blue Cross & Blue Shield of Rhode Island

Dedicated medical policy index pending for this health plan.

Blue Cross Blue Shield of Massachusetts

MAAPI listedPA source loaded

PA codes333

Is prior auth required for Blue Cross Blue Shield of Massachusetts Medical policies for Blue Cross Blue Shield of Massachusetts

Dedicated medical policy index pending for this health plan.

Blue Cross and Blue Shield of Kansas

KSAPI listedPA source loaded

PA codes7

Is prior auth required for Blue Cross and Blue Shield of Kansas Medical policies for Blue Cross and Blue Shield of Kansas

Dedicated medical policy index pending for this health plan.

Blue Cross and Blue Shield of North Carolina

NCAPI listedPA source loaded

PA codes41

Is prior auth required for Blue Cross and Blue Shield of North Carolina Medical policies for Blue Cross and Blue Shield of North Carolina

Dedicated medical policy index pending for this health plan.

Blue Shield of California

CAAPI listedPA source loadedPolicies indexed

PA codes1

Is prior auth required for Blue Shield of California Medical policies for Blue Shield of California

BlueCross BlueShield of Tennessee

TNOfflinePA source loaded

PA codes6

Is prior auth required for BlueCross BlueShield of Tennessee Medical policies for BlueCross BlueShield of Tennessee

Dedicated medical policy index pending for this health plan.

CHRISTUS Health Plan

TXAPI listedPA source loaded

PA codes8

Is prior auth required for CHRISTUS Health Plan Medical policies for CHRISTUS Health Plan

Dedicated medical policy index pending for this health plan.

CalOptima

CAAPI listedPA source loaded

PA codes7

Is prior auth required for CalOptima Medical policies for CalOptima

Dedicated medical policy index pending for this health plan.

CalViva Health

CAAPI listedPA source loaded

PA codes13

Is prior auth required for CalViva Health Medical policies for CalViva Health

Dedicated medical policy index pending for this health plan.

Capital BlueCross

PAOffline

PA codes0

Is prior auth required for Capital BlueCross Medical policies for Capital BlueCross

Dedicated medical policy index pending for this health plan.

Capital District Physicians' Health Plan, Inc. (CDPHP)

NYOfflinePA source loaded

PA codes5,349

Is prior auth required for Capital District Physicians' Health Plan, Inc. (CDPHP)Medical policies for Capital District Physicians' Health Plan, Inc. (CDPHP)

Dedicated medical policy index pending for this health plan.

Capital Health Plan, Inc.

FLAPI listed

PA codes0

Is prior auth required for Capital Health Plan, Inc.Medical policies for Capital Health Plan, Inc.

Dedicated medical policy index pending for this health plan.

CareFirst BlueCross BlueShield

MDAPI listed

PA codes0

Is prior auth required for CareFirst BlueCross BlueShield Medical policies for CareFirst BlueCross BlueShield

Dedicated medical policy index pending for this health plan.

CareSource

OHAPI listedPA source loaded

PA codes10

Is prior auth required for CareSource Medical policies for CareSource

Dedicated medical policy index pending for this health plan.

CenCal Health

CAAPI listedPA source loaded

PA codes179

Is prior auth required for CenCal Health Medical policies for CenCal Health

Dedicated medical policy index pending for this health plan.

Central California Alliance for Health

CAOfflinePA source loaded

PA codes450

Is prior auth required for Central California Alliance for Health Medical policies for Central California Alliance for Health

Dedicated medical policy index pending for this health plan.

Cigna Corporation

CTAPI listedPA source loaded

PA codes3,468

Is prior auth required for Cigna Corporation Medical policies for Cigna Corporation

Dedicated medical policy index pending for this health plan.

Clear Spring Health

ILAPI listedPA source loaded

PA codes293

Is prior auth required for Clear Spring Health Medical policies for Clear Spring Health

Dedicated medical policy index pending for this health plan.

Clever Care Health Plan

CAAPI listed

PA codes0

Is prior auth required for Clever Care Health Plan Medical policies for Clever Care Health Plan

Dedicated medical policy index pending for this health plan.

Clover Health

NJAPI listedPA source loaded

PA codes968

Is prior auth required for Clover Health Medical policies for Clover Health

Dedicated medical policy index pending for this health plan.

Commonwealth Care Alliance

MAAPI listedPA source loaded

PA codes318

Is prior auth required for Commonwealth Care Alliance Medical policies for Commonwealth Care Alliance

Dedicated medical policy index pending for this health plan.

Community First Health Plans

TXAPI listedPA source loaded

PA codes354

Is prior auth required for Community First Health Plans Medical policies for Community First Health Plans

Dedicated medical policy index pending for this health plan.

Community Health Choice, Inc. (CHC)

TXAPI listedPA source loaded

PA codes37

Is prior auth required for Community Health Choice, Inc. (CHC)Medical policies for Community Health Choice, Inc. (CHC)

Dedicated medical policy index pending for this health plan.

Community Health Group

CAAPI listed

PA codes0

Is prior auth required for Community Health Group Medical policies for Community Health Group

Dedicated medical policy index pending for this health plan.

Community Health Plan of Washington (CHPW)

WAOfflinePA source loaded

PA codes9

Is prior auth required for Community Health Plan of Washington (CHPW)Medical policies for Community Health Plan of Washington (CHPW)

Dedicated medical policy index pending for this health plan.

Contra Costa Health Plan

CAAPI listed

PA codes0

Is prior auth required for Contra Costa Health Plan Medical policies for Contra Costa Health Plan

Dedicated medical policy index pending for this health plan.

CountyCare Health Plan

ILAPI listed

PA codes0

Is prior auth required for CountyCare Health Plan Medical policies for CountyCare Health Plan

Dedicated medical policy index pending for this health plan.

Cox HealthPlans, LLC

MOAPI listed

PA codes0

Is prior auth required for Cox HealthPlans, LLC Medical policies for Cox HealthPlans, LLC

Dedicated medical policy index pending for this health plan.

Denver Health Medical Plan

COAPI listedPA source loaded

PA codes88

Is prior auth required for Denver Health Medical Plan Medical policies for Denver Health Medical Plan

Dedicated medical policy index pending for this health plan.

Devoted Health

MAAPI listedPolicies indexed

PA codes0

Is prior auth required for Devoted Health Medical policies for Devoted Health

Doctors HealthCare Plans, Inc.

FLAPI listed

PA codes0

Is prior auth required for Doctors HealthCare Plans, Inc.Medical policies for Doctors HealthCare Plans, Inc.

Dedicated medical policy index pending for this health plan.

Driscoll Health Plan

TXOfflinePA source loaded

PA codes9,175

Is prior auth required for Driscoll Health Plan Medical policies for Driscoll Health Plan

Dedicated medical policy index pending for this health plan.

EMI Health

UTOffline

PA codes0

Is prior auth required for EMI Health Medical policies for EMI Health

Dedicated medical policy index pending for this health plan.

Elevance Health (fka Anthem, Inc.)

INAPI listed

PA codes0

Is prior auth required for Elevance Health (fka Anthem, Inc.)Medical policies for Elevance Health (fka Anthem, Inc.)

Dedicated medical policy index pending for this health plan.

EmblemHealth

NYAPI listedPolicies indexed

PA codes0

Is prior auth required for EmblemHealth Medical policies for EmblemHealth

Health plans

Aetna

AgeRight Advantage Health Plan

Alameda Alliance for Health

Alignment Health Plan

AllCare IPA

Alliant Health Plans, Inc.

AmeriHealth Caritas Family of Companies

Amida Care

Arkansas Blue Cross and Blue Shield

AultCare Insurance Company

AvMed

Avera Health Plans, Inc.

Banner University Health Plans

Baylor Scott & White Health Plan

Bienvivir Senior Health Services

Blue Cross & Blue Shield of Rhode Island

Blue Cross Blue Shield of Massachusetts

Blue Cross and Blue Shield of Kansas

Blue Cross and Blue Shield of North Carolina

Blue Shield of California

BlueCross BlueShield of Tennessee

CHRISTUS Health Plan

CalOptima

CalViva Health

Capital BlueCross

Capital District Physicians' Health Plan, Inc. (CDPHP)

Capital Health Plan, Inc.

CareFirst BlueCross BlueShield

CareSource

CenCal Health

Central California Alliance for Health

Cigna Corporation

Clear Spring Health

Clever Care Health Plan

Clover Health

Commonwealth Care Alliance

Community First Health Plans

Community Health Choice, Inc. (CHC)

Community Health Group

Community Health Plan of Washington (CHPW)

Contra Costa Health Plan

CountyCare Health Plan

Cox HealthPlans, LLC

Denver Health Medical Plan

Devoted Health

Doctors HealthCare Plans, Inc.

Driscoll Health Plan

EMI Health

Elevance Health (fka Anthem, Inc.)

EmblemHealth

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