Eligibility Manager can be customized to handle any format or custom processing needs.
Our experience with various file formats has enabled us to provide efficient solutions for EDI of health plan data.
Over 45 companies have benefited from Eligibility Manager to process data in over 100 formats from over 70 health plans. We've listed here many of the health plans we've customized. When health plans change their layouts, modifying the customization is usually a simple process.
- Advantage 65
- Aetna
- Amcare
- AmeriHealth
- Antero
- Blue Care Network
- Blue Cross California Care
- Blue Cross Medi-Cal
- Blue Shield
- Blue Shield HMO
- Blue Shield POS
- BPS Health Care
- CalOptima
- Cape Health
- Care America
- CareFirst Medi-Cal
- Choice Plus
- Cigna (various formats)
- Citizens Choice
- Community Choice of Michigan
- Community First
- Community Health Plan
- Community Health Group
- ElderPlan
- FirstChoice 65
- Foundation Health Plan
- Foundation Medi-Cal
- Great West
- Group Health Plan
- HAP
- Health Net
- Health Net Medi-Cal
- Health Plus
- Health Source
- HIP
- HMO Blue
- HMO Colorado
- HMO Texas
- Houston Industries
- Humana
- Inland Empire Health Plan
- InterGroup
- Inter Valley Health Plan
- LA Care
- MaxiCare
- MCare
- MercyCare
- Molina
- North Medical
- NylCare
- Oakwood
- One Care
- One Health
- Oregon Health Plan
- PacifiCare
- PHCS
- PHP
- Premera
- Poudre Valley
- Prudential Health Care
- QualMed Commercial
- QualMed Healthy Options
- Regence
- Rocky Mountain HM
- San Francisco Health Plan
- Scan
- Secure Horizons
- SelectCare
- SMA Commercial
- Smart Plan
- Straub-Quest
- Texas Health Choice
- Total Health Care
- Tower
- UHP
- United Health Care
- Universal Care
- Wellness
- Wellpoint of Ohio
- X12 - 271
- X12 - 834
