Financial

Exchange information about money that's due and money that's paid.

Registration and Eligibility

These interfaces are used in registration and eligibility processes.

Outgoing Pharmacy Benefit Eligibility Query - 270/271

This bi-directional real-time query is used to verify eligibility with clearinghouses and payors. It uses ANSI X12 270/271 transactions. Current integrations include...
  • AccuReg
  • Aetna
  • Anthem
  • Availity
  • Change Healthcare
  • Cigna
  • ClaimLogic Patient Eligibility
  • DCS Global AuditLogix
  • Experian Health
  • Gateway EDI
  • Group Health Cooperative (Seattle)
  • HDX
  • Health Alliance Plan
  • HealthCare Fiscal Management Inc.
  • Healthcare IP
  • HealthPartners
  • Highmark
  • InstaMed
  • Loxogon
  • MedAssets
  • Medicaid Minnesota
  • Medicaid New York
  • Medicaid Pennsylvania
  • Medicaid Texas
  • Medicaid Washington
  • Medicaid Wisconsin
  • Medicare
  • NEHEN
  • nThrive
  • Optima
  • Optum
  • Physicians Plus
  • Post-n-track Eligibility
  • Preferred One
  • Provider Advantage
  • Quadax
  • Recondo Technology
  • RelayHealth
  • Rycan
  • The Advisory Board Company
  • The SSI Group
  • TransUnion
  • Tricare
  • United Healthcare
  • Unity
  • UPMC Health Plan
  • VisionShare (ABILITY Network)
  • WayStar
  • WNY HealtheNet