pokitdok-ruby 0.7.1 → 0.7.2
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- checksums.yaml +4 -4
- data/Gemfile +1 -0
- data/Gemfile.lock +69 -51
- data/LICENSE.txt +1 -1
- data/VERSION +1 -1
- data/lib/pokitdok.rb +333 -97
- data/pokitdok-ruby.gemspec +9 -4
- data/spec/pokitdok_spec.rb +145 -37
- data/vcr_cassettes/activities.yml +30 -230
- data/vcr_cassettes/auth.yml +7 -7
- data/vcr_cassettes/authorizations.yml +11 -11
- data/vcr_cassettes/cash_prices.yml +13 -13
- data/vcr_cassettes/claims.yml +35 -34
- data/vcr_cassettes/claims_status.yml +12 -12
- data/vcr_cassettes/eligibility.yml +93 -70
- data/vcr_cassettes/enrollment.yml +40 -40
- data/vcr_cassettes/files.yml +57 -2
- data/vcr_cassettes/insurance_prices.yml +13 -13
- data/vcr_cassettes/payers.yml +463 -632
- data/vcr_cassettes/plans.yml +10 -10
- data/vcr_cassettes/plans_no_args.yml +10 -10
- data/vcr_cassettes/providers.yml +9 -9
- data/vcr_cassettes/referrals.yml +12 -12
- data/vcr_cassettes/scheduling.yml +182 -0
- data/vcr_cassettes/scheduling_scoped.yml +223 -0
- data/vcr_cassettes/trading_partners_get.yml +11 -12
- data/vcr_cassettes/trading_partners_index.yml +351 -420
- metadata +19 -3
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http_interactions:
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- request:
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method: get
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uri: http://localhost:5002/api/v4/tradingpartners/
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uri: http://localhost:5002/api/v4/tradingpartners/aetna
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- Bearer EJe5ksfv6vqMctOYzUQtXbS4mNKw6Sr1MYRLnHNF
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- Werkzeug/0.9.4 Python/2.7.6
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"data": {"is_enabled":
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"270", "
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for Testing"}}'
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string: '{"meta": {"rate_limit_amount": 3, "rate_limit_reset": 1425339615, "application_mode":
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"production", "processing_time": 24, "rate_limit_cap": 1000, "activity_id":
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"54f4e6cf0640fd11dcb837c3"}, "data": {"is_enabled": true, "supported_transactions":
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["270", "837", "276", "278"], "id": "aetna", "name": "Aetna"}}'
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recorded_with: VCR 2.9.3
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- Bearer EJe5ksfv6vqMctOYzUQtXbS4mNKw6Sr1MYRLnHNF
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"name": "Regence BlueCross Blue Shield - Oregon"}, {"is_enabled": false, "supported_transactions":
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["837"], "id": "blue_cross_blue_shield_mo", "name": "Blue Cross and Blue Shield
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of Missouri"}, {"is_enabled": false, "supported_transactions": ["837"], "id":
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"blue_cross_blue_shield_oh", "name": "Blue Cross and Blue Shield of Ohio"},
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{"is_enabled": false, "supported_transactions": ["270", "837", "276"], "id":
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"harvard_pilgrim_health_care", "name": "Harvard Pilgrim Healthcare"}, {"is_enabled":
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false, "supported_transactions": ["270"], "id": "united_health_care_plan_river_valley",
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"name": "United Healthcare Plan of the River Valley"}, {"is_enabled": true,
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"supported_transactions": ["270", "837", "276"], "id": "connecticare", "name":
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"ConnectiCare"}, {"is_enabled": false, "id": "blue_cross_blue_shield_nc",
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"name": "Blue Cross and Blue Shield of North Carolina"}, {"is_enabled": false,
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string: '{"meta": {"rate_limit_amount": 2, "rate_limit_reset": 1425339615, "application_mode":
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"production", "processing_time": 28, "rate_limit_cap": 1000, "activity_id":
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"54f4e6cf0640fd11dcb837c2"}, "data": [{"is_enabled": true, "supported_transactions":
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["270", "837"], "id": "aarp_medicare_complete", "name": "AARP Medicare Complete"},
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{"is_enabled": true, "supported_transactions": ["270", "837"], "id": "aarp_medicare_supplement",
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"name": "AARP Medicare Supplement Plan (Fixed/Hospital Indemnity)"}, {"is_enabled":
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true, "supported_transactions": ["276", "278", "270", "837"], "id": "aetna",
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"name": "Aetna"}, {"is_enabled": true, "supported_transactions": ["270", "837"],
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"id": "all_savers_insurance", "name": "All Savers Insurance"}, {"is_enabled":
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true, "supported_transactions": ["837"], "id": "allegeant", "name": "Allegeant
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(LBA Health Plan)"}, {"is_enabled": true, "supported_transactions": ["837"],
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"id": "altius_health_plans", "name": "Altius Health Plans"}, {"is_enabled":
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Care of Pennsylvania"}, {"is_enabled": false, "id": "coventry_health_care_sc",
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"name": "Coventry Health Care of South Carolina"}, {"is_enabled": false, "id":
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"coventry_health_care_sd", "name": "Coventry Health Care of South Dakota"},
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{"is_enabled": false, "id": "coventry_health_care_tn", "name": "Coventry Health
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Care of Tennessee"}, {"is_enabled": false, "id": "coventry_health_care_ut",
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"name": "Coventry Health Care of Utah"}, {"is_enabled": false, "id": "coventry_health_care_va",
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"name": "Coventry Health Care of Virginia"}, {"is_enabled": false, "id": "coventry_health_care_wv",
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"name": "Coventry Health Care of West Virginia"}, {"is_enabled": false, "id":
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"coventry_health_care_wy", "name": "Coventry Health Care of Wyoming"}, {"is_enabled":
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false, "id": "emblem_health", "name": "Emblem Health"}, {"is_enabled": false,
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"id": "empire_plan_united_health", "name": "Empire Plan (United Healthcare)"},
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{"is_enabled": false, "id": "evercare", "name": "Evercare"}, {"is_enabled":
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false, "id": "first_health", "name": "First Health"}, {"is_enabled": false,
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"id": "harvard_pilgrim_health_care_connect", "name": "Harvard Pilgrim Healthcare
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Connect"}, {"is_enabled": false, "id": "health_alliance_plan_mi", "name":
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"Health Alliance Plan of Michigan"}, {"is_enabled": false, "id": "health_keepers",
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"name": "Health Keepers Inc."}, {"is_enabled": false, "id": "health_new_england",
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of Colorado"}, {"is_enabled": false, "id": "kaiser_permanente_ga", "name":
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"Kaiser Permanente of Georgia"}, {"is_enabled": false, "id": "kaiser_permanente_northern_ca",
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"id": "kaiser_permanente_oh", "name": "Kaiser Permanente of Ohio"}, {"is_enabled":
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Southern California"}, {"is_enabled": false, "id": "kaiser_permanente_northwest",
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"name": "Kaiser Permanente of the Northwest"}, {"is_enabled": false, "id":
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"kaiser_permanente_hi", "name": "Kaiser Permanente of Hawaii"}, {"is_enabled":
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false, "id": "lifewise_or", "name": "LifeWise of Oregon"}, {"is_enabled":
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false, "id": "lifewise_wa", "name": "LifeWise of Washington"}, {"is_enabled":
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false, "id": "lovelace_health_plan", "name": "Lovelace Health Plan"}, {"is_enabled":
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false, "id": "magnolia_health_plan", "name": "Magnolia Health Plan"}, {"is_enabled":
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false, "id": "mega_health", "name": "Mega Health "}, {"is_enabled": false,
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"id": "meridian_health_plan_mi", "name": "Meridian Health Plan of Michigan"},
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{"is_enabled": false, "id": "moda_health_plan", "name": "MODA Health Plan"},
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{"is_enabled": false, "id": "molina_health_care_medicaid", "name": "Molina
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Healthcare (Medicaid)"}, {"is_enabled": false, "id": "molina_health_care_ut",
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"name": "Molina Healthcare of Utah"}, {"is_enabled": false, "id": "navicare",
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"name": "NaviCare"}, {"is_enabled": false, "id": "neighborhood_health_plan",
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"name": "Neighborhood Health Plan"}, {"is_enabled": false, "id": "network_health",
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"name": "NetworkHealth (A Tufts Health Plan)"}, {"is_enabled": false, "id":
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HealthOne)"}, {"is_enabled": false, "id": "peninsula_health_care", "name":
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Indiana"}, {"is_enabled": false, "id": "physicans_plus", "name": "Physicans
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Plus"}, {"is_enabled": false, "id": "preferred_one", "name": "PreferredOne"},
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Blue Cross Blue Shield of Alaska"}, {"is_enabled": false, "id": "presbytarian_health_plan",
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"name": "Providence Health Plan"}, {"is_enabled": false, "id": "regence_blue_cross_blue_sheild_ut",
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"id": "vt_health_plan", "name": "The Vermont Health Plan"}, {"is_enabled":
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197
|
-
{"is_enabled": false, "id": "unity_health", "name": "Unity Health "}, {"is_enabled":
|
|
198
|
-
false, "id": "univera_health_care", "name": "Univera Healthcare"}, {"is_enabled":
|
|
199
|
-
false, "id": "wellpoint", "name": "Wellpoint, Inc"}, {"is_enabled": false,
|
|
200
|
-
"id": "windsor_health_plan", "name": "Windsor Health Plan"}, {"is_enabled":
|
|
201
|
-
false, "id": "winhealth", "name": "WinHealth"}, {"is_enabled": false, "supported_transactions":
|
|
202
|
-
["837"], "id": "independence_blue_cross", "name": "Independence Blue Cross"},
|
|
203
|
-
{"is_enabled": false, "supported_transactions": ["837"], "id": "highmark_blue_cross_blue_shield_de",
|
|
204
|
-
"name": "Highmark Blue Cross Blue Shield of Delaware"}, {"is_enabled": false,
|
|
205
|
-
"supported_transactions": ["837"], "id": "premera_blue_cross", "name": "Premera
|
|
206
|
-
Blue Cross"}, {"is_enabled": true, "supported_transactions": ["270", "276"],
|
|
207
|
-
"id": "blue_cross_blue_shield_kc", "name": "Blue Cross and Blue Shield of
|
|
208
|
-
Kansas City"}, {"is_enabled": true, "supported_transactions": ["270", "276"],
|
|
209
|
-
"id": "blue_cross_blue_shield_ks", "name": "Blue Cross and Blue Shield of
|
|
210
|
-
Kansas"}, {"is_enabled": true, "supported_transactions": ["270", "276"], "id":
|
|
211
|
-
"mvp_health_care", "name": "MVP Health Care"}, {"is_enabled": true, "supported_transactions":
|
|
212
|
-
["270", "276"], "id": "oxford_health_plan_united", "name": "Oxford Health
|
|
213
|
-
Plans (United Healthcare)"}, {"is_enabled": false, "supported_transactions":
|
|
214
|
-
["837"], "id": "blue_cross_blue_shield_ga", "name": "Blue Cross and Blue Shield
|
|
215
|
-
of Georgia"}, {"is_enabled": true, "supported_transactions": ["270", "837",
|
|
216
|
-
"276"], "id": "united_health_care", "name": "United Healthcare"}, {"is_enabled":
|
|
217
|
-
false, "supported_transactions": ["270", "837", "276"], "id": "blue_cross_blue_shield_ne",
|
|
218
|
-
"name": "Blue Cross and Blue Shield of Nebraska"}, {"is_enabled": false, "supported_transactions":
|
|
219
|
-
["837"], "id": "amerihealth_administrators", "name": "AmeriHealth Administrators"},
|
|
220
|
-
{"is_enabled": false, "supported_transactions": ["837"], "id": "amerihealth_nj_non_hmo",
|
|
221
|
-
"name": "AmeriHealth NJ Non-HMO"}, {"is_enabled": false, "supported_transactions":
|
|
222
|
-
["837"], "id": "amerihealth_de_non_hmo", "name": "AmeriHealth DE Non-HMO"},
|
|
223
|
-
{"is_enabled": false, "supported_transactions": ["837"], "id": "amerihealth_nj_de_hmo",
|
|
224
|
-
"name": "AmeriHealth NJ/DE HMO"}, {"is_enabled": false, "supported_transactions":
|
|
225
|
-
["837"], "id": "keystone_health_plan_east", "name": "Keystone Health Plan
|
|
226
|
-
East"}, {"is_enabled": true, "supported_transactions": ["270", "837", "276"],
|
|
227
|
-
"id": "fidelis_care_ny", "name": "Fidelis Care of New York"}, {"is_enabled":
|
|
228
|
-
false, "supported_transactions": ["837"], "id": "great_west_health_care",
|
|
229
|
-
"name": "Great West Healthcare"}, {"is_enabled": false, "supported_transactions":
|
|
230
|
-
["837"], "id": "sierra_health_services", "name": "Sierra Health Services"},
|
|
231
|
-
{"is_enabled": false, "supported_transactions": ["837"], "id": "medica_health_care",
|
|
232
|
-
"name": "Medica HealthCare"}, {"is_enabled": false, "supported_transactions":
|
|
233
|
-
["276"], "id": "anthem_blue_cross_blue_shield_mo", "name": "Anthem Blue Cross
|
|
234
|
-
and Blue Shield of Missouri"}, {"is_enabled": false, "supported_transactions":
|
|
235
|
-
["276"], "id": "anthem_blue_cross_blue_shield_oh", "name": "Anthem Blue Cross
|
|
236
|
-
and Blue Shield of Ohio"}, {"is_enabled": false, "supported_transactions":
|
|
237
|
-
["837"], "id": "regence_blue_shield_wa", "name": "Regence BlueShield of Washington"},
|
|
238
|
-
{"is_enabled": false, "supported_transactions": ["837"], "id": "amerigroup_nj",
|
|
239
|
-
"name": "AmeriGroup - New Jersey"}, {"is_enabled": false, "supported_transactions":
|
|
240
|
-
["837"], "id": "blue_cross_blue_shield_utah", "name": "Blue Cross Blue Shield
|
|
241
|
-
of Utah (Regence)"}, {"is_enabled": false, "supported_transactions": ["837"],
|
|
242
|
-
"id": "amerigroup_wa", "name": "Amerigroup - Washington"}, {"is_enabled":
|
|
243
|
-
false, "supported_transactions": ["837"], "id": "blue_cross_cal_optima_medi_cal",
|
|
244
|
-
"name": "Blue Cross (Cal-Optima - Medi-Cal)"}, {"is_enabled": false, "supported_transactions":
|
|
245
|
-
["837"], "id": "regence_blue_shield_id", "name": "Regence Blue Shield - Idaho"},
|
|
246
|
-
{"is_enabled": false, "supported_transactions": ["837"], "id": "amerigroup_ga",
|
|
247
|
-
"name": "Amerigroup - Georgia"}, {"is_enabled": false, "supported_transactions":
|
|
248
|
-
["837"], "id": "blue_cross_blue_shield_az", "name": "Blue Cross Blue Shield
|
|
249
|
-
of Arizona"}, {"is_enabled": false, "supported_transactions": ["837"], "id":
|
|
250
|
-
"amerigroup_community_care_nm", "name": "Amerigroup Community Care of New
|
|
251
|
-
Mexico"}, {"is_enabled": false, "supported_transactions": ["837"], "id": "amerigroup_fl",
|
|
252
|
-
"name": "Amerigroup - Florida"}, {"is_enabled": false, "supported_transactions":
|
|
253
|
-
["837", "276"], "id": "blue_shield_ca", "name": "Blue Shield of California"},
|
|
254
|
-
{"is_enabled": false, "supported_transactions": ["837"], "id": "kaiser_foundation_health_plan_southern_ca_region",
|
|
255
|
-
"name": "Kaiser Foundation Health Plan of Southern CA Region"}, {"is_enabled":
|
|
256
|
-
false, "supported_transactions": ["837"], "id": "federal_employees_plan_wa",
|
|
257
|
-
"name": "Federal Employees Plan WA (Regence Blue Shield)"}, {"is_enabled":
|
|
258
|
-
false, "supported_transactions": ["837"], "id": "amerigroup_corporation",
|
|
259
|
-
"name": "Amerigroup Corporation"}, {"is_enabled": false, "supported_transactions":
|
|
260
|
-
["837"], "id": "humana", "name": "Humana"}, {"is_enabled": false, "supported_transactions":
|
|
261
|
-
["837"], "id": "amerigroup_oh", "name": "Amerigroup - Ohio"}, {"is_enabled":
|
|
262
|
-
false, "supported_transactions": ["837"], "id": "care_source_ky", "name":
|
|
263
|
-
"Caresource of Kentucky"}, {"is_enabled": true, "supported_transactions":
|
|
264
|
-
["837"], "id": "optum_health", "name": "OptumHealth"}, {"is_enabled": false,
|
|
49
|
+
true, "supported_transactions": ["837"], "id": "amerihealth_administrators",
|
|
50
|
+
"name": "AmeriHealth Administrators"}, {"is_enabled": true, "supported_transactions":
|
|
51
|
+
["837"], "id": "amerihealth_de", "name": "AmeriHealth Delaware"}, {"is_enabled":
|
|
52
|
+
true, "supported_transactions": ["837"], "id": "amerihealth_de_hmo", "name":
|
|
53
|
+
"AmeriHealth HMO of Delaware"}, {"is_enabled": true, "supported_transactions":
|
|
54
|
+
["837"], "id": "amerihealth_nj_hmo", "name": "AmeriHealth HMO of New Jersey"},
|
|
55
|
+
{"is_enabled": true, "supported_transactions": ["837"], "id": "amerihealth_nj",
|
|
56
|
+
"name": "AmeriHealth New Jersey"}, {"is_enabled": true, "supported_transactions":
|
|
57
|
+
["270"], "id": "american_medical_security", "name": "American Medical Security
|
|
58
|
+
(AMS)"}, {"is_enabled": true, "supported_transactions": ["270"], "id": "amerigroup",
|
|
59
|
+
"name": "Amerigroup"}, {"is_enabled": true, "supported_transactions": ["837"],
|
|
60
|
+
"id": "amerigroup_fl", "name": "Amerigroup - Florida"}, {"is_enabled": true,
|
|
61
|
+
"supported_transactions": ["837"], "id": "amerigroup_ga", "name": "Amerigroup
|
|
62
|
+
- Georgia"}, {"is_enabled": true, "supported_transactions": ["837"], "id":
|
|
63
|
+
"amerigroup_il", "name": "Amerigroup - Illinois"}, {"is_enabled": true, "supported_transactions":
|
|
64
|
+
["837"], "id": "amerigroup_md", "name": "Amerigroup - Maryland"}, {"is_enabled":
|
|
65
|
+
true, "supported_transactions": ["837"], "id": "amerigroup_nj", "name": "Amerigroup
|
|
66
|
+
- New Jersey"}, {"is_enabled": true, "supported_transactions": ["837"], "id":
|
|
67
|
+
"amerigroup_oh", "name": "Amerigroup - Ohio"}, {"is_enabled": true, "supported_transactions":
|
|
68
|
+
["837"], "id": "amerigroup_wa", "name": "Amerigroup - Washington"}, {"is_enabled":
|
|
69
|
+
true, "supported_transactions": ["837"], "id": "amerigroup_community_care",
|
|
70
|
+
"name": "Amerigroup Community Care"}, {"is_enabled": true, "supported_transactions":
|
|
71
|
+
["837"], "id": "amerigroup_community_care_nm", "name": "Amerigroup Community
|
|
72
|
+
Care of New Mexico"}, {"is_enabled": true, "supported_transactions": ["837"],
|
|
73
|
+
"id": "amerigroup_corporation", "name": "Amerigroup Corporation"}, {"is_enabled":
|
|
74
|
+
true, "supported_transactions": ["276", "270", "837"], "id": "anthem_blue_cross_ca",
|
|
75
|
+
"name": "Anthem Blue Cross California"}, {"is_enabled": true, "supported_transactions":
|
|
76
|
+
["270", "276", "837"], "id": "anthem_blue_cross_blue_shield_co", "name": "Anthem
|
|
77
|
+
Blue Cross and Blue Shield of Colorado"}, {"is_enabled": true, "supported_transactions":
|
|
78
|
+
["270", "276", "837"], "id": "anthem_blue_cross_blue_shield_ct", "name": "Anthem
|
|
79
|
+
Blue Cross and Blue Shield of Connecticut"}, {"is_enabled": true, "supported_transactions":
|
|
80
|
+
["270", "276", "837"], "id": "anthem_blue_cross_blue_shield_in", "name": "Anthem
|
|
81
|
+
Blue Cross and Blue Shield of Indiana"}, {"is_enabled": true, "supported_transactions":
|
|
82
|
+
["270", "276", "837"], "id": "anthem_blue_cross_blue_shield_ky", "name": "Anthem
|
|
83
|
+
Blue Cross and Blue Shield of Kentucky"}, {"is_enabled": true, "supported_transactions":
|
|
84
|
+
["270", "276", "837"], "id": "anthem_blue_cross_blue_shield_me", "name": "Anthem
|
|
85
|
+
Blue Cross and Blue Shield of Maine"}, {"is_enabled": true, "supported_transactions":
|
|
86
|
+
["276", "270", "837"], "id": "anthem_blue_cross_blue_shield_mo", "name": "Anthem
|
|
87
|
+
Blue Cross and Blue Shield of Missouri"}, {"is_enabled": true, "supported_transactions":
|
|
88
|
+
["270", "276", "837"], "id": "anthem_blue_cross_blue_shield_nv", "name": "Anthem
|
|
89
|
+
Blue Cross and Blue Shield of Nevada"}, {"is_enabled": true, "supported_transactions":
|
|
90
|
+
["270", "276", "837"], "id": "anthem_blue_cross_blue_shield_nh", "name": "Anthem
|
|
91
|
+
Blue Cross and Blue Shield of New Hampshire"}, {"is_enabled": true, "supported_transactions":
|
|
92
|
+
["276", "270", "837"], "id": "anthem_blue_cross_blue_shield_oh", "name": "Anthem
|
|
93
|
+
Blue Cross and Blue Shield of Ohio"}, {"is_enabled": true, "supported_transactions":
|
|
94
|
+
["270", "276", "837"], "id": "anthem_blue_cross_blue_shield_va", "name": "Anthem
|
|
95
|
+
Blue Cross and Blue Shield of Virginia"}, {"is_enabled": true, "supported_transactions":
|
|
96
|
+
["270", "276", "837"], "id": "anthem_blue_cross_blue_shield_wi", "name": "Anthem
|
|
97
|
+
Blue Cross and Blue Shield of Wisconsin"}, {"is_enabled": true, "supported_transactions":
|
|
98
|
+
["270"], "id": "az_physicians_ipa", "name": "Arizona Physicians IPA (United
|
|
99
|
+
Healthcare Community Plan AZ)"}, {"is_enabled": true, "supported_transactions":
|
|
100
|
+
["270"], "id": "arnett_health_plan", "name": "Arnett Health Plan"}, {"is_enabled":
|
|
101
|
+
true, "supported_transactions": ["276", "270"], "id": "assurant_health", "name":
|
|
102
|
+
"Assurant Health"}, {"is_enabled": true, "supported_transactions": ["837"],
|
|
103
|
+
"id": "asuris_northwest_health", "name": "Asuris Northwest Health"}, {"is_enabled":
|
|
104
|
+
true, "supported_transactions": ["837"], "id": "atrio_health_plans", "name":
|
|
105
|
+
"Atrio Health Plans"}, {"is_enabled": true, "supported_transactions": ["837"],
|
|
106
|
+
"id": "avmed_health_plan", "name": "Avmed Health Plan"}, {"is_enabled": true,
|
|
265
107
|
"supported_transactions": ["837"], "id": "beech_street", "name": "Beech Street"},
|
|
266
|
-
{"is_enabled":
|
|
267
|
-
"name": "
|
|
268
|
-
["837"], "id": "
|
|
269
|
-
{"is_enabled":
|
|
270
|
-
"
|
|
271
|
-
|
|
272
|
-
"name": "
|
|
273
|
-
"supported_transactions": ["
|
|
274
|
-
"name": "
|
|
275
|
-
|
|
276
|
-
|
|
277
|
-
"
|
|
278
|
-
|
|
279
|
-
|
|
280
|
-
|
|
281
|
-
|
|
282
|
-
|
|
283
|
-
|
|
284
|
-
|
|
285
|
-
"
|
|
286
|
-
"
|
|
287
|
-
"
|
|
288
|
-
"
|
|
289
|
-
|
|
290
|
-
"
|
|
291
|
-
|
|
292
|
-
"
|
|
293
|
-
|
|
294
|
-
"
|
|
295
|
-
|
|
296
|
-
|
|
297
|
-
|
|
298
|
-
|
|
299
|
-
"
|
|
300
|
-
|
|
301
|
-
|
|
302
|
-
"name": "Blue Cross Blue Shield of
|
|
303
|
-
"supported_transactions": ["837"], "id": "
|
|
304
|
-
"name": "
|
|
305
|
-
|
|
306
|
-
|
|
307
|
-
"
|
|
308
|
-
|
|
309
|
-
"
|
|
310
|
-
|
|
311
|
-
|
|
312
|
-
|
|
313
|
-
|
|
314
|
-
"name": "Kaiser Foundation Health Plan of Georgia"}, {"is_enabled": false,
|
|
315
|
-
"supported_transactions": ["837"], "id": "health_net_ca", "name": "Health
|
|
316
|
-
Net - California"}, {"is_enabled": false, "supported_transactions": ["837"],
|
|
317
|
-
"id": "blue_cross_blue_shield_mn", "name": "Blue Cross Blue Shield of Minnesota"},
|
|
318
|
-
{"is_enabled": false, "supported_transactions": ["837"], "id": "amerigroup_md",
|
|
319
|
-
"name": "Amerigroup - Maryland"}, {"is_enabled": false, "supported_transactions":
|
|
320
|
-
["837"], "id": "asuris_northwest_health", "name": "Asuris Northwest Health"},
|
|
321
|
-
{"is_enabled": false, "supported_transactions": ["837"], "id": "kaiser_foundation_health_plan_of_northern_ca_region",
|
|
322
|
-
"name": "Kaiser Foundation Health Plan of Northern CA Region"}, {"is_enabled":
|
|
323
|
-
false, "supported_transactions": ["837"], "id": "kaiser_foundation_health_plan_oh",
|
|
324
|
-
"name": "Kaiser Foundation Health Plan of Ohio"}, {"is_enabled": false, "supported_transactions":
|
|
325
|
-
["837"], "id": "blue_cross_blue_shield_tn", "name": "Blue Cross Blue Shield
|
|
326
|
-
of Tennessee"}, {"is_enabled": false, "supported_transactions": ["837"], "id":
|
|
327
|
-
"altius_health_plan_coventry", "name": "Altius Health Plan - Coventry"}, {"is_enabled":
|
|
328
|
-
false, "supported_transactions": ["837", "276"], "id": "empire_blue_cross_blue_shield",
|
|
329
|
-
"name": "Empire Blue Cross and Blue Shield"}, {"is_enabled": false, "supported_transactions":
|
|
330
|
-
["837"], "id": "highmark_vision_pa", "name": "Highmark-Vision Pennsylvania"},
|
|
331
|
-
{"is_enabled": false, "supported_transactions": ["837"], "id": "blue_cross_blue_shield_ok",
|
|
332
|
-
"name": "Blue Cross and Blue Shield of Oklahoma"}, {"is_enabled": false, "supported_transactions":
|
|
333
|
-
["837"], "id": "bridgespan", "name": "BridgeSpan"}, {"is_enabled": false,
|
|
334
|
-
"supported_transactions": ["837"], "id": "group_health_cooperative", "name":
|
|
335
|
-
"Group Health Cooperative"}, {"is_enabled": false, "supported_transactions":
|
|
108
|
+
{"is_enabled": true, "supported_transactions": ["270"], "id": "better_health_plan",
|
|
109
|
+
"name": "Better Health Plan (Unison)"}, {"is_enabled": true, "supported_transactions":
|
|
110
|
+
["837", "276", "270"], "id": "blue_cross_blue_shield_ma", "name": "Blue Cross
|
|
111
|
+
Blue Shield Massachusetts"}, {"is_enabled": true, "supported_transactions":
|
|
112
|
+
["276", "270", "837"], "id": "blue_cross_blue_shield_mn", "name": "Blue Cross
|
|
113
|
+
Blue Shield Minnesota*"}, {"is_enabled": true, "supported_transactions": ["837"],
|
|
114
|
+
"id": "blue_cross_blue_shield_al", "name": "Blue Cross Blue Shield of Alabama"},
|
|
115
|
+
{"is_enabled": true, "supported_transactions": ["270", "837"], "id": "blue_cross_blue_shield_az",
|
|
116
|
+
"name": "Blue Cross and Blue Shield of Arizona"}, {"is_enabled": true, "supported_transactions":
|
|
117
|
+
["270", "837"], "id": "blue_cross_blue_shield_fl", "name": "Blue Cross and
|
|
118
|
+
Blue Shield of Florida (Florida Blue)"}, {"is_enabled": true, "supported_transactions":
|
|
119
|
+
["276", "270", "837"], "id": "blue_cross_blue_shield_ga", "name": "Blue Cross
|
|
120
|
+
and Blue Shield of Georgia"}, {"is_enabled": true, "supported_transactions":
|
|
121
|
+
["270", "837"], "id": "blue_cross_blue_shield_il", "name": "Blue Cross and
|
|
122
|
+
Blue Shield of Illinois"}, {"is_enabled": true, "supported_transactions":
|
|
123
|
+
["276", "270"], "id": "blue_cross_blue_shield_ks", "name": "Blue Cross and
|
|
124
|
+
Blue Shield of Kansas"}, {"is_enabled": true, "supported_transactions": ["270",
|
|
125
|
+
"276"], "id": "blue_cross_blue_shield_kc", "name": "Blue Cross and Blue Shield
|
|
126
|
+
of Kansas City"}, {"is_enabled": true, "supported_transactions": ["837"],
|
|
127
|
+
"id": "blue_cross_blue_shield_mi", "name": "Blue Cross and Blue Shield of
|
|
128
|
+
Michigan"}, {"is_enabled": true, "supported_transactions": ["837"], "id":
|
|
129
|
+
"blue_cross_blue_shield_ms", "name": "Blue Cross and Blue Shield of Mississippi"},
|
|
130
|
+
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131
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132
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133
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Blue Shield of Nebraska"}, {"is_enabled": true, "supported_transactions":
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134
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["270", "837"], "id": "blue_cross_blue_shield_nm", "name": "Blue Cross and
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Blue Shield of New Mexico"}, {"is_enabled": true, "supported_transactions":
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136
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137
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138
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139
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+
of Oklahoma"}, {"is_enabled": true, "supported_transactions": ["270"], "id":
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140
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"blue_cross_blue_shield_sc", "name": "Blue Cross and Blue Shield of South
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141
|
+
Carolina"}, {"is_enabled": true, "supported_transactions": ["270", "837"],
|
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142
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"id": "blue_cross_blue_shield_tn", "name": "Blue Cross and Blue Shield of
|
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143
|
+
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|
|
144
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"id": "blue_cross_blue_shield_tx", "name": "Blue Cross and Blue Shield of
|
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145
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+
Texas"}, {"is_enabled": true, "supported_transactions": ["837"], "id": "blue_cross_blue_shield_vt",
|
|
146
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"name": "Blue Cross and Blue Shield of Vermont"}, {"is_enabled": true, "supported_transactions":
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147
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148
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{"is_enabled": true, "supported_transactions": ["837"], "id": "bridgespan",
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149
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"name": "BridgeSpan"}, {"is_enabled": true, "supported_transactions": ["837"],
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150
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"id": "cal_optima_medi_cal", "name": "Cal-Optima (Medi-Cal)"}, {"is_enabled":
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151
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true, "supported_transactions": ["270", "837"], "id": "blue_cross_blue_shield_dc",
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152
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153
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["270", "837"], "id": "blue_cross_blue_shield_md", "name": "CareFirst Blue
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154
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Cross Blue Shield of Maryland"}, {"is_enabled": true, "supported_transactions":
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155
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336
156
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["837"], "id": "care_source_mi", "name": "CareSource of Michigan"}, {"is_enabled":
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337
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-
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338
|
-
"
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339
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-
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340
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-
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|
341
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-
"
|
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342
|
-
|
|
343
|
-
"
|
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344
|
-
|
|
345
|
-
"
|
|
346
|
-
|
|
347
|
-
|
|
348
|
-
"community_health_plan_wa", "name": "Community Health Plan
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349
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-
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350
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"
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351
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352
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-
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353
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354
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157
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true, "supported_transactions": ["270", "837"], "id": "caresource_oh", "name":
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158
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"CareSource of Ohio"}, {"is_enabled": true, "supported_transactions": ["270"],
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159
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160
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true, "supported_transactions": ["270"], "id": "carelink_medicaid_coventry",
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161
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162
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["837"], "id": "care_source_health_plan_or", "name": "Caresource Health Plan
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163
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+
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164
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165
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166
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"Cigna"}, {"is_enabled": true, "supported_transactions": ["837"], "id": "columbia_united_providers",
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167
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"name": "Columbia United Providers"}, {"is_enabled": true, "supported_transactions":
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168
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["837"], "id": "community_health_plan_wa", "name": "Community Health Plan
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169
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of Washington"}, {"is_enabled": true, "supported_transactions": ["276", "270",
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170
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"837"], "id": "connecticare", "name": "ConnectiCare"}, {"is_enabled": true,
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171
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"supported_transactions": ["837"], "id": "coordinated_care_cenpatico", "name":
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172
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"Coordinated Care - Cenpatico"}, {"is_enabled": true, "supported_transactions":
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173
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174
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{"is_enabled": true, "supported_transactions": ["837"], "id": "coordinated_medical_specialists",
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175
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176
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["270", "837"], "id": "coresource_il_in_md_nc_pa", "name": "CoreSource (IL,
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177
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+
IN, MD, NC,PA)"}, {"is_enabled": true, "supported_transactions": ["837"],
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178
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"id": "coresource_little_rock", "name": "CoreSource Little Rock"}, {"is_enabled":
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179
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true, "supported_transactions": ["837"], "id": "coresource_oh", "name": "CoreSource
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180
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+
Ohio"}, {"is_enabled": true, "supported_transactions": ["270"], "id": "coventry_diamond_plan",
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181
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+
"name": "Coventry Diamond Plan (Maryland Medicaid)"}, {"is_enabled": true,
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182
|
+
"supported_transactions": ["837"], "id": "coventry", "name": "Coventry Health
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183
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+
& Life"}, {"is_enabled": true, "supported_transactions": ["270"], "id": "coventry_health_care_de",
|
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184
|
+
"name": "Coventry Health Care of Delaware"}, {"is_enabled": true, "supported_transactions":
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|
185
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+
["270"], "id": "coventry_health_care_ga", "name": "Coventry Health Care of
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186
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+
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187
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+
"name": "Coventry Health Care of Illinois"}, {"is_enabled": true, "supported_transactions":
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188
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+
["270"], "id": "coventry_health_care_ia", "name": "Coventry Health Care of
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189
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+
Iowa"}, {"is_enabled": true, "supported_transactions": ["270"], "id": "coventry_health_care_ks",
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190
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+
"name": "Coventry Health Care of Kansas"}, {"is_enabled": true, "supported_transactions":
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191
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+
["270"], "id": "coventry_health_care_la", "name": "Coventry Health Care of
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192
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+
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193
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"coventry_health_care_ne", "name": "Coventry Health Care of Nebraska"}, {"is_enabled":
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194
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true, "supported_transactions": ["270"], "id": "coventry_health_care_tx",
|
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195
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"name": "Coventry Health Care of Texas"}, {"is_enabled": true, "supported_transactions":
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196
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+
["270"], "id": "coventry_health_care_va", "name": "Coventry Health Care of
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197
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+
Virginia (Southern Health Services)"}, {"is_enabled": true, "supported_transactions":
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198
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+
["270"], "id": "coventry_health_care_carolinas", "name": "Coventry Health
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199
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Care of the Carolinas (WellPath)"}, {"is_enabled": true, "supported_transactions":
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200
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["270"], "id": "definity_health", "name": "Definity Health (United)"}, {"is_enabled":
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201
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true, "supported_transactions": ["270"], "id": "emblem_health", "name": "Emblem
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202
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+
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203
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+
"id": "empire_blue_cross_blue_shield", "name": "Empire Blue Cross and Blue
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204
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+
Shield"}, {"is_enabled": true, "supported_transactions": ["270", "837"], "id":
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205
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"fallon_community_health", "name": "Fallon Community Health Plan"}, {"is_enabled":
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206
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true, "supported_transactions": ["270", "837"], "id": "fidelis_care_ny", "name":
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207
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+
"Fidelis Care of New York"}, {"is_enabled": true, "supported_transactions":
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356
208
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["837"], "id": "first_choice_health_network", "name": "First Choice Health
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357
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-
Network"}, {"is_enabled":
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358
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-
"
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359
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-
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360
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-
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361
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-
"
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362
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-
"
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363
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-
"
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364
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-
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365
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-
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366
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-
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367
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["837"], "id": "
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368
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-
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369
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370
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-
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371
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"
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372
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373
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"
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374
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-
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375
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-
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376
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-
"
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377
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-
|
|
378
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-
|
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379
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-
"
|
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380
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-
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381
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382
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"
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209
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Network"}, {"is_enabled": true, "supported_transactions": ["270"], "id": "first_health_coventry",
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210
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"name": "First Health (Coventry)"}, {"is_enabled": true, "supported_transactions":
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211
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["837", "270"], "id": "florida_health_care_plan", "name": "Florida Health
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212
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+
Care Plan*"}, {"is_enabled": true, "supported_transactions": ["270", "837"],
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213
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+
"id": "golden_rule_united", "name": "Golden Rule"}, {"is_enabled": true, "supported_transactions":
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214
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["270", "837"], "id": "great_west_health_care", "name": "Great West Healthcare"},
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215
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+
{"is_enabled": true, "supported_transactions": ["837"], "id": "group_health_cooperative",
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216
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+
"name": "Group Health Cooperative"}, {"is_enabled": true, "supported_transactions":
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217
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["837"], "id": "group_health_cooperative_eau_claire", "name": "Group Health
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218
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+
Cooperative of Eau Claire"}, {"is_enabled": true, "supported_transactions":
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219
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+
["837"], "id": "group_health_cooperative_south_central_wi", "name": "Group
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220
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+
Health Cooperative of South Central Wisconsin"}, {"is_enabled": true, "supported_transactions":
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221
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+
["837"], "id": "group_health_plan_care_management_resource", "name": "Group
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222
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Health Plan - CMR"}, {"is_enabled": true, "supported_transactions": ["276",
|
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223
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+
"270", "837"], "id": "harvard_pilgrim_health_care", "name": "Harvard Pilgrim
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224
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Healthcare"}, {"is_enabled": true, "supported_transactions": ["270"], "id":
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225
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"health_america_coventry", "name": "Health America (Coventry)"}, {"is_enabled":
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226
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true, "supported_transactions": ["270"], "id": "health_net_az_ct_nj_ny_pa",
|
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227
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+
"name": "Health Net (AZ, CT, NJ, NY, PA)"}, {"is_enabled": true, "supported_transactions":
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228
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+
["270", "837"], "id": "health_net_ca", "name": "Health Net of California"},
|
|
229
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+
{"is_enabled": true, "supported_transactions": ["270"], "id": "health_plan_nv",
|
|
230
|
+
"name": "Health Plan of Nevada (United Healthcare Nevada)"}, {"is_enabled":
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|
231
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+
true, "supported_transactions": ["270", "837"], "id": "health_partners_mn",
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232
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+
"name": "HealthPartners Minnesota"}, {"is_enabled": true, "supported_transactions":
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233
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["837"], "id": "healthscope_benefits", "name": "HealthScope Benefits"}, {"is_enabled":
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234
|
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true, "supported_transactions": ["837"], "id": "health_spring", "name": "HealthSpring"},
|
|
235
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+
{"is_enabled": true, "supported_transactions": ["270"], "id": "healthcare_usa_coventry",
|
|
236
|
+
"name": "Healthcare USA (Coventry)"}, {"is_enabled": true, "supported_transactions":
|
|
237
|
+
["837"], "id": "healthfirst_ny", "name": "Healthfirst of New York"}, {"is_enabled":
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|
238
|
+
true, "supported_transactions": ["837"], "id": "highmark_blue_cross_blue_shield_de",
|
|
239
|
+
"name": "Highmark Blue Cross Blue Shield Delaware"}, {"is_enabled": true,
|
|
240
|
+
"supported_transactions": ["276", "270"], "id": "highmark_blue_cross_blue_shield_pa",
|
|
241
|
+
"name": "Highmark Blue Cross Blue Shield Pennsylvania"}, {"is_enabled": true,
|
|
242
|
+
"supported_transactions": ["276", "270", "837"], "id": "highmark_blue_cross_blue_shield_wv",
|
|
243
|
+
"name": "Highmark Blue Cross Blue Shield West Virginia"}, {"is_enabled": true,
|
|
244
|
+
"supported_transactions": ["270"], "id": "highmark_blue_shield_pa", "name":
|
|
245
|
+
"Highmark Blue Shield Pennsylvania"}, {"is_enabled": true, "supported_transactions":
|
|
246
|
+
["837"], "id": "highmark_bs_vision_pa", "name": "Highmark Blue Shield Vision
|
|
247
|
+
Pennsylvania"}, {"is_enabled": true, "supported_transactions": ["270", "837"],
|
|
248
|
+
"id": "blue_cross_blue_shield_nj", "name": "Horizon Blue Cross Blue Shield
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|
249
|
+
of New Jersey"}, {"is_enabled": true, "supported_transactions": ["270"], "id":
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|
250
|
+
"hudson_health_plan", "name": "Hudson Health Plan"}, {"is_enabled": true,
|
|
251
|
+
"supported_transactions": ["270", "837"], "id": "humana", "name": "Humana"},
|
|
252
|
+
{"is_enabled": true, "supported_transactions": ["837"], "id": "independence_blue_cross",
|
|
253
|
+
"name": "Independence Blue Cross"}, {"is_enabled": true, "supported_transactions":
|
|
254
|
+
["270", "837"], "id": "kaiser_permanente_co", "name": "Kaiser Permanente of
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|
255
|
+
Colorado"}, {"is_enabled": true, "supported_transactions": ["270", "837"],
|
|
256
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+
"id": "kaiser_permanente_ga", "name": "Kaiser Permanente of Georgia"}, {"is_enabled":
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|
257
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+
true, "supported_transactions": ["270", "837"], "id": "kaiser_permanente_northern_ca",
|
|
258
|
+
"name": "Kaiser Permanente of Northern CA"}, {"is_enabled": true, "supported_transactions":
|
|
259
|
+
["270", "837"], "id": "kaiser_permanente_oh", "name": "Kaiser Permanente of
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|
260
|
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Ohio"}, {"is_enabled": true, "supported_transactions": ["270", "837"], "id":
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|
261
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+
"kaiser_permanente_southern_ca", "name": "Kaiser Permanente of Southern CA"},
|
|
262
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+
{"is_enabled": true, "supported_transactions": ["270", "837"], "id": "kaiser_permanente_mid_atlantic",
|
|
263
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+
"name": "Kaiser Permanente of the Mid-Atlantic"}, {"is_enabled": true, "supported_transactions":
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|
264
|
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["270", "837"], "id": "kaiser_permanente_northwest", "name": "Kaiser Permanente
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|
265
|
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of the Northwest"}, {"is_enabled": true, "supported_transactions": ["837"],
|
|
266
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+
"id": "keystone_health_plan_east", "name": "Keystone Health Plan East"}, {"is_enabled":
|
|
267
|
+
true, "supported_transactions": ["270"], "id": "lifewise_or", "name": "LifeWise
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|
268
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Health Plan of Oregon"}, {"is_enabled": true, "supported_transactions": ["270"],
|
|
269
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"id": "lifewise_wa", "name": "LifeWise Health Plan of Washington"}, {"is_enabled":
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|
270
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true, "supported_transactions": ["270"], "id": "mahp", "name": "MAHP/MAMSI
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|
271
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(United)"}, {"is_enabled": true, "supported_transactions": ["276", "270"],
|
|
272
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+
"id": "mvp_health_care", "name": "MVP Health Care"}, {"is_enabled": true,
|
|
273
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+
"supported_transactions": ["270", "837"], "id": "magellan_health", "name":
|
|
274
|
+
"Magellan Health"}, {"is_enabled": true, "supported_transactions": ["837"],
|
|
275
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+
"id": "managed_care_services", "name": "Managed Care Services"}, {"is_enabled":
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|
276
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true, "supported_transactions": ["270", "837"], "id": "medica_health_plans",
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|
277
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"name": "Medica Health Plans"}, {"is_enabled": true, "supported_transactions":
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|
278
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+
["837"], "id": "medica_healthcare_plans_medicare", "name": "Medica Healthcare
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|
279
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+
Plans (Medicare)"}, {"is_enabled": true, "supported_transactions": ["837"],
|
|
280
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+
"id": "medica_usa", "name": "Medica USA"}, {"is_enabled": true, "supported_transactions":
|
|
281
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+
["270", "837"], "id": "medical_mutual_oh", "name": "Medical Mutual of Ohio"},
|
|
282
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+
{"is_enabled": true, "supported_transactions": ["270"], "id": "medicare_national",
|
|
283
|
+
"name": "Medicare (all states)"}, {"is_enabled": true, "supported_transactions":
|
|
284
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+
["837"], "id": "meritain_health", "name": "Meritain Health"}, {"is_enabled":
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|
285
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true, "supported_transactions": ["837"], "id": "moda_health", "name": "Moda
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|
286
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|
287
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"molina_health_care_ca", "name": "Molina Healthcare of California"}, {"is_enabled":
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|
288
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true, "supported_transactions": ["837"], "id": "molina_health_care_fl", "name":
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|
289
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"Molina Healthcare of Florida*"}, {"is_enabled": true, "supported_transactions":
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|
290
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["837"], "id": "molina_health_care_mi", "name": "Molina Healthcare of Michigan*"},
|
|
291
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{"is_enabled": true, "supported_transactions": ["837"], "id": "molina_health_care_nv",
|
|
292
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"name": "Molina Healthcare of Nevada*"}, {"is_enabled": true, "supported_transactions":
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|
293
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+
["270", "837"], "id": "molina_health_care_nm", "name": "Molina Healthcare
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|
294
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+
of New Mexico"}, {"is_enabled": true, "supported_transactions": ["837"], "id":
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|
295
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"molina_health_care_nm_salud", "name": "Molina Healthcare of New Mexico -
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|
296
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Salud*"}, {"is_enabled": true, "supported_transactions": ["270", "837"], "id":
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|
297
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"molina_health_care_oh", "name": "Molina Healthcare of Ohio"}, {"is_enabled":
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|
298
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true, "supported_transactions": ["837"], "id": "molina_health_care_sc", "name":
|
|
299
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"Molina Healthcare of South Carolina"}, {"is_enabled": true, "supported_transactions":
|
|
300
|
+
["270", "837"], "id": "molina_health_care_tx", "name": "Molina Healthcare
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|
301
|
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of Texas"}, {"is_enabled": true, "supported_transactions": ["270"], "id":
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|
302
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308
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310
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313
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314
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315
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316
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317
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318
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319
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320
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["276", "270", "837"], "id": "premera_blue_cross", "name": "Premera Blue Cross"},
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321
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{"is_enabled": true, "supported_transactions": ["270", "276", "837"], "id":
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322
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"premera_blue_cross_blue_shield_ak", "name": "Premera Blue Cross Blue Shield
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323
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326
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327
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"id": "federal_employees_plan_wa", "name": "Regence Blue Shield Federal Employees
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329
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330
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331
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332
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333
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334
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335
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339
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346
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347
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"empire_plan", "name": "The Empire Plan (United)"}, {"is_enabled": true, "supported_transactions":
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348
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350
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{"is_enabled": true, "supported_transactions": ["276", "270"], "id": "unicare",
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351
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357
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true, "supported_transactions": ["837"], "id": "united_health_care_community_plan_az",
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384
358
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385
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388
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390
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Community Plan of
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391
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-
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392
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393
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394
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395
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396
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397
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398
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399
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401
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402
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403
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405
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406
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408
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409
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Blue Shield of Iowa"}, {"is_enabled":
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412
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413
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414
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415
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["837"], "id": "child_health_plus_by_healthfirst", "name": "Childhealth Plus
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417
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418
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419
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425
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428
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["837"], "id": "sunshine_state_health_plan_cenpatico", "name": "Sunshine State
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429
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Health Plan - Cenpatico"}, {"is_enabled": false, "supported_transactions":
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430
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431
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432
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433
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434
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435
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436
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"Molina Healthcare of Ohio"}, {"is_enabled": false, "supported_transactions":
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438
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439
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false, "supported_transactions": ["837"], "id": "molina_health_care_id", "name":
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440
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"Molina Medicaid Solutions - Idaho"}, {"is_enabled": false, "supported_transactions":
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441
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["837"], "id": "molina_health_care_mi", "name": "Molina Healthcare of Michigan"},
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442
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{"is_enabled": false, "supported_transactions": ["837"], "id": "coresource_little_rock",
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443
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"name": "CoreSource Little Rock"}, {"is_enabled": false, "supported_transactions":
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444
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["837"], "id": "health_spring", "name": "HealthSpring"}, {"is_enabled": false,
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445
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446
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"Molina Healthcare of Wisconsin"}, {"is_enabled": false, "supported_transactions":
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447
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"Molina Healthcare of South Carolina"}, {"is_enabled": false, "supported_transactions":
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"name": "United Healthcare Community Plan of South Carolina"}, {"is_enabled":
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["276", "270"], "id": "wellmark_blue_cross_blue_shield_ia", "name": "Wellmark
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387
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Blue Cross and Blue Shield of South Dakota"}]}'
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389
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390
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