• No results found

Payer Maintenance Schedule

N/A
N/A
Protected

Academic year: 2021

Share "Payer Maintenance Schedule"

Copied!
8
0
0

Loading.... (view fulltext now)

Full text

(1)

Payer Maintenance Schedule

The following table shows payer maintenance windows. Times are given in Central time, unless otherwise noted. Please Note: Payers may alter their maintenance windows at any time without notifying Emdeon. Payers with no downtime information either did not wish provide Emdeon with that information or did not have that information available at the time of implementation. This list is provided for guidance when researching the possible cause of a payer’s response that they are unable to respond at the current time.

Payer Name Maintenance Schedule

AARP Mountain Time

Thu: 9:00 pm – 11:30 pm Absolute Total Care Wed 2pm – 4pm if needed Access Medicare No scheduled downtimes Administrative Services, Inc. No downtimes

Advantage by Bridgeway Health Solutions No downtimes Advantage by Buckeye Community Health

Plan (Centene) Wed 2pm – 4pm if needed Advantage by Managed Health Services Wed 2pm – 4pm if needed Advantage by Superior HealthPlan Wed 2pm – 4pm if needed Aetna Sun 12 am - 6am

Sun 7 pm - Mon 5 am Tue 4 am - 5 am Aetna Administrator-Medicare Supplemental No downtimes Aetna Better Health of KY No downtimes Aetna Better Health of LA No downtimes Aetna Better Health of MI No downtimes Aetna Better Health of MO No downtimes Aetna Better Health of Nebraska No downtimes Aetna Better Health of New Jersey No downtimes Aetna Better Health of Pannsylvania No downtimes Aetna Better Health of VA No downtimes Aetna Long Term Care No downtimes Aetna Senior Supplemental Insurance No downtimes

Affinity Essentials No scheduled downtimes Affinity Health Plan No downtimes

Affinity Health Plan Medicare No downtimes AFLAC No downtimes

AFLAC Group No scheduled downtimes AFLAC-Medicare Supplemental No downtimes

AFTRA Health Fund No downtimes

AGIA Inc. No scheduled downtimes All Savers Life Insurance Company Third Saturday of the

month beginning at10:00 CST (lasting about 5 hours).

Every Thursday from 9:00pm until 11:30 pm MDT.

Alliant Health Plans No scheduled downtimes Allied Benefit Systems No downtimes

Alabama Medicaid Sun 12 am - 1 am AMC: Alaska Electrical Health & Welfare Fund No downtimes AMC: American General Life and Accident No downtimes AMC: Health Future No downtimes AMC: Poly America No downtimes AMC: Touchstone No downtimes AMC: Touchstone PSO No downtimes AmeriBen No downtimes American Family Insurance Group (Medicare

Supplemental and PPO Policies) No downtimes

Payer Name Maintenance Schedule

American Health Medicare (Inmediata Health) No downtimes

American Income Life Insurance Company No scheduled downtimes American National Insurance Company No downtimes

American National Life Insurance Company of

Texas No downtimes American Network Insurance

(REHAB)-Medicare Supplemental No downtimes American Postal Workers Union (APWU) No downtimes American Republic Insurance Company

(ARIC) No downtimes American Retirement Life Insurance Company

Medicare Supplement No downtimes AmeriChoice of New Jersey (Commercial) No downtimes AMERIGROUP No downtimes

AmeriHealth Caritas Iowa No scheduled downtimes AmeriHealth Caritas Louisiana (formerly

LaCare) No downtimes AmeriHealth Caritas Pennsylvania Brief outages for

maintenance

Ameritas Group: Ameritas Life 1:30 am - 6:30 am daily Ameritas Group: First Ameritas of New York 1:30 am - 6:30 am daily Ameritas Group: First Reliance Standard Life 1:30 am - 6:30 am daily Ameritas Group: Reliance Standard Life 1:30 am - 6:30 am daily Ameritas Group: Standard Insurance 1:30 am - 6:30 am daily Ameritas Group: Standard Insurance of New

York 1:30 am - 6:30 am daily Alternative Insurance Resources Inc / AIR Inc No scheduled downtimes Antares No downtimes

Anthem Blue Cross California Mon 8 pm - Tue 7:30 am Tue 8 pm - Wed 7:30 am Wed 8 pm - Thu 7:30 am Thu 8 pm - Fri 7:30 am Fri 8 pm - Sat 7:30 am Sat 8 pm - Sun 7:30 am Apex Benefits Services No downtimes Arbor Health Plan No downtimes Arise Health Plan No downtimes Arise Health Plan-Medicare Select Policy No downtimes Arizona Medicaid (AHCCCS)

See also:

ftp://www.ahcccs.state.az.us/content/notice/hpl an/hplan.htm#downtime

Sat 1 am - 2 am Sun 1 am - 8 am

Arizona Physicians IPA (APIPA) Mountain Time

Thu: 9:00 pm – 11:30 pm Arkansas Medicaid Sun 12 am - 1 am

12 am - 6 am (occasionally) Associacion De Maestros Puerto Rico No downtimes Assurant Health: John Alden Life 9 pm - 5:45 am daily Assurant Health: Time Insurance Company 12 am - 5 am daily Assurant Health: Union Security Insurance

(2)

Payer Name Maintenance Schedule

Avalon Administrative Service Sun 3 pm - 10 pm CST AvMed Health Plans Mon 7 pm - Tue 6 am

Tue 7 pm - Wed 6 am BCBS of Alabama Mon 7 pm - Tue 6 am Tue 7 pm - Wed 6 am Wed 7 pm - Thu 6 am Thu 7 pm - Fri 6 am Fri 7 pm - Sat 6 am Sat 12 pm - Mon 6am BCBS of Alaska (Premera) Local system is available

24/7.

Blue Exchange and FEP access is available Mon - Fri 9 am - 8 pm & Sat 9 am - 6 pm.

Blue Exchange and FEP are not available on Sun. BCBS of Arizona No downtimes

BCBS of Arkansas Mon - Sat 12 am - 6 am All day Sun

BCBS of Colorado Available 24/7 except for monthly production moves around 7:30 pm EST. BCBS of Connecticut (WellPoint) Sun 12 am – Mon 12 am

Local and Blue Exchange available 24/6

BCBS of Delaware (Highmark) No known downtimes. BCBS of District of Columbia (Carefirst) Sun 1 am – 9 am Eastern

During this time the responses may be inconsistent. For best results avoiding this time period will cut down on the AAA*42 responses. BCBS of Florida No downtimes

BCBS of Georgia Available 24/7 except for scheduled maintenance downtime periodically 8 pm - 7:30 am

BCBS of Illinois 12 am - 6 am daily Sat 3 pm - Sun 6 am BCBS of Indiana Local and Blue Exchange

available 24/7 except for monthly production moves around 7:30 pm EST. FEP is only available Mon - Fri 9 am - 8 pm EST, Sat 9 am - 6 pm EST. BCBS of Iowa 2nd weekend each month,

Fri evening - Sat BCBS of Kansas Mon - Sat 12 am - 2 am

Sun 6 pm - 11:59 pm BCBS of Kansas City Mon - Sat 12 am – 2 am

Sun 6 pm - 11:59 pm BCBS of Kentucky (WellPoint) Sun 12 am – Mon 12 am

Local and Blue Exchange available 24/6

BCBS of Louisiana No downtimes BCBS LA Medicare Advantage No downtimes

BCBS of Maine (WellPoint) Sun 12 am – Mon 12 am Local and Blue Exchange available 24/6

Payer Name Maintenance Schedule

BCBS of Maryland (Carefirst) Sun 1 am – 9 am Eastern During this time the responses may be inconsistent. For best results avoiding this time period will cut down on the AAA*42 responses. BCBS of Massachusetts No downtimes BCBS of Michigan Sun 8 pm - Mon 6 am BCBS of Minnesota No downtimes BCBS of Mississippi (including CHIP and

SEHP) Mon 2 am - 4 am BCBS of Missouri Local and Blue Exchange

available 24/7 except for monthly production moves around 7:30 pm EST. FEP is only available Mon - Fri 9 am - 8 pm EST, Sat 9 am - 6 pm EST. BCBS of Nebraska Periodically around 12 am

Mon - Sat All day Sun

BCBS of Nevada (WellPoint) Sun 12 am – Mon 12 am Local and Blue Exchange available 24/6

BCBS of New Hampshire Local and Blue Exchange available 24/7 except for monthly production moves around 7:30 pm EST. FEP is only available Mon - Fri 9 am - 8 pm EST, Sat 9 am - 6 pm EST, Sun N/A.

BCBS of New Jersey (Horizon) Sun 7 pm - 10 pm Mon - Sat 2 am - 5 am BCBS of New Mexico 12 am - 6 am daily

Sat 3 pm - Sun 6 am BCBS of New York (Empire) (WellPoint): 270

and 276 Sun 12 am – Mon 12 am Local and Blue Exchange available 24/6

BCBS of New York (Empire) (WellPoint): 278 Sun 12 am – Mon 12 am Local and Blue Exchange available 24/6

BCBS of North Carolina 1 am - 6 am daily EST BCBS of North Dakota 12 am - 6 am daily

Sun mornings

BCBS of Ohio Local and Blue Exchange available 24/7 except for monthly production moves around 7:30 pm EST. FEP is only available Mon - Fri 9 am - 8 pm EST, Sat 9 am - 6 pm EST, Sun N/A.

BCBS of Oklahoma 12 am - 6 am daily Sat 3 pm - Sun 6 am BCBS of Oregon (Regence) Sat evenings.

Last weekend of month, extended maintenance Sat evening - Sun morning. Brief outages Mon - Fri 7:30 pm - 9 pm PST. BCBS of Pennsylvania (Highmark) Payer will inform vendor BCBS of Puerto Rico (Triple-S Salud) No scheduled downtimes BCBS of Rhode Island Sun 2 am - 8 am

(3)

Payer Name Maintenance Schedule

BCBS of South Carolina No scheduled downtimes BCBS of South Dakota 2nd weekend each month

Fri evening - Sat BCBS of Tennessee 2:01 am - 2:59 am daily

Thu 7 pm – 10 pm BCBS of Texas 12 am - 6 am daily Sat 3 pm - Sun 6 am BCBS of Texas-Medicaid No scheduled downtimes BCBS of Virginia Local and Blue Exchange available 24/7 except for monthly production moves around 7:30 pm EST. FEP is only available Mon - Fri 9 am - 8 pm EST, Sat 9 am - 6 pm EST, Sun N/A.

BCBS of Wisconsin (WellPoint) Sun 12 am – Mon 12 am Local and Blue Exchange available 24/6

BCBS of Wyoming 12 am - 6 am daily Sun mornings BCBSMT Health Economic Livelihood

Partnership (HELP) No scheduled downtimes Benefit Management Inc No downtimes

Best Life and Health No scheduled downtimes Better Health No downtimes

Better Health Plans of Tennessee (Unison

Health Plans) No downtimes Blue Cross Complete of Michigan No downtimes Blue Cross of Idaho No downtimes Blue Cross of Northeastern Pennsylvania Sun 6 am – 12 am

(midnight)

Blue Cross of Washington (Premera) Local system is available 24/7.

Blue Exchange and FEP access is available Mon - Fri 9 am - 8 pm & Sat 9 am - 6 pm.

Blue Exchange and FEP are not available on Sun. Blue Shield of California Sat 10 pm - Sun 10 pm

PST Blue Shield Washington (Regence) Sat evenings.

Last weekend of month, extended maintenance Sat evening - Sun morning. Brief outages Mon - Fri 7:30 pm - 9 pm PST. BlueChoice Healthplan of South Carolina

Medicaid No downtimes Bluegrass Family Health No downtimes Boon Group No downtimes

Bridgeway Health Solutions (Arizona) Wed 2pm – 4pm if needed Buckeye Community Health Wed 2pm – 4pm if needed C and O Employees’ Hospital Association Plan No downtimes

California Medicaid (Medi-Cal) 2 am - 4 am daily Capital Blue Cross (Pennsylvania) Sun 5 am - 8 am

Other times possible depending on maintenance requirements

Care1st Health Plan Arizona No downtimes Care Improvement Plus No downtimes CarePlus Health Plan No downtimes CarePoint Medicare Advantage No downtimes CareSource Health 3 am - 3:15 am daily

Payer Name Maintenance Schedule

CDS Group Health No downtimes Celtic Insurance No downtimes

CeltiCare Health Plan Wed 2pm – 4pm if needed Cenpatico Behavioral Health Arizona Wed 2pm – 4pm if needed Cenpatico Behavioral Health Florida Wed 2pm – 4pm if needed Cenpatico Behavioral Health Illinois Wed 2pm – 4pm if needed Cenpatico Behavioral Health Indiana Wed 2pm – 4pm if needed Cenpatico Behavioral Health Kansas Wed 2pm – 4pm if needed Cenpatico Behavioral Health Kentucky Wed 2pm – 4pm if needed Cenpatico Behavioral Health Massachusetts Wed 2pm – 4pm if needed Cenpatico Behavioral Health Ohio Wed 2pm – 4pm if needed Cenpatico Behavioral Health South Carolina Wed 2pm – 4pm if needed Cenpatico Behavioral Health Texas Wed 2pm – 4pm if needed Cenpatico Behavioral Health Wisconsin Wed 2pm – 4pm if needed Central Reserve Life Insurance Company No downtimes

CenterLight Healthcare No downtimes Central States Funds No downtimes CHAMPVA / Spina Bifida / Children of Women

Vietnam Veterans No downtimes Christian Brothers Services No downtimes Christie Student Health Plans Third weekend of every

month:

Sat 7 pm – Sun 7 pm CHRISTUS Health Plan Medicaid No scheduled downtimes CHRISTUS Health Plan New Mexico Health

Insurance Exchange No scheduled downtimes CHRISTUS Health Plan NM MA No scheduled downtimes Cigna Sun 12:01 am - 10 am

EST Colorado Access No downtimes CMFG Life Insurance No downtimes Colorado Medicaid Sun 12 am - 1 am Community Care of Oklahoma No downtimes Community Health Plan of Washington No downtimes Concentrix Insurance Solutions No downtimes Connecticut Medicaid 1:30 am - 1:45 am daily

Sun 4 am - 6 am Mon - Thu 10:45 pm - 11 pm

Wed 4 am - 5:30 am Constellation Health (INMEDIATA HEALTH

GROUP CORP) No scheduled downtimes Consumer Mutual of Michigan No scheduled downtimes Continental General Insurance Company No downtimes

Continental General Insurance Company

Medicare Supplement No downtimes Cooperative Benefit Administrators (CBA) No downtimes CoreSource (FMH) No downtimes CoreSource (Little Rock) No downtimes CoreSource (MD, PA, IL) (Includes NC and

IN.) No downtimes CoreSource (OH) No downtimes

CountyCare No scheduled downtimes Coventry: CHC Altius Health Plan/CHC

Nevada No downtimes Coventry: CHC Delaware No downtimes Coventry: CHC Florida No downtimes Coventry: CHC GEORGIA No downtimes Coventry: CHC Illinois No downtimes Coventry: CHC Iowa No downtimes Coventry: CHC Kansas / CHC Oklahoma No downtimes Coventry: CHC Louisiana No downtimes Coventry: CHC Nebraska No downtimes Coventry: CHC of Carolinas No downtimes

(4)

Payer Name Maintenance Schedule

Coventry: CHC OF MO, MS, AK, TN No downtimes Coventry: CHC Texas No downtimes Coventry: CHC Virginia No downtimes Coventry: CHC West Virginia No downtimes Coventry: CoventryCares of Maryland No downtimes Coventry: CoventryCares of Michigan No downtimes Coventry: CoventryCares of Nebraska No downtimes Coventry: CoventryCares of Pennsylvania No downtimes Coventry: CoventryCares of Virginia No downtimes Coventry: CoventryCares of West Virginia No downtimes Coventry: CvtyNatnlAccts/UofMO/CvtyOne No downtimes Coventry: Health America of PA No downtimes Coventry: MAIL HANDLERS & FEHBP No downtimes Coventry: MHNET Behavioral Health No downtimes Coventry: VISTA No downtimes

Coventry/Dentex Dental No scheduled downtimes Coventry Health Care of FL No scheduled downtimes Culinary Health Fund UNITE HERE Health No downtimes

Dean Health Plan No downtimes District of Columbia Medicaid No downtimes

Driscoll Health Plan No scheduled downtimes EBMS No scheduled downtimes Elderplan No scheduled downtimes EmblemHealth Sun 6 am – 12 pm Eastern Epic Life Insurance No scheduled downtimes Essence Healthcare No downtimes. Everence Financial No downtimes.

Evergreen Health No scheduled downtimes Evergreen Health Co-op 8 pm – 12 am Eastern Excellus BlueCross BlueShield (BlueCross

BlueShield of Rochester, BlueCross BlueShield of Central New York, and Blue Cross Blue Shield of Utica Watertown)

No downtimes

Fallon Community Health Plan Sunday EST Federated Insurance Company No downtimes Fidelis SecureCare of Michigan No downtimes First Carolina Care Sat 10 pm - Sun 2 pm First Community Health Plan Sat 10 pm - Sun 1 pm First United American Insurance Company No scheduled downtimes Florida Medicaid Sat 11 pm - Sun 4 am Food Bakery Confection Workers Fund of SO

Cal No downtimes Freedom Blue Payer will inform vendor Fresenius Health Partners No scheduled downtimes GEHA (Government Employees Health

Association) Mountain Time Thu: 9:00 pm – 11:30 pm Georgia Medicaid Thu 3:30 am - 4 am

Fri 1 am - 1:30 am Sat 11:30 pm - Sun 6 am Sun 1 am - 3 am Globe Life & Accident Insurance No scheduled downtimes G.M.P. Employers Retiree Trust No scheduled downtimes Golden Rule Thu 5:30 am - 8 am MT

Sun 9:00 am - Sun 12 pm MT

Great American Life Insurance Medicare

Supplement No downtimes Great-West Healthcare No downtimes

Group and Pension Administrators, Inc. No scheduled downtimes Group Dental Services No scheduled downtimes Group Practice Affiliates No downtimes

Harmony Health Plans (WellCare of Florida) No downtimes Harvard Pilgrim Health Care No downtimes Hawaii Medicaid 4 am - 6 am daily

Payer Name Maintenance Schedule

Hawaii Medical Services Association (BCBS

Hawaii) Second and fourth Monday of each month: 2 am - 6 am CST.

Hawaii time zone: Sun 10 pm – Mon 2 am Health Alliance Brief outages during off

hours; no scheduled downtimes Health Choice Arizona 3 am - 3:15 am daily Health Choice Insurance Company No scheduled downtimes Health First Health Plan No downtimes

Health First Insurance No downtimes

Health Net 4th Thu of month, 5 pm - 9

pm PST Health Net Federal Services – TRICARE North

Region No downtimes Health Partners of Philadelphia No downtimes Health Share of Oregon No information Health Services for Children with Special

Needs No downtimes Health Share of Oregon No downtimes HealthComp Administrators No downtimes HEALTHe Exchange No downtimes HealthEase (WellCare of Florida) No downtimes HealthEase Kids (WellCare of Florida) No downtimes HealthEZ No downtimes Healthfirst New Jersey No downtimes Healthfirst New York No downtimes Healthgram No downtimes

HealthPartners MN No scheduled downtimes Healthplan Services – Celtic Insurance

Company No scheduled downtimes Healthplan Services – First Health Life &

Health Insurance Company No scheduled downtimes Healthplan Services – Metlife Insurance

Company No scheduled downtimes Healthplan Services – Physicians Mutual No scheduled downtimes Healthplan Services – Trustmark Life

Insurance Company – New England No scheduled downtimes HealthPlus of Michigan No downtimes

HealthSmart Benefit Solutions No downtimes HealthSmart Benefit Solutions – West Virginia No downtimes HealthSpring No downtimes Healthy Texas No downtimes

HMA No scheduled downtimes Hometown Health No downtimes

Horizon New Jersey Health Available 24/7 with regular maintenance scheduled the 2nd Sat of each month;

outage may last from late Fri - Sun afternoon. Humana Sun 2 am - 3 am IBEW Local 508 Health Plan No downtimes Idaho Medicaid Sun 12 am - Mon 1 am IlliniCare Health Plan Wed 2pm – 4pm if needed Illinois Medicaid 3 am - 3:30 am daily Independence Blue Cross (Pennsylvania) Sat 10:45 pm - Sun 11 am

FEP hours of availability: Mon - Fri 8 am - 7 pm, Sat 8 am - 5 pm

Indiana Medicaid Sun 12 am - 1 am Inland Empire Health No downtimes

INTEGRA Administrative Group No scheduled downtimes Integrated Mental Health Services No downtimes

(5)

Payer Name Maintenance Schedule

Inter Valley Health Plan No downtimes International Medical Card, Inc No downtimes Island Home Insurance No downtimes Iowa Medicaid Mon 1 am - 1:30 am Johns Hopkins HealthCare Second Friday of the

month from 5 AM until 6 AM EST

Johns Hopkins HealthCare LLC No scheduled downtimes Kaiser Foundation Health Plan of Colorado Mon - Fri 11:30 pm - 2 am

PST

Sat & Sun 12 am - 4 am PST

Kaiser Foundation Health Plan of Hawaii Mon - Fri 11:30 pm - 2 am PST

Sat & Sun 12 am - 4 am PST

Kaiser Foundation Health Plan of Hawaii

(DHMO/CHOICE) No downtimes

Kaiser Foundation Health Plan of Ohio Mon - Fri 11:30 pm - 2 am PST

Sat & Sun 12 am - 4 am PST

Kaiser Foundation Health Plan of the

Mid-Atlantic Mon - Fri 11:30 pm - 2 am PST Sat & Sun 12 am - 4 am PST

Kaiser Foundation Health Plan of the

Northwest Mon - Fri 11:30 pm - 2 am PST Sat & Sun 12 am - 4 am PST

Kaiser NW Dental No scheduled downtimes Kaiser Permanente Insurance Co KPIC No downtimes

Kaiser Permanente of Georgia Mon - Fri 11:30 pm - 2 am PST

Sat & Sun 12 am - 4 am PST

Kaiser Permanente of Northern California Mon - Fri 11:30 pm - 2 am PST

Sat & Sun 12 am - 4 am PST

Kaiser Permanente of Southern California Mon - Fri 11:30 pm - 2 am PST

Sat & Sun 12 am - 4 am PST

KanCare-UnitedHealthcare Community Plan

Kansas Thu - 5:30 am - 8 am MT Sun 9 am - 12 am MT Kansas Medicaid Fri 1:00am – 5:00 am CST Kentucky Medicaid 12 am - 1 am daily EST

Maintenance as needed beginning 12 am Sun EST Kempton Company (The) No downtimes

Key Benefit Administrators No scheduled downtimes Key Benefit Administrators (Indianapolis, In) No downtimes

Keystone First Brief outages for maintenance

L.A. Care No scheduled downtimes Land of Lincoln Health No scheduled downtimes Leggett and Platt No downtimes

Leon Medical Centers Health Plans No downtimes

Liberty National Life Insurance Company No scheduled downtimes Lincoln Financial No downtimes

Louisiana Healthcare Connections Wed 2pm – 4pm if needed Louisiana Medicaid Sat 7 pm - 9 pm

Loyal American Life Insurance Company

Medicare Supplement No downtimes

Payer Name Maintenance Schedule

MagnaCare No downtimes

Magnolia Health Plan Wed 2pm – 4pm if needed Maine Community Health Options No scheduled downtimes Maine Medicaid 3 am - 3:15 am daily Managed Care of America No scheduled downtimes Managed Health Network No scheduled downtimes Managed Health Services (Indiana) Wed 2pm – 4pm if needed Managed Health Services (Wisconsin) Wed 2pm – 4pm if needed MAPFRE Life Puerto Rico No downtimes

MAPFRE Medicare Excel No downtimes Maricopa Care Advantage (Arizona) No downtimes Maricopa Health Plan (Arizona) No downtimes Maryland Medicaid No downtimes Massachusetts Medicaid Tue & Fri 5 am - 7 am MDWise Hoosier Alliance Available 24/7 with regular

maintenance scheduled the 2nd Sat of each month;

outage may last from late Fri - Sun afternoon. Mdwise, Inc Sat 10 pm - Sun 1 pm CST Med-Pay, Inc No downtimes

MedBen No downtimes Medica Mountain Time

Thu: 9:00 pm – 11:30 pm Medica2 The system is generally

available 24 hours a day, 7 days per week. To allow for maintenance, planned outages may cause the 276/277 transaction to become unavailable for limited timeframes, which generally occurs after 10:00 PM CST on weekdays, or after 5:00 PM CST on weekends. Medica Health Plans No downtimes Medical Associates Health Plan/Health

Choices No scheduled downtimes Medical Card System No scheduled downtimes Medical Mutual of Ohio Sun 5 am - 8 am EST Medicare Part A & B Mon 12 am - 6 am EST Medicare y Mucho Mas (INMEDIATA HEALTH

GROUP CORP) No downtimes Medico Insurance Company No information Mega Life – Oklahoma City No downtimes Mercy Care Plan (Arizona) No downtimes Meridian Health Plan of Illinois No downtimes

Meritain Health Sat 8 pm - Sun 8 am EST Meritus Health Partners No scheduled downtimes MetLife Dental Family Mon 11 pm - Tue 12 am

Tue 11 pm - Wed 3 am Wed 11 pm - Thu 3 am Thu 11 pm - Fri 3 am Fri 11 pm - Sat 3 am Sat 4 pm - 5:30 pm Sun 2 am - 9 am Holiday schedule times vary

MetroPlus Health Plans Sat 10 pm - Sun 1 pm CST Michigan Medicaid No downtimes

Michigan Medicaid Pending Eligibility No downtimes Michigan MIChild No downtimes

(6)

Payer Name Maintenance Schedule

Minnesota Medicaid Mon 2 am - 5:30 am Sun 12 am - 1 am Sun 5 am - 5:30 am Mississippi Medicaid Sun 12 am - 1 am Mississippi State Employees and Teachers

Health Plan Mon 2 am - 4 am Missouri Medicaid 12 am - 2 am daily

Thu 2 am - 3 am Sun 2 am - 6 am MMSI (Mayo) No downtimes Molina Healthcare of California No downtimes Molina Healthcare of Florida No downtimes Molina Healthcare of Michigan No downtimes Molina Healthcare of Missouri No downtimes Molina Healthcare of New Mexico No downtimes Molina of Puerto Rico No downtimes Molina Healthcare of South Carolina No downtimes Molina Healthcare of Texas No downtimes Molina Healthcare of Utah No downtimes Molina Healthcare of Washington No downtimes Molina Healthcare of Wisconsin No downtimes Montana Medicaid Sat 11 pm - Sun 5 am Mountain State Payer will inform vendor Municipal Health Benefit Fund No downtimes Mutual of Omaha Sat 9 pm - 2 am Sun, all

day Sun.

Available beginning Mon at 2:15 am.

MVP Health Care (New York) Mon 11 pm - Tue 6 am Tue 11 pm - Wed 6 am Wed 11 pm - Thu 6 am Thu 11 pm - Fri 6 am NaphCare, Inc No scheduled downtimes National Association of Letter Carriers (NALC) No downtimes

Nationwide Health Plans No downtimes Nebraska Medicaid No downtimes Network Health Plan No downtimes Nevada Medicaid No downtimes New Era Life Insurance Company

• New Era Life Insurance Company of the

Midwest No scheduled downtimes

• Philadelphia American Life Insurance

Company No scheduled downtimes New Hampshire Medicaid No downtimes

New Jersey Medicaid 12 am - 5am daily New Mexico Health Connections No scheduled downtimes New Mexico Medicaid Mon 1 am - 1:30 am

Sat 11 pm - Sun 4 am New York Medicaid 12 am - 2am daily Nippon Life Benefits No downtimes

Payer Name Maintenance Schedule

North American Medical Management California. Uses the following payer names:

• North American Medical Management California

• Coachella Vly Phys

• PrimaryCare (PCAMG)

• PrimeCare Med Ntwrk

• PrimeCare Riverside

• PrimeCare Temecula

• PrimeCare Sun City

• PrimeCare San Bernar

• PrimeCare Redlands

• PrimeCare Corona

• PrimeCare Citrus Vly

• PrimeCare Chino

• PrimeCare Moreno

• PrimeCare Hemet

• PrimeCare Inland Vly

• Valley Physicians Ntwrk

Fri 6 pm - Sun 11:59 pm

North Carolina Medicaid Sat 12 am - 1 am Sun 1 am - 6 am North Dakota Medicaid Wed 4 am - 7 am Northwest Administrators, Inc No scheduled downtimes NovaSys Health No downtimes

‘Ohana Health Plan (WellCare of Hawaii) No downtimes Ohio Medicaid No regularly scheduled

downtimes Oklahoma Employees Group Insurance

Division No regularly scheduled downtimes Oklahoma Medicaid 1 am - 5 am daily

Sat 7 pm - 9 pm Sat 10 pm - Sun 12 am Operating Engineers Local No. 428 Health and

Welfare Trust Fund No downtimes Optima Health (Optima/Sentra) No downtimes Orange County Fire Authority No downtimes

Oregon Medicaid 1 am - 1:05 am daily PST 10 pm Sun - 1 am Mon PST

Oregon’s Health CO-OP No scheduled downtimes Oxford Health Plans Mountain Time

Thu: 9:00 pm – 11:30 pm PacificSource Administrators No scheduled downtimes PacificSource Community Solutions (Medicaid) No scheduled downtimes PacificSource Health Plans No scheduled downtimes PacificSource Medicare No scheduled downtimes Pan-American Life Insurance No scheduled downtimes Panamerican Life Puerto Rico (PALIC) No downtimes

Partnership Health Plan of California No downtimes Passport Advantage No downtimes

Passport Health Plan Available 24/7 with regular maintenance scheduled the 2nd Sat of each month;

outage may last from late Fri - Sun afternoon. Penn Treaty Network America Insurance

(REHAB)-Medicare Supplemental No downtimes Pennsylvania Medicaid Sun 12 am - Sun 1 am

Mon - Sat 3 am - 3:15 am Peoples Health No downtimes

Personal Insurance Administrators No downtimes PHCS Savility Payers No downtimes Physicians Mutual Insurance Company No downtimes Piedmont Wellstar HealthPlans No downtimes

(7)

Payer Name Maintenance Schedule

Pittman and Associates No downtimes Plan de Saud Hospital Menonita No downtimes Planned Administrators Inc No downtimes Plumbers and Pipefitters Local Union 525

Health & Welfare Trust No downtimes Preferred Care Partners No downtimes Preferred Medicare Choice (PMC)

(INMEDIATA HEALTH GROUP CORP) No downtimes PreferredOne No downtimes Premera Blue Cross Unknown

Principal Financial Group (Principal Life) Sun 7 pm - Mon 5:45 am Mon 11 pm - Tue 5:45 am Tue 11 pm - Wed 5:45 am Wed 11 pm - Thu 5:45 am Thu 11 pm - Fri 5:45 am Fri 11 pm - Sat 5:45 am Sat 7 pm - Sun 5:45 am Priority Health Second weekend of the month. Variable time slot. Providence Health Plan No scheduled downtimes Provident American Life & Health Insurance

Company Medicare Supplement No downtimes Puerto Rico Medicaid No downtimes QuikTrip Corporation No downtimes

Reserve National Insurance Company No scheduled downtimes RightCare from Scott and White Health Plan No scheduled downtimes Rocky Mountain Health Plan (HMO) No downtimes

San Joaquin Health Plan No downtimes

Santa Clara Family Health Plan No scheduled downtimes Schaller Anderson Aetna Better Health - PA

Medicaid No downtimes Schaller Anderson Aetna Better Health of New

York No downtimes Schaller Anderson Aetna Better Health of Ohio No downtimes Schaller Anderson Aetna IL Medicaid No downtimes Schaller Anderson Aetna Texas Medicaid &

CHIP No downtimes Schaller Anderson Integral Quality Care FL No downtimes Schaller Anderson Maryland Physicians Care No downtimes Schaller Anderson Mercy Care No downtimes Schaller Anderson Mercy Maricopa No downtimes Schaller Anderson Missouri Care No downtimes Schaller Anderson Parkland Community

Health Plan No downtimes Schaller Anderson Texas CHRISTUS No downtimes

Select Health of South Carolina Available 24/7 with regular maintenance scheduled the 2nd Sat of each month;

outage may last from late Fri - Sun afternoon. Sendero Health Plans No scheduled downtimes Senior Care Action Network (SCAN) HMO No downtimes

Senior Health Services Center-Universal

American Family of Companies No downtimes Senior Whole Health No downtimes

Sharp Health Plan No scheduled downtimes Significa Benefit Services Sun 10:30 pm - Mon 3 am

Mon 10:30 pm - Tue 3 am Tue 10:30 pm - Wed 3 am Wed 10:30 pm - Thu 3 am Thu 10:30 pm - Fri 3 am Fri 10:30 pm - Sat 3 am Sat 10:30 pm - Sun 3 am Simply Healthcare Plans No downtimes

Payer Name Maintenance Schedule

South Carolina Medicaid No downtimes South Dakota Medicaid Sun 12 am - 1 am Special Agents Mutual Benefit Association

(SAMBA) No scheduled downtimes SPJST Medicare Supplement No downtimes.

Standard Life and Accident Insurance Co. No downtimes. StayWell (WellCare of Florida) No downtimes StayWell Kids (WellCare of Florida) No downtimes Star HRG No downtimes

Stonebridge Life Insurance Company No scheduled downtimes StudentResources No downtimes

SummaCare No downtimes

Summit America Insurance Service No scheduled downtimes Sunflower State Health Plan (Kansas) Wed 2pm – 4pm if needed Sunshine State Health Plan (Florida) Wed 2pm – 4pm if needed Superior Health Plan Wed 2pm – 4pm if needed Tennessee Medicaid (TennCare) Sun 12 am - 1 am, 5 am -

9 am, 4:30 pm - 6:30 pm 1st day of the month 5 am -

6 am TexanPlus North Texas Area No downtimes TexanPlus Southeast Texas Area No downtimes Texas Medicaid Sun 6 pm - 11:59 pm The Kempton Company No downtimes Three Rivers Health Plan (Unison Health Plan) Mountain Time

Thu: 9:00 pm – 11:30 pm Today’s Options No downtimes

TransactRX Part D Mon 1 am – 3 am Tue 1 am – 3 am Wed 1 am – 3 am Thu 1 am – 3 am Sat 9 pm – Sun 6 am Transamerica Financial Life Insurance

Company No scheduled downtimes Transamerica Life Insurance Company No scheduled downtimes Transamerica Premier Life Insurance

Company No scheduled downtimes Triad Healthcare, Inc No downtimes

TRICARE Sun 3 pm - Mon 6 am Tricare For Life No scheduled downtimes TRICARE North Region – Health Net Federal

Services No downtimes

Tricare Overseas No scheduled downtimes Trillium Community Health Plan No scheduled downtimes Triple-S Salud (BCBS of Puerto Rico) No scheduled downtimes Trustmark Insurance No downtimes

Tufts Health Plan No downtimes The Ullico Family of Companies No downtimes Ultimate Health Plans No downtimes UMR Wausau No downtimes

UMWA Health and Retirement Funds No scheduled downtimes UniCare No downtimes, except

monthly updates around 7:30 pm EST

Union Pacific Railroad Employes Health

Systems No downtimes UnitedHealthcare Mountain Time

Thu: 9:00 pm – 11:30 pm UnitedHealthcare Community Plan –

Tennessee Mountain Time Thu: 5:30 am – 8:00 am Thu: 9:00 am – 12:00 pm

(8)

Payer Name Maintenance Schedule

UnitedHealthcare Life Insurance Company Third Saturday of the month beginning at10:00 CST (lasting about 5 hours).

Every Thursday from 9:00pm until 11:30 pm MDT.

UnitedHealthcare Shared Services Mountain Time

Thu: 9:00 pm – 11:30 pm United American Insurance Company No scheduled downtimes United Healthcare Nevada Market No known downtimes United Healthcare Securehorizons-Medicare

Supplemental Mountain Time Thu: 9:00 pm – 11:30 pm United Teacher Associates Insurance

Company Medicare Supplemental No downtimes

Universal Benefit Corp No scheduled downtimes Universal Care of California No downtimes

University Family Care No downtimes University Physicians Care Advantage

(Arizona) No downtimes USAA-Medicare Supplemental No downtimes VA Fee Basis Program No downtimes Vantage Health Plan No downtimes Vermont Medicaid Sun 12 am - 1 am Virginia Medicaid No information Viva Health Inc. No information VNS CHOICE No downtimes Washington Medicaid Mon 1 am - 1:30 am

Sat 11 pm - Sun 4 am WEBTPA No downtimes WellCare Health Plans (WellCare of Florida,

Georgia, New York, Connecticut, New Jersey, Louisiana, Ohio, Texas)

No downtimes

Wells Fargo Third Party Administrators (CHIP

and PEIA) No downtimes West Virginia Medicaid Mon 1 am - 1:30 am

Sat 11 pm - Sun 4 am Western Health Advantage Third weekend of every

month starting Saturday at 7pm PST through Sunday. Western Southern Financial Group No scheduled downtimes Windsor Health Plan No scheduled downtimes Wisconsin Chronic Disease Program Mon - Fri 4 am - 5 am

Thu 11:59 pm - Fri 4 am 3rd Sat 11:30 pm - Sun 6

am

Wisconsin Medicaid Mon - Fri 4 am - 5 am Thu 11:59 pm - Fri 4 am 3rd Sat 11:30 pm - Sun 6

am

Wisconsin Well Woman Program Mon - Fri 4 am - 5 am Thu 11:59 pm - Fri 4 am 3rd Sat 11:30 pm - Sun 6

am

World Corp No downtimes

WPS Health Insurance No scheduled downtimes Writer’s Guild No downtimes

Wyoming Medicaid Mon 1 am - 1:30 am Sat 11 pm - Sun 4 am

References

Related documents

Moreover, a given publication may emphasize the theoretical aspects with little indication of the practical significance of the phenomena, or may largely ignore the

[r]

This paper describes the topics that RMT will cover, the types of interactions that it will support with the students, and our plans for integrating it into the research methods

PSR J1856+0245: Arecibo Discovery of a Young, Energetic Pulsar PSR J1856+0245: Arecibo Discovery of a Young, Energetic Pulsar Coincident with the TeV Gamma-ray Source HESS J1857+026

FM TRANSLATOR APPLICATIONS FOR MINOR CHANGE TO A LICENSED FACILITY ACCEPTED FOR FILING W276BD 143217 APPALACHIAN EDUCATIONAL COMMUNICATION CORPORATION VA ABINGDON , VA

If Molina Healthcare of Florida is not the primary payer under coordination of benefits (COB), providers must submit claims for payment to Molina Healthcare of Florida within

Here are some of the different types of the different types of Y Yoga that are available in oga that are available in India, and you may India, and you may want to click on one

nes radicales en la legislación laboral y de obras sociales. El radi- calismo accedió a estas concesiones a fm de garantizar la paz so- cial frente a una gran conflictividad