PayerList Payers Request and Response
https://sandbox.apigw.optum.com/medicalnetwork/payerlist/v1/payers?system=imn&lastUpdatedAfter=2024-12-09
{
"page": 1,
"pageSize": 50,
"total": 1218,
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{
"system": "IMN",
"payerId": "92645",
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"additionalInfo": [
{
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"value": "Yes"
}
],
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},
{
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"industryPayerId": "36273",
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"AARP"
]
},
"payerNotes": "Notes",
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"additionalInfo": [
{
"key": "enrollmentRequiredIfEnrolledBeforeFeb21",
"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
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"value": "Yes"
}
],
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},
{
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]
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{
"key": "enrollmentRequiredIfEnrolledBeforeFeb21",
"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
"key": "serviceRestored",
"value": "Yes"
}
],
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},
{
"payerPlanName": "ABLEPAY HEALTH, LLC",
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"payerId": "ABLPY",
"industryPayerId": "ABLPY",
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"ABLPY"
]
},
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{
"key": "enrollmentRequiredIfEnrolledBeforeFeb21",
"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
"key": "serviceRestored",
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}
],
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},
{
"payerPlanName": "ACS BENEFIT SERVICES",
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},
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{
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"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
"key": "serviceRestored",
"value": "Yes"
}
],
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},
{
"payerPlanName": "ADMINISTRATIVE CONCEPTS",
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"payerId": "22384",
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"ADMCON"
]
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{
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"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
"key": "serviceRestored",
"value": "No"
}
],
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},
{
"payerPlanName": "AETNA",
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"23222",
"60054",
"60054",
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"AETNA",
"AETNX",
"AETNX"
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"transactionType": "Advanced Notification",
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{
"key": "enrollmentRequiredIfEnrolledBeforeFeb21",
"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
"key": "serviceRestored",
"value": "No"
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],
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},
{
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{
"key": "enrollmentRequiredIfEnrolledBeforeFeb21",
"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
"key": "serviceRestored",
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}
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{
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"AETNX",
"AETNX"
]
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{
"key": "enrollmentRequiredIfEnrolledBeforeFeb21",
"value": "No"
},
{
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"value": "No"
},
{
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}
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{
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},
{
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},
{
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}
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{
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},
{
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"value": "No"
},
{
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}
],
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},
{
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},
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{
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"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
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}
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{
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"value": "No"
},
{
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},
{
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}
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},
{
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{
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},
{
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}
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{
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},
{
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"value": "No"
},
{
"key": "serviceRestored",
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},
{
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},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
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},
{
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},
{
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]
},
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{
"key": "enrollmentRequiredIfEnrolledBeforeFeb21",
"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
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],
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},
{
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},
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{
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},
{
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{
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},
{
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},
{
"key": "serviceRestored",
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},
{
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}
],
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},
{
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{
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{
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}
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},
{
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},
{
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},
{
"key": "serviceRestored",
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}
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},
{
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]
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{
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},
{
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},
{
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},
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},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
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},
{
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}
],
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},
{
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]
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"value": "No"
},
{
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},
{
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}
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},
{
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]
},
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{
"key": "enrollmentRequiredIfEnrolledBeforeFeb21",
"value": "No"
},
{
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},
{
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}
],
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},
{
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]
},
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},
{
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},
{
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],
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},
{
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]
},
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{
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"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
"key": "serviceRestored",
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}
],
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},
{
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]
},
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{
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},
{
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},
{
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},
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{
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"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
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}
],
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},
{
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]
},
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"value": "No"
},
{
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},
{
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}
],
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},
{
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},
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{
"key": "enrollmentRequiredIfEnrolledBeforeFeb21",
"value": "No"
},
{
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},
{
"key": "serviceRestored",
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}
],
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},
{
"payerPlanName": "AETNA BETTER HEALTH OF NEW YORK",
"system": "IMN",
"payerId": "34734",
"industryPayerId": "34734",
"linkedPayerIds": {
"additionalLCHCPayerID": [
"34734",
"ABHNY",
"ABHNY"
]
},
"transactionType": "Claim Status",
"status": "Active",
"enrollment": {},
"payerStandIn": true,
"additionalInfo": [
{
"key": "enrollmentRequiredIfEnrolledBeforeFeb21",
"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
"key": "serviceRestored",
"value": "No"
}
],
"lastUpdated": "2024-12-10"
},
{
"payerPlanName": "AETNA BETTER HEALTH OF NEW YORK",
"system": "IMN",
"payerId": "34734",
"industryPayerId": "34734",
"linkedPayerIds": {
"additionalLCHCPayerID": [
"34734",
"ABHNY",
"ABHNY"
]
},
"transactionType": "Eligibility",
"status": "Active",
"enrollment": {},
"payerStandIn": true,
"additionalInfo": [
{
"key": "enrollmentRequiredIfEnrolledBeforeFeb21",
"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
"key": "serviceRestored",
"value": "No"
}
],
"lastUpdated": "2024-12-10"
},
{
"payerPlanName": "AETNA BETTER HEALTH OF OHIO",
"system": "IMN",
"payerId": "50023",
"industryPayerId": "50023",
"linkedPayerIds": {
"additionalLCHCPayerID": [
"50023",
"ABHOH",
"ABHOH"
]
},
"transactionType": "Claim Status",
"status": "Active",
"enrollment": {},
"payerStandIn": true,
"additionalInfo": [
{
"key": "enrollmentRequiredIfEnrolledBeforeFeb21",
"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
"key": "serviceRestored",
"value": "No"
}
],
"lastUpdated": "2024-12-10"
},
{
"payerPlanName": "AETNA BETTER HEALTH OF OHIO",
"system": "IMN",
"payerId": "50023",
"industryPayerId": "50023",
"linkedPayerIds": {
"additionalLCHCPayerID": [
"50023",
"ABHOH",
"ABHOH"
]
},
"transactionType": "Eligibility",
"status": "Active",
"enrollment": {},
"payerStandIn": true,
"additionalInfo": [
{
"key": "enrollmentRequiredIfEnrolledBeforeFeb21",
"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
"key": "serviceRestored",
"value": "No"
}
],
"lastUpdated": "2024-12-10"
},
{
"payerPlanName": "AETNA BETTER HEALTH OF PENNSYLVANIA",
"system": "IMN",
"payerId": "23228",
"industryPayerId": "23228",
"linkedPayerIds": {
"additionalLCHCPayerID": [
"00510",
"23228",
"ABHPA",
"PENNS"
]
},
"transactionType": "Claim Status",
"status": "Active",
"enrollment": {},
"payerStandIn": true,
"additionalInfo": [
{
"key": "enrollmentRequiredIfEnrolledBeforeFeb21",
"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
"key": "serviceRestored",
"value": "No"
}
],
"lastUpdated": "2024-12-10"
},
{
"payerPlanName": "AETNA BETTER HEALTH OF PENNSYLVANIA",
"system": "IMN",
"payerId": "23228",
"industryPayerId": "23228",
"linkedPayerIds": {
"additionalLCHCPayerID": [
"00510",
"23228",
"ABHPA",
"PENNS"
]
},
"transactionType": "Eligibility",
"status": "Active",
"enrollment": {},
"payerStandIn": true,
"additionalInfo": [
{
"key": "enrollmentRequiredIfEnrolledBeforeFeb21",
"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
"key": "serviceRestored",
"value": "No"
}
],
"lastUpdated": "2024-12-10"
},
{
"payerPlanName": "AETNA BETTER HEALTH OF TEXAS",
"system": "IMN",
"payerId": "38692",
"industryPayerId": "38692",
"linkedPayerIds": {
"additionalLCHCPayerID": [
"38692",
"ABHTX",
"TMDSA"
]
},
"transactionType": "Claim Status",
"status": "Active",
"enrollment": {},
"payerStandIn": true,
"additionalInfo": [
{
"key": "enrollmentRequiredIfEnrolledBeforeFeb21",
"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
"key": "serviceRestored",
"value": "No"
}
],
"lastUpdated": "2024-12-10"
},
{
"payerPlanName": "AETNA BETTER HEALTH OF TEXAS",
"system": "IMN",
"payerId": "38692",
"industryPayerId": "38692",
"linkedPayerIds": {
"additionalLCHCPayerID": [
"38692",
"ABHTX",
"TMDSA"
]
},
"transactionType": "Eligibility",
"status": "Active",
"enrollment": {},
"payerStandIn": true,
"additionalInfo": [
{
"key": "enrollmentRequiredIfEnrolledBeforeFeb21",
"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
"key": "serviceRestored",
"value": "No"
}
],
"lastUpdated": "2024-12-10"
},
{
"payerPlanName": "AETNA BETTER HEALTH OF VIRGINIA",
"system": "IMN",
"payerId": "128VA",
"industryPayerId": "128VA",
"linkedPayerIds": {
"additionalLCHCPayerID": [
"128VA",
"ABHVA",
"CHCCN"
]
},
"transactionType": "Claim Status",
"status": "Active",
"enrollment": {},
"payerStandIn": true,
"additionalInfo": [
{
"key": "enrollmentRequiredIfEnrolledBeforeFeb21",
"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
"key": "serviceRestored",
"value": "No"
}
],
"lastUpdated": "2024-12-10"
},
{
"payerPlanName": "AETNA BETTER HEALTH OF VIRGINIA",
"system": "IMN",
"payerId": "128VA",
"industryPayerId": "128VA",
"linkedPayerIds": {
"additionalLCHCPayerID": [
"128VA",
"ABHVA",
"CHCCN"
]
},
"transactionType": "Eligibility",
"status": "Active",
"enrollment": {},
"payerStandIn": true,
"additionalInfo": [
{
"key": "enrollmentRequiredIfEnrolledBeforeFeb21",
"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
"key": "serviceRestored",
"value": "No"
}
],
"lastUpdated": "2024-12-10"
},
{
"payerPlanName": "AETNA BETTER HEALTH OF WEST VIRGINIA",
"system": "IMN",
"payerId": "128WV",
"industryPayerId": "128WV",
"linkedPayerIds": {
"additionalLCHCPayerID": [
"128WV",
"ABHWV",
"ABHWV"
]
},
"transactionType": "Claim Status",
"status": "Active",
"enrollment": {},
"payerStandIn": true,
"additionalInfo": [
{
"key": "enrollmentRequiredIfEnrolledBeforeFeb21",
"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
"key": "serviceRestored",
"value": "No"
}
],
"lastUpdated": "2024-12-10"
},
{
"payerPlanName": "AETNA BETTER HEALTH OF WEST VIRGINIA",
"system": "IMN",
"payerId": "128WV",
"industryPayerId": "128WV",
"linkedPayerIds": {
"additionalLCHCPayerID": [
"128WV",
"ABHWV",
"ABHWV"
]
},
"transactionType": "Eligibility",
"status": "Active",
"enrollment": {},
"payerStandIn": true,
"additionalInfo": [
{
"key": "enrollmentRequiredIfEnrolledBeforeFeb21",
"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
"key": "serviceRestored",
"value": "No"
}
],
"lastUpdated": "2024-12-10"
},
{
"payerPlanName": "Aetna LTC",
"system": "IMN",
"payerId": "00225",
"linkedPayerIds": {
"additionalLCHCPayerID": [
"00225",
"225",
"AETLC"
]
},
"transactionType": "Claim Status",
"status": "Active",
"enrollment": {},
"payerStandIn": true,
"additionalInfo": [
{
"key": "enrollmentRequiredIfEnrolledBeforeFeb21",
"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
"key": "serviceRestored",
"value": "No"
}
],
"lastUpdated": "2024-12-10"
},
{
"payerPlanName": "Aetna LTC",
"system": "IMN",
"payerId": "00225",
"linkedPayerIds": {
"additionalLCHCPayerID": [
"00225",
"225",
"AETLC"
]
},
"transactionType": "Eligibility",
"status": "Active",
"enrollment": {},
"payerStandIn": false,
"additionalInfo": [
{
"key": "enrollmentRequiredIfEnrolledBeforeFeb21",
"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
"key": "serviceRestored",
"value": "Yes"
}
],
"lastUpdated": "2024-12-10"
},
{
"payerPlanName": "Aetna Senior Supplemental",
"system": "IMN",
"payerId": "AESSI",
"linkedPayerIds": {
"additionalLCHCPayerID": [
"AESSI",
"ATNSSI"
]
},
"transactionType": "Claim Status",
"status": "Active",
"enrollment": {},
"payerStandIn": true,
"additionalInfo": [
{
"key": "enrollmentRequiredIfEnrolledBeforeFeb21",
"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
"key": "serviceRestored",
"value": "No"
}
],
"lastUpdated": "2024-12-10"
},
{
"payerPlanName": "AETNA SENIOR SUPPLEMENTAL",
"system": "IMN",
"payerId": "AESSI",
"linkedPayerIds": {
"additionalLCHCPayerID": [
"AESSI",
"ATNSSI"
]
},
"transactionType": "Eligibility",
"status": "Active",
"enrollment": {},
"payerStandIn": true,
"additionalInfo": [
{
"key": "enrollmentRequiredIfEnrolledBeforeFeb21",
"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
"key": "serviceRestored",
"value": "No"
}
],
"lastUpdated": "2024-12-10"
},
{
"payerPlanName": "AFLAC",
"system": "IMN",
"payerId": "AFLAC",
"industryPayerId": "AFLAC",
"linkedPayerIds": {
"additionalLCHCPayerID": [
"52080",
"58066",
"AFLAC",
"AFLAC",
"AFLCOM"
]
},
"transactionType": "Eligibility",
"status": "Active",
"enrollment": {},
"payerStandIn": true,
"additionalInfo": [
{
"key": "enrollmentRequiredIfEnrolledBeforeFeb21",
"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
"key": "serviceRestored",
"value": "No"
}
],
"lastUpdated": "2024-12-10"
},
{
"payerPlanName": "AFLAC COMMERCIAL",
"system": "IMN",
"payerId": "AFLAC",
"industryPayerId": "AFLAC",
"linkedPayerIds": {
"additionalLCHCPayerID": [
"52080",
"58066",
"AFLAC",
"AFLAC",
"AFLCOM"
]
},
"transactionType": "Claim Status",
"status": "Active",
"enrollment": {},
"payerStandIn": true,
"additionalInfo": [
{
"key": "enrollmentRequiredIfEnrolledBeforeFeb21",
"value": "No"
},
{
"key": "enrollmentRequiredIfEnrolledAfterFeb21",
"value": "No"
},
{
"key": "serviceRestored",
"value": "No"
}
],
"lastUpdated": "2024-12-10"
}
],
"meta": {
"applicationMode": "dev",
"responseTime": 0.009981
}
}
https://sandbox.apigw.optum.com/medicalnetwork/payerlist/v1/fields
{
"system": [
"DENTAL",
"EXCH",
"IEDI",
"IMN",
"RPA"
],
"transactionType": [
"Advanced Notification",
"Auth Inquiry",
"Auth Referral",
"Claim Status",
"Claims Attachments",
"Claims Institutional",
"Claims Professional",
"Dental ERA",
"Eligibility",
"ERA Institutional",
"ERA Professional"
],
"meta": {
"applicationMode": "dev",
"responseTime": 0.003314
}
}
https://sandbox.apigw.optum.com/medicalnetwork/payerlist/v1/payers/export?system=imn
Returns the payer list in a csv format.
Updated 6 days ago