	Go back to Main Menu			Insurance Notes (Additional)
REMINDER! ALWAYS UNCHECK AND HIDE THE INACTIVE INSURANCES/WRONG PAYER TO AVOID SENDING CLAIMS TO WRONG PAYER…				NEEDS REFERRAL: HUMANA MEDICARE GOLD PLUS, ADVOCATE CONDELL PHYSICIAN PARTNERS/AMG, HUMANA, United Healthcare
#	Insurance	Format	Payer	Condition	For checking of eligibility	XOS - medicare supplement XOJ - blue cross med replacement advantage XOH - hmo illinois (IPA) - services restricted should be payer QMD - hmo illinois (IPA) XOX - PPO BCBS XOG - blue cross community MMAI *humana medicare - APP
1	Meridian	9 numbers	Meridian Health of Illinois		*Add Illinois Department of Healthcare in the insurance in NextGen and put ID number. After checking, uncheck box as active and hide insurance.
2	Blue Cross Community	XOG….	BC Community MMAI		*Check on availity. If address says Scranton, it should have an XOG in the beginning of ID number, add XOG at the beginning of the numbers and check for eligibility.
3	Aetna Better Health	9 numbers	Aetna Better Health		*Check payer ID on NextGen. If it says Aetna Better Health and not Aetna.
4	Aetna	9 numbers	Aetna
5	Aetna Medicare Advantage	12 numbers	Aetna Medicare Advantage	Aetna Medicare Replacement
6	Blue Cross Blue Shield	BMH……XY…....	BCBS		*Run on NextGen
7	Blue Cross Blue Shield	XOH…........	*Check condition	Check IPA (HMO) ; Services Restricted to…..	*Run on NextGen, check payer details and double check on availity to see IPA or if Advocate Condell Physician Partners/AMG
8	Humana	H.....	*Check condition	Check if Humana Gold Plus	*Run on NextGen, check payer details and double check on availity to see IPA or if Advocate Condell Physician Partners/AMG
9	Humana	H.....	*Check condition	Check Services restricted to Advocate Condell Physician's/AMG
10	Medicare	1XY2XY3XY4XY56	Medicare		*Run on NextGen
11	GEHA					PLAN N - PLAN G - pay everything that medicare does not pay PLAN F - pay ded everything after
12	UHC Medicare Complete		United Healthcare Indemnity	*if UMR, select UMR as payer.	*Run on NextGen, see payer details.
13	Tricare
14	Blue Cross Medicare Advantage	JLX, JYN, XOD, XOJ, YDJ, YDL, YDV, YID, YIJ, YUB, YUW, YUX, ZGD, ZGJ, or ZZT	check back of ID for payer details		*Run on NextGen, see payer details.