Marketplace

EDI 834

Employee Navigator’s self-service EDI (Electronic Data Interchange) services automatically and securely
sends enrollment data to insurance carriers in order to simplify enrollment management for companies.
Employee Navigator supports the industry standard file format which is used by most health, dental and
vision providers, the HIPPA ANSI 834 file format. We’ve designed our EDI services to be easily
configured so you can get up and running faster. While some insurance carriers require companies to
have at least 100 employees to use their EDI services; this requirement is not legal. HIPAA legally
requires carriers to accept the standard data format for companies with 2 or more employees and
cannot charge a fee to do so. Note: Sending data to a carrier will require users to set-up, manage and
monitor the file transmissions. Below is a list of pre-configured carriers and we can set-up new carriers
for a small 1-time fee.

What the EDI engine transmits:
• Full ANSI 834 files for medical, dental, vision and RX plans only, with Guardian and Anthem Life
as the exceptions.

What the EDI engine does not transmit:
• HSA enrollments
• Change only files

If you are looking for a list of our Data Exchange Partners (XML), which includes FSA, COBRA, Nontraditional TPAs, and Carriers, that list is available in our Marketplace.

1. 90 Degree Benefits
2. Acuity Group
3. Administrative Concepts Inc (ACI)
4. ADN Administrators (also Multi-tenant files)
5. Advantage Health Solutions
6. Advantica
7. Advisory Health Administrators (Transperra)
8. Aetna
9. Aither Health Plan (also Multi-tenant files)
10. Allegiance
11. Allied Benefit Systems
12. AllWays Health Partners*
13. Always Care
14. Altus Dental
15. Amerihealth
16. Ameritas
17. AmeriBen
18. American Health Resources (AHR)
19. Anchor Benefits Advisors
20. Angle Health
21. Anthem BCBS - (also Multi-tenant files) if you are unsure if your local Anthem BCBS is the
same configuration, review the specs attached to the article & compare

22. Anthem BCBS of Colorado
23. Anthem BCBS of Maine
24. Anthem BCBS of Missouri
25. Anthem BCBS of Nevada
26. Anthem BCBS of New Hampshire
27. Anthem BCBS of Ohio
28. Anthem BCBS of Kentucky
29. Anthem Dental Only
30. Anthem Life
31. Anthem of California
32. Anthem of Connecticut
33. Anthem of Virginia - BenefitFocus platform
34. Apostrophe Health
35. ARC Administrators
36. Argus Dental
37. ASI
38. Aspirus Health Plan
39. ASR Health Benefits
40. Assured Benefit Administrators
41. Assurant - Dental & Vision only
42. AultCare
43. Automated Benefit Services
44. Auxiant
45. Avesis Vision
46. AvMed Health Plans
47. AXA Equitable
48. Baptist Health Plan
49. BAC / Benefits Administration Co)
50. Bay Bridge Administrators
51. BCBS (General 5010 format not tied to a specific state)
52. BCBS of Alabama
53. BCBS of Arizona
54. BCBS of Arkansas (also Multi-tenant files)
55. BCBS of Florida - aka Florida Blue
56. BCBS of Georgia - Anthem platform
57. BCBS of Illinois**
58. BCBS of Kansas
59. BCBS of KC
60. BCBS of LA (also Multi-tenant files)
61. BCBS of Massachusetts (also Multi-tenant files)
62. BCBS of Michigan** - (also Multi-tenant files)
63. BCBS of Minnesota
64. BCBS of Mississippi
65. BCBS of Montana
66. BCBS of Nebraska
67. BCBS of New Mexico
68. BCBS of North Carolina
69. BCBS of North Dakota
70. BCBS of Oklahoma
71. Highmark BCBS North East Pennsylvania
72. BCBS of Rhode Island
73. BCBS of South Carolina
74. BCBS of Tennessee (also Multi-tenant files)
75. BCBS of Texas**
76. BCBS of Vermont
77. BCBS of West Virginia (Highmark)
78. BCBS of Western NY
79. BeneCard
80. Benefit & Risk Management Services
81. Benefit Administration Services
82. Benefit Coordinators Corporation (BCC) (also Multi-tenant files)
83. Benefit Management Inc.
84. Benefit Plan Administrators
85. BeniComp Health Solutions
86. Beta Dental
87. Blackhawk TPA
88. Blue Benefit Administrators of MA
89. Blue Care Network
90. Blue Cross of Idaho
91. Blue Shield of California
92. Blue Shield of North Eastern New York
93. Boon Group
94. Boon-Chapman
95. Breckpoint
96. Bright Benefits
97. Brighter Dental
98. Britton Benefits Services
99. California Dental Network
100. Calvo's SelectCare
101. Capital Blue Cross - (also Multi-tenant files)
102. Capital Health Plan
103. Capital Rx
104. Capitol Administrators, Inc.
105. Caprock Health Plans
106. Carefirst
107. Carefirst Administrators**
108. CarePlus Dental
109. CBA Blue (also Multi-tenant files)
110. CDPHP

111. Century Healthcare
112. Centivo
113. CGS Health Care
114. Christian Brothers Services
115. CieloStar
116. Cigna (also Multi-tenant files)
117. Cigna Select
118. Coastal Administrative Services
119. CoeurSS and CoeurPAS
120. Collective Health
121. Community Care
122. Companion Life
123. Compass Health
124. ConnectiCare*
125. Consociate Health
126. Continental Benefits (Well Systems)
127. CoreSource* (aka Trustmark)
128. Coventry
129. Cox Health Plans
130. CRX International aka CanaRx
131. CVS Caremark
132. CWI Benefits, LLC*
133. Cypress Ancillary Benefits
134. Cypress Benefit Administrators
135. Davis Vision
136. Dean Care
137. Delta Dental - Allied Administrators - 834 Platform is configured in EN. Connection will need
to be established with the carrier. Reach out to your contact at the carrier for more
information. (also Multi-tenant files)
138. Delta Dental of Alabama
139. Delta Dental of Arizona
140. Delta Dental of Arkansas
141. Delta Dental of California
142. Delta Dental of Colorado
143. Delta Dental of Georgia
144. Delta Dental of Idaho
145. Delta Dental of Illinois
146. Delta Dental of Indiana
147. Delta Dental of Iowa
148. Delta Dental of Kansas
149. Delta Dental of Kentucky
150. Delta Dental of Massachusetts
151. Delta Dental of Michigan - (also Multi-tenant files)
152. Delta Dental of Minnesota
153. Delta Dental of Missouri
154. Delta Dental of New Jersey
155. Delta Dental of New York
156. Delta Dental of North Carolina
157. Delta Dental of the Northeast
158. Delta Dental of Ohio
159. Delta Dental of Oklahoma
160. Delta Dental of Oregon
161. Delta Dental of Pennsylvania
162. Delta Dental of South Dakota
163. Delta Dental of Tennessee
164. Delta Dental of Utah
165. Delta Dental of Virginia
166. Delta Dental of Washington*
167. Delta Dental of Wisconsin
168. Delta Dental of Wyoming
169. Delta Health Systems
170. Delta Vision
171. DENCAP
172. Dental Care Plus Group
173. Dental Select
174. Dental Services Organization
175. Dentist Direct
176. Dentaquest
177. Dominion Dental Services
178. EBA&M
179. EBMS
180. EBPA (also Multi-tenant files)
181. EHIM
182. Elixir Solutions
183. Emblem Health
184. EMI Health
185. Empire Blue Cross Blue Shield (also Multi-tenant files)
186. Employer Driven Insurance Services (EDIS)
187. Equipoint Partners
188. Everence Financial
189. Excellus Blue Cross Blue Shield
190. Express Scripts
191. Eyemed (also Multi-tenant files)
192. Fallon Health (4010 format)
193. First Choice Health
194. First Stop Health
195. FirstCare Health Plans
196. Fountain Health
197. Florida Combined Life
198. Flume Health
199. Fringe Benefit Group (FBG)
200. Geisinger Health Plan
201. GeniusAve
202. Gilsbar
203. GMR Health Care
204. Golden Dental
205. GPA
206. Gravie
207. Group Administrators Ltd
208. Group Benefit Services (GBS)
209. Group Health Plan of South Central Wisconsin (GHPSCW)
210. Group Vision Services
211. Guardian (also Multi-tenant files)
212. Harvard Pilgrim Health Care (HPHC)
213. Hawaii Dental Services aka Delta Dental of Hawaii
214. Hawaii Mainland Administrators
215. Health Alliance Plan (connected via Data Exchange)
216. Health Alliance Plan of Michigan
217. Health Design Plus
218. Health First Health Plan
219. Healthcare Highways
220. Healthcare Management Administrators
221. HealthEZ - (also Multi-tenant files)
222. HealthComp
223. Healthgram
224. Healthiest You
225. HealthNet
226. HealthNow New York
227. HealthPartners
228. HealthScope
229. HealthSmart
230. Health Plans, Inc
231. Health Plan of Nevada
232. Health Net of California
233. Health New England
234. Health Resources Inc
235. Heritage Vision Plan
236. Highmark (also Multi-tenant files)
237. Horizon Blue Cross Blue Shield of NJ
238. Homestead
239. Hometown Health
240. Humana - (also Multi-tenant files)
241. Imagine360
242. Independence Administrators*
243. Independence Blue Cross
244. Independent Health
245. Indiana University Health aka IU Health
246. Innovative Health Services*
247. Insight Benefit Administrators
248. Insurance Management Services (IMS)*
249. Integrated Payor Solutions (IPS)
250. Interactive Medical Systems (IMS)
251. International Benefit Administrators TPA
252. Iowa Bankers Insurance & Services (IBIS)
253. Kaiser Permanente
254. Kaiser Permanente of WA
255. Kaiser Permanente of California
256. Kaiser Permanente Mid Atlantic Standard
257. Kansas City Life
258. Key Benefit Administrators
259. Leading Edge Administrators
260. Level
261. Liberty Dental Plan
262. LifeMap*
263. Lincoln Financial Group (LFG)
264. Luminare Health
265. Lyra Health
266. Lyric
267. Maestro Health
268. Managed Care of America, Inc.
269. Maxor Administrative Services
270. Med-Pay
271. MedBen*
272. Medcost
273. Medica
274. Medical Associates Health Plans
275. Medical Mutual of Ohio
276. MediExcel
277. MedImpact
278. Medova Healthcare Financial Group
279. Medtipster (also Multi-tenant files)
280. MercyCare
281. Meritain Health
282. MESVision
283. MESSA
284. Metlife
285. MODA Health (merged w/Delta Dental of OR)
286. Morgan White Group
287. MotivHealth Insurance Company
288. Mountain Health CO-OP
289. Mutual of Omaha
290. MVP Health Care
291. Navitus
292. Network Health
293. New Benefits
294. Nova Healthcare
295. NVA-National Vision Administrators
296. OnDemand Healthcare
297. Opticare of Utah
298. Optim RX
299. Optimed
300. Oxford Health Plans (UHC subsidiary)
301. PACE
302. PacificSource Health Plans
303. Pan-American Life Insurance Group
304. Paramount Health
305. Patient Advocates
306. Pequot Plus Health Care
307. PharmAvail
308. PHP TPA Services
309. Physicians Eyecare Plan
310. Physicians Health Plans (PHP)
311. Planned Administrators Inc
312. Prairie States*
313. Premera Blue Cross
314. Premier Access
315. Presbyterian Health Plan (PHP)
316. Prevea360
317. Priority Health (also Multi-tenant files)
318. Principal Financial Group
319. ProAct, Inc.
320. ProClaim*
321. Professional Benefits Administrators (PBA)
322. Prominence Health Plan
323. Providence Health Plans
324. Public Employees Health Plan (PEHP)
325. QualChoice
326. Quartz Benefits
327. Regence Blue Shield of Idaho
328. Regence BCBS of Utah - Benefitfocus platform
329. Regence BCBS of Oregon
330. Regional Care Inc. (RCI)
331. Reliance Standard
332. Renaissance Dental
333. Rightway Healthcare
334. Rx 'n Go
335. S&S Healthcare
336. Samaritan Health Plans
337. Sana Benefits
338. Sanford Health
339. SBMA Benefits
340. Scott & White Health Plans
341. Script Care
342. Security Health Plan
343. SelectHealth** (also Multi-tenant files)
344. Selman Company
345. Sentara Health
346. Sidecar Health
347. SISCO
348. SIHO
349. SIMNSA
350. Solstice (also Multi-tenant files)
351. Southern Scripts
352. Standard Insurance Company
353. Starmark
354. SummaCare
355. Sun Life Financial
356. Superior Dental (now Versant Health)
357. Superior Vision ( now Versant Health)
358. Surency
359. Surest
360. Sutter Health Plus
361. SVS Vision
362. Symetra
363. Tall Tree Administrators*
364. Teladoc
365. The Boon Group*
366. The Health Plan
367. The Kempton Group
368. The Loomis Company*
369. The Principal (5010 format) - not all lines of coverage or platforms are supported on the 834
file format, check with your Principal rep to confirm.
370. TLC Benefit Solutions, Inc.
371. Total Dental Administrators
372. Tristar Benefit Administrator
373. TRS Medical Insurance
374. Trustmark Insurance Co.
375. Tufts Health Plan
376. TX Health Benefits Pool
377. UCHealth Plan Administrators
378. UHP Administrators
379. UltraBenefits
380. Unified Group Services
381. United Agriculture Benefit Trust
382. United Health Group (United Healthcare) -including AllSavers Plans(Multi-tenant for UNET
platform only) (also Multi-tenant file)
383. United Heritage Insurance
384. United Concordia
385. Univera Healthcare
386. University Health Alliance (UHA)
387. University of Utah Health Plans
388. UNUM
389. UMR
390. UPMC Health Plan
391. Vantage Health Plan
392. Versant Health
393. Virtual Benefits Administrator (also Multi-Tenant file)
394. Vision Benefits of America*
395. Vision Care Direct
396. The Vitality Group
397. Viva Health (also Multi Tenant)
398. VSP (also Multi-tenant files)
399. Web TPA
400. Western Growers Assurance Trust (WGA)
401. Western Health Advantage
402. Wellmark Blue Cross Blue Shield of Iowa
403. WellNet (also Multi-tenant files)
404. Willamette Dental
405. Wisconsin Physicians Service (WPS Health Insurance)

*Configurations marked with an asterisk are generally Third Party Administrators who accept an 834 file
and transform it to meet their internal specifications (for example a .txt or .csv file). In many instances
they will request additional values that Employee Navigator does not support. Please pay special
attention to the specific configuration notes in our EDI forum as they will outline what is and is not
supported and/or approved.

**Configurations marked with a double asterisk are generally Carriers who have requirements for
additional options that may not be supported by Employee Navigator's EDI engine. Again, please pay
special attention to the specific configuration notes in our EDI forum as they will outline what is/is not
supported.