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. Collective Health
120. Community Care
121. Companion Life
122. Compass Health
123. ConnectiCare*
124. Consociate Health
125. Continental Benefits (Well Systems)
126. CoreSource* (aka Trustmark)
127. Coventry
128. Cox Health Plans
129. CRX International aka CanaRx
130. CVS Caremark
131. CWI Benefits, LLC*
132. Cypress Ancillary Benefits
133. Cypress Benefit Administrators
134. Davis Vision
135. Dean Care
136. 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)
137. Delta Dental of Alabama
138. Delta Dental of Arizona
139. Delta Dental of Arkansas
140. Delta Dental of California
141. Delta Dental of Colorado
142. Delta Dental of Georgia
143. Delta Dental of Idaho
144. Delta Dental of Illinois
145. Delta Dental of Indiana
146. Delta Dental of Iowa
147. Delta Dental of Kansas
148. Delta Dental of Kentucky
149. Delta Dental of Massachusetts
150. Delta Dental of Michigan - (also Multi-tenant files)
151. Delta Dental of Minnesota
152. Delta Dental of Missouri
153. Delta Dental of New Jersey
154. Delta Dental of New York
155. Delta Dental of North Carolina
156. Delta Dental of the Northeast
157. Delta Dental of Ohio
158. Delta Dental of Oklahoma
159. Delta Dental of Oregon
160. Delta Dental of Pennsylvania
161. Delta Dental of South Dakota
162. Delta Dental of Tennessee
163. Delta Dental of Utah
164. Delta Dental of Virginia
165. Delta Dental of Washington*
166. Delta Dental of Wisconsin
167. Delta Dental of Wyoming
168. Delta Health Systems
169. Delta Vision
170. DENCAP
171. Dental Care Plus Group
172. Dental Select
173. Dental Services Organization
174. Dentist Direct
175. Dentaquest
176. Dominion Dental Services
177. EBA&M
178. EBMS
179. EBPA (also Multi-tenant files)
180. EHIM
181. Elixir Solutions
182. Emblem Health
183. EMI Health
184. Empire Blue Cross Blue Shield (also Multi-tenant files)
185. Employer Driven Insurance Services (EDIS)
186. Equipoint Partners
187. Everence Financial
188. Excellus Blue Cross Blue Shield
189. Express Scripts
190. Eyemed (also Multi-tenant files)
191. Fallon Health (4010 format)
192. First Choice Health
193. First Stop Health
194. FirstCare Health Plans
195. Fountain Health
196. Florida Combined Life
197. Flume Health
198. Fringe Benefit Group (FBG)
199. Geisinger Health Plan
200. GeniusAve
201. Gilsbar
202. GMR Health Care
203. Golden Dental
204. GPA
205. Gravie
206. Group Administrators Ltd
207. Group Benefit Services (GBS)
208. Group Health Plan of South Central Wisconsin (GHPSCW)
209. Group Vision Services
210. Guardian (also Multi-tenant files)
211. Harvard Pilgrim Health Care (HPHC)
212. Hawaii Dental Services aka Delta Dental of Hawaii
213. Hawaii Mainland Administrators
214. Health Alliance Plan (connected via Data Exchange)
215. Health Alliance Plan of Michigan
216. Health Design Plus
217. Health First Health Plan
218. Healthcare Highways
219. Healthcare Management Administrators
220. HealthEZ - (also Multi-tenant files)
221. HealthComp
222. Healthgram
223. Healthiest You
224. HealthNet
225. HealthNow New York
226. HealthPartners
227. HealthScope
228. HealthSmart
229. Health Plans, Inc
230. Health Plan of Nevada
231. Health Net of California
232. Health New England
233. Health Resources Inc
234. Heritage Vision Plan
235. Highmark (also Multi-tenant files)
236. Horizon Blue Cross Blue Shield of NJ
237. Homestead
238. Hometown Health
239. Humana - (also Multi-tenant files)
240. Imagine360
241. Independence Administrators*
242. Independence Blue Cross
243. Independent Health
244. Indiana University Health aka IU Health
245. Innovative Health Services*
246. Insight Benefit Administrators
247. Insurance Management Services (IMS)*
248. Integrated Payor Solutions (IPS)
249. Interactive Medical Systems (IMS)
250. International Benefit Administrators TPA
251. Iowa Bankers Insurance & Services (IBIS)
252. Kaiser Permanente
253. Kaiser Permanente of WA
254. Kaiser Permanente of California
255. Kaiser Permanente Mid Atlantic Standard
256. Kansas City Life
257. Key Benefit Administrators
258. Leading Edge Administrators
259. Level
260. Liberty Dental Plan
261. LifeMap*
262. Lincoln Financial Group (LFG)
263. Luminare Health
264. Lyra Health
265. Lyric
266. Maestro Health
267. Managed Care of America, Inc.
268. Maxor Administrative Services
269. Med-Pay
270. MedBen*
271. Medcost
272. Medica
273. Medical Associates Health Plans
274. Medical Mutual of Ohio
275. MediExcel
276. MedImpact
277. Medova Healthcare Financial Group
278. Medtipster (also Multi-tenant files)
279. MercyCare
280. Meritain Health
281. MESVision
282. MESSA
283. Metlife
284. MODA Health (merged w/Delta Dental of OR)
285. Morgan White Group
286. MotivHealth Insurance Company
287. Mountain Health CO-OP
288. Mutual of Omaha
289. MVP Health Care
290. Navitus
291. Network Health
292. New Benefits
293. Nova Healthcare
294. NVA-National Vision Administrators
295. OnDemand Healthcare
296. Opticare of Utah
297. Optim RX
298. Optimed
299. Oxford Health Plans (UHC subsidiary)
300. PACE
301. PacificSource Health Plans
302. Pan-American Life Insurance Group
303. Paramount Health
304. Patient Advocates
305. Pequot Plus Health Care
306. PharmAvail
307. PHP TPA Services
308. Physicians Eyecare Plan
309. Physicians Health Plans (PHP)
310. Planned Administrators Inc
311. Prairie States*
312. Premera Blue Cross
313. Premier Access
314. Presbyterian Health Plan (PHP)
315. Prevea360
316. Priority Health (also Multi-tenant files)
317. Principal Financial Group
318. ProAct, Inc.
319. ProClaim*
320. Professional Benefits Administrators (PBA)
321. Prominence Health Plan
322. Providence Health Plans
323. Public Employees Health Plan (PEHP)
324. QualChoice
325. Quartz Benefits
326. Regence Blue Shield of Idaho
327. Regence BCBS of Utah - Benefitfocus platform
328. Regence BCBS of Oregon
329. Regional Care Inc. (RCI)
330. Reliance Standard
331. Renaissance Dental
332. Rightway Healthcare
333. Rx 'n Go
334. S&S Healthcare
335. Samaritan Health Plans
336. Sana Benefits
337. Sanford Health
338. SBMA Benefits
339. Scott & White Health Plans
340. Script Care
341. Security Health Plan
342. SelectHealth** (also Multi-tenant files)
343. Selman Company
344. Sentara Health
345. Sidecar Health
346. SISCO
347. SIHO
348. SIMNSA
349. Solstice (also Multi-tenant files)
350. Southern Scripts
351. Standard Insurance Company
352. Starmark
353. SummaCare
354. Sun Life Financial
355. Superior Dental (now Versant Health)
356. Superior Vision ( now Versant Health)
357. Surency
358. Surest
359. Sutter Health Plus
360. SVS Vision
361. Symetra
362. Tall Tree Administrators*
363. Teladoc
364. The Boon Group*
365. The Health Plan
366. The Kempton Group
367. The Loomis Company*
368. 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.
369. TLC Benefit Solutions, Inc.
370. Total Dental Administrators
371. Tristar Benefit Administrator
372. TRS Medical Insurance
373. Trustmark Insurance Co.
374. Tufts Health Plan
375. TX Health Benefits Pool
376. UCHealth Plan Administrators
377. UHP Administrators
378. UltraBenefits
379. Unified Group Services
380. United Agriculture Benefit Trust
381. United Health Group (United Healthcare) -including AllSavers Plans(Multi-tenant for UNET
platform only) (also Multi-tenant file)
382. United Heritage Insurance
383. United Concordia
384. Univera Healthcare
385. University Health Alliance (UHA)
386. University of Utah Health Plans
387. UNUM
388. UMR
389. UPMC Health Plan
390. Vantage Health Plan
391. Versant Health
392. Virtual Benefits Administrator (also Multi-Tenant file)
393. Vision Benefits of America*
394. Vision Care Direct
395. The Vitality Group
396. Viva Health (also Multi Tenant)
397. VSP (also Multi-tenant files)
398. Web TPA
399. Western Growers Assurance Trust (WGA)
400. Western Health Advantage
401. Wellmark Blue Cross Blue Shield of Iowa
402. WellNet (also Multi-tenant files)
403. Willamette Dental
404. 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.