Payer Sheets
Miscellaneous
Vaccine Administration Payer Sheet (Medicare Part D)
Medicare-Medicaid
AmeriHealth VIP Care Plus Michigan (650)
First Choice VIP Care Plus (651)
NHPRI Integrity (647)
Partners Health Plan (648)
Medicare Part D
Keystone First VIP Choice/AmeriHealth Caritas VIP Care (611)
South Country Health Alliance (MAPD) (619)
Fresenius Health Partners (729)
Non-Part D
Alameda Alliance for Health (632)
Alameda Alliance GroupCare (636)
AmeriHealth Caritas Louisiana (603) (Effective 5/1/2019)
AmeriHealth Caritas Pennsylvania (194)
AmeriHealth Caritas Pennsylvania Community HealthChoices (763)
AmeriHealth Caritas District of Columbia (628)
AmeriHealth Caritas District of Columbia
AmeriHealth Caritas Northeast (620)
AmeriHealth Caritas Delaware (771)
AmeriHealth Casualty (CSM)
Blue Cross Complete (621)
Contra Costa Health Plan (397)
Keystone First (194)
Keystone First Community HealthChoices (763)
Neighborhood Health Plan of Rhode Island (528)
NextGen Healthcare (HSI) (740)
NHPRI Exchange (660)
San Francisco Health Plan (630)
Select Health of South Carolina (218)
South Country Health Alliance (618)
Prestige Health Choice (755)
AscellaHealth (774)
PHP Care Preferred (786)