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 HIPAA 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. Access Health Services, LLC
3. Acuity Group
4. Administrative Concepts Inc (ACI)
5. ADN Administrators (also Multi-tenant files)
6. Advantage Health Solutions
7. Advantica
8. Advisory Health Administrators (Transperra)
9. Aetna
10. Aither Health Plan (also Multi-tenant files)
11. Allegeant
12. Allegiance
13. Allied Benefit Systems
14. Altus Dental
15. Always Care
16. Amerihealth
17. Ameritas
18. AmeriBen
19. American Health Resources (AHR)
20. American Plan Administrators
21. Anchor Benefits Advisors
22. Angle Health
23. 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

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

124. Century Healthcare
125. CerpassRx
126. Centivo
127. CGS Health Care
128. Christian Brothers Services
129. CieloStar
130. Cigna (also Multi-tenant files)
131. Cigna Select
132. Coastal Administrative Services
133. Coeur
134. CoeurSS and CoeurPAS
135. Collective Health
136. Community Eye Care
137. Community Health Options
138. Community Care
139. Companion Life
140. Compass Health
141. Compass Health
142. ConnectiCare*
143. Consociate Health
144. Core Management
145. CoreSource* (aka Trustmark)
146. Coventry
147. Cox Health Plans
148. CRX International aka CanaRx
149. CVS Caremark
150. CWI Benefits, LLC*
151. Cypress Ancillary Benefits
152. Cypress Benefit Administrators
153. Cypress Dental
154. Davis Vision
155. Dean Care
156. 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)
157. Delta Dental of Alabama
158. Delta Dental of Arizona
159. Delta Dental of Arkansas
160. Delta Dental of California
161. Delta Dental of Colorado
162. Delta Dental of Florida
163. Delta Dental of Georgia
164. Delta Dental of Idaho
165. Delta Dental of Illinois
166. Delta Dental of Indiana
167. Delta Dental of Iowa
168. Delta Dental of Kansas
169. Delta Dental of Kentucky
170. Delta Dental of Massachusetts
171. Delta Dental of Michigan - (also Multi-tenant files)
172. Delta Dental of Minnesota
173. Delta Dental of Missouri
174. Delta Dental of New Jersey
175. Delta Dental of New Mexico
176. Delta Dental of New York
177. Delta Dental of North Carolina
178. Delta Dental of the Northeast
179. Delta Dental of Ohio
180. Delta Dental of Oklahoma
181. Delta Dental of Oregon
182. Delta Dental of Pennsylvania
183. Delta Dental of Rhode Island
184. Delta Dental of South Dakota
185. Delta Dental of Tennessee
186. Delta Dental of Utah
187. Delta Dental of Virginia
188. Delta Dental of Washington*
189. Delta Dental of West Virginia
190. Delta Dental of Wisconsin
191. Delta Dental of Wyoming
192. Delta Health Systems
193. Delta Vision
194. DENCAP
195. Dental Care Plus Group
196. Dental Health Services
197. Dental Select
198. Dental Services Organization
199. Dentist Direct
200. Dentaquest
201. Direct Dental Administrators
202. Dominion Dental Services
203. EBA&M
204. EBMS
205. EBPA (also Multi-tenant files)
206. EBSO
207. EHIM
208. Elixir Solutions
209. Emblem Health
210. EMI Health
211. Empire Blue Cross Blue Shield (also Multi-tenant files)
212. Employer Driven Insurance Services (EDIS)
213. Enterprise Group Planning
214. Equipoint Partners
215. Equitable
216. Everence Financial
217. Excellus Blue Cross Blue Shield
218. Express Scripts
219. Eyemed (also Multi-tenant files)
220. Eyetopia
221. Fallon Health (4010 format)
222. Fidelio Dental
223. First Choice Health
224. First Continental
225. First Stop Health
226. FirstCare Health Plans
227. Fountain Health
228. Florida Combined Life
229. Florida Health Care Plans
230. Flume Health
231. Fountain Health
232. Fox Everett
233. Fringe Benefit Group (FBG)
234. Geaux Health (also Multi-tenant files)
235. Geisinger Health Plan
236. GeniusAve
237. Gilsbar
238. GISC
239. GMR Health Care
240. Golden Dental
241. GPA
242. Gravie
243. Group Administrators Ltd
244. Group Benefit Services (GBS)
245. Group Health Plan of South Central Wisconsin (GHPSCW)
246. Group Vision Services
247. Guardian (also Multi-tenant files)
248. Gulf Guaranty Life Insurance Co
249. Harvard Pilgrim Health Care (HPHC)
250. Hawaii Dental Services aka Delta Dental of Hawaii
251. Hawaii Mainland Administrators
252. Hawaii Medical Assurance Association (HMAA)
253. Health Alliance Plan (connected via Data Exchange)
254. Health Alliance Plan of Michigan
255. Health Benefit Alliance
256. Health Design Plus
257. Health First Health Plan
258. Healthcare Highways
259. Healthcare Management Administrators
260. HealthEZ - (also Multi-tenant files)
261. HealthComp
262. Healthgram
263. Healthiest You
264. HealthNet
265. HealthNow New York
266. HealthPartners
267. HealthScope
268. HealthSmart
269. HealthyCT
270. Health Plans, Inc
271. Health Plan of Nevada
272. Health Net of California
273. Health New England
274. Health Resources Inc
275. Heritage Vision Plan
276. Highmark (also Multi-tenant files)
277. Horizon Blue Cross Blue Shield of NJ
278. Homestead
279. Hometown Health
280. Humana - (also Multi-tenant files)
281. IBA Flexible Benefit Solutions
282. Imagine360
283. Independence Administrators*
284. Independence Blue Cross
285. Independent Health
286. Innovative Health Services
287. Inshore Benefits
288. Indiana University Health aka IU Health
289. Innovative Health Services*
290. Insight Benefit Administrators
291. Insurance Management Services (IMS)*
292. Integrated Payor Solutions (IPS)
293. Interactive Medical Systems (IMS)
294. International Benefit Administrators TPA
295. Iowa Bankers Insurance & Services (IBIS)
296. Kaiser Permanente
297. Kaiser Permanente of WA
298. Kaiser Permanente of California
299. Kaiser Permanente Mid Atlantic Standard
300. Kansas City Life
301. Kentucky Health Administrators
302. Key Benefit Administrators
303. Leading Edge Administrators
304. Level
305. Liberty Dental Plan
306. LifeMap*
307. Lifetime Benefit Solutions
308. Lincoln Financial Group (LFG)
309. Lucent Health
310. Luminare Health
311. Lyra Health
312. Lyric
313. Maestro Health
314. Managed Care of America, Inc.
315. Marpai Health
316. Mass General Brigham (previously known as AllWays Health Partners)*
317. Maxor Administrative Services
318. MBA Benefit Administrators
319. Med-Pay
320. MedBen*
321. Medcost
322. Medica
323. Medical Associates Health Plans
324. Medical Mutual of Ohio
325. MediExcel
326. MedImpact
327. MediOrbis
328. Medova Healthcare Financial Group
329. Medtipster (also Multi-tenant files)
330. MercyCare
331. Meritain Health (also Multi-tenant files)
332. MESVision
333. MESSA
334. Metlife
335. MODA Health (merged w/Delta Dental of OR)
336. Morgan White Group
337. MotivHealth Insurance Company
338. Mountain Health CO-OP
339. Mutual Health Services
340. Mutual of Omaha
341. MVP Health Care
342. Navitus
343. Neighborhood Health Plan
344. Network Health
345. New Benefits
346. Nippon Life Benefits
347. Northeast Delta Dental
348. Nova Healthcare
349. NVA-National Vision Administrators
350. OnDemand Healthcare
351. Opticare of Utah
352. Optim RX
353. Optimed
354. Oxford Health Plans (UHC subsidiary)
355. PACE
356. PacificSource Health Plans
357. Pan-American Life Insurance Group
358. Paramount Health
359. Patient Advocates
360. Pequot Plus Health Care
361. PharmAvail
362. PHP TPA Services
363. Physicians Eyecare Plan
364. Physicians Health Plans (PHP)
365. Piedmont Community Health Plan
366. Planned Administrators Inc
367. PPi Benefit Solutions
368. Prairie States*
369. Precision Group Administrators
370. Premera Blue Cross
371. Premier Access
372. Presbyterian Health Plan (PHP)
373. Prescription Network
374. Prevea360
375. Priority Health (also Multi-tenant files)
376. Principal Financial Group
377. ProAct, Inc.
378. ProCare
379. ProClaim*
380. Professional Benefits Administrators (PBA)
381. Prominence Health Plan
382. Providence Health Plans
383. Public Employees Health Plan (PEHP)
384. QualChoice
385. Quartz Benefits
386. R&T Inc.
387. Regence Blue Shield of Idaho
388. Regence BCBS of Utah - Benefitfocus platform
389. Regence BCBS of Oregon
390. Regional Care Inc. (RCI)
391. Reliance Standard
392. Renaissance Dental
393. Rightway Healthcare
394. Rx 'n Go
395. RXBenefits
396. S&S Healthcare
397. Samaritan Health Plans
398. Sana Benefits
399. Sanford Health
400. Santeon
401. SBMA Benefits
402. Scott & White Health Plans
403. Script Care
404. Security Health Plan
405. SelectHealth** (also Multi-tenant files)
406. Selman Company
407. Sentara Health
408. Sharp Healthcare
409. Sidecar Health
410. SISCO
411. SIHO
412. SIMNSA
413. Solstice (also Multi-tenant files)
414. Southern Scripts
415. Standard Insurance Company
416. Starmark
417. SummaCare
418. Sun Life Financial
419. Superior Dental (now Versant Health)
420. Superior Vision ( now Versant Health)
421. Surency
422. Surest
423. Sutter Health Plus
424. SVS Vision
425. Symetra
426. Tall Tree Administrators*
427. Teladoc
428. Ternian
429. The Boon Group*
430. The Health Plan
431. The Kempton Group
432. The Loomis Company*
433. The Standard
434. The Vitality Group
435. 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.
436. TLC Benefit Solutions, Inc.
437. Total Dental Administrators
438. Total Health Care
439. Trinity Marketing Services
440. Tristar Benefit Administrator
441. TRS Medical Insurance
442. True Rx Health Strategists
443. Trustmark Insurance Co.
444. Tufts Health Plan
445. TX Health Benefits Pool
446. UCHealth Plan Administrators
447. UHP Administrators
448. UltraBenefits
449. Unified Group Services
450. United Agriculture Benefit Trust
451. United Health Group (United Healthcare) -including AllSavers Plans(Multi-tenant for UNET
platform only) (also Multi-tenant file)
452. United Heritage Insurance
453. United Concordia
454. Univera Healthcare
455. University Health Alliance (UHA)
456. University of Utah Health Plans
457. UNUM
458. UMR
459. UPMC Health Plan
460. Vantage Health Plan
461. Versant Health
462. Vimly
463. Virtual Benefits Administrator (also Multi-Tenant file)
464. Vision Benefit Administrators
465. Vision Benefits of America*
466. Vision Care Direct
467. The Vitality Group
468. Vitori
469. Viva Health (also Multi Tenant)
470. VSP (also Multi-tenant files)
471. Web TPA
472. Western Growers Assurance Trust (WGA)
473. Western Health Advantage
474. Wellmark Blue Cross Blue Shield of Iowa
475. WellNet (also Multi-tenant files)
476. Willamette Dental
477. Wisconsin Physicians Service (WPS Health Insurance)
478. Yuzu Health

*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.