Emdeon Download
Emdeon MAX / Emdeon Assistant
User Manuals

1 - Emdeon MAX User's Guide
2 - Emdeon MAX Installation Guide
3 - Standard Eligibility Response Dictionary
4 - Standard Claim Status Response Dictionary
5 - Standard Health Care Services Review and Inquiry Response Dictionary
AARP Claim Status
AARP Eligibility
AMC Claim Status
AMC Eligibility
APIPA Eligibility
AVMed Eligibility
Aetna Claim Status Inquiry
Aetna Eligibility
Aetna Long Term Care Claim Status
Aetna Long Term Care Eligibility
Aetna Precertification Add
Aetna Precertification Inquiry
Aetna Referral Add
Aetna Referral Inquiry
Alabama Medicaid Claim Status
Alabama Medicaid Eligibility
AmeriChoice of New Jersey Eligibility
American Community Mutual Claim Status
American Community Mutual Eligibility
American Family Insurance Group Claim Status
American Family Insurance Group Eligibility
American Postal Workers Union Eligibility
American Republic Insurance Claim Status
American Republic Insurance Eligibility
Amerigroup Eligibility
Ameritas Claim Status
Ameritas Eligibility
Anthem Blue Cross of California Claim Status
Anthem Blue Cross of California Eligibility
Arizona Medicaid (AHCCCS) Eligibility
Arkansas Medicaid Eligibility
Assurant Health Claim Status
Assurant Health Eligibility
BC of Idaho Eligibility
BC of Northeastern Pennsylvania Eligibility
BCBS of Alabama Benefits
BCBS of Alabama Eligibility
BCBS of Alaska (Premera)
BCBS of Arizona Eligibility
BCBS of Arkansas Claim Status
BCBS of Arkansas Eligibility
BCBS of Colorado Eligibility
BCBS of Connecticut Eligibility
BCBS of Delaware Eligibility
BCBS of District of Columbia Eligibility
BCBS of Florida Eligibility
BCBS of Georgia Claim Status
BCBS of Georgia Eligibility
BCBS of Illinois Eligibility
BCBS of Indiana Eligibility
BCBS of Iowa Eligibility
BCBS of Kansas City Eligibility
BCBS of Kansas Eligibility
BCBS of Kentucky Eligibility
BCBS of Louisiana Eligibility
BCBS of Maine Eligibility
BCBS of Maryland Eligibility
BCBS of Massachusetts Claim Status
BCBS of Massachusetts Eligibility
BCBS of Massachusetts Inpatient Admission Review
BCBS of Massachusetts Name Lookup
BCBS of Massachusetts Outpatient, Home Health, Ambulance Review
BCBS of Massachusetts Referral Add and Cancel
BCBS of Massachusetts Review Inquiry
BCBS of Massachusetts Visit and Visit Cancel
BCBS of Michigan Eligibility
BCBS of Minnesota Eligibility
BCBS of Mississippi Claim Status
BCBS of Mississippi Eligibility
BCBS of Missouri Eligibility
BCBS of Nebraska Claim Status
BCBS of Nebraska Eligibility
BCBS of Nevada Eligibility
BCBS of New Hampshire Eligibility
BCBS of New Jersey (Horizon) Claim Status
BCBS of New Jersey (Horizon) Eligibility
BCBS of New Mexico Eligibility
BCBS of New York (Empire) Eligibility
BCBS of New York (Empire) Specialty Care Review
BCBS of North Carolina Eligibility
BCBS of North Dakota Eligibility
BCBS of Ohio Eligibility
BCBS of Oregon Eligibility
BCBS of Pennsylvania (Highmark) Claim Status
BCBS of Pennsylvania Eligibility
BCBS of Rhode Island Eligibility
BCBS of South Carolina Claim Status
BCBS of South Carolina Eligibility and Detailed Benefits
BCBS of South Dakota Eligibility
BCBS of Tennessee Eligibility
BCBS of Texas Eligibility
BCBS of Virginia Eligibility
BCBS of Wisconsin Eligibility
BCBS of Wyoming Eligibility
BS of California Eligibility
Better Health Plans of Tennessee Claim Status
Better Health Plans of Tennessee Eligibility
Better Health Plans of Tennessee Preauthorization
Blue Cross of Washington (Premera)
Blue Shield of Washington Eligibility
BlueChoice HealthPlan of South Carolina Eligibility
Bluegrass Family Health Eligibility
Bravo Health (Elder Health) Claim Status
Bravo Health (Elder Health) Eligibility
California Medi-Cal Eligibility, Spenddown, Med Services Reservation
Capital Blue Cross Claim Status
Capital BlueCross Eligibility
CarePlus Health Plan Eligibility
CareSource Eligibility
Cariten Healthcare (Commercial) and Senior Health (Medicare) Eligibility
Cariten Healthcare (Commercial) and Senior Health (Medicare) Claim Status
Central Reserve Life Insurance Co. Claim Status
Central Reserve Life Insurance Co. Eligibility
Central States Funds Claim Status
Central States Funds Eligibility
Cigna Claim Status
Cigna Eligibility
Colorado Access Eligibility
Colorado Medicaid Eligibility
Community Care of Oklahoma Eligibility
Community Health Plan of Washington Claim Status
Community Health Plan of Washington Eligibility
Connecticut Medicaid Eligibility
Continental General Life Insurance Co. Claim Status
Continental General Life Insurance Co. Eligibility
Cooperative Benefit Administrators Claim Status
Cooperative Benefit Administrators Eligibility
CoreSource Claim Status
CoreSource Eligibility
Covenant - Commercial & Cariten Eligibility
Covenant-Commercial & Cariten Claim Status
Coventry Claim Status
Coventry Eligibility
District of Columbia Medicaid Eligibility
ECOM PPO (Consolidated RR) Claim Status
ECOM PPO (Consolidated RR) Eligibility
Emdeon Address Verification
Emdeon Charity Care
Emdeon Medicaid Predictor
Emdeon Payment Predictor
Emdeon Phone Verification
Fallon Community Health Plan Eligibility
Federated Insurance Claim Status
Federated Insurance Eligibility
Florida Medicaid Claims Status
Florida Medicaid Eligibility (and Remediated Span)
Georgia Medicaid Eligibility
Glassman Claim Status
Glassman Eligibility
Government Employees Hospital Associaltion Eligibility
Government Employees Hospital Association Claim Status
Great West Healthcare Claim Status
Great West Healthcare Eligibility
HIP of NY (Health Insurance Plan of New York) Eligibility
Harvard Pilgrim Health Care Eligibility
Hawaii Medicaid Eligibility
Health Alliance Plan Eligibility
Health Choice of Arizona Eligibility
Health Net Medi-Cal Eligibility
Health Net of California Eligibility
Health Net of Oregon Eligibility
Health Partners of Philadelphia Claim Status
Health Partners of Philadelphia Eligibility
HealthNet National Eligibility
HealthPlus of Michigan Eligibility
Healthfirst of New Jersey Claim Status
Healthfirst of New Jersey Eligibility
Healthfirst of New York Claim Status
Healthfirst of New York Eligibility
Horizon New Jersey Specialty Care Review Add
Humana Claim Status
Humana Eligibility
Humana Health Care Services Review Inquiry
Idaho Medicaid Eligibility
Illinois Medicaid Eligibility
Illinois Medicaid Supplementals
Independence Blue Cross Eligibility
Indiana Medicaid Eligibility
Inland Empire Health Plan Eligibility
Inter Valley Health Plan Eligibility
Iowa Medicaid Eligibility
Johnson Memorial Hospital Health Plan Eligibility
Kaiser Foundation Health Plans Eligibility
Kansas Medicaid Eligibility
Kentucky Medicaid Claim Status
Kentucky Medicaid Eligibility
Louisiana Medicaid Eligibility
Lovelace Health Plan Eligibility
MAMSI Claim Status
MAMSI Eligibility
MAMSI Eligibility
MMSI (Mayo Health) Claim Status
MMSI (Mayo Health) Eligibility
MVP Eligibility
MaineCare Eligibility
Maricopa (MIHS) Payer Programs Eligibility
Maricopa Care Advantage Eligibility
Maricopa Health Plan Eligibility
Maryland Medicaid Eligibility
MassHealth Eligibility
Medica Claim Status
Medica Eligibility
Medical Mutual of Ohio Claim Status
Medical Mutual of Ohio Eligibility
Medicare Part A Eligiblity/Password Change
Medicare Part A and B Eligibility
Mega Life and Health Insurance Claim Status
Mega Life and Health Insurance Company Eligibility
MemorialCare TPA Eligibility
Memphis Managed Care (TLC) Eligibility
Mercy Care of Arizona Eligibility
Metropolitan Health Plan Eligibility
Michigan Medicaid Eligibility
Michigan Medicaid MIChild Eligibility
Minnesota Medicaid Eligibility
Mississippi Children's Health Insurance Program Eligibility
Mississippi Medicaid Claim Status
Mississippi Medicaid Eligibility
Mississippi State Employees Health Plan Claim Status
Mississippi State Employees Health Plan Eligibility
Missouri Medicaid Claim Status
Missouri Medicaid Eligibility
Molina Claim Status
Molina Eligibility
Molina New Mexico Eligibility
Montana Medicaid Eligibility
Mutual of Omaha Eligibility
National Association of Letter Carriers Claim Status
National Association of Letter Carriers Eligibility
Nationwide Health Plans Claim Status
Nationwide Health Plans Eligibility
Neighborhood Health Partnership Eligibility
Nevada Medicaid Eligibility
New Hampshire Medicaid Eligibility
New Jersey Medicaid Eligibility
New Mexico Medicaid
New York Medicaid Eligibility
New York Medicaid Service Authorization
North Carolina Medicaid Eligibility
North Dakota Medicaid Eligibility
Ohio Medicaid Eligibility
Ohio Workman's Compensation Eligibility
Oklahoma Medicaid Eligibility
Oregon Medicaid Eligibility
Oxford Health Plans Admission Review
Oxford Health Plans Eligibility
Oxford Health Plans Health Services Review
Oxford Health Plans Review Inquiry
Oxford Health Plans Specialty Care Review
PHCS Savility Payers Claim Status
PHCS Savility Payers Eligibility
PHP TennCare Claim Status
PHP TennCare Eligibility
PacifiCare Health Systems Claim Status
PacifiCare Health Systems Eligibility
PacifiCare of Arizona Eligibility
PacifiCare of Colorado Eligibility
Partnership Health Plan of California Eligibility
Passport Health Plan Claim Status
Passport Health Plan Eligibility
Pennsylvania Medical Assistance Eligibility
Personal Insurance Administrators Claim Status
Personal Insurance Administrators Eligibility
Phoenix Health Plan Eligibility
Physicians Mutual Eligibility
Pittman and Associates Claim Status
Pittman and Associates Eligibility
Preferred Health Systems Claim Status
Preferred Health Systems Eligibility
PreferredOne Eligibility
Principal Financial / Nippon Life Claim Status
Principal Financial / Nippon Life Eligibility
Providence Health Plan Eligibility
Puerto Rico Medicaid (ODSI) Eligibility
Puerto Rico Reforma/Medicaid Elegibilidad
Recall Systems Eligibility
Rocky Mountain Health Plan Eligibility
San Francisco Health Plan Eligibility
San Joaquin Health Plan Eligibility
Senior Care Action Network (SCAN) HMO Eligibility
Significa Benefit Services Claim Status
Significa Benefit Services Eligibility
South Carolina Medicaid Eligibility
South Dakota Medicaid Eligibility
Stanislaus County MIA Program Eligibility
Star HRG Claim Status
Star HRG Eligibility
Student Insurance Eligibility
TRICARE Eligibility
TennCare Eligibility
Texas Children's Health Insurance (CHIP) Eligibility
Texas Medicaid Eligibility
Three Rivers Health Plan Claim Status
Three Rivers Health Plan Eligibility
Three Rivers Health Plan Preauthorization
Trans Union ScorePlus
Trans Union Trace
Trustmark Claim Status
Trustmark Eligibility
Tufts Health Plan Eligibility
Tufts Health Plan Referral (Specialty Care Review)
Tufts Health Plan Referral Inquiry
USAA Claim Status
USAA Eligibility
UniCare Eligibility
United Healthcare Claim Status
United Healthcare Eligibility
United Healthcare Plan of River Valley Eligibility
Universal Care of California Eligibility
University Family Care Eligibility
University Physicians Care Advantage Eligibility
University Physicians Healthcare Group Eligibility
VYTRA Eligibility
Vermont Medicaid Claim Status
Vermont Medicaid Eligibility
Veterans Affairs Fee Basis Program Claim Status
Veterans Affairs Fee Basis Program Eligibility
Veterans Affairs Health Administration Center Claim Status
Veterans Affairs Health Administration Center Eligibility
Virginia Medicaid Eligibility
Washington Medicaid Claim Status
Washington Medicaid Eligibility
Wells Fargo TPA Coverage Summary Sheets
Wells Fargo Third Party Administrators Inc. Eligibility
West Virginia Medicaid Eligibility
Western Health Advantage Eligibility
Wisconsin Chronic Disease Program Eligibility
Wisconsin Medicaid Eligibility
Wisconsin Well Woman Program Eligibility
World Insurance Claim Status
World Insurance Eligibility
Wyoming Medicaid Claim Status
Wyoming Medicaid Eligibility