Payer coverage

The payers and portals we already submit to.

Docflow submits prior authorizations where your payers take them, then checks back until there's a decision. Search for your payers below.

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This is how you try Docflow: a 30-day pilot, fully refundable if you're not satisfied.
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Portals

Live today. New portals every week.

Every portal below works out of the box, right now. Yours isn't listed? We add it during your pilot. And for any payer without a portal, Docflow submits by fax on the payer's own form.

Payer portals

The payer's own portal, or the multi-payer portal it uses.

Benefit managers

Where payers send prior auth for DME, sleep, imaging and post-acute care.

Medicaid and Medicare

State Medicaid programs and Original Medicare, on their own portals.

New portals added every week. Need one that isn't here? We'll add it for you.

Tell us which portal →

Payers

Payers and plans, A to Z.

Commercial, Medicare Advantage, Medicaid and Marketplace plans across all 50 states, with new portals added every week. Don't see yours? We submit by fax on the payer's form from day one, and add new portals during your pilot.

Showing 177 of 177

Payer / plan	States	Plan types
1199SEIU National Benefit FundNY	NY	Commercial
Absolute Total CareSC	SC	Medicaid
AetnaNational	National	Commercial, Medicare Advantage
Aetna Better HealthCA, FL, IL, KS, KY, LA, MD, MI, MO, NJ, NY, OH, OK, PA, TX, VA, WV	CA, FL, IL, KS, KY, LA, MD, MI, MO, NJ, NY, OH, OK, PA, TX, VA, WV	Medicaid
Aetna joint venture plans (Allina Health Aetna, Banner Aetna, Innovation Health, Sutter Health Aetna, Texas Health Aetna)AZ, CA, MN, TX, VA	AZ, CA, MN, TX, VA	Commercial
Alabama MedicaidAL	AL	Medicaid
All Savers (UnitedHealthcare)National	National	Commercial
Alliance HealthNC	NC	Medicaid
Ambetter (Centene)AL, AR, AZ, CA, DE, FL, GA, IA, IL, IN, KS, KY, LA, MI, MO, MS, NC, NE, NH, NV, OH, OK, PA, SC, TN, TX, WA	AL, AR, AZ, CA, DE, FL, GA, IA, IL, IN, KS, KY, LA, MI, MO, MS, NC, NE, NH, NV, OH, OK, PA, SC, TN, TX, WA	Marketplace
Amerigroup Community Care (Georgia)GA	GA	Medicaid
AmeriHealth (HMO and PPO)DE, NJ, PA	DE, NJ, PA	Commercial, Medicare Advantage
AmeriHealth AdministratorsNJ, PA	NJ, PA	Commercial
AmeriHealth New JerseyNJ	NJ	Commercial
Anthem Blue Cross Blue Shield (Elevance)CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, NY, OH, VA, WI	CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, NY, OH, VA, WI	Commercial
Anthem MaineHealthME	ME	Commercial
Anthem Medicaid (Ohio, incl. MyCare Ohio, and Nevada)NV, OH	NV, OH	Medicaid, Dual
Anthem Medicare Advantage (incl. Empire NY and Georgia)CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, NY, OH, VA, WI	CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, NY, OH, VA, WI	Medicare Advantage
Arizona Complete HealthAZ	AZ	Medicaid
Arkansas Blue Cross and Blue ShieldAR	AR	Commercial, Medicare Advantage
Arkansas Total CareAR	AR	Medicaid
Asuris Northwest HealthWA	WA	Commercial
AvMedFL	FL	Commercial, Medicare Advantage
AZ Blue (Blue Cross Blue Shield of Arizona)AZ	AZ	Commercial, Medicare Advantage
Baylor Scott and White Health PlanTX	TX	Commercial, Medicare Advantage
Blue Cross & Blue Shield of Rhode IslandRI	RI	Commercial
Blue Cross and Blue Shield of IllinoisIL	IL	Commercial, Medicare Advantage
Blue Cross and Blue Shield of Kansas CityKS, MO	KS, MO	Commercial
Blue Cross and Blue Shield of Minnesota (incl. Blue Plus Medicaid)MN	MN	Commercial, Medicare Advantage, Medicaid
Blue Cross and Blue Shield of MontanaMT	MT	Commercial, Medicare Advantage
Blue Cross and Blue Shield of New MexicoNM	NM	Commercial, Medicare Advantage
Blue Cross and Blue Shield of TexasTX	TX	Commercial, Medicare Advantage
Blue Cross and Blue Shield of Texas Medicaid (STAR / CHIP)TX	TX	Medicaid
Blue Cross Blue Shield of Michigan / Blue Care NetworkMI	MI	Commercial, Medicare Advantage, Medicaid
Blue Cross Blue Shield of North DakotaND	ND	Commercial, Medicare Advantage, Medicaid
Blue Cross Blue Shield of OklahomaOK	OK	Commercial, Medicare Advantage
Blue Cross Blue Shield of South CarolinaSC	SC	Commercial
Blue Cross Blue Shield of WyomingWY	WY	Commercial, Medicare Advantage
Blue Cross Community Centennial (BCBS New Mexico Medicaid)NM	NM	Medicaid
Blue Cross Community Health Plans (BCBS Illinois Medicaid)IL	IL	Medicaid
Blue Cross Complete of MichiganMI	MI	Commercial, Medicaid
Blue Cross NCNC	NC	Commercial, Medicare Advantage
Blue Medicare AdvantageMultiple	Multiple	Medicare Advantage
Blue Shield of CaliforniaCA	CA	Commercial, Medicare Advantage
Blue Shield of California Promise Health PlanCA	CA	Medicaid, Medicare Advantage
BlueCross BlueShield of AlabamaAL	AL	Commercial
BlueCross BlueShield of TennesseeTN	TN	Commercial, Medicare Advantage
Braven HealthNJ	NJ	Medicare Advantage
BridgeSpan HealthID, OR, UT, WA	ID, OR, UT, WA	Commercial
Buckeye Health PlanOH	OH	Medicaid, Medicare Advantage
Capital Blue CrossPA	PA	Commercial, Medicare Advantage
CareFirst BlueCross BlueShieldDC, MD, VA	DC, MD, VA	Commercial, Medicare Advantage
CarePlus Health Plans (Humana)FL	FL	Medicare Advantage
CareSource Marketplace, Medicaid and D-SNPGA, IN, KY, NC, OH, WV	GA, IN, KY, NC, OH, WV	Marketplace, Medicaid, Medicare Advantage
CareSource MyCare OhioOH	OH	Dual
CareSource Ohio MedicaidOH	OH	Medicaid
Carolina Complete HealthNC	NC	Medicaid
Children's Medical Services Health Plan (Sunshine Health)FL	FL	Medicaid
Cigna (incl. Cigna HealthSpring)National	National	Commercial, Medicare Advantage
Clear Health AllianceFL	FL	Medicaid
Clover HealthGA, MS, NJ, PA	GA, MS, NJ, PA	Medicare Advantage
Colorado Community Health AllianceCO	CO	Medicaid
Commonwealth Care AllianceMA, RI	MA, RI	Medicaid, Dual
ConnectiCare (Molina)CT	CT	Commercial, Medicare Advantage
Coordinated CareWA	WA	Medicaid
CountyCareIL	IL	Medicaid
CurativeNational	National	Commercial
Delaware First HealthDE	DE	Medicaid
Devoted HealthAL, AZ, CO, FL, IA, IL, KS, LA, NC, NE, NM, OH, OK, OR, PA, SC, TN, TX, UT, VA	AL, AZ, CO, FL, IA, IL, KS, LA, NC, NE, NM, OH, OK, OR, PA, SC, TN, TX, UT, VA	Medicare Advantage
EmblemHealth (GHI and HIP)NY	NY	Commercial, Medicaid, Medicare Advantage
Employer plans using Quantum Health care coordinationMultiple	Multiple	Commercial
Excellus BlueCross BlueShieldNY	NY	Commercial, Medicare Advantage
Fallon HealthMA	MA	Commercial, Medicare Advantage, Medicaid
Fidelis Care (incl. Ambetter from Fidelis Care)NY	NY	Medicaid, Marketplace, Medicare Advantage
Florida Blue (incl. Florida Blue Medicare and Federal Employee Program)FL	FL	Commercial, Medicare Advantage
Georgia MedicaidGA	GA	Medicaid
Golden Rule (UnitedHealthcare)National	National	Individual
Health Alliance Plan (HAP)MI	MI	Commercial, Medicare Advantage
Health First Colorado (Colorado Medicaid)CO	CO	Medicaid
Health NetCA, OR	CA, OR	Commercial, Medicaid, Medicare Advantage
Health New EnglandCT, MA	CT, MA	Commercial, Medicare Advantage
HealthfirstNY	NY	Medicaid, Medicare Advantage
HealthLinkIL, MO	IL, MO	Commercial
Healthy Blue (Elevance Medicaid)KS, LA, MO, NC	KS, LA, MO, NC	Medicaid, Dual
Highmark Blue Cross Blue Shield (Pennsylvania)PA	PA	Commercial, Medicare Advantage
Highmark Blue Cross Blue Shield DelawareDE	DE	Commercial, Medicare Advantage
Highmark Blue Cross Blue Shield of Western and Northeastern New YorkNY	NY	Commercial, Medicare Advantage, Medicaid
Highmark Blue Cross Blue Shield West VirginiaWV	WV	Commercial, Medicare Advantage
Home State HealthMO	MO	Medicaid
Horizon Blue Cross and Blue Shield of New Jersey (incl. Horizon NJ Health)NJ	NJ	Commercial, Medicare Advantage, Medicaid
HumanaNational	National	Medicare Advantage, Commercial
Humana Healthy HorizonsFL, KY, OH	FL, KY, OH	Medicaid
Independence AdministratorsPA	PA	Commercial
Independence Blue CrossPA	PA	Commercial, Medicare Advantage
Indiana Medicaid (IHCP)IN	IN	Medicaid
Integrated Home Care Services (IHCS)FL	FL
Iowa Total CareIA	IA	Medicaid
Jefferson Health PlansPA	PA	Medicaid, Medicare Advantage
Johns Hopkins Health Plans (Advantage MD, Employer Health Programs, US Family Health Plan)MD	MD	Medicare Advantage, Commercial, TRICARE
Keystone Health Plan East (Independence HMO)PA	PA	Commercial
L.A. Care Health PlanCA	CA	Medicaid, Marketplace, Medicare Advantage
LifeWise Health Plan of WashingtonWA	WA	Commercial
Louisiana Healthcare ConnectionsLA	LA	Medicaid
Luminare HealthMultiple	Multiple	Commercial
Magnolia HealthMS	MS	Medicaid
Managed Health ServicesIN	IN	Medicaid
Mass General Brigham Health PlanMA, ME, NH, RI	MA, ME, NH, RI	Commercial, Medicaid
McLaren Health PlanMI	MI	Commercial, Medicaid
Medica (incl. former WellFirst / Dean Health Plan and Prevea360)IA, KS, MN, MO, ND, NE, OK, SD, WI	IA, KS, MN, MO, ND, NE, OK, SD, WI	Commercial, Medicare Advantage
Medical Mutual of OhioOH	OH	Commercial, Medicare Advantage
Medicare (Original Medicare, DME MAC Jurisdictions A and D)Jurisdiction A and D states	Jurisdiction A and D states	Original Medicare
Mercy Care ArizonaAZ	AZ	Medicaid
Meridian (Illinois)IL	IL	Medicaid
Meridian (Michigan)MI	MI	Medicaid
MHS Health WisconsinWI	WI	Medicaid
Minnesota Health Care Programs (Minnesota Medicaid)MN	MN	Medicaid
Moda HealthAK, ID, OR, TX	AK, ID, OR, TX	Commercial
Molina HealthcareAZ, FL, IA, ID, IL, MI, MS, NE, NY, OH, SC, UT, VA, WA, WI	AZ, FL, IA, ID, IL, MI, MS, NE, NY, OH, SC, UT, VA, WA, WI	Medicaid, Marketplace, Medicare Advantage
Nebraska MedicaidNE	NE	Medicaid
Nebraska Total CareNE	NE	Medicaid
Neighborhood Health Partnership (UnitedHealthcare)FL	FL	Commercial
Network HealthWI	WI	Commercial, Medicare Advantage
NH Healthy FamiliesNH	NH	Medicaid
Ohana Health PlanHI	HI	Medicaid, Medicare Advantage
Oklahoma Complete HealthOK	OK	Medicaid
Oklahoma SoonerCare (Oklahoma Medicaid)OK	OK	Medicaid
Oscar HealthAL, AZ, FL, GA, IA, IL, KS, MI, MO, MS, NC, NE, NJ, NY, OH, OK, PA, TN, TX, VA	AL, AZ, FL, GA, IA, IL, KS, MI, MO, MS, NC, NE, NJ, NY, OH, OK, PA, TN, TX, VA	Marketplace
Oxford Health Plans (UnitedHealthcare)CT, NJ, NY	CT, NJ, NY	Commercial
Parkland Community Health PlanTX	TX	Medicaid
Partners Health ManagementNC	NC	Medicaid
Passport by Molina HealthcareKY	KY	Medicaid
Peach State Health PlanGA	GA	Medicaid
Pennsylvania Health and WellnessPA	PA	Medicaid
Point32Health (Tufts Health Plan, Harvard Pilgrim)MA, ME, NH, RI	MA, ME, NH, RI	Commercial, Medicare Advantage, Medicaid
Preferred Care Partners (UnitedHealthcare)FL	FL	Medicare Advantage
Premera Blue CrossAK, WA	AK, WA	Commercial, Medicare Advantage
Priority HealthMI	MI	Commercial, Medicare Advantage, Medicaid
Prominence Health PlanTX	TX	Medicare Advantage
Providence Health PlanOR, WA	OR, WA	Commercial, Medicare Advantage
Regence BlueCross BlueShieldID, OR, UT, WA	ID, OR, UT, WA	Commercial, Medicare Advantage
Rocky Mountain Health Plans (UnitedHealthcare)CO	CO	Commercial, Medicaid
Sanford Health PlanIA, MN, ND, NE, SD	IA, MN, ND, NE, SD	Commercial, Medicare Advantage
SCAN Health PlanAZ, CA, NV	AZ, CA, NV	Medicare Advantage
Security Health PlanWI	WI	Commercial, Medicare Advantage
Sentara Health PlansVA	VA	Commercial, Medicaid, Medicare Advantage
SilverSummit HealthplanNV	NV	Medicaid
Simply HealthcareFL	FL	Medicaid, Medicare Advantage
Skai Blue Cross Blue ShieldAR	AR	Commercial
South Carolina Healthy Connections MedicaidSC	SC	Medicaid
Summit Community CareAR	AR	Medicaid
Sunflower Health PlanKS	KS	Medicaid
Sunshine Health (Florida Medicaid)FL	FL	Medicaid
Superior HealthPlanTX	TX	Medicaid
Surest (UnitedHealthcare)National	National	Commercial
TRICARE West Region (TriWest Healthcare Alliance)West Region	West Region	TRICARE
Trillium Community Health PlanOR	OR	Medicaid
Trillium Health ResourcesNC	NC	Medicaid
Truli for HealthFL	FL	Commercial
UCareMN	MN	Medicaid, Medicare Advantage
UMR (UnitedHealthcare third party administrator)National	National	Commercial
Unicare (incl. Massachusetts GIC)MA, WV	MA, WV	Commercial, Medicaid
UnitedHealthcareNational	National	Commercial
UnitedHealthcare Community PlanAZ, FL, HI, KS, KY, LA, MD, MI, MN, MS, NC, NE, NJ, NM, NY, OH, PA, RI, TN, TX, VA, WA, WI	AZ, FL, HI, KS, KY, LA, MD, MI, MN, MS, NC, NE, NJ, NM, NY, OH, PA, RI, TN, TX, VA, WA, WI	Medicaid, Dual
UnitedHealthcare Medicare Advantage (incl. AARP Medicare Advantage, Dual Complete)National	National	Medicare Advantage, Dual
Univera HealthcareNY	NY	Commercial, Medicare Advantage
Vaya HealthNC	NC	Medicaid
Virginia MedicaidVA	VA	Medicaid
WebTPANational	National	Commercial
Wellcare Medicaid plans (incl. WellCare of Kentucky and Fidelis Care NJ)KY, NC, NJ, NY	KY, NC, NJ, NY	Medicaid
Wellcare Medicare Advantage (incl. Wellcare by Allwell)AR, AZ, CA, CT, DE, FL, GA, IA, IL, IN, KS, KY, LA, ME, MI, MO, MS, NC, NE, NH, NV, NY, OH, OK, OR, PA, SC, TN, TX, WA, WI	AR, AZ, CA, CT, DE, FL, GA, IA, IL, IN, KS, KY, LA, ME, MI, MO, MS, NC, NE, NH, NV, NY, OH, OK, OR, PA, SC, TN, TX, WA, WI	Medicare Advantage
Wellmark Blue Cross Blue ShieldIA, SD	IA, SD	Commercial
Wellpoint (formerly Amerigroup)AZ, DC, FL, GA, IA, KS, LA, MD, NJ, NM, NV, TN, TX, WA, WV	AZ, DC, FL, GA, IA, KS, LA, MD, NJ, NM, NV, TN, TX, WA, WV	Medicaid, Medicare Advantage, Commercial
WellSense Health PlanMA, NH	MA, NH	Medicaid, Marketplace
West Virginia MedicaidWV	WV	Medicaid
Wisconsin MedicaidWI	WI	Medicaid
WPS Health InsuranceWI	WI	Commercial
YouthCare HealthChoice IllinoisIL	IL	Medicaid
Zing HealthIL, IN, MI, MO, MS, OH, TN	IL, IN, MI, MO, MS, OH, TN	Medicare Advantage

Your systems

Results land back in the systems you already use.

Docflow pulls orders and clinicals from your system and writes the authorization back when it's approved.

Bonafide
Brightree
Epic
NikoHealth
Parachute Health
PointClickCare
React Health Connect
ResMed AirView
Salesforce
SnapWorx
TeamDME!
WellSky

Get started

Bring us your payer list.

We'll show you how Docflow handles your payer mix. Start with a 30-day pilot, fully refundable if you're not satisfied.

Reserve your pilot Book a demo

This is how you try Docflow: a 30-day pilot, fully refundable if you're not satisfied.
Reserve your start week.

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