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October 8 2026 Third Party Liability Reminder
To report TPL (Add, Change, or Termination) for other insurance companies that are not listed below, submit a request to TPL by completing the online DCH-0078 form prior to submitting a claim to Medicaid.
- Aetna
- Anthem BCBS (CA, CO, CT, GA, IN, KY, ME, MO, NV, NH, Metro and Upstate NY, OH, VA, and WI)
- ASR
- BCN/BCBSM including BCBSM RX & BCN RX
- Blue Advantage Administrators including/aka Health Advantage BCBS of AR, Health Advantage A2A, Health Advantage Exchange
- CVS Caremark
- Delta Dental
- EHIM RX
- Express Scripts (ESI)
- HAP
- HCSC (BC OF IL, TX, MT, OK, NM)
- Humana
- Insight
- Magellan Rx
- McLaren/McLaren Health Advantage
- MedImpact
- Meritain Health
- Molina Healthcare
- Navitus
- OptumRx including Welldyne RX
- Prime Therapeutics Rx
- Priority Health
- UnitedHealthcare
- Golden Rule/Sierra Health & Life
- UMR
- Surest
- HealthScope
- GEHA (Under UMR Payer ID)
- VSP (Select groups reported from Delta Dental)