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Helping hospitals achieve sustainable performance excellence.

Recipient List

The following recipients participate with Vyne Medical:

 

Commercial 

  1. EmblemHealth
  2. PacificSource
  3. UniCare


Blue

  1. California – Anthem Blue Cross
  2. California – Anthem Blue Cross and Blue Shield Federal Employee Program
  3. Colorado – Anthem Blue Cross and Blue Shield


Medicare/Medicaid

  1. California – Anthem BlueCross Medi-Cal
  2. California – Anthem BlueCross Healthy Families
  3. California – ACS Medi-Cal
  4. West Virginia – UniCare Health Plan of West Virginia, Inc.

 

Recovery Audit Contractors

  1. RAC Region 1 (Performant Recovery)
  2. RAC Region 2 (Cotiviti)
  3. RAC Region 3 (Cotiviti)
  4. RAC Region 4 (HMS Federal Solutions)
  5. RAC Region 5 (Performant Recovery, DME)

 

Medicare Administrative Contractors

  1. MAC JE Noridian
  2. MAC JF (Noridian)
  3. MAC JH (Novitas Solutions)
  4. MAC J5 (WPS)
  5. MAC JM (Palmetto)
  6. MAC JL (Novitas Solutions)
  7. MAC JK (NGS)
  8. MAC JN (First Coast)
  9. MAC JJ (Cahaba)
  10. MAC J15 (CGS)
  11. MAC J6 (NGS)
  12. MAC J8 (WPS)
  13. Comprehensive Error Rate Testing – CERT (Livanta)
  14. Program Error Rate Measurement – PERM (A+ Government Solutions)
  15. Supplemental Medical Review Contractor – SMRC (Strategic Health Solutions)
  16. Railroad Retirement Board – RRB (Palmetto)

 

Medicare Administrative Contractors (Durable Medical Equipment)

  1. DME MAC JA (Noridian)
  2. DME MAC JD (Noridian)
  3. DME MAC JB (CGS)
  4. DME MAC JC (CGS)

 

Zone Program Integrity Contractor

  1. ZPIC Zone 1 (Safeguard Services)
  2. ZPIC Zone 2 (AdvancedMed)
  3. ZPIC Zone 3 (AdvanceMed)
  4. ZPIC Zone 4 (Health Integrity)
  5. ZPIC Zone 5 (AdvanceMed)
  6. ZPIC Zone 7 (Safeguard Services)

 

Unified Program Integrity Contractor

  1. UPIC North-Eastern (Safeguard Services)
  2. UPIC Mid-West (AdvanceMed)

 

 

Quality improvement Organizations

  1. QIO Area 1 (Livanta)
  2. QIO Area 2 (KEPRO)
  3. QIO Area 3 (KEPRO)
  4. QIO Area 4 (KEPRO)
  5. QIO Area 5 (Livanta)

 

Quality improvement Organizations

  1. QIC Part A – West (Maximus)
  2. QIC Part A – East (C2C Solutions)
  3. QIC Part B – North (C2C Solutions)
  4. QIC Part B – South (C2C Solutions)
  5. QIC DME (C2C Solutions)


DOWNLOAD the complete list of CMS approved contractors and find out the types of submissions that can be transmitted through the FastAttach esMD gateway.