Attachment K.docx

This is an attachment listing additional payer connections required for insurance coverage discovery operations under a federal health care clearinghouse contract. Attachment K identifies over 70 insurance payers, health plans, and benefits administrators that the contractor must establish connectivity with to support HIPAA 270/271 electronic transactions for the Department of Veterans Affairs Veterans Health Administration. The payers listed include major national carriers such as Optum Health, Express Scripts, Evernorth Behavioral Health, Magellan Behavioral Health, and regional plans including Harvard Pilgrim Health Care, Presbyterian Health Plan, and BlueCross/BlueShield affiliates. The list encompasses pharmacy benefit managers, behavioral health networks, administrative services organizations, and workers' compensation carriers operating across multiple states and territories. The attachment notes that the payer list is subject to change as payers are added or removed, indicating this is a dynamic requirement that may be modified throughout contract performance. This attachment supports the broader contract objective to transmit electronic eligibility and benefit inquiry transactions to the national payer community to reduce processing times and increase administrative efficiency for VHA revenue operations.