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• ECP Insurance Payer List, Realtime Eligibility List, and Additional Enrollment Request Form

ECP Insurance Payer List, Realtime Eligibility List, and Additional Enrollment Request Form

To download the ECP Insurance Payer List, Realtime Eligibility List and ECP Additional Enrollment Forms, click on the hyperlinks below.  

IMPORTANT NOTE:  ADDITIONAL ENROLLMENT FOR DESIGNATED ECP PAYERS MUST BE COMPLETED PRIOR TO SUBMITTING CLAIMS TO THOSE PAYERS.  ADDITIONAL ENROLLMENT REQUIREMENTS ARE IDENTIFIED ON THE ECP INSURANCE PAYER LIST.  SELECT THE ECP ADDITIONAL ENROLLMENT HYPERLINK TO DOWNLOAD THE REQUIRED ENROLLMENT FORMS.

ECP INSURANCE PAYER LIST AND REALTIME ELIGIBILITY LIST

ECP ADDITIONAL ENROLLMENT FORMS