The following payers require additional enrollment procedures by the provider:
| Payer Name |
| Aetna Health Plans |
| California Medicaid |
| Blue Cross Blue Shield Of Pennsylvania (Highmark) |
| Texas Medicaid - Long Term Care |
| Michigan Medicaid |
| Blue Cross Blue Shield Of Delaware (Highmark) |
| Independence Blue Cross (Pennsylvania) |
| Blue Cross Blue Shield Of Michigan (Institutional) |
| Blue Cross Blue Shield Of Michigan |
| Blue Cross Blue Shield Of North Dakota |
| Blue Cross Blue Shield Of Pennsylvania (Highmark) (Institutional) |
| Healthpartners of Minnesota |
| Medicare |
| Nebraska Medicaid |
| Nevada Medicaid |
| Blue Cross Pennsylvania (Capital) |
| Freedom Blue |
| Blue Cross Blue Shield of West Virginia (Highmark) |