Office Ally may, at its sole option, add or remove Payers to the Services at any time. Office ally will use commercially reasonable efforts to provide Customer with written notice of such removals.
NOTICE: The Payer List page is currently unavailable due to scheduled maintanance
Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
Secondary
attachment
WC / Auto
NOTES
Bunch and Associates
Payer ID
J1435
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Bunch and Associates J1435 837P
Bureau For Children With Medical Handicaps
Payer ID
BCMH1
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Bureau For Children With Medical Handicaps BCMH1 837P
Bureau Of Prisons-Apprio
Payer ID
BOPMC
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Bureau Of Prisons-Apprio BOPMC 837P
Bureau Of Prisons-Apprio
Payer ID
BOPMC
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Bureau Of Prisons-Apprio BOPMC 837I
Burlington Coat Factory Warehouse
Payer ID
J1033
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Burlington Coat Factory Warehouse J1033 837P
Business First
Payer ID
J1437
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Business First J1437 837P
Businessmens Assurance
Payer ID
61301
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Businessmens Assurance 61301 837D
Butler America Holdings, INC.- Corvel - CORVEL
Payer ID
J3860
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
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Hide note
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Butler America Holdings, INC.- Corvel - CORVEL J3860 837P
Butler Benefit
Payer ID
42150
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Butler Benefit 42150 837P
Butler Benefit
Payer ID
42150
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Butler Benefit 42150 837I
C & O Employees Hospital Association
Payer ID
23708
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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C & O Employees Hospital Association 23708 837P
C&S Wholesale Grocers
Payer ID
J2095
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
C&S Wholesale Grocers J2095 837P
Caduceus Medical Group (Regal)
Payer ID
REGAL
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Caduceus Medical Group (Regal) REGAL 837P
Caduceus Medical Group (Regal)
Payer ID
REGAL
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Caduceus Medical Group (Regal) REGAL 837I
Cahaba GBA (Medicare Part A Rural)
Payer ID
10301
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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All States. Formerly known as Riverbend. EDI enrollment form under Payer Enrollment Forms - All or Multiple States.
Cahaba GBA (Medicare Part A Rural) 10301 837I
Cal Care IPA
Payer ID
PROSP
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Cal Care IPA PROSP 837P
Cal Care IPA
Payer ID
PROSP
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Cal Care IPA PROSP 837I
Cal Care IPA Encounters
Payer ID
PROSP
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Cal Care IPA Encounters PROSP 837P
Cal Care IPA Encounters
Payer ID
PROSP
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Cal Care IPA Encounters PROSP 837I
Cal Viva Health
Payer ID
95567
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Cal Viva Health 95567 837P
Cal Viva Health
Payer ID
95567
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Cal Viva Health 95567 837I
Cal Water (California Water Service)
Payer ID
99320
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Cal Water (California Water Service) 99320 837P
Cal Water (California Water Service)
Payer ID
99320
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Cal Water (California Water Service) 99320 837I
California Care (Humboldt Del Norte)
Payer ID
HDNFC
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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California Care (Humboldt Del Norte) HDNFC 837P
California Care (Humboldt Del Norte)
Payer ID
HDNFC
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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California Care (Humboldt Del Norte) HDNFC 837I
California Eye Care
Payer ID
CEC01
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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California Eye Care CEC01 837P
California Fair Services Authority
Payer ID
J1535
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
California Fair Services Authority J1535 837P
California Health and Wellness
Payer ID
68047
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Please verify Payer ID listed on Patient ID card prior to submission.
California Health and Wellness 68047 837P
California Health and Wellness
Payer ID
68047
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Please verify Payer ID listed on Patient ID card prior to submission.
California Health and Wellness 68047 837I
California Health and Wellness (Centene)
Payer ID
68069
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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California Health and Wellness (Centene) 68069 837P
California Health and Wellness (Centene)
Payer ID
68069
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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California Health and Wellness (Centene) 68069 837I
California Hospital Medical Center
Payer ID
HSM01
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Effective 9/1/22
California Hospital Medical Center HSM01 837P
California Hospital Medical Center
Payer ID
HSM01
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Effective 9/1/22
California Hospital Medical Center HSM01 837I
California IPA (Capital MSO)
Payer ID
CTPL1
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Previously handled under Payer ID AMM14
California IPA (Capital MSO) CTPL1 837P
California IPA (Capital MSO)
Payer ID
CTPL1
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Previously handled under Payer ID AMM14
California IPA (Capital MSO) CTPL1 837I
California Medical Center
Payer ID
MPM28
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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California Medical Center MPM28 837P
California Medical Center
Payer ID
MPM28
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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California Medical Center MPM28 837I
California Pacific Medical Center (CPMC)
Payer ID
SC053
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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California Pacific Medical Center (CPMC) SC053 837P
California Pacific Medical Center (CPMC)
Payer ID
SC053
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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California Pacific Medical Center (CPMC) SC053 837I
California Pacific Physicians Medical Group, Inc.
Payer ID
HSM01
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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California Pacific Physicians Medical Group, Inc. HSM01 837P
California Pacific Physicians Medical Group, Inc.
Payer ID
HSM01
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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California Pacific Physicians Medical Group, Inc. HSM01 837I
California Rural Indian Health Board (CRIHB) Cares
Payer ID
CRIHB
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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CRIHB Requires a signed agreement before claims can be submitted. Please contact crihbcare@crihb.org to get the process started.
California Rural Indian Health Board (CRIHB) Cares CRIHB 837P
California Rural Indian Health Board (CRIHB) Cares
Payer ID
CRIHB
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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CRIHB Requires a signed agreement before claims can be submitted. Please contact crihbcare@crihb.org to get the process started.
California Rural Indian Health Board (CRIHB) Cares CRIHB 837I
California Rural Indian Health Board (CRIHB) Options
Payer ID
CRIHB
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
CRIHB Requires a signed agreement before claims can be submitted. Please contact crihbcare@crihb.org to get the process started.
California Rural Indian Health Board (CRIHB) Options CRIHB 837P
California Rural Indian Health Board (CRIHB) Options
Payer ID
CRIHB
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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CRIHB Requires a signed agreement before claims can be submitted. Please contact crihbcare@crihb.org to get the process started.
California Rural Indian Health Board (CRIHB) Options CRIHB 837I
CalOptima
Payer ID
CALOP
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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CalOptima CALOP 837P
CalOptima
Payer ID
CALOP
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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CalOptima CALOP 837I
CalOptima LTC
Payer ID
COLTC
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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CalOptima LTC COLTC 837I
CalPortland Company - CORVEL
Payer ID
J3758
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
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Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
CalPortland Company - CORVEL J3758 837P
Calvos SelectCare
Payer ID
CALSC
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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View note
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Automatic ERA Enrollment once you start submitting claims.
Calvos SelectCare CALSC 837P
Calvos SelectCare
Payer ID
CALSC
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Automatic ERA Enrollment once you start submitting claims.
Calvos SelectCare CALSC 837I
Calvos SelectCare
Payer ID
CALSC
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Automatic ERA Enrollment once you start submitting claims.
Calvos SelectCare CALSC 837D
Cambridge Integrated Services
Payer ID
J1819
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Cambridge Integrated Services J1819 837P
Cameron Manufacturing & Design, Inc. (UCS)
Payer ID
25831
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Cameron Manufacturing & Design, Inc. (UCS) 25831 837P
Cameron Manufacturing & Design, Inc. (UCS)
Payer ID
25831
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Cameron Manufacturing & Design, Inc. (UCS) 25831 837I
Camp Lejeune Family Member Program
Payer ID
CLFM1
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Camp Lejeune Family Member Program CLFM1 837P
Camp Lejeune Family Member Program
Payer ID
CLFM1
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Camp Lejeune Family Member Program CLFM1 837I
Cannon Cochran Management Services
Payer ID
71057
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Metairie, Louisiana
Cannon Cochran Management Services 71057 837P
Cannon Cochran Management Services
Payer ID
71057
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Metairie, Louisiana
Cannon Cochran Management Services 71057 837I
Cap Management
Payer ID
CAPMN
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Cap Management CAPMN 837P
Cap Management
Payer ID
CAPMN
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Cap Management CAPMN 837I
Capistrano Unified School District (CA) - CORVEL
Payer ID
J1637
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
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Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Capistrano Unified School District (CA) - CORVEL J1637 837P
Capital Blue Cross
Payer ID
23045
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Capital Blue Cross 23045 837P
Capital Blue Cross
Payer ID
23045
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Capital Blue Cross 23045 837I
Capital Dental
Payer ID
CDCMD
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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ERA's are available for this payer.
Capital Dental CDCMD 837D
Capital District Physicians Health Plan (CDPHP)
Payer ID
SX065
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Capital District Physicians Health Plan (CDPHP) SX065 837P
Capital District Physicians Health Plan (CDPHP)
Payer ID
SX065
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Capital District Physicians Health Plan (CDPHP) SX065 837I
Capital Health Partners
Payer ID
CAHP1
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Payer Returns ERAs automatically.
Capital Health Partners CAHP1 837P
Capital Health Partners
Payer ID
CAHP1
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Payer Returns ERAs automatically.
Capital Health Partners CAHP1 837I
Capital Health Plan
Payer ID
95112
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Capital Health Plan 95112 837P
Capital Health Plan
Payer ID
95112
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Capital Health Plan 95112 837I
Capitol Administrators
Payer ID
68011
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Capitol Administrators 68011 837P
Capitol Administrators
Payer ID
68011
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Capitol Administrators 68011 837I
Capitol Dental Care WVCH
Payer ID
77100
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Administered by PHTECH
Capitol Dental Care WVCH 77100 837D
Capitol Indemnity
Payer ID
J1262
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
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Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Capitol Indemnity J1262 837P
Capitol Insurance Companies - CORVEL
Payer ID
J1809
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
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Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Capitol Insurance Companies - CORVEL J1809 837P
CapRock Health Plan - Verity
Payer ID
CAPH2
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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CapRock Health Plan - Verity CAPH2 837P
CapRock Health Plan - Verity
Payer ID
CAPH2
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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CapRock Health Plan - Verity CAPH2 837I
CapRock HealthPlans
Payer ID
CAPHP
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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CapRock HealthPlans CAPHP 837P
CapRock HealthPlans
Payer ID
CAPHP
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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CapRock HealthPlans CAPHP 837I
Cardiovascular Care Providers
Payer ID
GCVCP
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Cardiovascular Care Providers GCVCP 837P
Cardiovascular Care Providers
Payer ID
GCVCP
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Cardiovascular Care Providers GCVCP 837I
Care 1st Health Plan of Arizona (Centene)
Payer ID
68069
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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For DOS on or after 12/1/2022. ERA enrollment forms will be listed under Centene Corporation.
Care 1st Health Plan of Arizona (Centene) 68069 837P
Care 1st Health Plan of Arizona (Centene)
Payer ID
68069
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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For DOS on or after 12/1/2022. ERA enrollment forms will be listed under Centene Corporation.
Care 1st Health Plan of Arizona (Centene) 68069 837I
Care Advantage
Payer ID
HPSM1
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Care Advantage HPSM1 837P
Care Advantage
Payer ID
HPSM1
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Care Advantage HPSM1 837I
Care Improvement Plus (CIP) / XL Health
Payer ID
87726
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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For DOS on/after 1/1/16. Prior DOS should be sent to Payer ID 77082.
Care Improvement Plus (CIP) / XL Health 87726 837P
Care Improvement Plus (CIP) / XL Health
Payer ID
77082
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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For DOS prior to 1/1/16. All other DOS should be submitted under Payer ID 87726.
Care Improvement Plus (CIP) / XL Health 77082 837P
Care Improvement Plus (CIP) / XL Health
Payer ID
87726
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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For DOS on/after 1/1/16. Prior DOS should be sent to Payer ID 77082.
Care Improvement Plus (CIP) / XL Health 87726 837I
Care Improvement Plus (CIP) / XL Health
Payer ID
77082
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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For DOS prior to 1/1/16. All other DOS should be submitted under Payer ID 87726.
Care Improvement Plus (CIP) / XL Health 77082 837I
Care Improvement Plus (CIP) / XL Health
Payer ID
87726
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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For DOS on/after 1/1/16. Prior DOS should be sent to Payer ID 77082.
Care Improvement Plus (CIP) / XL Health 87726 837D
Care Logic
Payer ID
J3868
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
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