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
FirstMedicare Direct
Payer ID
FCC01
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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Only for claims with a DOS of 8/1/2021 and forward
FirstMedicare Direct FCC01 837P
FirstMedicare Direct
Payer ID
FCC01
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
Only for claims with a DOS of 8/1/2021 and forward
FirstMedicare Direct FCC01 837I
FirstNation Health
Payer ID
65418
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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Hide note
FirstNation Health 65418 837P
FirstNation Health
Payer ID
65418
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
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FirstNation Health 65418 837I
First Priority Health (FPH) - Highmark
Payer ID
54771
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
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Hide note
For those that renewed coverage in 2016.
First Priority Health (FPH) - Highmark 54771 837P
First Priority Health (FPH) - Highmark
Payer ID
54771
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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For those that renewed coverage in 2016.
First Priority Health (FPH) - Highmark 54771 837I
First Priority Life Insurance Company (FPLIC) - Highmark
Payer ID
54771
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
For those that renewed coverage in 2016.
First Priority Life Insurance Company (FPLIC) - Highmark 54771 837P
First Priority Life Insurance Company (FPLIC) - Highmark
Payer ID
54771
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
For those that renewed coverage in 2016.
First Priority Life Insurance Company (FPLIC) - Highmark 54771 837I
First Reliance Standard
Payer ID
13317
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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Hide note
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First Reliance Standard 13317 837D
First Responder Joint Insurance Fund
Payer ID
J3943
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.
First Responder Joint Insurance Fund J3943 837P
FirstSolutions
Payer ID
FS802
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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Now Known as Bridgeview Company.
FirstSolutions FS802 837P
FKI Industries, Inc.
Payer ID
J1047
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
Hide 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.
FKI Industries, Inc. J1047 837P
Florida Blue HMO
Payer ID
00590
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
Florida Blue HMO 00590 837P
Florida Blue HMO
Payer ID
00590
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
Florida Blue HMO 00590 837I
Florida Community Care
Payer ID
FLCCR
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
Florida Community Care FLCCR 837P
Florida Community Care
Payer ID
FLCCR
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
Florida Community Care FLCCR 837I
Florida Complete Care
Payer ID
FLCPC
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
Florida Complete Care FLCPC 837P
Florida Complete Care
Payer ID
FLCPC
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
Florida Complete Care FLCPC 837I
Florida Health Administrators
Payer ID
86753
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
Florida Health Administrators 86753 837P
Florida Health Administrators
Payer ID
86753
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
Florida Health Administrators 86753 837I
Florida Healthcare Plan
Payer ID
59322
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
Florida Healthcare Plan 59322 837P
Florida Healthcare Plan
Payer ID
59322
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
Florida Healthcare Plan 59322 837I
Florida Hospital Orlando VBR
Payer ID
VB001
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
Florida Hospital Orlando VBR VB001 837P
Florida Hospital Waterman
Payer ID
48116
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
Florida Hospital Waterman 48116 837P
Florida Hospital Waterman
Payer ID
48116
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
Florida Hospital Waterman 48116 837I
Florida PACE Broward County Health Plan
Payer ID
FLBPP
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
Florida PACE Broward County Health Plan FLBPP 837P
Florida PACE Broward County Health Plan
Payer ID
FLBPP
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
Florida PACE Broward County Health Plan FLBPP 837I
Florida Pace Centers Inc
Payer ID
FLPAC
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
Florida Pace Centers Inc FLPAC 837P
Florida Pace Centers Inc
Payer ID
FLPAC
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
Florida Pace Centers Inc FLPAC 837I
Florida Pace Centers Inc
Payer ID
FLPAC
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
Hide note
Florida Pace Centers Inc FLPAC 837D
Florida School Boards Insurance Trust (FSBIT)
Payer ID
J4703
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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View note
Hide note
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Florida School Boards Insurance Trust (FSBIT) J4703 837P
Florida True Health
Payer ID
77003
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
ERA enrollment under AmeriHealth Caritas.
Florida True Health 77003 837P
Florida True Health
Payer ID
77003
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
ERA enrollment under AmeriHealth Caritas.
Florida True Health 77003 837I
Florists Insurance Company
Payer ID
J1417
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
Hide note
View note
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.
Florists Insurance Company J1417 837P
Florists Insurance Company
Payer ID
C1033
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Auto
View note
Hide note
View note
Hide note
Auto Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Florists Insurance Company C1033 837P
Florists Mutual Insurance Company
Payer ID
J1417
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
Hide note
View note
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.
Florists Mutual Insurance Company J1417 837P
Florists Mutual Insurance Company
Payer ID
C1033
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Auto
View note
Hide note
View note
Hide note
Auto Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Florists Mutual Insurance Company C1033 837P
Flour Bluff ISD
Payer ID
J3895
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
View note
Hide note
View note
Hide note
Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Flour Bluff ISD J3895 837P
Flume Health, Inc
Payer ID
FH205
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
Flume Health, Inc FH205 837P
Flume Health, Inc
Payer ID
FH205
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
Flume Health, Inc FH205 837I
FMI
Payer ID
J3296
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
Hide note
View note
Hide note
Workers Comp only. At this time, only Professional (HCFA) claims are accepted.
FMI J3296 837P
Food Lion Delhaize
Payer ID
J1879
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
Hide note
View note
Hide note
Workers Comp. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs for rejected claims only. No enrollment needed.
Food Lion Delhaize J1879 837P
Ford Motor Company
Payer ID
J3793
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
View note
Hide note
View note
Hide note
Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Ford Motor Company J3793 837P
Forest County Potawatomi Insurance Department
Payer ID
25059
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
PO Box 370, Crandon, WI 54520
Forest County Potawatomi Insurance Department 25059 837P
Forest County Potawatomi Insurance Department
Payer ID
25059
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
PO Box 370, Crandon, WI 54520
Forest County Potawatomi Insurance Department 25059 837I
For Your Benefit
Payer ID
FYB01
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
For Your Benefit FYB01 837P
For Your Benefit
Payer ID
FYB01
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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For Your Benefit FYB01 837I
Foundation for Medical Care of Tulare & Kings County
Payer ID
TKFMC
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
Foundation for Medical Care of Tulare & Kings County TKFMC 837P
Foundation for Medical Care of Tulare & Kings County
Payer ID
TKFMC
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
Foundation for Medical Care of Tulare & Kings County TKFMC 837I
Foundation Health HMO
Payer ID
FH001
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
Foundation Health HMO FH001 837P
Fountain Valley IPA (FVIPA)
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
View note
Hide note
View note
Hide note
Effective DOS after 5/1/2020 go to payer ID CAPMN. ERA enrollment under Conifer Health Solutions.
Fountain Valley IPA (FVIPA) CAPMN 837P
Fountain Valley IPA (FVIPA)
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
View note
Hide note
View note
Hide note
Effective DOS after 5/1/2020 go to payer ID CAPMN. ERA enrollment under Conifer Health Solutions.
Fountain Valley IPA (FVIPA) CAPMN 837I
Fountain Valley Premier IPA
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
View note
Hide note
View note
Hide note
ERA enrollment under Conifer Health Solutions.
Fountain Valley Premier IPA CAPMN 837P
Fountain Valley Premier IPA
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
View note
Hide note
View note
Hide note
ERA enrollment under Conifer Health Solutions.
Fountain Valley Premier IPA CAPMN 837I
Fox Valley Medicine Site 199
Payer ID
FVMCH
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
Fox Valley Medicine Site 199 FVMCH 837P
Fox Valley Medicine Site 199
Payer ID
FVMCH
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
Fox Valley Medicine Site 199 FVMCH 837I
Franciscan Alliance - CORVEL
Payer ID
J1883
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
View note
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View note
Hide note
Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Franciscan Alliance - CORVEL J1883 837P
Franciscan Senior Health & Wellness
Payer ID
FSHW1
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
Returns ERAs automatically once electronic submission begins.
Franciscan Senior Health & Wellness FSHW1 837P
Franciscan Senior Health & Wellness
Payer ID
FSHW1
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
Returns ERAs automatically once electronic submission begins.
Franciscan Senior Health & Wellness FSHW1 837I
Frankenmuth Mutual
Payer ID
J1440
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
View note
Hide note
View note
Hide note
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.
Frankenmuth Mutual J1440 837P
Franklin Mutual
Payer ID
J3297
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
Hide note
View note
Hide note
Workers Comp only. At this time, only Professional (HCFA) claims are accepted.
Franklin Mutual J3297 837P
Freedom Blue
Payer ID
15459
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
Freedom Blue 15459 837P
Freedom Claims Management
Payer ID
67136
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
Freedom Claims Management 67136 837P
Freedom Claims Management
Payer ID
67136
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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Freedom Claims Management 67136 837I
Freedom Health Plan
Payer ID
41212
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
Freedom Health Plan 41212 837P
Freedom Health Plan
Payer ID
41212
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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Freedom Health Plan 41212 837I
Freedom Life Insurance Company
Payer ID
62324
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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Freedom Life Insurance Company 62324 837P
Freedom Life Insurance Company
Payer ID
62324
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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Freedom Life Insurance Company 62324 837I
Fresno PACE
Payer ID
99660
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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Fresno PACE 99660 837P
Fresno PACE
Payer ID
99660
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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Fresno PACE 99660 837I
Friday Health Plans
Payer ID
H0657
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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Friday Health Plans H0657 837P
Friday Health Plans
Payer ID
H0657
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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Friday Health Plans H0657 837I
Friedkin Companies, Inc - CORVEL
Payer ID
J1984
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.
Friedkin Companies, Inc - CORVEL J1984 837P
Fringe Benefit Group
Payer ID
93158
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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Fringe Benefit Group 93158 837P
Fringe Benefit Group
Payer ID
93158
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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Fringe Benefit Group 93158 837I
Fringe Benefit Group Inc (Employer Plan Services, Inc. - Austin)
Payer ID
45289
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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Fringe Benefit Group Inc (Employer Plan Services, Inc. - Austin) 45289 837P
Fringe Benefit Group Inc (Employer Plan Services, Inc. - Austin)
Payer ID
45289
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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Fringe Benefit Group Inc (Employer Plan Services, Inc. - Austin) 45289 837I
Fringe Benefit Group Inc (Employer Plan Services, Inc. - Houston)
Payer ID
74212
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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Fringe Benefit Group Inc (Employer Plan Services, Inc. - Houston) 74212 837P
Fringe Benefit Group Inc (Employer Plan Services, Inc. - Houston)
Payer ID
74212
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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Fringe Benefit Group Inc (Employer Plan Services, Inc. - Houston) 74212 837I
Fringe Benefits
Payer ID
23243
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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Formerly known as BeneBay
Fringe Benefits 23243 837P
Fringe Benefits
Payer ID
23243
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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Formerly known as BeneBay
Fringe Benefits 23243 837I
Fringe Benefits Coordinators
Payer ID
59204
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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Fringe Benefits Coordinators 59204 837P
Fringe Benefits Coordinators
Payer ID
59204
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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Fringe Benefits Coordinators 59204 837I
Frontier Direct
Payer ID
IHS14
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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Frontier Direct IHS14 837P
Frontier Direct
Payer ID
IHS14
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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Frontier Direct IHS14 837I
FrontPath Health Coalition
Payer ID
34171
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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FrontPath Health Coalition 34171 837P
FrontPath Health Coalition
Payer ID
34171
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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FrontPath Health Coalition 34171 837I
Fullerton Union High School District (CA) - CORVEL
Payer ID
J1633
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.
Fullerton Union High School District (CA) - CORVEL J1633 837P
Futurecomp
Payer ID
J3353
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. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs for rejected claims only. No enrollment needed.
Futurecomp J3353 837P
Gainsco
Payer ID
C1085
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Auto
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Auto only. At this time, only Professional (HCFA) claims are accepted.
Gainsco C1085 837P
Gallagher Bassett Services, Inc.
Payer ID
TP057
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.
Gallagher Bassett Services, Inc. TP057 837P
Galveston County Indigent Health Care
Payer ID
30005
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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Galveston County Indigent Health Care 30005 837P
Galveston County Indigent Health Care
Payer ID
30005
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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Galveston County Indigent Health Care 30005 837I
Garretson Resolution Group
Payer ID
GARET
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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Garretson Resolution Group GARET 837P
Gary and Mary West Pace
Payer ID
GMWP1
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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Gary and Mary West Pace GMWP1 837P
Gary and Mary West Pace
Payer ID
GMWP1
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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Gary and Mary West Pace GMWP1 837I
Gateway Health Plan
Payer ID
25169
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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When enrolling for 25169 ERAs, you must also enroll under 60550, 91741, 45276, and 47181.
Gateway Health Plan 25169 837P
Gateway Health Plan
Payer ID
25169
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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When enrolling for 25169 ERAs, you must also enroll under 60550, 91741, 45276, and 47181.
Gateway Health Plan 25169 837I
Gateway Health Plan (Medicaid PA)
Payer ID
25169
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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When enrolling for 25169 ERAs, you must also enroll under 60550, 91741, 45276, and 47181.
Gateway Health Plan (Medicaid PA) 25169 837P
Gateway Health Plan (Medicaid PA)
Payer ID
25169
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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When enrolling for 25169 ERAs, you must also enroll under 60550, 91741, 45276, and 47181.
