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
Indiana University (IU) Health Plan – Commercial/Marketplace
Payer ID
IUHPL
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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Indiana University (IU) Health Plan – Commercial/Marketplace IUHPL 837I
Indiana University (IU) Health Plan – Medicare Advantage
Payer ID
95444
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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Indiana University (IU) Health Plan – Medicare Advantage 95444 837P
Indiana University (IU) Health Plan – Medicare Advantage
Payer ID
95444
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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Indiana University (IU) Health Plan – Medicare Advantage 95444 837I
Indian Health Services / Veteran Affairs
Payer ID
MR085
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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Indian Health Services / Veteran Affairs MR085 837P
Indian Health Services / Veteran Affairs
Payer ID
MR085
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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Indian Health Services / Veteran Affairs MR085 837I
Individual Health Insurance Companies
Payer ID
31059
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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Subscriber ID must start with H or C, 2nd char alphanumeric, 3rd-10 chars numeric. For WC claims and claims with attachments use Payer ID J1548.
ERA Enrollment form is listed under State Farm Insurance Company. A UHIN pass through fee applies to this transaction.
Individual Health Insurance Companies 31059 837P
Individual Health Insurance Companies
Payer ID
31059
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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Subscriber ID must start with H or C, 2nd char alphanumeric, 3rd-10 chars numeric. For WC claims and claims with attachments use Payer ID J1548.
ERA Enrollment form is listed under State Farm Insurance Company. A UHIN pass through fee applies to this transaction.
Individual Health Insurance Companies 31059 837I
iNetico Inc
Payer ID
43471
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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iNetico Inc 43471 837P
iNetico Inc
Payer ID
43471
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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iNetico Inc 43471 837I
Ingham Health Plan Corp.
Payer ID
38343
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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Ingham Health Plan Corp. 38343 837P
Ingham Health Plan Corp.
Payer ID
38343
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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Ingham Health Plan Corp. 38343 837I
Ingles Markets
Payer ID
J1907
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.
Ingles Markets J1907 837P
Inland Empire Electrical Trust (FCHN)
Payer ID
91131
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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Inland Empire Electrical Trust (FCHN) 91131 837P
Inland Empire Electrical Trust (FCHN)
Payer ID
91131
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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Inland Empire Electrical Trust (FCHN) 91131 837I
Inland Empire Health Plan
Payer ID
IEHP1
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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IEHP requests that all submitter's send their Taxonomy Codes.
Inland Empire Health Plan IEHP1 837P
Inland Empire Health Plan
Payer ID
IEHP1
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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IEHP requests that all submitter's send their Taxonomy Codes.
Inland Empire Health Plan IEHP1 837I
Inland Empire health Plan (Covered California)
Payer ID
IECCA
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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Inland Empire health Plan (Covered California) IECCA 837I
Inland Empire health Plan (Covered California)
Payer ID
IECCA
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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Inland Empire health Plan (Covered California) IECCA 837P
Inland Health Organization (IHO)
Payer ID
IHORG
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 claims with DOS prior to 7/1/14. All claims with DOS after 7/1/14 should be sent to Payer ID PROH4.
Inland Health Organization (IHO) IHORG 837P
Innermark TPA
Payer ID
98481
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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Innermark TPA 98481 837P
Innermark TPA
Payer ID
98481
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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Innermark TPA 98481 837I
InnovAge
Payer ID
31182
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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InnovAge 31182 837P
InnovAge
Payer ID
31182
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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InnovAge 31182 837I
Innova IPA
Payer ID
INV01
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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Innova IPA INV01 837P
Innova IPA
Payer ID
INV01
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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Innova IPA INV01 837I
Innovante Benefit Administrator
Payer ID
31172
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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Innovante Benefit Administrator 31172 837P
Innovante Benefit Administrator
Payer ID
31172
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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Innovante Benefit Administrator 31172 837I
Innovation Health (Aetna)
Payer ID
40025
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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Innovation Health (Aetna) 40025 837P
Innovation Health (Aetna)
Payer ID
40025
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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Innovation Health (Aetna) 40025 837I
Innovative Care Systems (ICS) - San Ramon
Payer ID
J1601
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.
Innovative Care Systems (ICS) - San Ramon J1601 837P
Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Innovative Risk Management (IRM) J2152 837P
InPhysician Associates - Guidant
Payer ID
INPA2
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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InPhysician Associates - Guidant INPA2 837P
InPhysician Associates - Guidant
Payer ID
INPA2
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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InPhysician Associates - Guidant INPA2 837I
In Physicians Associates
Payer ID
INP12
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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(Wellcare, Humana & SCAN LOBs only) Effective 1/25/2021
In Physicians Associates INP12 837P
In Physicians Associates
Payer ID
INP12
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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(Wellcare, Humana & SCAN LOBs only) Effective 1/25/2021
In Physicians Associates INP12 837I
Inservco
Payer ID
J3948
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.
Inservco J3948 837P
INS Health Services (AKA ICE Health)
Payer ID
VAICE
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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TAR # required in Box 23 (HCFA) or 63 (UB). If submitting ANSI, Loop 2300 REF*G1.
INS Health Services (AKA ICE Health) VAICE 837P
INS Health Services (AKA ICE Health)
Payer ID
VAICE
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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TAR # required in Box 23 (HCFA) or 63 (UB). If submitting ANSI, Loop 2300 REF*G1.
INS Health Services (AKA ICE Health) VAICE 837I
Insurance Administrator of America, Inc. (IAA)
Payer ID
37279
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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Insurance Administrator of America, Inc. (IAA) 37279 837P
Insurance Administrator of America, Inc. (IAA)
Payer ID
37279
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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Insurance Administrator of America, Inc. (IAA) 37279 837I
Insurance Benefit System Administrators
Payer ID
07689
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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Insurance Benefit System Administrators 07689 837P
Insurance Benefit System Administrators
Payer ID
07689
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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Insurance Benefit System Administrators 07689 837I
Insurance Company of the West (ICW)
Payer ID
27847
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 ERA's automatically once electronic claim submission begins. No enrollment needed.
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Insurance Program Managers Group (IPMG) J1887 837P
Insurance Program Managers Group (IPMG)
Payer ID
36342
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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Insurance Program Managers Group (IPMG) 36342 837P
Insurance Program Managers Group (IPMG)
Payer ID
36342
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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Insurance Program Managers Group (IPMG) 36342 837I
Insurance Systems
Payer ID
11889
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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Insurance Systems 11889 837P
Insurance Systems
Payer ID
11889
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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Insurance Systems 11889 837I
Insurance TPA
Payer ID
39182
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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Insurance TPA 39182 837P
Insurance TPA
Payer ID
39182
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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Insurance TPA 39182 837I
Insurers Administrative Corp.
Payer ID
86304
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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Insurers Administrative Corp. 86304 837P
Insurers Administrative Corp.
Payer ID
86304
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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Insurers Administrative Corp. 86304 837I
Integon General Insurance Corp.
Payer ID
C1028
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.
Integon General Insurance Corp. C1028 837P
Integra Administrative Group
Payer ID
51020
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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Seaford, Deleware.
Integra Administrative Group 51020 837P
Integra Administrative Group
Payer ID
51020
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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Seaford, Deleware.
Integra Administrative Group 51020 837I
Integra BMS
Payer ID
56139
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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Integra BMS 56139 837P
Integra BMS
Payer ID
56139
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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Integra BMS 56139 837I
Integra Group
Payer ID
31127
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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Integra Group 31127 837P
Integra Group
Payer ID
31127
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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Integra Group 31127 837I
IntegraNet
Payer ID
INET1
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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IntegraNet INET1 837P
IntegraNet
Payer ID
INET1
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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IntegraNet INET1 837I
IntegraNet SCAN
Payer ID
ISCN1
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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IntegraNet SCAN ISCN1 837P
IntegraNet SCAN
Payer ID
ISCN1
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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IntegraNet SCAN ISCN1 837I
Integrated Eye Care Network
Payer ID
85016
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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Integrated Eye Care Network 85016 837P
Integrated Health Partners (IHP)
Payer ID
MPM26
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 claims with DOS on or after 5/1/16.
Integrated Health Partners (IHP) MPM26 837P
Integrated Health Partners (IHP)
Payer ID
MPM26
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 claims with DOS on or after 5/1/16.
Integrated Health Partners (IHP) MPM26 837I
Integrated Home Care Services, Inc.
Payer ID
IHCS1
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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Integrated Home Care Services, Inc. IHCS1 837P
Integrated Home Care Services, Inc.
Payer ID
IHCS1
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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Integrated Home Care Services, Inc. IHCS1 837I
Integrated Medical Solutions
Payer ID
20050
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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Integrated Medical Solutions 20050 837P
Integrated Medical Solutions
Payer ID
20050
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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Integrated Medical Solutions 20050 837I
Integrity Mutual Insurance Company
Payer ID
10322
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.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Integrity Mutual Insurance Company 10322 837P
Interactive Medical Systems
Payer ID
56132
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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Interactive Medical Systems 56132 837P
Interactive Medical Systems
Payer ID
56132
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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Interactive Medical Systems 56132 837I
Intercare
Payer ID
J1542
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.
Intercare J1542 837P
Intercare - Sussex
Payer ID
J1957
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.
Intercare - Sussex J1957 837P
InterCommunity Health CCO (IHN)
Payer ID
SAMHP
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 Payer ID CP001.
InterCommunity Health CCO (IHN) SAMHP 837P
InterCommunity Health CCO (IHN)
Payer ID
SAMHP
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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Previously Payer ID CP001.
InterCommunity Health CCO (IHN) SAMHP 837I
Intercommunity Health Net
Payer ID
SAMHP
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 once electronic claim submission begins.
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
