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
Sterling Option One
Payer ID
91151
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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Sterling Option One 91151 837I
Stirling Benefits
Payer ID
06089
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
Stirling Benefits 06089 837P
Stone Trust
Payer ID
J2213
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.
Stone Trust J2213 837P
Streamline Imaging
Payer ID
J4481
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.
Streamline Imaging J4481 837P
Student Resources (UnitedHealthcare)
Payer ID
74227
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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Student Resources (UnitedHealthcare) 74227 837P
Student Resources (UnitedHealthcare)
Payer ID
74227
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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Student Resources (UnitedHealthcare) 74227 837I
Student Resources (UnitedHealthcare)
Payer ID
74227
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
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Student Resources (UnitedHealthcare) 74227 837D
Style Crest Enterprise
Payer ID
J3880
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.
Style Crest Enterprise J3880 837P
Sulphur Bluff ISD
Payer ID
J3952
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.
Sulphur Bluff ISD J3952 837P
Summacare Health Plan (HMO)
Payer ID
95202
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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Summacare Health Plan (HMO) 95202 837P
Summacare Health Plan (HMO)
Payer ID
95202
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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Summacare Health Plan (HMO) 95202 837I
Summit Administration Services, Inc.
Payer ID
86083
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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Summit Administration Services, Inc. 86083 837P
Summit Administration Services, Inc.
Payer ID
86083
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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Summit Administration Services, Inc. 86083 837I
Summit Community Care
Payer ID
PASSE
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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Summit Community Care PASSE 837P
Summit Community Care
Payer ID
PASSE
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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View note
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Summit Community Care PASSE 837I
Summit Holdings
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
View note
Hide note
View note
Hide note
Workers Comp Only. 835’s are automatic. At this time, only Professional (HCFA) claims are accepted.
Summit Holdings J1437 837P
Sun Life Financial (United Concordia)
Payer ID
89070
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
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View note
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Sun Life Financial (United Concordia) 89070 837D
Sun Mar Healthcare - CORVEL
Payer ID
J1610
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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Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Sun Mar Healthcare - CORVEL J1610 837P
Sunflower State (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
View note
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View note
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Sunflower State (Centene) 68069 837P
Sunflower State (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
View note
Hide note
View note
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Sunflower State (Centene) 68069 837I
Sunshine State Health Plan (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
View note
Hide note
View note
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Sunshine State Health Plan (Centene) 68069 837P
Sunshine State Health Plan (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
View note
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View note
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Sunshine State Health Plan (Centene) 68069 837I
Superior Choice Medical Group
Payer ID
SCPR1
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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Effective for DOS 1/1/2020.
Superior Choice Medical Group SCPR1 837P
Superior Choice Medical Group
Payer ID
SCPR1
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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Effective for DOS 1/1/2020.
Superior Choice Medical Group SCPR1 837I
Superior Dental Care
Payer ID
31117
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
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Superior Dental Care 31117 837D
Superior Health Plan (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
View note
Hide note
View note
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Superior Health Plan (Centene) 68069 837P
Superior Health Plan (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
View note
Hide note
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Superior Health Plan (Centene) 68069 837I
Superior Insurance Services
Payer ID
97802
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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Superior Insurance Services 97802 837P
Superior Insurance Services
Payer ID
97802
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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Superior Insurance Services 97802 837I
Superior Point
Payer ID
J1553
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. Covers all states except CA.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Superior Point J1553 837P
Superior Vision Services
Payer ID
13305
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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Superior Vision Services 13305 837P
SureGo Administrative Services LLC
Payer ID
89207
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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SureGo Administrative Services LLC 89207 837P
SureGo Administrative Services LLC
Payer ID
89207
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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SureGo Administrative Services LLC 89207 837I
Surest Health Plan
Payer ID
25463
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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formerly known as Bind
Surest Health Plan 25463 837P
Surest Health Plan
Payer ID
25463
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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formerly known as Bind
Surest Health Plan 25463 837I
Surgery One IPA
Payer ID
SOIPA
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
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Surgery One IPA SOIPA 837P
Sussex Insurance Company
Payer ID
J1829
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.
Sussex Insurance Company J1829 837P
Sutter Connect - East Bay Region Hospitals - B&T
Payer ID
SC051
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
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Sutter Connect - East Bay Region Hospitals - B&T SC051 837P
Sutter Connect - East Bay Region Hospitals - B&T
Payer ID
SC051
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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Sutter Connect - East Bay Region Hospitals - B&T SC051 837I
Sutter Connect - Palo Alto Medical Foundation
Payer ID
SC050
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
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Sutter Connect - Palo Alto Medical Foundation SC050 837P
Sutter Connect - Palo Alto Medical Foundation
Payer ID
SC050
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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Sutter Connect - Palo Alto Medical Foundation SC050 837I
Sutter Connect - Solano Regional Medical Foundation (SRMF)
Payer ID
SC016
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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Claims/Encounters
Sutter Connect - Solano Regional Medical Foundation (SRMF) SC016 837P
Sutter Connect - Sutter Delta Medical Group
Payer ID
SC018
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
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Sutter Connect - Sutter Delta Medical Group SC018 837P
Sutter Connect - Sutter Gould Medical Foundation (SGMF)
Payer ID
SC003
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
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Claims/Encounters
Sutter Connect - Sutter Gould Medical Foundation (SGMF) SC003 837P
Sutter Connect - Sutter Gould Medical Foundation (SGMF)
Payer ID
SC003
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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Claims/Encounters
Sutter Connect - Sutter Gould Medical Foundation (SGMF) SC003 837I
Sutter Connect - Sutter Independent Physicians, Sutter Medical Group, Sutter West Medical Group (SIP/SMG/SWMG)
Payer ID
SC004
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
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Claims/Encounters
Sutter Connect - Sutter Independent Physicians, Sutter Medical Group, Sutter West Medical Group (SIP/SMG/SWMG) SC004 837P
Sutter Connect - Sutter Independent Physicians, Sutter Medical Group, Sutter West Medical Group (SIP/SMG/SWMG)
Payer ID
SC004
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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Claims/Encounters
Sutter Connect - Sutter Independent Physicians, Sutter Medical Group, Sutter West Medical Group (SIP/SMG/SWMG) SC004 837I
Sutter Connect - Sutter Medical Group of the Redwoods, Santa Rosa Network (SMGR/SRN)
Payer ID
SC008
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
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Claims/Encounters
Sutter Connect - Sutter Medical Group of the Redwoods, Santa Rosa Network (SMGR/SRN) SC008 837P
Sutter Connect - Sutter Medical Group of the Redwoods, Santa Rosa Network (SMGR/SRN)
Payer ID
SC008
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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Claims/Encounters
Sutter Connect - Sutter Medical Group of the Redwoods, Santa Rosa Network (SMGR/SRN) SC008 837I
Sutter Connect – East Bay Region Hospitals – Non Sutter Groups
Payer ID
SC052
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
Sutter Connect – East Bay Region Hospitals – Non Sutter Groups SC052 837P
Sutter Connect – East Bay Region Hospitals – Non Sutter Groups
Payer ID
SC052
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
Sutter Connect – East Bay Region Hospitals – Non Sutter Groups SC052 837I
Sutter East Bay Medical Foundation
Payer ID
SC020
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
Sutter East Bay Medical Foundation SC020 837P
Sutter East Bay Medical Foundation
Payer ID
SC020
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
Sutter East Bay Medical Foundation SC020 837I
Sutter Health
Payer ID
J1512
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.
Sutter Health J1512 837P
Sutter Senior Care
Payer ID
SC028
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
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Sutter Senior Care SC028 837P
Sutter Senior Care
Payer ID
SC028
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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Sutter Senior Care SC028 837I
SVS Vision Inc.
Payer ID
SVSVN
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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SVS Vision Inc. SVSVN 837P
Swift Glass Corporation (UCS)
Payer ID
07040
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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Swift Glass Corporation (UCS) 07040 837P
Swift Glass Corporation (UCS)
Payer ID
07040
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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Swift Glass Corporation (UCS) 07040 837I
Syngenta Corporation
Payer ID
J1972
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.
Syngenta Corporation J1972 837P
T.H.E. Insurance - CORVEL
Payer ID
J1791
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.
T.H.E. Insurance - CORVEL J1791 837P
Tailored Brands Inc. - CORVEL
Payer ID
J3764
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.
Tailored Brands Inc. - CORVEL J3764 837P
TakeCare Insurance Company
Payer ID
98022
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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EDI enrollment form under Payer Enrollment Forms - All or Multiple States.
TakeCare Insurance Company 98022 837P
TakeCare Insurance Company
Payer ID
98022
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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EDI enrollment form under Payer Enrollment Forms - All or Multiple States.
TakeCare Insurance Company 98022 837I
Tall Tree Administrators
Payer ID
88067
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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Tall Tree Administrators 88067 837P
Tall Tree Administrators
Payer ID
88067
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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Tall Tree Administrators 88067 837I
Tawa Services, Inc. - CORVEL
Payer ID
J3750
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.
Teamsters Miscellaneous Security Trust Fund - Northwest Administrators
Payer ID
NWADM
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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Teamsters Miscellaneous Security Trust Fund - Northwest Administrators NWADM 837P
Teamsters Miscellaneous Security Trust Fund - Northwest Administrators
Payer ID
NWADM
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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Teamsters Miscellaneous Security Trust Fund - Northwest Administrators NWADM 837I
Teamsters Welfare Trust
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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Teamsters Welfare Trust 91131 837P
Teamsters Welfare Trust
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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Teamsters Welfare Trust 91131 837I
Tech-Steel, Inc
Payer ID
74234
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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Tech-Steel, Inc 74234 837P
Technology Insurance Co
Payer ID
J1855
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.
Technology Insurance Co J1855 837P
Telamon
Payer ID
22483
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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Telamon 22483 837P
Telamon
Payer ID
22483
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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Telamon 22483 837I
Temecula Valley Medical Group
Payer ID
HCMG1
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 contact the payer (951-791-1111) prior to submitting claims electronically.
Temecula Valley Medical Group HCMG1 837P
Temecula Valley Medical Group
Payer ID
HCMG1
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 contact the payer (951-791-1111) prior to submitting claims electronically.
Temecula Valley Medical Group HCMG1 837I
TennCare Select/ BlueCare
Payer ID
00890
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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TennCare Select/ BlueCare 00890 837P
TennCare Select/ BlueCare
Payer ID
00890
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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TennCare Select/ BlueCare 00890 837I
Texan Plus
Payer ID
60601
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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Texan Plus 60601 837D
Texas Association of School Boards
Payer ID
A0234
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.
Texas Association of School Boards A0234 837P
Texas Children's Health Plan
Payer ID
76048
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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Texas Children's Health Plan 76048 837P
Texas Children's Health Plan
Payer ID
76048
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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Texas Children's Health Plan 76048 837I
Texas Childrens Health Plan - Medicaid
Payer ID
75228
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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Texas Childrens Health Plan - Medicaid 75228 837P
Texas Childrens Health Plan - Medicaid
Payer ID
75228
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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Texas Childrens Health Plan - Medicaid 75228 837I
Texas Healthspring
Payer ID
THS01
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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Texas Healthspring THS01 837P
Texas Healthspring
Payer ID
THS01
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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Texas Healthspring THS01 837I
Texas Hospital Insurance
Payer ID
J3869
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.
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