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
American Primary Care Alliance IPA
Payer ID
APCA1
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
ERAs will be sent automatically after the provider begins submitting.
American Primary Care Alliance IPA APCA1 837P
American Primary Care Alliance IPA
Payer ID
APCA1
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
ERAs will be sent automatically after the provider begins submitting.
American Primary Care Alliance IPA APCA1 837I
American Public Life (APL)
Payer ID
60801
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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American Public Life (APL) 60801 837P
American Public Life (APL)
Payer ID
60801
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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American Public Life (APL) 60801 837I
American Republic Insurance Company (ARIC)
Payer ID
42011
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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PO Box 21670 Eagan MN 55121
American Republic Insurance Company (ARIC) 42011 837P
American Republic Insurance Company (ARIC)
Payer ID
42011
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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PO Box 21670 Eagan MN 55121
American Republic Insurance Company (ARIC) 42011 837I
American Specialty Companies
Payer ID
J1028
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.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
American Specialty Companies J1028 837P
American Specialty Companies
Payer ID
J1028
Payer ID
Transaction
All
Institutional Claims
837I
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
American Specialty Companies J1028 837I
American Specialty Companies
Payer ID
J1028
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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American Specialty Companies J1028 837P
American Specialty Health Plan
Payer ID
ASHP1
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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American Specialty Health Plan ASHP1 837P
American Specialty Ins. / MIB
Payer ID
J1029
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.
American Specialty Ins. / MIB J1029 837P
American Specialty Ins. / MIB
Payer ID
J1029
Payer ID
Transaction
All
Institutional Claims
837I
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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American Specialty Ins. / MIB J1029 837I
American Therapy Association (ATA) - Florida
Payer ID
65062
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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P.O. Box 350590 Fort Lauderdale, FL 33335. For ATA's Sunshine MMA/CW & Coventry HK/Medicaid & Humana & Amerigroup claims.
American Therapy Association (ATA) - Florida 65062 837P
American Trust Administrators
Payer ID
56195
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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American Trust Administrators 56195 837P
American Trust Administrators
Payer ID
56195
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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American Trust Administrators 56195 837I
American West Health Care Solution
Payer ID
AWHCS
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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American West Health Care Solution AWHCS 837P
American West Health Care Solution
Payer ID
AWHCS
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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American West Health Care Solution AWHCS 837I
America's Choice Healthplan
Payer ID
20029
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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America's Choice Healthplan 20029 837P
America's Choice Healthplan
Payer ID
20029
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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America's Choice Healthplan 20029 837I
America's Health Choice
Payer ID
20029
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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America's Health Choice 20029 837P
America's Health Choice
Payer ID
20029
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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America's Health Choice 20029 837I
America's PPO/America's TPA
Payer ID
41178
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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America's PPO/America's TPA 41178 837P
America's PPO/America's TPA
Payer ID
41178
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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America's PPO/America's TPA 41178 837I
AmeriChoice - New York Medicaid
Payer ID
86048
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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AmeriChoice - New York Medicaid 86048 837D
AmeriChoice - Pennsylvania Medicaid
Payer ID
86049
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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AmeriChoice - Pennsylvania Medicaid 86049 837D
Americo IPA
Payer ID
MLAMR
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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Americo IPA MLAMR 837P
Americo IPA
Payer ID
MLAMR
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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Americo IPA MLAMR 837I
Amerigroup (GA, NM, DC)
Payer ID
26375
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
Amerigroup (GA, NM, DC) 26375 837P
Amerigroup (GA, NM, DC)
Payer ID
26375
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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Amerigroup (GA, NM, DC) 26375 837I
Amerigroup of Nevada
Payer ID
SCNAN
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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CA, NV, CO providers only
Amerigroup of Nevada SCNAN 837D
Amerigroup of Nevada
Payer ID
SCNGA
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
GA providers only
Amerigroup of Nevada SCNGA 837D
Amerigroup of Nevada
Payer ID
SCNWI
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
WI providers only
Amerigroup of Nevada SCNWI 837D
Amerigroup of Nevada
Payer ID
SCNGA
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
GA providers only
Amerigroup of Nevada SCNGA 837D
Amerigroup of Nevada
Payer ID
SCNAN
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
CA, NV, CO providers only
Amerigroup of Nevada SCNAN 837D
Amerigroup of Nevada
Payer ID
SCNWI
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
WI providers only
Amerigroup of Nevada SCNWI 837D
Amerigroup of Nevada (Unicare)
Payer ID
SCNUN
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Amerigroup of Nevada (Unicare) SCNUN 837D
AmeriHealth Administrator
Payer ID
54763
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
AmeriHealth Administrator 54763 837P
AmeriHealth Administrator
Payer ID
54763
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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AmeriHealth Administrator 54763 837I
AmeriHealth Caritas Delaware
Payer ID
77799
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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Plan effective 1/1/2018. ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas Delaware 77799 837P
AmeriHealth Caritas Delaware
Payer ID
77799
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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Plan effective 1/1/2018. ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas Delaware 77799 837I
AmeriHealth Caritas District of Columbia
Payer ID
77002
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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ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas District of Columbia 77002 837P
AmeriHealth Caritas District of Columbia
Payer ID
77002
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.
AmeriHealth Caritas District of Columbia 77002 837I
AmeriHealth Caritas Florida
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.
AmeriHealth Caritas Florida 77003 837P
AmeriHealth Caritas Florida
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.
AmeriHealth Caritas Florida 77003 837I
AmeriHealth Caritas Louisiana
Payer ID
27357
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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Formerly known as Louisiana Care (LACare). ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas Louisiana 27357 837P
AmeriHealth Caritas Louisiana
Payer ID
27357
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
Formerly known as Louisiana Care (LACare). ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas Louisiana 27357 837I
AmeriHealth Caritas New Hampshire
Payer ID
87716
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.
AmeriHealth Caritas New Hampshire 87716 837P
AmeriHealth Caritas New Hampshire
Payer ID
87716
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.
AmeriHealth Caritas New Hampshire 87716 837I
AmeriHealth Caritas Next Delaware
Payer ID
47073
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
AmeriHealth Caritas Next Delaware 47073 837P
AmeriHealth Caritas Next Delaware
Payer ID
47073
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
AmeriHealth Caritas Next Delaware 47073 837I
AmeriHealth Caritas Next Florida
Payer ID
45408
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
AmeriHealth Caritas Next Florida 45408 837P
AmeriHealth Caritas Next Florida
Payer ID
45408
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
AmeriHealth Caritas Next Florida 45408 837I
AmeriHealth Caritas Next North Carolina
Payer ID
83148
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
AmeriHealth Caritas Next North Carolina 83148 837P
AmeriHealth Caritas Next North Carolina
Payer ID
83148
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
AmeriHealth Caritas Next North Carolina 83148 837I
AmeriHealth Caritas North Carolina
Payer ID
81671
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.
AmeriHealth Caritas North Carolina 81671 837P
AmeriHealth Caritas North Carolina
Payer ID
81671
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.
AmeriHealth Caritas North Carolina 81671 837I
Amerihealth Caritas Northeast
Payer ID
SCNAC
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
Amerihealth Caritas Northeast SCNAC 837D
Amerihealth Caritas Northeast
Payer ID
SCNAC
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
Amerihealth Caritas Northeast SCNAC 837D
Amerihealth Caritas Ohio Medicaid
Payer ID
35374
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
Amerihealth Caritas Ohio Medicaid 35374 837P
Amerihealth Caritas Ohio Medicaid
Payer ID
35374
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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Amerihealth Caritas Ohio Medicaid 35374 837I
AmeriHealth Caritas PA CHC
Payer ID
77062
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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AmeriHealth Caritas PA CHC 77062 837P
AmeriHealth Caritas PA CHC
Payer ID
77062
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
AmeriHealth Caritas PA CHC 77062 837I
Amerihealth Caritas Pennsylvania
Payer ID
22248
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
Amerihealth Caritas Pennsylvania 22248 837P
Amerihealth Caritas Pennsylvania
Payer ID
22248
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
Amerihealth Caritas Pennsylvania 22248 837I
Amerihealth Caritas Pennsylvania
Payer ID
SCNAC
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
Amerihealth Caritas Pennsylvania SCNAC 837D
Amerihealth Caritas Pennsylvania
Payer ID
SCNAC
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Amerihealth Caritas Pennsylvania SCNAC 837D
AmeriHealth Caritas / VIP Care
Payer ID
AMHC1
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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ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas / VIP Care AMHC1 837P
AmeriHealth Caritas / VIP Care
Payer ID
AMHC1
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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ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas / VIP Care AMHC1 837I
AmeriHealth Caritas VIP Care - Delaware DSNP
Payer ID
87406
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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AmeriHealth Caritas VIP Care - Delaware DSNP 87406 837P
AmeriHealth Caritas VIP Care - Delaware DSNP
Payer ID
87406
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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AmeriHealth Caritas VIP Care - Delaware DSNP 87406 837I
AmeriHealth Caritas VIP Care - Florida DSNP
Payer ID
88232
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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AmeriHealth Caritas VIP Care - Florida DSNP 88232 837P
AmeriHealth Caritas VIP Care - Florida DSNP
Payer ID
88232
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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AmeriHealth Caritas VIP Care - Florida DSNP 88232 837I
Amerihealth Caritas VIP Care - Michigan HIDE SNP
Payer ID
90689
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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Amerihealth Caritas VIP Care - Michigan HIDE SNP 90689 837P
Amerihealth Caritas VIP Care - Michigan HIDE SNP
Payer ID
90689
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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Amerihealth Caritas VIP Care - Michigan HIDE SNP 90689 837I
AmeriHealth Caritas / VIP Care Plus - Michigan
Payer ID
77013
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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ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas / VIP Care Plus - Michigan 77013 837P
AmeriHealth Caritas / VIP Care Plus - Michigan
Payer ID
77013
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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ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas / VIP Care Plus - Michigan 77013 837I
Amerihealth Casualty Services
Payer ID
J3969
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.
Auto only. At this time, only Professional (HCFA) claims are accepted.
Ameriprise C1097 837P
Ameriprise Auto & Home Insurance
Payer ID
12504
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.
Ameriprise Auto & Home Insurance 12504 837P
Ameriprise Auto & Home Insurance
Payer ID
12504
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Auto
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Ameriprise Auto & Home Insurance 12504 837I
Amerisafe
Payer ID
J1447
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. 835’s are automatic. At this time, only Professional
Amerisafe J1447 837P
Amerisafe
Payer ID
J1447
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Amerisafe J1447 837I
Amerisafe Risk Services
Payer ID
J1447
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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Amerisafe Risk Services J1447 837P
Amerisafe Risk Services
Payer ID
J1447
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Amerisafe Risk Services J1447 837I
Amerisafe Risk Services
Payer ID
J1447
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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Amerisafe Risk Services J1447 837P
Amerisure Insurance
Payer ID
J1206
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.
Amerisure Insurance J1206 837P
Amerisure Insurance
Payer ID
J1206
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Amerisure Insurance J1206 837I
Ameritas Life Insurance Corp.
Payer ID
61301
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Ameritas Life Insurance Corp. 61301 837D
AmFed Companies LLC (Amfed National Insurance)
Payer ID
J3735
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.
AmFed Companies LLC (Amfed National Insurance) J3735 837P
AmFed Companies LLC (Amfed National Insurance)
Payer ID
J3735
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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AmFed Companies LLC (Amfed National Insurance) J3735 837I
