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
UnitedHealthcare Medicare Solutions / UnitedHealthcare Nursing Home Plan (formerly Evercare)
Payer ID
87726
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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UnitedHealthcare Medicare Solutions / UnitedHealthcare Nursing Home Plan (formerly Evercare) 87726 837I
UnitedHealthcare Medicare Solutions / UnitedHealthcare Nursing Home Plan (formerly Evercare)
Payer ID
87726
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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UnitedHealthcare Medicare Solutions / UnitedHealthcare Nursing Home Plan (formerly Evercare) 87726 837D
UnitedHealthcare NDC Claims
Payer ID
UHNDC
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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UnitedHealthcare NDC Claims UHNDC 837P
UnitedHealthcare Ohio Medicaid
Payer ID
88337
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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UnitedHealthcare Ohio Medicaid 88337 837P
UnitedHealthcare Ohio Medicaid
Payer ID
88337
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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UnitedHealthcare Ohio Medicaid 88337 837I
UnitedHealthcare Shared Services (UHSS)
Payer ID
39026
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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Former Payer IDs: 31107, 33108, 37237, 74214, 74223, 75196, and 75243.
UnitedHealthOne / PacifiCare Life and Health Insurance Company
Payer ID
81400
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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UnitedHealthOne / PacifiCare Life and Health Insurance Company 81400 837P
UnitedHealthOne / PacifiCare Life and Health Insurance Company
Payer ID
81400
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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UnitedHealthOne / PacifiCare Life and Health Insurance Company 81400 837I
UnitedHealthOne / UnitedHealthcare Life Insurance Company (formerly American Medical Security)
Payer ID
81400
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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UnitedHealthOne / UnitedHealthcare Life Insurance Company (formerly American Medical Security) 81400 837P
UnitedHealthOne / UnitedHealthcare Life Insurance Company (formerly American Medical Security)
Payer ID
81400
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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UnitedHealthOne / UnitedHealthcare Life Insurance Company (formerly American Medical Security) 81400 837I
Unity Health Insurance
Payer ID
66705
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 must be completed under Quartz.
Unity Health Insurance 66705 837P
Unity Health Insurance
Payer ID
66705
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 must be completed under Quartz.
Unity Health Insurance 66705 837I
Unity Health Partners
Payer ID
A1152
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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Unity Health Partners A1152 837P
Univera Healthcare (Excellus)
Payer ID
16107
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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Univera Healthcare (Excellus) 16107 837P
Univera Healthcare (Excellus)
Payer ID
16107
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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Univera Healthcare (Excellus) 16107 837I
Univera PPO (Excellus)
Payer ID
UNINW
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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Univera PPO (Excellus) UNINW 837P
Univera PPO (Excellus)
Payer ID
UNINW
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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Univera PPO (Excellus) UNINW 837I
Universal Care (FFS)
Payer ID
UC001
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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Universal Care (FFS) UC001 837P
Universal Care (FFS)
Payer ID
UC001
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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Universal Care (FFS) UC001 837I
Universal Care Encounters
Payer ID
UC002
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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Encounter submissions ONLY.
Universal Care Encounters UC002 837P
Universal Care Encounters
Payer ID
UC002
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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Encounter submissions ONLY.
Universal Care Encounters UC002 837I
Universal Fidelity Administrators Company - Aggregate
Payer ID
93222
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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PO Box 1536, Duncan OK 73534
Universal Fidelity Administrators Company - Aggregate 93222 837P
Universal Fidelity Administrators Company - Aggregate
Payer ID
93222
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 1536, Duncan OK 73534
Universal Fidelity Administrators Company - Aggregate 93222 837I
Universal HealthCare IPA
Payer ID
UHIPA
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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Universal HealthCare IPA UHIPA 837P
Universal HealthCare IPA
Payer ID
UHIPA
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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Universal HealthCare IPA UHIPA 837I
University Care Advantage
Payer ID
09830
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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University Care Advantage 09830 837P
University Care Advantage
Payer ID
09830
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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University Care Advantage 09830 837I
University Family Care
Payer ID
09830
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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University Family Care 09830 837P
University Family Care
Payer ID
09830
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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University Family Care 09830 837I
University Health Alliance
Payer ID
UHA01
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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University Health Alliance UHA01 837P
University Health Alliance
Payer ID
UHA01
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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University Health Alliance UHA01 837I
University Healthcare Marketplace
Payer ID
45437
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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University Healthcare Marketplace 45437 837P
University Healthcare Marketplace
Payer ID
45437
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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University Healthcare Marketplace 45437 837I
University of Illinois
Payer ID
UIC67
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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University of Illinois UIC67 837P
University of Illinois
Payer ID
UIC67
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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University of Illinois UIC67 837I
University of Illinois at Chicago Div of Specialized Care for Children
Payer ID
37601
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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University of Illinois at Chicago Div of Specialized Care for Children 37601 837P
University of Illinois at Chicago Div of Specialized Care for Children
Payer ID
37601
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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University of Illinois at Chicago Div of Specialized Care for Children 37601 837I
University of Kentucky Health Services - CORVEL
Payer ID
J1941
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.
University of Kentucky Health Services - CORVEL J1941 837P
University of Maryland Health Advantage
Payer ID
45282
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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University of Maryland Health Advantage 45282 837P
University of Maryland Health Advantage
Payer ID
45282
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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University of Maryland Health Advantage 45282 837I
University of Utah Health Plans
Payer ID
SX155
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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A UHIN pass through fee applies to this transaction.
University of Utah Health Plans SX155 837P
University of Utah Health Plans
Payer ID
SX155
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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A UHIN pass through fee applies to this transaction.
University of Utah Health Plans SX155 837I
University Physicians Healthcare Group
Payer ID
07503
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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See University of Arizona Health Plans ERA enrollment form.
University Physicians Healthcare Group 07503 837P
University Texas Medical Board
Payer ID
UTMBC
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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University Texas Medical Board UTMBC 837P
University Texas Medical Board
Payer ID
UTMBC
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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University Texas Medical Board UTMBC 837I
University Trust
Payer ID
COACC
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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University Trust COACC 837P
Upland Medical Group
Payer ID
PROSP
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Upland Medical Group PROSP 837P
Upland Medical Group
Payer ID
PROSP
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Upland Medical Group PROSP 837I
UPMC Health Plan
Payer ID
23281
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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UPMC Health Plan 23281 837P
UPMC Health Plan
Payer ID
23281
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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UPMC Health Plan 23281 837I
UPMC Vision Advantage
Payer ID
25184
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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UPMC Vision Advantage 25184 837P
Upper Peninsula Health Group TPA
Payer ID
37324
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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Upper Peninsula Health Group TPA 37324 837P
Upper Peninsula Health Group TPA
Payer ID
37324
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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Upper Peninsula Health Group TPA 37324 837I
Upper Peninsula Health Plan
Payer ID
38337
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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Upper Peninsula Health Plan 38337 837P
Upper Peninsula Health Plan
Payer ID
38337
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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Upper Peninsula Health Plan 38337 837I
Uprise Health
Payer ID
63103
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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Uprise Health 63103 837P
Uprise Health
Payer ID
63103
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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Uprise Health 63103 837I
US Benefits
Payer ID
93092
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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US Benefits 93092 837P
US Benefits
Payer ID
93092
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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US Benefits 93092 837I
US Department of Labor
Payer ID
77044
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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US Department of Labor 77044 837P
US Department of Labor - Black Lung
Payer ID
77104
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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US Department of Labor - Black Lung 77104 837P
US Department of Labor - Energy
Payer ID
77103
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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US Department of Labor - Energy 77103 837P
US Engagement, LLC
Payer ID
50443
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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US Engagement, LLC 50443 837P
US Engagement, LLC
Payer ID
50443
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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US Engagement, LLC 50443 837I
US Family Health Plan of Texas and Louisiana (USFHP)
Payer ID
USFHP
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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US Family Health Plan of Texas and Louisiana (USFHP) USFHP 837P
US Family Health Plan of Texas and Louisiana (USFHP)
Payer ID
USFHP
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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US Family Health Plan of Texas and Louisiana (USFHP) USFHP 837I
US Imaging Network
Payer ID
50383
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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US Imaging Network 50383 837P
US Imaging Network II
Payer ID
USI01
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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US Imaging Network II USI01 837P
US Imaging Network II
Payer ID
USI01
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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US Imaging Network II USI01 837I
US Network and Administrative Services
Payer ID
USN01
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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US Network and Administrative Services USN01 837P
US Network and Administrative Services
Payer ID
USN01
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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US Network and Administrative Services USN01 837I
US Sugar Corporation
Payer ID
J1950
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.
US Sugar Corporation J1950 837P
USAA Auto Only
Payer ID
J1822
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.
USAA Auto Only J1822 837P
USFHP - St. Vincent Catholic Medical Centers of New York
Payer ID
13407
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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USFHP - St. Vincent Catholic Medical Centers of New York 13407 837P
USFHP - St. Vincent Catholic Medical Centers of New York
Payer ID
13407
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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USFHP - St. Vincent Catholic Medical Centers of New York 13407 837I
Utah Carpenters
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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Utah Carpenters 74234 837P
Utah Laborers
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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Utah Laborers 74234 837P
Utah Pipe Trades
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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Utah Pipe Trades 74234 837P
Utah Uninsured Employers Fund - CORVEL
Payer ID
J3957
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.
Utah Uninsured Employers Fund - CORVEL J3957 837P
Utica (Auto only)
Payer ID
C1027
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.
Utica (Auto only) C1027 837P
Utica Mutual Insurance Co
Payer ID
25976
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.
Utica Mutual Insurance Co 25976 837P
Utica National Insurance Co of Texas
Payer ID
43478
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.
Utica National Insurance Co of Texas 43478 837P
UTMB 3 Share Program
Payer ID
UT3F1
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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UTMB 3 Share Program UT3F1 837P
UTMB 3 Share Program
Payer ID
UT3F1
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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UTMB 3 Share Program UT3F1 837I
VA Community Care Network Region 1
Payer ID
VACCN
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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For DOS on or after 7/29/2019. Coverage: CT, DE, ME, MD, MA, NH, NJ, NY, NC, PA, RI, VT, VA, WV, DC.
VA Community Care Network Region 1 VACCN 837P
VA Community Care Network Region 1
Payer ID
VACCN
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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For DOS on or after 7/29/2019. Coverage: CT, DE, ME, MD, MA, NH, NJ, NY, NC, PA, RI, VT, VA, WV, DC.
VA Community Care Network Region 1 VACCN 837I
VA Community Care Network Region 1
Payer ID
VACCN
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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For DOS on or after 7/29/2019. Coverage: CT, DE, ME, MD, MA, NH, NJ, NY, NC, PA, RI, VT, VA, WV, DC.
VA Community Care Network Region 1 VACCN 837D
VA Community Care Network Region 2
Payer ID
VACCN
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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For DOS on or After 10/8/2019. Coverage: ND, SD, NE, KS, MN, IA, MO, WI, IL,MI, IN, OH, KY.
VA Community Care Network Region 2 VACCN 837P
VA Community Care Network Region 2
Payer ID
VACCN
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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For DOS on or After 10/8/2019. Coverage: ND, SD, NE, KS, MN, IA, MO, WI, IL,MI, IN, OH, KY.
VA Community Care Network Region 2 VACCN 837I
VA Community Care Network Region 2
Payer ID
VACCN
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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For DOS on or After 10/8/2019. Coverage: ND, SD, NE, KS, MN, IA, MO, WI, IL,MI, IN, OH, KY.
VA Community Care Network Region 2 VACCN 837D
VA Community Care Network Region 3
Payer ID
VACCN
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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For DOS on or after 1/08/2020. Coverage: FL, SC, GA, AL, TN,MS, LA, AR, OK
VA Community Care Network Region 3 VACCN 837P
VA Community Care Network Region 3
Payer ID
VACCN
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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For DOS on or after 1/08/2020. Coverage: FL, SC, GA, AL, TN,MS, LA, AR, OK
VA Community Care Network Region 3 VACCN 837I
VA Community Care Network Region 3
Payer ID
VACCN
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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For DOS on or after 1/08/2020. Coverage: FL, SC, GA, AL, TN,MS, LA, AR, OK
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