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.
Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
Secondary
WC / Auto
NOTES
First Responder Joint Insurance Fund
Payer ID
J3943
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
View note
Hide note
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Hide note
Workers Comp only.
First Responder Joint Insurance Fund J3943 837P
First Source (Endeavor)
Payer ID
ENDVR
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
First Source (Endeavor) ENDVR 837P
First Source (Endeavor)
Payer ID
ENDVR
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
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Hide note
First Source (Endeavor) ENDVR 837I
FirstMedicare Direct
Payer ID
FCC01
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
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Only for claims with a DOS of 8/1/2021 and forward
FirstMedicare Direct FCC01 837P
FirstMedicare Direct
Payer ID
FCC01
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Only for claims with a DOS of 8/1/2021 and forward
FirstMedicare Direct FCC01 837I
FirstNation Health
Payer ID
65418
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
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Hide note
FirstNation Health 65418 837P
FirstNation Health
Payer ID
65418
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
FirstNation Health 65418 837I
FirstSolutions
Payer ID
FS802
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Now Known as Bridgeview Company.
FirstSolutions FS802 837P
Firstcare (Medicaid)
Payer ID
94998
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Firstcare (Medicaid) 94998 837P
Firstcare (Medicaid)
Payer ID
94998
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Firstcare (Medicaid) 94998 837I
Firstcare and Firstcare Medicaid
Payer ID
94999
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Firstcare and Firstcare Medicaid 94999 837P
Firstcare and Firstcare Medicaid
Payer ID
94999
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Firstcare and Firstcare Medicaid 94999 837I
Firstcomp
Payer ID
J1011
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
View note
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Hide note
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Firstcomp J1011 837P
Fitzharris & Company, Inc.
Payer ID
11244
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Fitzharris & Company, Inc. 11244 837P
Florida Blue HMO
Payer ID
00590
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Florida Blue HMO 00590 837P
Florida Blue HMO
Payer ID
00590
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Florida Blue HMO 00590 837I
Florida Community Care
Payer ID
FLCCR
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Florida Community Care FLCCR 837P
Florida Community Care
Payer ID
FLCCR
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Florida Community Care FLCCR 837I
Florida Complete Care
Payer ID
FLCPC
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Florida Complete Care FLCPC 837P
Florida Complete Care
Payer ID
FLCPC
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Florida Complete Care FLCPC 837I
Florida Health Administrators
Payer ID
86753
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Florida Health Administrators 86753 837P
Florida Health Administrators
Payer ID
86753
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Florida Health Administrators 86753 837I
Florida Health Solution HMO Company (Commercial ACA Metal Plans)
Payer ID
81044
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Florida Health Solution HMO Company (Commercial ACA Metal Plans) 81044 837P
Florida Health Solution HMO Company (Commercial ACA Metal Plans)
Payer ID
81044
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Florida Health Solution HMO Company (Commercial ACA Metal Plans) 81044 837I
Florida Healthcare Plan
Payer ID
59322
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Florida Healthcare Plan 59322 837P
Florida Healthcare Plan
Payer ID
59322
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Florida Healthcare Plan 59322 837I
Florida Hospital Orlando VBR
Payer ID
VB001
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Florida Hospital Orlando VBR VB001 837P
Florida Hospital Orlando VBR
Payer ID
VB001
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Florida Hospital Orlando VBR VB001 837I
Florida Hospital Waterman
Payer ID
48116
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Florida Hospital Waterman 48116 837P
Florida Hospital Waterman
Payer ID
48116
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Florida Hospital Waterman 48116 837I
Florida Pace Centers Inc
Payer ID
FLPAC
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Florida Pace Centers Inc FLPAC 837P
Florida Pace Centers Inc
Payer ID
FLPAC
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Florida Pace Centers Inc FLPAC 837I
Florida Pace Centers Inc
Payer ID
FLPAC
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Florida Pace Centers Inc FLPAC 837D
Florida True Health
Payer ID
77003
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
ERA enrollment under AmeriHealth Caritas.
Florida True Health 77003 837P
Florida True Health
Payer ID
77003
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
ERA enrollment under AmeriHealth Caritas.
Florida True Health 77003 837I
Florists Insurance Company
Payer ID
C1033
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Auto
View note
Hide note
View note
Hide note
Auto Only. At this time, only Professional (HCFA) claims are accepted.
Florists Insurance Company C1033 837P
Florists Insurance Company
Payer ID
J1417
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Florists Insurance Company J1417 837P
Florists Mutual Insurance Company
Payer ID
C1033
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Auto
View note
Hide note
View note
Hide note
Auto Only. At this time, only Professional (HCFA) claims are accepted.
Florists Mutual Insurance Company C1033 837P
Florists Mutual Insurance Company
Payer ID
J1417
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Florists Mutual Insurance Company J1417 837P
Flour Bluff ISD
Payer ID
J3895
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Workers Comp and Auto.
Flour Bluff ISD J3895 837P
Flume Health, Inc
Payer ID
FH205
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Flume Health, Inc FH205 837P
Flume Health, Inc
Payer ID
FH205
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Flume Health, Inc FH205 837I
Focus Plan NC
Payer ID
HFP01
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Effective 1/1/2020. PAYER ID REQUIRED. Chiropractic claims only. Per HNS, if you have the ability to submit in 837 (5010) format, you should submit directly to HNS using their HNSConnect portal.
Focus Plan NC HFP01 837P
Foothill Eye Care Services
Payer ID
EYEN2
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Foothill Eye Care Services EYEN2 837P
Ford Motor Company
Payer ID
J3793
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
Workers Comp only
Ford Motor Company J3793 837P
Forest County Potawatomi Insurance Department
Payer ID
25059
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
PO Box 370, Crandon, WI 54520
Forest County Potawatomi Insurance Department 25059 837P
Forest County Potawatomi Insurance Department
Payer ID
25059
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
PO Box 370, Crandon, WI 54520
Forest County Potawatomi Insurance Department 25059 837I
Foundation Health HMO
Payer ID
FH001
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Foundation Health HMO FH001 837P
Foundation for Medical Care of Tulare & Kings County
Payer ID
TKFMC
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Foundation for Medical Care of Tulare & Kings County TKFMC 837P
Foundation for Medical Care of Tulare & Kings County
Payer ID
TKFMC
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Foundation for Medical Care of Tulare & Kings County TKFMC 837I
Fountain Valley IPA (FVIPA)
Payer ID
CAPMN
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Effective DOS after 5/1/2020 go to payer ID CAPMN. ERA enrollment under Conifer Health Solutions.
Fountain Valley IPA (FVIPA) CAPMN 837P
Fountain Valley IPA (FVIPA)
Payer ID
CAPMN
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Effective DOS after 5/1/2020 go to payer ID CAPMN. ERA enrollment under Conifer Health Solutions.
Fountain Valley IPA (FVIPA) CAPMN 837I
Fountain Valley Premier IPA
Payer ID
CAPMN
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
ERA enrollment under Conifer Health Solutions.
Fountain Valley Premier IPA CAPMN 837P
Fountain Valley Premier IPA
Payer ID
CAPMN
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
ERA enrollment under Conifer Health Solutions.
Fountain Valley Premier IPA CAPMN 837I
Fox Valley Medicine Site 199
Payer ID
FVMCH
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Fox Valley Medicine Site 199 FVMCH 837P
Franciscan Alliance - CORVEL
Payer ID
J1883
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Workers Comp and Auto.
Franciscan Alliance - CORVEL J1883 837P
Frankenmuth Mutual
Payer ID
J1440
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Frankenmuth Mutual J1440 837P
Franklin Mutual
Payer ID
J3297
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
Workers Comp only.
Franklin Mutual J3297 837P
Freedom Blue
Payer ID
15459
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Freedom Blue 15459 837P
Freedom Claims Management
Payer ID
67136
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Freedom Claims Management 67136 837P
Freedom Claims Management
Payer ID
67136
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Freedom Claims Management 67136 837I
Freedom Health Plan
Payer ID
41212
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Freedom Health Plan 41212 837P
Freedom Health Plan
Payer ID
41212
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Freedom Health Plan 41212 837I
Freedom Life Insurance Company
Payer ID
62324
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Freedom Life Insurance Company 62324 837P
Freedom Life Insurance Company
Payer ID
62324
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Freedom Life Insurance Company 62324 837I
Fresno PACE
Payer ID
99660
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Fresno PACE 99660 837P
Fresno PACE
Payer ID
99660
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Fresno PACE 99660 837I
Friday Health Plans
Payer ID
H0657
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Friday Health Plans H0657 837P
Friday Health Plans
Payer ID
H0657
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Friday Health Plans H0657 837I
Friedkin Companies, Inc - CORVEL
Payer ID
J1984
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp & Auto
View note
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View note
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Workers Comp and Auto.
Friedkin Companies, Inc - CORVEL J1984 837P
Fringe Benefit Group
Payer ID
93158
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Fringe Benefit Group 93158 837P
Fringe Benefit Group
Payer ID
93158
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Fringe Benefit Group 93158 837I
Fringe Benefit Group Inc (Employer Plan Services, Inc. - Austin)
Payer ID
45289
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Fringe Benefit Group Inc (Employer Plan Services, Inc. - Austin) 45289 837P
Fringe Benefit Group Inc (Employer Plan Services, Inc. - Austin)
Payer ID
45289
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Fringe Benefit Group Inc (Employer Plan Services, Inc. - Austin) 45289 837I
Fringe Benefit Group Inc (Employer Plan Services, Inc. - Houston)
Payer ID
74212
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Fringe Benefit Group Inc (Employer Plan Services, Inc. - Houston) 74212 837P
Fringe Benefit Group Inc (Employer Plan Services, Inc. - Houston)
Payer ID
74212
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Fringe Benefit Group Inc (Employer Plan Services, Inc. - Houston) 74212 837I
Fringe Benefit Management (FBMC)
Payer ID
59069
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Fringe Benefit Management (FBMC) 59069 837P
Fringe Benefit Management (FBMC)
Payer ID
59069
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Fringe Benefit Management (FBMC) 59069 837I
Fringe Benefits Coordinators
Payer ID
59204
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Fringe Benefits Coordinators 59204 837P
Fringe Benefits Coordinators
Payer ID
59204
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Fringe Benefits Coordinators 59204 837I
FrontPath Health Coalition
Payer ID
34171
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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FrontPath Health Coalition 34171 837P
FrontPath Health Coalition
Payer ID
34171
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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FrontPath Health Coalition 34171 837I
Fullerton Union High School District (CA) - CORVEL
Payer ID
J1633
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp & Auto
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Workers Comp and Auto.
Fullerton Union High School District (CA) - CORVEL J1633 837P
GE Auto - CORVEL
Payer ID
J1557
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp & Auto
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Workers Comp and Auto.
GE Auto - CORVEL J1557 837P
GEHA Group Health (Nevada)
Payer ID
GEHA9
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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For claims with DOS prior to 1/1/15.
GEHA Group Health (Nevada) GEHA9 837P
GEHA Group Health (Nevada)
Payer ID
GEHA9
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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For claims with DOS prior to 1/1/15.
GEHA Group Health (Nevada) GEHA9 837I
GEHA – ASA
Payer ID
06603
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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GEHA – ASA 06603 837P
GEHA – ASA
Payer ID
06603
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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GEHA – ASA 06603 837I
GEHA – Aetna Signature Administrators
Payer ID
06603
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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GEHA – Aetna Signature Administrators 06603 837P
GEHA – Aetna Signature Administrators
Payer ID
06603
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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GEHA – Aetna Signature Administrators 06603 837I
GEMCare Medical Group (Managed Care Systems)
Payer ID
MCS03
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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GEMCare Medical Group (Managed Care Systems) MCS03 837P
GEMCare Medical Group (Managed Care Systems)
Payer ID
MCS03
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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GEMCare Medical Group (Managed Care Systems) MCS03 837I
GHA Orthopedic Providers Inc.
Payer ID
GHAOP
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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GHA Orthopedic Providers Inc. GHAOP 837P
GHA Orthopedic Providers Inc.
Payer ID
GHAOP
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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GHA Orthopedic Providers Inc. GHAOP 837I
GI Innovative Management
Payer ID
58204
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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GI Innovative Management 58204 837P
GI Innovative Management
Payer ID
58204
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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GI Innovative Management 58204 837I
GIC Indemnity Plan
Payer ID
80314
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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GIC Indemnity Plan 80314 837P
GIC Indemnity Plan
Payer ID
80314
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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GIC Indemnity Plan 80314 837I
GIC Indemnity Plan
Payer ID
80314
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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GIC Indemnity Plan 80314 837D
GMAC Insurance Management Corporation
Payer ID
C1028
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Auto
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Auto Only. At this time, only Professional (HCFA) claims are accepted.
