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
Homewood Resorts
Payer ID
82234
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Homewood Resorts 82234 837P
Homewood Resorts
Payer ID
82234
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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Homewood Resorts 82234 837I
Horizon BCBS of New Jersey
Payer ID
22099
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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If you haven't registered your NPI with Horizon, please visit www.HorizonBlue.com/Providers and complete the NPI Collections Form. You must be credentialed with the payer in order to submit electronic claims.
Horizon BCBS of New Jersey 22099 Blue Cross Blue Shield 837P
Horizon BCBS of New Jersey
Payer ID
22099
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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If you haven't registered your NPI with Horizon, please visit www.HorizonBlue.com/Providers and complete the NPI Collections Form. You must be credentialed with the payer in order to submit electronic claims.
Horizon BCBS of New Jersey 22099 Blue Cross Blue Shield 837I
Horizon Casualty Services
Payer ID
J4007
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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Workers Comp only.
Horizon Casualty Services J4007 837P
Horizon NJ Health
Payer ID
22326
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Horizon NJ Health 22326 837P
Horizon NJ Health
Payer ID
22326
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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Horizon NJ Health 22326 837I
Horizon Valley Medical Group
Payer ID
HVMG1
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Payer returns ERAs automatically.
Horizon Valley Medical Group HVMG1 837P
Horizon Valley Medical Group
Payer ID
HVMG1
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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View note
Hide note
Payer returns ERAs automatically.
Horizon Valley Medical Group HVMG1 837I
Hortica
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
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Hortica J1417 837P
Hortica Florist Mutual Insurance
Payer ID
13978
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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Workers Comp Only. 835’s are automatic. At this time, only Professional (HCFA) claims are accepted.
Hortica Florist Mutual Insurance 13978 837P
Hospital Housekeeping Systems (HHS) - CORVEL
Payer ID
J2274
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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Workers Comp only.
Hospital Housekeeping Systems (HHS) - CORVEL J2274 837P
Hotel Employees & Restaurant Employees Health Trust, Group # F19
Payer ID
91136
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Hotel Employees & Restaurant Employees Health Trust, Group # F19 91136 837P
Hotel Employees & Restaurant Employees Health Trust, Group # F19
Payer ID
91136
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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Hotel Employees & Restaurant Employees Health Trust, Group # F19 91136 837I
Housing Authority El Paso (TX)
Payer ID
A0107
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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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Housing Authority El Paso (TX) A0107 837P
Houston Hunters Patrol, Inc.
Payer ID
J1020
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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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Houston Hunters Patrol, Inc. J1020 837P
Howard County Government (MD) - CORVEL
Payer ID
J1888
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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Workers Comp and Auto.
Howard County Government (MD) - CORVEL J1888 837P
Hudson Health Plan (now MVP)
Payer ID
14165
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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ERA enrollment form can be found under MVP Health Care
Hudson Health Plan (now MVP) 14165 837P
Hudson Health Plan (now MVP)
Payer ID
14165
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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ERA enrollment form can be found under MVP Health Care
Hudson Health Plan (now MVP) 14165 837I
Human Behavior Institute
Payer ID
HBI01
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Human Behavior Institute HBI01 837P
Humana
Payer ID
61101
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Humana 61101 837P
Humana
Payer ID
61101
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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Humana 61101 837I
Humana
Payer ID
73288
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Humana 73288 837D
Humana Behavioral Health (formerly LifeSynch)
Payer ID
61101
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Humana Behavioral Health (formerly LifeSynch) 61101 837P
Humana Behavioral Health (formerly LifeSynch)
Payer ID
61101
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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Humana Behavioral Health (formerly LifeSynch) 61101 837I
Humana Encounters
Payer ID
61102
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Humana Encounters 61102 837P
Humana Encounters
Payer ID
61102
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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Humana Encounters 61102 837I
Humana Gold Choice
Payer ID
61101
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Humana Gold Choice 61101 837P
Humana Gold Choice
Payer ID
61101
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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Humana Gold Choice 61101 837I
Humana Gold Plus
Payer ID
61101
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Humana Gold Plus 61101 837P
Humana Gold Plus
Payer ID
61101
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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Humana Gold Plus 61101 837I
Humana Health Plans of Ohio
Payer ID
95348
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Humana Health Plans of Ohio 95348 837P
Humana Healthy Horizons Oklahoma
Payer ID
61101
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Humana Healthy Horizons Oklahoma 61101 837P
Humana Healthy Horizons Oklahoma
Payer ID
61101
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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Humana Healthy Horizons Oklahoma 61101 837I
Humana LTSS Claims
Payer ID
61115
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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For LTSS claims with DOS on/after January 1, 2017.
Humana LTSS Claims 61115 837P
Humana LTSS Claims
Payer ID
61115
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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For LTSS claims with DOS on/after January 1, 2017.
Humana LTSS Claims 61115 837I
Humana Long Term Care (LTC)
Payer ID
61115
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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For LTC claims with DOS on/after January 1, 2017.
Humana Long Term Care (LTC) 61115 837P
Humana Long Term Care (LTC)
Payer ID
61115
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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For LTC claims with DOS on/after January 1, 2017.
Humana Long Term Care (LTC) 61115 837I
Humana Ohio 2
Payer ID
Z0005
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Humana Ohio 2 Z0005 837P
Humana Ohio Medicaid
Payer ID
61103
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Humana Ohio Medicaid 61103 837P
Humana Ohio Medicaid
Payer ID
61103
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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Humana Ohio Medicaid 61103 837I
Humana Puerto Rico
Payer ID
65018
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Humana Puerto Rico 65018 837P
Humana Puerto Rico
Payer ID
65018
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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Humana Puerto Rico 65018 837I
Humboldt Del Norte Foundation IPA
Payer ID
HDNFC
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Humboldt Del Norte Foundation IPA HDNFC 837P
Humboldt Del Norte Foundation IPA
Payer ID
HDNFC
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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Humboldt Del Norte Foundation IPA HDNFC 837I
Huntington Park Mission Medical Group
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
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Huntington Park Mission Medical Group CAPMN 837P
Huntington Park Mission Medical Group
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
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Huntington Park Mission Medical Group CAPMN 837I
Hutchinson Technology - CORVEL
Payer ID
J1626
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.
Hutchinson Technology - CORVEL J1626 837P
Hylton Payroll (Benefit Plan Administrators)
Payer ID
19753
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Hylton Payroll (Benefit Plan Administrators) 19753 837P
Hylton Payroll (Benefit Plan Administrators)
Payer ID
19753
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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Hylton Payroll (Benefit Plan Administrators) 19753 837I
I. E. Shaffer
Payer ID
22175
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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West Trenton, New Jersey.
I. E. Shaffer 22175 837P
I. E. Shaffer
Payer ID
22175
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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West Trenton, New Jersey.
I. E. Shaffer 22175 837I
IAC Life
Payer ID
30360
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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IAC Life 30360 837P
IAC Life
Payer ID
30360
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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IAC Life 30360 837I
IBC Personal Choice
Payer ID
54704
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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IBC Personal Choice 54704 837P
IBC Personal Choice
Payer ID
54704
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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IBC Personal Choice 54704 837I
IBEW Local 6 - San Francisco Electrical Workers
Payer ID
BS001
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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They will have a prefix code of "XEL" as their member ID on the BSC card.
IBEW Local 6 - San Francisco Electrical Workers BS001 837P
IBEW Local 6 - San Francisco Electrical Workers
Payer ID
BS001
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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They will have a prefix code of "XEL" as their member ID on the BSC card.
IBEW Local 6 - San Francisco Electrical Workers BS001 837I
IBEW Local 640 & AZ Chapter NECA Health & Welfare Trust
Payer ID
74234
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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IBEW Local 640 & AZ Chapter NECA Health & Welfare Trust 74234 837P
IBEW: Local No. 1 Health and Welfare Fund (Mental Health)
Payer ID
44602
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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PO Box 6088 St. Louis MO 63139
IBEW: Local No. 1 Health and Welfare Fund (Mental Health) 44602 837P
IBEW: Local No. 1 Health and Welfare Fund (Mental Health)
Payer ID
44602
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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PO Box 6088 St. Louis MO 63139
IBEW: Local No. 1 Health and Welfare Fund (Mental Health) 44602 837I
IBG Administrators, LLC
Payer ID
81810
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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IBG Administrators, LLC 81810 837P
IBG Administrators, LLC
Payer ID
81810
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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IBG Administrators, LLC 81810 837I
ICare Health Options
Payer ID
26054
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Pls include Network id (pin) on claims. Call Frank Bove @ Atlantis Health Plan to obtain a network id, 212-747-8393.
ICare Health Options 26054 837P
IDS Property Casualty
Payer ID
C1099
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Auto
View note
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Auto only.
IDS Property Casualty C1099 837P
IDS Property Casualty Insurance Company
Payer ID
12504
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Auto
View note
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Auto Only. At this time, only Professional (HCFA) claims are accepted.
IDS Property Casualty Insurance Company 12504 837P
IEHP Dental (Admin by LIBERTY Dental Plan)
Payer ID
LDP12
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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IEHP Dental (Admin by LIBERTY Dental Plan) LDP12 837D
IHC Health Solutions
Payer ID
86304
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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IHC Health Solutions 86304 837P
IHC Health Solutions
Payer ID
86304
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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IHC Health Solutions 86304 837I
IHG Direct
Payer ID
75274
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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IHG Direct 75274 837P
IHG Direct
Payer ID
75274
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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IHG Direct 75274 837I
ILWU Local 21 (FCHN)
Payer ID
91131
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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ILWU Local 21 (FCHN) 91131 837P
ILWU Local 21 (FCHN)
Payer ID
91131
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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ILWU Local 21 (FCHN) 91131 837I
IMA (Cotiva)
Payer ID
72091
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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1325 Barksdale Blvd Suite 300, Bossier City, LA 71111
IMA (Cotiva) 72091 837P
IMA (Cotiva)
Payer ID
72091
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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1325 Barksdale Blvd Suite 300, Bossier City, LA 71111
IMA (Cotiva) 72091 837I
IMA, Inc
Payer ID
64556
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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IMA, Inc 64556 837P
IMA, Inc
Payer ID
64556
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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IMA, Inc 64556 837I
IMCare
Payer ID
41600
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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IMCare 41600 837P
IMCare
Payer ID
41600
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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IMCare 41600 837I
IMCare
Payer ID
41600
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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IMCare 41600 837D
IMS - Trial Card (TC-IMS)
Payer ID
56155
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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PO Box 21145 Eagan MN 55121
IMS - Trial Card (TC-IMS) 56155 837P
IMS - Trial Card (TC-IMS)
Payer ID
56155
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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PO Box 21145 Eagan MN 55121
IMS - Trial Card (TC-IMS) 56155 837I
IMS Management Services - Texas
Payer ID
12T64
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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IMS Management Services - Texas 12T64 837I
IMS TPA
Payer ID
87765
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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IMS TPA 87765 837P
IMS TPA
Payer ID
87765
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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IMS TPA 87765 837I
IMS TPA: Parton Lumber (UCS)
Payer ID
17882
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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Effective January 1, 2017.
IMS TPA: Parton Lumber (UCS) 17882 837P
IMS TPA: Parton Lumber (UCS)
Payer ID
17882
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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Effective January 1, 2017.
IMS TPA: Parton Lumber (UCS) 17882 837I
IMS TPA: The Spencer Group
Payer ID
52393
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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Effective January 1, 2017.
IMS TPA: The Spencer Group 52393 837P
IMS TPA: Walker White, Inc. (UCS)
Payer ID
26879
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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Effective January 1, 2017.
IMS TPA: Walker White, Inc. (UCS) 26879 837P
IMS TPA: Walker White, Inc. (UCS)
Payer ID
26879
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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Effective January 1, 2017.
IMS TPA: Walker White, Inc. (UCS) 26879 837I
IMT
Payer ID
J3930
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
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Workers Comp only.
IMT J3930 837P
IMX Easy
Payer ID
86070
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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IMX Easy 86070 837P
IMX Easy
Payer ID
86070
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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IMX Easy 86070 837I
IN Physician Associates
Payer ID
INPA1
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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IN Physician Associates INPA1 837P
IN Physician Associates
Payer ID
INPA1
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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IN Physician Associates INPA1 837I
INDECS Corporation
Payer ID
40585
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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INDECS Corporation 40585 837P
INDECS Corporation
Payer ID
40585
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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INDECS Corporation 40585 837I
INS Health Services (AKA ICE Health)
Payer ID
VAICE
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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TAR # required in Box 23 (HCFA) or 63 (UB). If submitting ANSI, Loop 2300 REF*G1.
INS Health Services (AKA ICE Health) VAICE 837P
INS Health Services (AKA ICE Health)
Payer ID
VAICE
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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TAR # required in Box 23 (HCFA) or 63 (UB). If submitting ANSI, Loop 2300 REF*G1.
INS Health Services (AKA ICE Health) VAICE 837I
IPMG Claims Management Services
Payer ID
J1887
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
