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
Orange County Advantage Medical Group
Payer ID
HSM01
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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Orange County Advantage Medical Group HSM01 837P
Orange County Advantage Medical Group
Payer ID
HSM01
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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Orange County Advantage Medical Group HSM01 837I
Orange County Fire Authority - CORVEL
Payer ID
J1876
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.
Orange County Fire Authority - CORVEL J1876 837P
Orchid Medical/Careworks Sedgwick
Payer ID
J4094
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.
Orchid Medical/Careworks Sedgwick J4094 837P
Oregon State Accident Insurance Fund (SAIF) Corporation
Payer ID
J1720
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.
Oregon State Accident Insurance Fund (SAIF) Corporation J1720 837P
Orthonet - Aetna
Payer ID
13383
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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Orthonet - Aetna 13383 837P
Orthonet - Aetna
Payer ID
13383
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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Orthonet - Aetna 13383 837I
Orthonet - Uniformed Services Family Health Plan
Payer ID
13382
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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Orthonet - Uniformed Services Family Health Plan 13382 837P
Oscar Health
Payer ID
OSCAR
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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Oscar Health OSCAR 837P
Oscar Health
Payer ID
OSCAR
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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Oscar Health OSCAR 837I
Outsourcing Program
Payer ID
EPF06
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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Outsourcing Program EPF06 837P
Outsourcing Program
Payer ID
EPF06
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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Outsourcing Program EPF06 837I
P.R.I.M.E. Benefit Systems Inc.
Payer ID
DX106
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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P.R.I.M.E. Benefit Systems Inc. DX106 837D
P.S.E.W. Trust
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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P.S.E.W. Trust 91131 837P
P.S.E.W. Trust
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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P.S.E.W. Trust 91131 837I
P3 Health Partners Arizona
Payer ID
58375
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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P3 Health Partners Arizona 58375 837P
P3 Health Partners Arizona
Payer ID
58375
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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P3 Health Partners Arizona 58375 837I
P3 Health Partners Nevada
Payer ID
58379
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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P3 Health Partners Nevada 58379 837P
P3 Health Partners Nevada
Payer ID
58379
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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P3 Health Partners Nevada 58379 837I
PA Health and Wellness (Centene)
Payer ID
68069
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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PA Health and Wellness (Centene) 68069 837P
PA Health and Wellness (Centene)
Payer ID
68069
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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PA Health and Wellness (Centene) 68069 837I
PACE Center
Payer ID
CALOP
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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PACE Center CALOP 837P
PACE Center
Payer ID
CALOP
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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PACE Center CALOP 837I
PACE Center LTC
Payer ID
COLTC
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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PAYER ID REQUIRED.
PACE Center LTC COLTC 837I
PACE Greater New Orleans
Payer ID
21614
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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PACE Greater New Orleans 21614 837P
PACE Greater New Orleans
Payer ID
21614
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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PACE Greater New Orleans 21614 837I
PACE Southeast Michigan
Payer ID
86711
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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PACE Southeast Michigan 86711 837P
PACE Southeast Michigan
Payer ID
86711
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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PACE Southeast Michigan 86711 837I
PACEpartner Solutions
Payer ID
99486
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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PACEpartner Solutions 99486 837P
PACEpartner Solutions
Payer ID
99486
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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PACEpartner Solutions 99486 837I
PALMS Casino Resort (Admin by LIBERTY Dental Plan)
Payer ID
LDP19
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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PALMS Casino Resort (Admin by LIBERTY Dental Plan) LDP19 837D
PBS - Oregon Construction Machinery Industrial 26224 837P
PBS - Oregon Construction Machinery Industrial
Payer ID
26224
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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23048 N. 15th Ave. Phoenix, AZ 85027
PBS - Oregon Construction Machinery Industrial 26224 837I
PBS - Oregon Peninsula Airways
Payer ID
73624
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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23048 N. 15th Ave. Phoenix, AZ 85027
PBS - Oregon Peninsula Airways 73624 837P
PBS - Oregon Peninsula Airways
Payer ID
73624
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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23048 N. 15th Ave. Phoenix, AZ 85027
PBS - Oregon Peninsula Airways 73624 837I
PBS - Oregon TDX Corporation
Payer ID
83926
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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23048 N. 15th Ave. Phoenix, AZ 85027
PBS - Oregon TDX Corporation 83926 837P
PBS - Oregon TDX Corporation
Payer ID
83926
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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23048 N. 15th Ave. Phoenix, AZ 85027
PBS - Oregon TDX Corporation 83926 837I
PCA Health Plan of Texas (Humana)
Payer ID
95885
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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PCA Health Plan of Texas (Humana) 95885 837P
PCA Health Plan of Texas (Humana)
Payer ID
95885
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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PCA Health Plan of Texas (Humana) 95885 837I
PCMG of San Luis Obispo (formerly San Luis Obispo Select IPA)
Payer ID
SLOS1
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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PCMG of San Luis Obispo (formerly San Luis Obispo Select IPA) SLOS1 837P
PCMG of San Luis Obispo (formerly San Luis Obispo Select IPA)
Payer ID
SLOS1
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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PCMG of San Luis Obispo (formerly San Luis Obispo Select IPA) SLOS1 837I
PCMG of Santa Maria (formerly Midcoast Care Inc.)
Payer ID
MCI01
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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PCMG of Santa Maria (formerly Midcoast Care Inc.) MCI01 837P
PCMG of Santa Maria (formerly Midcoast Care Inc.)
Payer ID
MCI01
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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PCMG of Santa Maria (formerly Midcoast Care Inc.) MCI01 837I
PDT - Hollywood Presbyterian-St Vincent
Payer ID
PDT02
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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PDT - Hollywood Presbyterian-St Vincent PDT02 837P
PDT - Hollywood Presbyterian-St Vincent
Payer ID
PDT02
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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PDT - Hollywood Presbyterian-St Vincent PDT02 837I
PEF Clinic
Payer ID
PEF01
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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PEF Clinic PEF01 837P
PEF Clinic
Payer ID
PEF01
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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PEF Clinic PEF01 837I
PGBA TriWest VA CCN
Payer ID
VAC45
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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Provider enrollment is required, meaning a PGBA agreement must be on file. If already enrolled with PGBA for TRICARE, no new VACCN EDI enrollment is required.
PGBA TriWest VA CCN VAC45 837P
PGBA TriWest VA CCN
Payer ID
VAC45
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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Provider enrollment is required, meaning a PGBA agreement must be on file. If already enrolled with PGBA for TRICARE, no new VACCN EDI enrollment is required.
PGBA TriWest VA CCN VAC45 837I
PHCS GEHA
Payer ID
45275
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 DOS before 1/1/16. Coverage: AR, CT, HI, IN, KY MA, ME, MI, NH, RI and VT.
PHCS GEHA 45275 837P
PHCS GEHA
Payer ID
45275
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 DOS before 1/1/16. Coverage: AR, CT, HI, IN, KY MA, ME, MI, NH, RI and VT.
PHCS GEHA 45275 837I
PHP of the Carolinas
Payer ID
CB404
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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PHP of the Carolinas CB404 837P
PHP of the Carolinas
Payer ID
CB404
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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PHP of the Carolinas CB404 837I
PIH Health (formerly Bright Health)
Payer ID
BHP01
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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PIH Health (formerly Bright Health) BHP01 837P
PIH Health (formerly Bright Health)
Payer ID
BHP01
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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PIH Health (formerly Bright Health) BHP01 837I
PMG of San Jose
Payer ID
EXC01
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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PMG of San Jose EXC01 837P
PMG of San Jose
Payer ID
EXC01
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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PMG of San Jose EXC01 837I
POMCO
Payer ID
J2004
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.
POMCO J2004 837P
PPO Plus LLC
Payer ID
72148
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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PPO Plus LLC 72148 837P
PPO Plus LLC
Payer ID
72148
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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PPO Plus LLC 72148 837I
PSKW
Payer ID
PSKW0
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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PSKW PSKW0 837P
PSKW
Payer ID
PSKW0
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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PSKW PSKW0 837I
PacifiCare Dental and Vision HMO Claims
Payer ID
CX060
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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PacifiCare Dental and Vision HMO Claims CX060 837D