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
attachment
WC / Auto
NOTES
Provident Healthsource (CIGNA)
Payer ID
62308
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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Provident Healthsource (CIGNA) 62308 837I
Provident Healthsource (CIGNA)
Payer ID
62308
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Provident Healthsource (CIGNA) 62308 837D
Provident Life & Accident
Payer ID
62308
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Provident Life & Accident 62308 837P
Provident Life & Accident
Payer ID
62308
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Provident Life & Accident 62308 837I
Provident Life & Accident
Payer ID
62308
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Provident Life & Accident 62308 837D
Provident Life & Casualty
Payer ID
62308
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Provident Life & Casualty 62308 837P
Provident Life & Casualty
Payer ID
62308
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Provident Life & Casualty 62308 837I
Provident Life & Casualty
Payer ID
62308
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Provident Life & Casualty 62308 837D
Provident Preferred Network
Payer ID
62308
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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Provident Preferred Network 62308 837P
Provident Preferred Network
Payer ID
62308
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Provident Preferred Network 62308 837I
Provident Preferred Network
Payer ID
62308
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Provident Preferred Network 62308 837D
Provider Direct Network (HealthSmart Preferred Care)
Payer ID
75250
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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Provider Direct Network (HealthSmart Preferred Care) 75250 837P
Provider Direct Network (HealthSmart Preferred Care)
Payer ID
75250
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Provider Direct Network (HealthSmart Preferred Care) 75250 837I
Provider Partners Health Plan of Maryland
Payer ID
31118
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Health Plan of Maryland 31118 837P
Provider Partners Health Plan of Maryland
Payer ID
31118
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Health Plan of Maryland 31118 837I
Provider Partners Health Plan of Missouri
Payer ID
31404
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Health Plan of Missouri 31404 837P
Provider Partners Health Plan of Missouri
Payer ID
31404
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Health Plan of Missouri 31404 837I
Provider Partners Health Plan of North Carolina
Payer ID
31406
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Provider Partners Health Plan of North Carolina 31406 837P
Provider Partners Health Plan of North Carolina
Payer ID
31406
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Provider Partners Health Plan of North Carolina 31406 837I
Provider Partners Health Plan of Ohio
Payer ID
31402
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Health Plan of Ohio 31402 837P
Provider Partners Health Plan of Ohio
Payer ID
31402
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Health Plan of Ohio 31402 837I
Provider Partners Health Plan of Pennsylvania
Payer ID
31400
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Health Plan of Pennsylvania 31400 837P
Provider Partners Health Plan of Pennsylvania
Payer ID
31400
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Health Plan of Pennsylvania 31400 837I
Provider Partners Health Plan of Texas
Payer ID
31405
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Health Plan of Texas 31405 837P
Provider Partners Health Plan of Texas
Payer ID
31405
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Health Plan of Texas 31405 837I
Provider Partners Missouri Community Plan (HMO I-SNP)
Payer ID
31404
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Missouri Community Plan (HMO I-SNP) 31404 837P
Provider Partners Missouri Community Plan (HMO I-SNP)
Payer ID
31404
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Missouri Community Plan (HMO I-SNP) 31404 837I
Provider Partners North Carolina Community Plan
Payer ID
31406
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Provider Partners North Carolina Community Plan 31406 837P
Provider Partners North Carolina Community Plan
Payer ID
31406
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Provider Partners North Carolina Community Plan 31406 837I
Prudent Medical Group
Payer ID
MPM25
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Formerly known as Hollywood Presbyterian Medical Group
Prudent Medical Group MPM25 837P
Prudent Medical Group
Payer ID
MPM25
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Formerly known as Hollywood Presbyterian Medical Group
Prudent Medical Group MPM25 837I
Pruitt Health Premier
Payer ID
PH001
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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Pruitt Health Premier PH001 837P
Pruitt Health Premier
Payer ID
PH001
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Pruitt Health Premier PH001 837I
Pruitt Health Premier NC & SC
Payer ID
PHPC1
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Pruitt Health Premier NC & SC PHPC1 837P
Pruitt Health Premier NC & SC
Payer ID
PHPC1
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Pruitt Health Premier NC & SC PHPC1 837I
PsycHealth Care Management LLC
Payer ID
A2797
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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PsycHealth Care Management LLC A2797 837P
PsycHealth Care Management LLC
Payer ID
A2797
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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PsycHealth Care Management LLC A2797 837I
Psychiatric Centers at San Diego (PCSD)
Payer ID
PCSD1
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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Psychiatric Centers at San Diego (PCSD) PCSD1 837P
Public Alliance Insurance Coverage Fund (PAIC Jif)
Payer ID
J3936
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
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Workers Comp only.
Public Alliance Insurance Coverage Fund (PAIC Jif) J3936 837P
Public Employees Health Plan (PEHP)
Payer ID
SX106
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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View note
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A UHIN pass through few applies to this transaction.
Public Employees Health Plan (PEHP) SX106 837P
Public Employees Health Plan (PEHP)
Payer ID
SX106
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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View note
Hide note
A UHIN pass through few applies to this transaction.
Public Employees Health Plan (PEHP) SX106 837I
Public Health Medical Services (PHMS)
Payer ID
AMM03
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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View note
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Public Health Medical Services (PHMS) AMM03 837P
Public Health Medical Services (PHMS)
Payer ID
AMM03
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Public Health Medical Services (PHMS) AMM03 837I
Public WC Program
Payer ID
J3949
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
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View note
Hide note
Workers Comp only.
Public WC Program J3949 837P
Publix Super Markets, Inc.
Payer ID
J1897
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
QBE - General Casualty - Sun Prairie J1489 837P
QCA Health Plan
Payer ID
35174
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
QCA Health Plan 35174 837P
QCA Health Plan
Payer ID
35174
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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QCA Health Plan 35174 837I
Quad Cities Community Health Plan (QCCH)
Payer ID
40437
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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Quad Cities Community Health Plan (QCCH) 40437 837P
Quad Cities Community Health Plan (QCCH)
Payer ID
40437
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Quad Cities Community Health Plan (QCCH) 40437 837I
QualCare (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
Attachment
Available
WC / Auto
View note
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For Health Net members only (at this time), effective 11/1/16 (Date of Service).
QualCare (Managed Care Systems) MCS03 837P
QualCare (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
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
For Health Net members only (at this time), effective 11/1/16 (Date of Service).
QualCare (Managed Care Systems) MCS03 837I
QualCare IPA
Payer ID
QCP01
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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QualCare IPA QCP01 837P
QualCare IPA
Payer ID
QCP01
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
QualCare IPA QCP01 837I
QualChoice Advantage
Payer ID
42172
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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QualChoice Advantage 42172 837P
QualChoice Advantage
Payer ID
42172
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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QualChoice Advantage 42172 837I
QualChoice Health Insurance
Payer ID
35174
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
QualChoice Health Insurance 35174 837P
QualChoice Health Insurance
Payer ID
35174
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
QualChoice Health Insurance 35174 837I
QualChoice of Arkansas
Payer ID
35174
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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QualChoice of Arkansas 35174 837P
QualChoice of Arkansas
Payer ID
35174
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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QualChoice of Arkansas 35174 837I
Qualexa Healthcare
Payer ID
86772
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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Qualexa Healthcare 86772 837P
Qualexa Healthcare
Payer ID
86772
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Qualexa Healthcare 86772 837I
Quality Care Partners
Payer ID
89461
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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Quality Care Partners 89461 837P
Quality Care Partners
Payer ID
89461
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Quality Care Partners 89461 837I
Quartz
Payer ID
39180
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Also known as Quartz ASO and Gundersen Health Plan
Quartz 39180 837P
Quartz
Payer ID
39180
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Also known as Quartz ASO and Gundersen Health Plan
Quartz 39180 837I
Quest Behavioral Health
Payer ID
44219
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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Quest Behavioral Health 44219 837P
Quest Behavioral Health
Payer ID
44219
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Quest Behavioral Health 44219 837I
Quest EAP
Payer ID
10956
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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Quest EAP 10956 837P
Quest EAP
Payer ID
10956
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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Quest EAP 10956 837I
Questcare Medical Services
Payer ID
84562
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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Questcare Medical Services 84562 837P
Questcare Medical Services
Payer ID
84562
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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Questcare Medical Services 84562 837I
Quick Trip Corporation
Payer ID
73067
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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Quick Trip Corporation 73067 837P
Quick Trip Corporation
Payer ID
73067
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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Quick Trip Corporation 73067 837I
RAM Mutual Insurance Company
Payer ID
J1894
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.
RAM Mutual Insurance Company J1894 837P
RAPHA IPA INC
Payer ID
RAIPA
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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RAPHA IPA INC RAIPA 837P
RAPHA IPA INC
Payer ID
RAIPA
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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RAPHA IPA INC RAIPA 837I
RISRx
Payer ID
RISRX
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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RISRx RISRX 837P
RISRx
Payer ID
RISRX
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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RISRx RISRX 837I
RMSCO, Inc.
Payer ID
16117
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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RMSCO, Inc. 16117 837P
RMSCO, Inc.
Payer ID
16117
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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RMSCO, Inc. 16117 837I
RTG Medical Group
Payer ID
97736
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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RTG Medical Group 97736 837P
RTG Medical Group
Payer ID
97736
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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RTG Medical Group 97736 837I
Rady Childrens Hospital San Diego
Payer ID
RCHSD
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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Payer returns ERAs automatically once electronic claim submission begins.
Rady Childrens Hospital San Diego RCHSD 837P
Rady Childrens Hospital San Diego
Payer ID
RCHSD
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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Payer returns ERAs automatically once electronic claim submission begins.
Rady Childrens Hospital San Diego RCHSD 837I
Rady Children’s Health Network (RCHN)
Payer ID
RCHN1
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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Payer returns ERAs automatically once electronic claim submission begins.
Rady Children’s Health Network (RCHN) RCHN1 837P
Rady Children’s Health Network (RCHN)
Payer ID
RCHN1
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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Payer returns ERAs automatically once electronic claim submission begins.
Rady Children’s Health Network (RCHN) RCHN1 837I
Rady’s Children’s Specialists of San Diego
Payer ID
CSSD2
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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Payer returns ERAs automatically once electronic claim submission begins.
Rady’s Children’s Specialists of San Diego CSSD2 837P
Raleys Family of Fine Stores - CORVEL
Payer ID
J1522
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.
Raleys Family of Fine Stores - CORVEL J1522 837P
Ralph Lauren - CORVEL
Payer ID
J1938
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.
Ralph Lauren - CORVEL J1938 837P
Rampart Insurance Company
Payer ID
38512
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Workers Comp Only. 835’s are automatic. At this time, only Professional (HCFA) claims are accepted.
Rampart Insurance Company 38512 837P
Ramsey County (MN)
Payer ID
J1663
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.
Ramsey County (MN) J1663 837P
Rancho Santiago Community College District (CA) - CORVEL
Payer ID
J1635
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.
Rancho Santiago Community College District (CA) - CORVEL J1635 837P
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