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All Available Payers with Office Ally Payer List

Claims (837P, 837I, 837D)
All
Claims
(837P, 837I, 837D)
Remits
(835)
Eligibility and Benefits
(270/271)
Claim Status
(276/277)
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Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
Secondary
attachment
WC / Auto
NOTES
Regal Medical Group
Payer ID
REGAL
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Regence Blue Cross Blue Shield - Oregon
Payer ID
00851
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Regence Blue Cross Blue Shield - Oregon
Payer ID
00851
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Regence Blue Cross Blue Shield - Oregon
Payer ID
00851
Payer ID
Transaction
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Regence Blue Shield - Idaho
Payer ID
00611
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Regence Blue Shield - Idaho
Payer ID
00611
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Regence Blue Shield - Idaho
Payer ID
00611
Payer ID
Transaction
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Regence Blue Shield of Washington State
Payer ID
00932
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Regence Blue Shield of Washington State
Payer ID
00932
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Regence Blue Shield of Washington State
Payer ID
00932
Payer ID
Transaction
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Regence Group Administrators (RGA)
Payer ID
RGA01
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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For Regence Group Administrator (RGA) claims, effective January 21, 2017.
Regence Group Administrators (RGA)
Payer ID
RGA01
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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For Regence Group Administrator (RGA) claims, effective January 21, 2017.
Regency Employee Benefits
Payer ID
38221
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Regency Employee Benefits
Payer ID
38221
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Regent Medical Group, Inc. (Regent Family Practice of Glendale)
Payer ID
HSM01
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Regent Medical Group, Inc. (Regent Family Practice of Glendale)
Payer ID
HSM01
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Region 8 Esc
Payer ID
J3950
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted. Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Regional Care, Inc.
Payer ID
47076
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Regional Care, Inc.
Payer ID
47076
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Rehn and Associates
Payer ID
REHNA
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Rehn and Associates
Payer ID
REHNA
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Reliance Community Care Partners
Payer ID
79846
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Reliance Community Care Partners
Payer ID
79846
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Reliance HMO, INC.
Payer ID
RHP01
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Reliance HMO, INC.
Payer ID
RHP01
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Reliance Standard Life
Payer ID
68381
Payer ID
Transaction
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Religious Order of Jehovah's Witnesses
Payer ID
ROJW1
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Renaissance Gulf Quest
Payer ID
RENGQ
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Republic Franklin Insurance
Payer ID
12475
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted. Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Republic Indemnity Company of America
Payer ID
J1008
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Republic Western Ins. Co
Payer ID
J1597
Payer ID
Transaction
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.
Reserve National Insurance
Payer ID
73066
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Reserve National Insurance
Payer ID
73066
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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ResourceOne Administrators
Payer ID
37278
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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ResourceOne Administrators
Payer ID
37278
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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ResourceOne Administrators Tribal
Payer ID
99789
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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ResourceOne Administrators Tribal
Payer ID
99789
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Resurrection Health Care Preferred
Payer ID
36396
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Resurrection Health Care Preferred
Payer ID
36396
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Resurrection Physicians Group
Payer ID
RPPG1
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Resurrection Physicians Group
Payer ID
RPPG1
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Retail Business Services (RBS)
Payer ID
J3733
Payer ID
Transaction
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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Covers NJ, NY, NC, TX. Workers Comp and Auto claims. At this time, only Professional (HCFA) claims are accepted. Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Retailer’s Casualty
Payer ID
J1437
Payer ID
Transaction
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.
Retailer’s First
Payer ID
J1437
Payer ID
Transaction
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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Hide note
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Workers Comp Only. 835’s are automatic. At this time, only Professional (HCFA) claims are accepted.
Retro Insulation INC
Payer ID
J3870
Payer ID
Transaction
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. Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Return to Work
Payer ID
J1202
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted. Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Revclaims
Payer ID
RVC01
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Revclaims
Payer ID
RVC01
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Richardson ISD (Tristar Risk Management)
Payer ID
J3974
Payer ID
Transaction
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.
Right Care from Scott & White
Payer ID
74205
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Right Care from Scott & White
Payer ID
74205
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Right Choice Benefit Administrators
Payer ID
37331
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Rios Arizona IPA
Payer ID
RIOSA
Payer ID
Transaction
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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Rios Arizona IPA
Payer ID
RIOSA
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Rios Health Plan
Payer ID
RHPCA
Payer ID
Transaction
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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Rios Health Plan
Payer ID
RHPCA
Payer ID
Transaction
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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Rios Southwest Medical Group
Payer ID
RIOS1
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Rios Southwest Medical Group
Payer ID
RIOS1
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Risk Administration Services
Payer ID
J1828
Payer ID
Transaction
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.
Risk Enterprise Management (REM)
Payer ID
J1491
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
River City Medical Group Senior
Payer ID
AMM23
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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River City Medical Group Senior
Payer ID
AMM23
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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RiverSpring Health Plans
Payer ID
05178
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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RiverSpring Health Plans
Payer ID
05178
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Riverport Insurance (MN School Board Association)
Payer ID
J1546
Payer ID
Transaction
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. Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Riverside Medical Clinic
Payer ID
RMC01
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Robert F Kennedy Medical Plan
Payer ID
44412
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Robert F Kennedy Medical Plan
Payer ID
44412
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Rocky Mountain HMO
Payer ID
RMHMO
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Rocky Mountain Pace
Payer ID
93142
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Rocky Mountain Pace
Payer ID
93142
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Root Insurance
Payer ID
J4304
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Auto
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Auto Only. At this time, only Professional (HCFA) claims are accepted. Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Roseburg Forest Products - CORVEL
Payer ID
J3751
Payer ID
Transaction
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. Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Royal Healthcare on behalf of Extended MLTC
Payer ID
46166
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Royal Healthcare on behalf of Extended MLTC
Payer ID
46166
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Royale Resources
Payer ID
RR001
Payer ID
Transaction
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Rubicon Health Group
Payer ID
IHS18
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Rubicon Health Group
Payer ID
IHS18
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Rush Prudential Health Plans - HMO Only
Payer ID
36389
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Rush Prudential Health Plans - HMO Only
Payer ID
36389
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Rutgers Casualty Insurance for NJ Auto
Payer ID
C1101
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Auto
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Auto only. At this time, only Professional (HCFA) claims are accepted.
Ryan White Network (RWN)
Payer ID
AMM03
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Ryan White Network (RWN)
Payer ID
AMM03
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Ryder Services
Payer ID
J1009
Payer ID
Transaction
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.
S & S Healthcare Strategies
Payer ID
31441
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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SA Recycling, LLC - CORVEL
Payer ID
J1728
Payer ID
Transaction
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.
SAMBA
Payer ID
62308
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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SAMBA
Payer ID
62308
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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SAMBA
Payer ID
62308
Payer ID
Transaction
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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SANTA MONICA UNITE HERE HEALTH BENEFIT PLAN
Payer ID
DBA02
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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SANTA MONICA UNITE HERE HEALTH BENEFIT PLAN
Payer ID
DBA02
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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SBM (Staff Benefits Management & Admin)
Payer ID
SBMCO
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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SBM (Staff Benefits Management & Admin)
Payer ID
SBMCO
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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SCCIPA Anthem ACO
Payer ID
SCACO
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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SCCIPA Anthem PPO
Payer ID
SCACO
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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SCCIPA HMO
Payer ID
10378
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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SCCIPA VHP Covered California
Payer ID
VHPCA
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Effective 10/1/2022.
SCHS ALTA Global Care Medical Group
Payer ID
MPM54
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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SCHS ALTA Global Care Medical Group
Payer ID
MPM54
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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SCHS Alta Pod by MedPOINT - Health Net
Payer ID
MPM20
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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